Evidence map›Paper›PMID 40980774›Full record

ReviewGastro hep advances2025

Effect of Cystic Fibrosis Transmembrane Conductance Regulator Modulators on Liver Enzymes Among Patients With Cystic Fibrosis: A Systematic Review and Meta-Analysis.

Tahne Vongsavath, Kyaw Min Tun, Dwaipayan Mukhopadhyay, Chun-Han Lo, Ashok Singh, Rajan Amin, Patrick Twohig, Sammy Saab, Vignan Manne

Abstract readReview
In one paragraph

Review in Gastro hep advances, 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. Pathophysiology of cystic fibrosis-related liver disease.Current opinion in gastroenterology · 2026
    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

9 authors.

Tahne VongsavathDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada.
Kyaw Min TunDivision of Gastroenterology and Hepatology, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska.
Dwaipayan MukhopadhyayDepartment of Epidemiology & Biostatistics, School of Public Health at UNLV, Las Vegas, Nevada.
Chun-Han LoDepartment of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada.
Ashok SinghDepartment of Resorts, Gaming & Golf Management, University of Nevada, Las Vegas, Nevada.
Rajan AminDepartment of Gastroenterology and Hepatology, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada.
Patrick TwohigDepartment of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York.
Sammy SaabDepartments of Medicine and Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
Vignan ManneDepartment of Gastroenterology and Hepatology, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, Nevada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds and Aims: This paper seeks to use existing literature to investigate the use of Cystic Fibrosis Transmembrane Conductance (CFTR) modulators and their safety and effects on the liver enzymes of cystic fibrosis (CF) patients with and without related liver disease (CFLD). This review examines the effect of CFTR modulators on liver enzymes as well as their safety profile. Methods: A comprehensive literature review across Pubmed/Medline, Embase, CINAHL, Cochrane, and Web of Science, was performed. Six articles pertaining to CFTR modulator use and liver enzyme information were included. Statistical evaluation was completed using random-effect models with a 95% confidence interval (CI), and group mean differences were analyzed with R software. Forest plots were generated for the observed effect, CI, and the weight of each study. The primary outcome was changes to serum levels of alanine transaminase (ALT), aspartate transaminase, total bilirubin, and gamma-glutamyl transferase. Secondary outcomes for this study were changes in serum biomarkers and type of CFTR modulator used. Other outcomes explored include the safety of CFTR modulator use. Results: Patients treated with lumacaftor/ivacaftor had a significant decrease in total bilirubin (-0.70 (-1.26, -0.14); Conclusion: CFTR modulators may influence levels of liver enzymes in CF patients without an increased risk of adverse events.

Indexed as

CFLDCFTR modulatorCFTR safetycystic fibrosis liver disease

Identifiers

PMID40980774
PMCPMC12446518

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.