Evidence map›Paper›PMID 38937105›Full record

ArticleThorax2024

Long-term impact of ivacaftor on mortality rate and health outcomes in people with cystic fibrosis.

Christian A Merlo, Teja Thorat, Maral DerSarkissian, Lisa J McGarry, Catherine Nguyen, Yuqian M Gu, Joe Healy, Jaime L Rubin, M Alan Brookhart

Abstract read
In one paragraph

Article in Thorax, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
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  8. Review
  9. Article
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  12. Evolving nutrition therapy in cystic fibrosis: Adapting to the CFTR modulator era.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  13. Article
  14. Article
  15. Observational
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

9 authors.

Christian A MerloJohns Hopkins School of Medicine, Baltimore, Maryland, USA cmerlo@jhmi.edu.ORCID 0000-0002-9283-3928
Teja ThoratVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Maral DerSarkissianAnalysis Group Inc, Los Angeles, California, USA.
Lisa J McGarryVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Catherine NguyenAnalysis Group Inc, Los Angeles, California, USA.
Yuqian M GuAnalysis Group Inc, Los Angeles, California, USA.
Joe HealyVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
Jaime L RubinVertex Pharmaceuticals Incorporated, Boston, Massachusetts, USA.
M Alan BrookhartDuke University, Durham, North Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIvacaftor (IVA) has been shown to improve lung function and other clinical outcomes in people with cystic fibrosis (CF). A decade of real-world IVA availability has enabled the examination of long-term outcomes with this treatment. This retrospective, longitudinal cohort study investigated the impact of IVA on mortality rate and health outcomes among people with CF in the US.

methodsData from the US CF Foundation Patient Registry from January 2010 to December 2019 were analysed. The IVA-treated cohort included people with a CF transmembrane conductance regulator (

findingsOver a maximum follow-up of 7.9 years, the IVA-treated cohort (N=736) had lower rates of mortality (hazard ratio [HR] (95% CI): 0.22 (0.09 to 0.45)), lung transplant (HR: 0.11 (95% CI 0.02 to 0.28)), PEx (rate ratio: 0.49 (95% CI 0.42 to 0.55)) and all-cause hospitalisations (rate ratio: 0.50 (95% CI 0.43 to 0.56)) as well as better lung function (mean difference in ppFEV

interpretationOur analysis suggests that IVA provides sustained clinical benefits in people with CF over a follow-up period of approximately 8 years. These findings reinforce the existing real-world evidence that IVA can slow disease progression and decrease the healthcare burden of CF over the long term.

Indexed as

AminophenolsCystic FibrosisQuinolonesAdolescentAdultChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorFemaleForced Expiratory VolumeHumansLongitudinal StudiesMaleRetrospective StudiesSurvival RateTreatment OutcomeUnited StatesAminophenolsChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorivacaftorQuinolonesCystic Fibrosis

Identifiers

PMID38937105
PMCPMC11503052

What OpenQuestion holds

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LicenceCC BY-NC
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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.