Evidence map›Paper›PMID 37699421›Full record

ReviewThe Lancet. Respiratory medicine2023

Advancing the pipeline of cystic fibrosis clinical trials: a new roadmap with a global trial network perspective.

Nicole Mayer-Hamblett, John Paul Clancy, Raksha Jain, Scott H Donaldson, Isabelle Fajac, Christopher H Goss, Deepika Polineni, Felix Ratjen, Bradley S Quon, Edith T Zemanick and 16 more

Open access · greenAbstract readReview
In one paragraph

Review in The Lancet. Respiratory medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
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

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Review
  3. Toward precision for bronchopulmonary dysplasia: Moving past current definitions.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Cystic fibrosis.Nature reviews. Disease primers · 2024
    Review
  8. Article
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 7 countries.

Nicole Mayer-HamblettSeattle Children's Research Institute, Seattle, WA, USA; Department of Pediatrics, University of Washington, Seattle, WA, USA; Department of Biostatistics, University of Washington, Seattle, WA, USA. Electronic address: nicole.hamblett@seattlechildrens.org.
John Paul ClancyCystic Fibrosis Foundation, Bethesda, MD, USA.
Raksha JainUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Scott H DonaldsonDivision of Pulmonary and Critical Care Medicine, University of North Carolina, Chapel Hill, NC, USA.
Isabelle FajacAssistance Publique, Hôpitaux de Paris, Université Paris Cité, Paris, France.
Christopher H GossSeattle Children's Research Institute, Seattle, WA, USA; Department of Pediatrics, University of Washington, Seattle, WA, USA; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine University of Washington, Seattle, WA, USA.
Deepika PolineniDepartment of Pediatrics, Washington University, St. Louis, MO, USA.
Felix RatjenTranslational Medicine Research Institute, The Hospital for Sick Children, Toronto, ON, Canada; Division of Respiratory Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Bradley S QuonUniversity of British Columbia, Vancouver, BC, Canada.
Edith T ZemanickDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Scott C BellDepartment of Thoracic Medicine, The Prince Charles Hospital, Brisbane, QLD, Australia; Children's Health Research Centre, The University of Queensland, Brisbane, QLD, Australia.
Jane C DaviesNational Heart & Lung Institute, Imperial College London, London, UK; Royal Brompton & Harefield NHS Foundation Trust, London, UK.
Manu JainUniversity of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Medicine, Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Michael W KonstanCase Western Reserve University School of Medicine, Cleveland, OH, USA; Rainbow Babies and Children's Hospital, Cleveland, OH, USA.
Natanya R KerperCystic Fibrosis Foundation, Bethesda, MD, USA.
Tré LaRosaUSA.
Marcus A MallDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German Centre for Lung Research, Berlin, Germany; Berlin Institute of Health, Charité Universitätsmedizin Berlin, Berlin, Germany.
Edward McKoneSt. Vincent's University Hospital and University College Dublin School of Medicine, Dublin, Ireland.
Kelsie PearsonSeattle Children's Research Institute, Seattle, WA, USA.
Joseph M PilewskiDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Lynne QuittellDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Jonathan H RaymentUniversity of British Columbia, Vancouver, BC, Canada.
Steven M RoweCystic Fibrosis Foundation, Bethesda, MD, USA.
Jennifer L Taylor-CousarDepartments of Internal Medicine and Pediatrics, National Jewish Health, Denver, CO, USA.
George Retsch-BogartDivision of Pediatric Pulmonology, University of North Carolina, Chapel Hill, NC, USA.
Damian G DowneyWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, Northern Ireland.
Cystic Fibrosis Foundation · USThe University of Texas Southwestern Medical Center · USUniversity of British Columbia · CAUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USColumbia University Irving Medical Center · USHospital for Sick Children · CAHumboldt-Universität zu Berlin · DEImperial College London · GBQueen's University Belfast · GBRainbow Babies & Children's Hospital · USSt. Vincent's University Hospital · IEThe University of Queensland · AUUniversité Paris Cité · FRUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Pittsburgh · USWashington University in St. Louis · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
National Dissemination of I-Corps@NCATS: Accelerating Translation through CommercializationUL1TR003096 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M, KIMBERLY, ROBERT P. · 2019 to 2023
$43.6M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Vector CoreP30DK065988 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Scott H Randell · 2004 to 2026
$26.5M
UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AMIT GAGGAR · 2007 to 2026
$23.0M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, Lucas R Hoffman · 2010 to 2026
$21.4M
Project 3 - Personalized cystic fibrosis treatment strategies with synergistic therapies Identified in vitro.P01HL128192 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI GASTON, BENJAMIN · 2016 to 2020
$12.2M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319NCATS NIH HHS UL1 TR002548NCATS NIH HHS UL1 TR003096NCATS NIH HHS UM1 TR004528NHLBI NIH HHS P01 HL128192NIDDK NIH HHS P30 DK065988NIDDK NIH HHS P30 DK072482NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

The growing use of modulator therapies aimed at restoring cystic fibrosis transmembrane conductance regulator (CFTR) protein function in people with cystic fibrosis has fundamentally altered clinical trial strategies needed to advance new therapeutics across an orphan disease population that is now divided by CFTR modulator eligibility. The development of a robust pipeline of nucleic acid-based therapies (NABTs)-initially directed towards the estimated 10% of the cystic fibrosis population who are genetically ineligible for, or intolerant of, CFTR modulators-is dependent on the optimisation of restricted trial participant resources across multiple development programmes, a challenge that will preclude the use of gold standard placebo-controlled trials. Advancement of a full pipeline of symptomatic therapies across the entire cystic fibrosis population will be challenged by smaller effect sizes and uncertainty regarding their clinical importance in a growing modulator-treated population with more mild and stable pulmonary disease. In this Series paper, we aim to lay the foundation for clinical trial strategy and community partnership that must deviate from established and familiar precedent to advance the future pipeline of cystic fibrosis therapeutics.

Indexed as

Cystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorGenetic TherapyHumansMutationQuality of LifeCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID37699421
PMCPMC10982891
OpenAlexW4386565810

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.