Evidence map›Paper›PMID 39210645›Full record

ArticleThe clinical respiratory journal2024

Analysis of Depression and Anxiety Scores Following Initiation of Elexacaftor/Tezacaftor/Ivacaftor in Adults With Cystic Fibrosis.

Harish Pudukodu, Margret Z Powell, Agathe Ceppe, Scott H Donaldson, Jennifer L Goralski, Nathaniel A Sowa

Abstract readComparative Study
In one paragraph

Article in The clinical respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Transforming Care Models in Cystic Fibrosis: A Review.Healthcare (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Review
  5. 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

6 authors.

Harish PudukoduDepartment of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Margret Z PowellDepartment of Psychology and Neuroscience, Baylor University, Waco, Texas, USA.
Agathe CeppeDepartment of Medicine, Division of Pulmonary Diseases and Critical Care Medicine, University of North Carolina-Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Scott H DonaldsonDepartment of Medicine, Division of Pulmonary Diseases and Critical Care Medicine, University of North Carolina-Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Jennifer L GoralskiDepartment of Medicine, Division of Pulmonary Diseases and Critical Care Medicine, University of North Carolina-Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-6785-5076
Nathaniel A SowaDepartment of Psychiatry, University of North Carolina-Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-3021-4005

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
Vector CoreP30DK065988 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Martina Gentzsch · 2004 to 2026
$26.5M
NCATS NIH HHS UL1 TR002489NCATS NIH HHS UM1 TR004406NIDDK NIH HHS P30 DK065988
6 · The paper itself

Abstract

objectiveElexacaftor/tezacaftor/ivacaftor (E/T/I) has provided life-changing pharmacotherapy for many people with cystic fibrosis (CF), but conflicting literature exists regarding the effect on mental health. While some reports suggest E/T/I may induce adverse psychiatric symptoms, others report improvements in mental health symptoms. To add to this growing body of knowledge, we retrospectively analyzed depression and anxiety symptoms before and after E/T/I initiation in adults with CF at a single large US CF center.

methodPatient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scores recorded in a database were studied. Patients with scores collected before and after E/T/I initiation were included. Regression analyses described associations between score changes and age, race, ethnicity, sex, CFTR variant, and prior depression and/or anxiety diagnoses. Secondary analyses examined possible confounding effects of the COVID-19 pandemic.

resultsThere was no change in mean GAD-7 (0.5 ± 5.3, p = 0.41) or PHQ-9 (-0.02 ± 6.0, p = 0.97) scores following initiation of E/T/I (N = 86). A trend between a prior diagnosis of depression and worsening in PHQ-9 post-E/T/I was observed (OR 3.58; p = 0.054).

conclusionsTreatment with E/T/I does not lead to changes in depression or anxiety symptoms at the population level in this single center cohort study. A prior diagnosis of depression trended towards an increased odds of worsening PHQ-9 scores after E/T/I initiation.

Indexed as

AnxietyChloride Channel AgonistsCystic FibrosisDepressionPatient Health QuestionnaireAdultAminophenolsBenzodioxolesDrug CombinationsFemaleHumansIndolesMalePyrazolesPyridinesQuinolinesAminophenolsBenzodioxolesChloride Channel AgonistsDrug Combinationselexacaftor, ivacaftor, tezacaftor drug combinationIndolesPyrazolesPyridinesQuinolinesadultanxietycystic fibrosisdepressionelexacaftor/tezacaftor/ivacaftor

Identifiers

PMID39210645
PMCPMC11362501

What OpenQuestion holds

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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.