Evidence map›Paper›PMID 40264362›Full record

ArticleJournal of pediatric gastroenterology and nutrition2025

The effect of elexacaftor-tezacaftor-ivacaftor on liver stiffness in children with cystic fibrosis.

Stefanie Diemer, Helga Elidottir, Erik A Eklund, Lisa I Påhlman, Christine Hansen

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

5 authors.

Stefanie DiemerDepartment of Paediatrics, Skåne University Hospital, Lund, Sweden.ORCID http://orcid.org/0009-0006-3319-611X
Helga ElidottirDepartment of Clinical Sciences Lund, Section V, Paediatrics, Lund University, Lund, Sweden.
Erik A EklundDepartment of Paediatrics, Skåne University Hospital, Lund, Sweden.
Lisa I PåhlmanWallenberg Centre for Molecular Medicine, Lund, Sweden.
Christine HansenDepartment of Paediatrics, Skåne University Hospital, Lund, Sweden.

Funding

Lund UniversitySwedish Government Funds for Clinical Research
6 · The paper itself

Abstract

objectivesCystic fibrosis hepato-biliary involvement (CFHBI) is a common comorbidity in patients with CF and is associated with increased morbidity and mortality. The effect of the new and highly potent CF transmembrane conductance regulator modulator therapy, elexacaftor-tezacaftor-ivacaftor (ETI), on CFHBI, is still unclear. This study aimed to investigate the impact of ETI on liver stiffness in children with CF, as measured using two-dimensional (2D) shear wave elastography (SWE).

methodsTwenty-one children with CF were included in this retrospective study at the CF centre, Skåne University Hospital, Lund, Sweden. Twelve children of our cohort had CFHBI; none had advanced CF liver disease. 2D SWE data from annual assessments, clinical data and liver enzymes were analysed.

resultsWe found a significant reduction in liver stiffness after starting treatment with ETI in the total cohort. This reduction in liver stiffness could even be seen in children with CFHBI. Liver enzymes were within the normal range in both pre- and post-ETI therapy in the total cohort. In children with CFHBI, a decline in aspartate aminotransferase activity was observed after ETI was initiated. Lung function and lung clearance index improved significantly after ETI treatment commenced.

conclusionETI treatment could positively affect CFHBI in children with CF, as demonstrated by reduced liver stiffness during treatment.

Indexed as

AminophenolsBenzodioxolesCystic FibrosisIndolesLiverLiver DiseasesPyrazolesPyridinesPyrrolidinesQuinolonesAdolescentChildChild, PreschoolDrug CombinationsElasticity Imaging TechniquesFemaleAminophenolsBenzodioxolesDrug Combinationselexacaftorelexacaftor, ivacaftor, tezacaftor drug combinationIndolesPyrazolesPyridinesPyrrolidinesQuinolinesQuinolonestezacaftor, ivacaftor drug combinationCFTR modulatorcystic fibrosis hepato‐biliary involvementcystic fibrosis liver diseaseelastography

Identifiers

PMID40264362
PMCPMC12210794

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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.