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 (â¥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.