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Forskolin-induced Swelling in Intestinal Organoids: An In Vitro Assay for Assessing Drug Response in Cystic Fibrosis Patients
Published on: February 11, 2017
Emerging treatments in cystic fibrosis
Andrew M Jones1, Jennifer M Helm
1Manchester Adult Cystic Fibrosis Centre and The University of Manchester, University Hospitals South Manchester NHS Trust, Manchester, England. andmarkj@hotmail.com
Abstract:
There are a number of potential drugs for the treatment of cystic fibrosis (CF) currently undergoing clinical studies. A number of antibacterials formulated for delivery by inhalation are at various stages of study; these include dry-powder inhaler versions of colistin, tobramycin and ciprofloxacin, and formulations of azteonam, amikacin, levofloxacin, ciprofloxacin and fosfomycin/tobramycin for nebulization. Clinical trials of anti-inflammatory agents, including glutathione, phosphodiesterase-5 inhibitors such as sildenafil, oral acetylcysteine, simvastatin, methotrexate, docosahexaenoic acid, hydroxychloroquine, pioglitazone and alpha1-antitrypsin, are ongoing. Ion channel modulating agents, such as lancovutide (Moli1901, duramycin) and denufosol, which activate alternate (non-CF transmembrane regulator [CFTR]) chloride channels, and GS 9411, a sodium channel antagonist, are now at the stages of clinical study and if successful, will offer a new category of therapeutic agent for the treatment of CF. Correction of the underlying gene effect, either by agents that help to correct the dysfunctional CFTR, such as ataluren, VX-770 and VX-809, or by gene transfer (gene therapy), is a particularly exciting prospect as a new therapy for CF and clinical studies are ongoing. This article reviews the exciting potential drug treatments for CF currently being evaluated in clinical studies, and also highlights some of the challenges faced by research and clinical teams in assessing the efficacy of potential new therapies for CF.
Insights
New cystic fibrosis (CF) drugs are in clinical trials, including inhaled antibacterials, anti-inflammatory agents, and ion channel modulators. Gene therapies targeting the CF transmembrane regulator (CFTR) gene offer promising future treatments for CF.
Area of Science:
- Pulmonary Medicine
- Pharmacology
- Genetics
Background:
- Cystic Fibrosis (CF) is a genetic disorder requiring innovative therapeutic strategies.
- Current CF treatments focus on symptom management, but new drug development is crucial.
Purpose of the Study:
- To review potential drug treatments for cystic fibrosis (CF) currently in clinical studies.
- To highlight challenges in assessing the efficacy of novel CF therapies.
Main Methods:
- Review of ongoing clinical trials for various drug classes targeting CF.
- Categorization of potential CF therapeutics by mechanism of action.
Main Results:
- Multiple inhaled antibacterials (e.g., colistin, tobramycin) are in development.
- Anti-inflammatory agents (e.g., sildenafil, acetylcysteine) and ion channel modulators are under investigation.
- Gene-based therapies (e.g., CFTR correctors, gene transfer) show significant promise.
Conclusions:
- A diverse range of novel therapeutic agents are progressing through clinical evaluation for CF.
- Successful development of these treatments could offer new categories of therapeutic options for CF patients.
- Addressing challenges in clinical trial design is essential for accurate efficacy assessment.
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