Evidence map›Paper›PMID 42174207›Full record

ArticlePediatric research2026

Real-life effectiveness and safety of lumacaftor/ivacaftor in preschool children with cystic fibrosis: data from an italian multicentre study.

Santiago Presti, Chiara Cimbalo, Alberto Terminiello, Cristina Fevola, Valeria Daccò, Angela Sepe, Patrizia Troiani, Rosaria Casciaro, Noemi Di Dio, Chiara Castellani and 7 more

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

17 authors.

Santiago Presti *Pediatric Respiratory Unit, Department of Clinical and Experimental Medicine, San Marco Hospital, University of Catania, Catania, Italy.
Chiara Cimbalo *Cystic Fibrosis Regional Reference Centre, Department of Paediatric Medicine, Meyer Children's Hospital IRCCS, Viale Gaetano Pieraccini 24, Florence, Italy.
Alberto Terminiello *Pediatric Pulmonary Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Cristina FevolaCystic Fibrosis Regional Reference Centre, Department of Paediatric Medicine, Meyer Children's Hospital IRCCS, Viale Gaetano Pieraccini 24, Florence, Italy.
Valeria DaccòPediatric Department, Cystic Fibrosis Pediatric Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Angela SepePaediatric Unit, Department of Maternal and Child Health, University of Naples Federico II, Naples, Italy.
Patrizia TroianiLazio Reference Center for Cystic Fibrosis, Hospital "Policlinico Umberto I", "Sapienza" University of Rome, Rome, Italy.
Rosaria CasciaroCystic Fibrosis Center, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Noemi Di DioDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Chiara CastellaniRehabilitation Unit, Meyer Children's Hospital, IRCCS, Florence, Italy.
Irene EspositoPaediatric Pulmonology Unit, Regina Margherita Hospital AOU Città della Salute e della Scienza, Torino, Italy.
Francesca FiciliCystic Fibrosis Center, Ospedale Giovanni Di Cristina, Palermo, Italy.
Domenica De VenutoCystic Fibrosis Regional Center, Department of Biomedical and Human Oncology, Pediatrics Section, U.O. "B. Trambusti", Policlinico, University of Bari, Bari, Italy.
Maria Adelaide CalderazzoCystic Fibrosis Regional Reference Center, Ospedale Giovanni Paolo II Lamezia Terme, ASP Catanzaro, Italy.
Pietro RipaniCystic Fibrosis Centre, San Liberatore Hospital, Atri, Italy.
Donatello SalvatoreCystic Fibrosis Centre, San Carlo Hospital, Potenza, Italy.
Vito TerlizziCystic Fibrosis Regional Reference Centre, Department of Paediatric Medicine, Meyer Children's Hospital IRCCS, Viale Gaetano Pieraccini 24, Florence, Italy. vito.terlizzi@meyer.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumacaftor-ivacaftor (LUM-IVA) is a CFTR modulator approved for children aged >1 year who are homozygous for the F508del variant, targeting the underlying molecular defect. Despite evidence from clinical trials, real-world data in preschool-aged children remain limited. This study evaluated the effectiveness, safety, and tolerability of LUM-IVA in this population over 12 months of follow-up.

methodsWe conducted a multicenter, prospective study in Italy including 69 children with CF aged 1-6 years treated with LUM-IVA. Anthropometric, laboratory, microbiological, and functional parameters were collected at baseline, and after 3, 6 and 12 months.

resultsThe median age was 3.82 years. LUM-IVA treatment was associated with significant reductions in sweat chloride concentration and pulmonary exacerbation frequency between baseline and 3/6 months. Weight improved significantly between T0 and T3 and between T1 and T2. Lung Clearance Index (LCI) also showed significant improvement between baseline and 6-12 months. Adverse events were mild and manageable; temporary treatment interruptions occurred, with no permanent discontinuations.

conclusionIn conclusion, in this real-world cohort of preschool children with CF homozygous for F508del, LUM-IVA therapy was associated with improvements in sweat chloride, pulmonary exacerbation frequency, and weight over 12 months, with an acceptable safety profile. These observational findings support the feasibility of early CFTR modulator therapy. IMPACT: LUM-IVA therapy in preschool children with CF shows significant real-world improvements in sweat chloride, exacerbations, weight, and LCI over 12 months, with an acceptable safety profile. It provides crucial real-world, observational data on LUM-IVA effectiveness and safety. The findings support the early use of LUM-IVA in young children with CF and potentially mitigate early progressive CF damage.

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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.