Evidence map›Paper›PMID 37180712›Full record

ArticleFrontiers in pharmacology2023

Individualized approach to elexacaftor/tezacaftor/ivacaftor dosing in cystic fibrosis, in response to self-reported anxiety and neurocognitive adverse events: A case series.

Hisham Ibrahim, Hammad Danish, David Morrissey, Kevin F Deasy, Mairead McCarthy, James Dorgan, Claire Fleming, Ciara Howlett, Sarah Twohig, Tamara Vagg and 3 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Transforming Care Models in Cystic Fibrosis: A Review.Healthcare (Basel, Switzerland) · 2025
    Review
  7. Article
  8. Review
  9. Remote analysis and management of sweat biomarkers using a wearable microfluidic sticker in adult cystic fibrosis patients.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. The ageing of people living with cystic fibrosis: what to expect now?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  18. Article
  19. Article
  20. Cystic fibrosis.Nature reviews. Disease primers · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Hisham IbrahimCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Hammad DanishCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
David MorrisseyCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Kevin F DeasyCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Mairead McCarthyCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
James DorganCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Claire FlemingCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Ciara HowlettCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Sarah TwohigCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Tamara VaggCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Desmond M MurphyCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Michael MaherCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Barry J PlantCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of mental health disorders is high among people with Cystic Fibrosis. The psychological symptoms in CF are associated with poor adherence, worse treatment outcomes, and greater health utilization/cost. Mental health and neurocognitive Adverse Events (AEs) have been reported with all available Cystic Fibrosis Transmembrane conductance Regulator (CFTR) modulators in small groups of patients. We report our experience with a dose reduction strategy in 10 of our patients on elexacaftor/tezacaftor/ivacaftor (7.9% of total number of patients) who self-reported developing intense anxiety, irritability, sleep disturbance and/or mental slowness after initiation of full dose treatment. Standard dose elexacaftor/tezacaftor/ivacaftor resulted in 14.3 points improvement in mean Percent Predicted Forced Expiratory Volume in 1 s (ppFEV

Indexed as

anxietycase reportCFTRcystic fibrosis transmembrane conductance regulatorelexacaftor/tezacaftor/ivacaftorFEV-1side-effectssweat chloride

Identifiers

PMID37180712
PMCPMC10172465

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.