CFDB - Cystic Fibrosis DataBase

primary studies published, non RCT

Respiratory training with a specific device in cystic fibrosis: a prospective study.

Study design (if review, criteria of inclusion for studies)

Prospective cohort study

Participants

353 individuals with cystic fibrosis (CF).

Interventions

Elexacaftor/tezacaftor/ivacaftor (ETI)

Outcome measures

viduals were classified as lung function responders (≥5% increase in ppFEV1) or non-responders (<5% increase).

Main results

Among 353 individuals, significant improvements in CFQ-R, CF-QUEST, and SNOT-22 scores were observed within one month of ETI initiation and sustained over 12 months. Notably, both lung function responders and non-responders experienced significant HRQoL improvements, with no evidence of a difference between groups in terms of mean changes in CFQ-R respiratory scores (28.8 vs. 24.2, p=0.2), CF-QUEST global scores (14.8 vs. 13.0, p=0.48), or SNOT-22 scores (-13.8 vs. -13.7, p=0.97).

Authors' conclusions

Our real-world data involving a large cohort of PwCF demonstrate that HRQoL improvements are sustained across multiple domains regardless of lung function response. These findings underscore the importance of using a multimodal approach to evaluate the effectiveness of modulator therapy in people with CF.

Keywords: Adult; Aged; CFTR Modulators; Genetic Predisposition to Disease; pharmacological_intervention; placebo; VX-770; VX-661; ivacaftor; Aminophenols; tezacaftor; VX-445; elexacaftor; Trikafta; kaftrio;