Evidence map›Paper›PMID 41226552›Full record

Observational studyInternational journal of molecular sciences2025

Real-World Safety and Effectiveness of Elexacaftor, Tezacaftor, and Ivacaftor in People with Cystic Fibrosis and Advanced Lung Disease: A Two-Year Multicenter Cohort Study.

Sonia Volpi, Maura Ambroni, Roberto Buzzetti, Giuseppe Cimino, Andrea Gramegna, Maria Cristina Lucanto, Pietro Ripani, Mirco Ros, Donatello Salvatore, Elena Spada and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Sonia VolpiCystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Piazzale Stefani 1, 37126 Verona, Italy.
Maura AmbroniCystic Fibrosis Centre, M. Bufalini Hospital, 47521 Cesena, Italy.
Roberto BuzzettiFreelance Epidemiologist, 24100 Bergamo, Italy.ORCID 0000-0002-7423-186X
Giuseppe CiminoCystic Fibrosis Centre, AOU Policlinico Umberto 1, 00155 Rome, Italy.
Andrea GramegnaRespiratory Unit and Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy.ORCID 0000-0003-2315-5737
Maria Cristina LucantoCystic Fibrosis Center, G. Martino University Hospital, 98125 Messina, Italy.
Pietro RipaniCystic Fibrosis Centre, San Liberatore Hospital, 64032 Atri, Italy.
Mirco RosCystic Fibrosis Unit, Ca' Foncello Hospital, 31100 Treviso, Italy.ORCID 0000-0002-8786-4615
Donatello SalvatoreCystic Fibrosis Centre, San Carlo Hospital, 85100 Potenza, Italy.ORCID 0000-0003-2432-415X
Elena SpadaLaboratorio della Conoscenza Carlo Corchia, 50132 Florence, Italy.ORCID 0000-0002-7042-797X
Cesare BraggionScientific Direction, Italian Cystic Fibrosis Foundation, 37126 Verona, Italy.
Italian SITTMA Study Group

Funding

Italian Cystic Fibrosis Research Foundation 2021-2023 Strategic Project: Kaftrio in advanced disease
6 · The paper itself

Abstract

Elexacaftor/tezacaftor/ivacaftor (ETI) is a cystic fibrosis (CF) transmembrane conductance regulator modulator, which has shown efficacy in people with CF (pwCF) carrying the F508del (F) variant, both in homozygosity and heterozygosity with a minimal function (MF) variant. Limited data exist on the effects of ETI in pwCF with advanced lung disease. Our aim was to investigate ETI safety and effectiveness in this patient group in a real-life setting over 2 years. A multicenter observational cohort study was designed to gather real-world information on the effect of ETI treatment on CF patients (aged >12 years, genotype: F/MF mutation) with advanced lung disease as defined by a FEV1 < 40% predicted. Retrospective demographic and clinical data were recorded for the two years preceding and the two years following ETI initiation. The following outcomes were investigated: treatment-associated adverse events (AEs), drug interruptions (temporary or permanent), variations in percent predicted FEV1 (ppFEV1), sweat chloride concentration (SwCl), antibiotic use, body mass index (BMI), and quality of life. A total of 124 (51.6% males) pwCF were treated with ETI over 2 years. The median (IQR) age and ppFEV

Indexed as

AminophenolsBenzodioxolesCystic FibrosisIndolesPyrazolesPyridinesQuinolinesAdolescentAdultChildCystic Fibrosis Transmembrane Conductance RegulatorDrug CombinationsFemaleHumansMaleMiddle AgedAminophenolsBenzodioxolesCystic Fibrosis Transmembrane Conductance RegulatorDrug Combinationselexacaftor, ivacaftor, tezacaftor drug combinationIndolesPyrazolesPyridinesQuinolinescystic fibrosiselexacaftor-tezacaftor-ivacaftorlong-term effectsreal-world evidence

Identifiers

PMID41226552
PMCPMC12609796

What OpenQuestion holds

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Registered trials

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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.