Evidence map›Paper›PMID 42439510›Full record

ArticleMicrobiology spectrum2026

Effects of elexacaftor/tezacaftor/ivacaftor on the nasal microbial metagenome in cystic fibrosis.

Tom L Hertramph, Marie Dorda, Sophia T Pallenberg, Annette Sauer-Heilborn, Felix C Ringshausen, Matthias Steglich, Gesine Hansen, Burkhard Tümmler, Lutz Wiehlmann, Ilona Rosenboom and 1 more

Abstract read
In one paragraph

Article in Microbiology spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Tom L HertramphDepartment for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Hannover, Germany.ORCID 0009-0007-5423-7950
Marie DordaResearch Core Unit Genomics, Hannover Medical School (MHH), Hannover, Germany.
Sophia T PallenbergDepartment for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0002-9948-7589
Annette Sauer-HeilbornDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School (MHH), Hannover, Germany.
Felix C RingshausenDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School (MHH), Hannover, Germany.
Matthias SteglichResearch Core Unit Genomics, Hannover Medical School (MHH), Hannover, Germany.
Gesine HansenDepartment for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Hannover, Germany.
Burkhard TümmlerDepartment for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0002-2566-8758
Lutz WiehlmannResearch Core Unit Genomics, Hannover Medical School (MHH), Hannover, Germany.
Ilona RosenboomDepartment for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0003-2431-5042
Anna-Maria DittrichDepartment for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0002-9582-1025

Funding

Bundesministerium für Bildung und Forschung 82DZL002C1Else Kröner-Fresenius-Stiftung 2020_EKPK.20
6 · The paper itself

Abstract

Mutation-specific cystic fibrosis (CF) transmembrane conductance regulator (CFTR) modulator therapy with elexacaftor/tezacaftor/ivacaftor (ETI) has dramatically improved clinical outcomes for people with CF (pwCF), yet its impact on the nasal microbial metagenome remains insufficiently understood. This prospective, post-approval study investigated the impact of 15-week ETI therapy on sinonasal microbiota of pwCF aged 12 years and older. Whole-genome shotgun sequencing was performed on total DNA from 24 paired nasal lavage samples, with synthetic spike-in controls enabling absolute abundance normalization. Taxonomic profiling was conducted using the Wochenende pipeline. ETI did not induce major shifts in alpha or beta diversity. Instead, the overall microbial community became further dominated by the skin commensals

Indexed as

AminophenolsBacteriaBenzodioxolesCystic FibrosisIndolesMetagenomeMicrobiotaPyrazolesPyridinesPyrrolesQuinolonesChildCystic Fibrosis Transmembrane Conductance RegulatorFemaleHumansMaleAminophenolsBenzodioxolesCystic Fibrosis Transmembrane Conductance RegulatorelexacaftorIndolesivacaftorPyrazolesPyridinesPyrrolesPyrrolidinesQuinolonestezacaftorCFTR modulationcystic fibrosisELX/TEZ/IVAmetagenomicsnasal metagenomewhole-genome sequencing

Identifiers

PMID42439510
PMCPMC13435744

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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.