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Related Concept Videos

Cystic Fibrosis: Management01:24

Cystic Fibrosis: Management

225
Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic...
225

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Related Experiment Video

Updated: Sep 14, 2025

Generation of Human Nasal Epithelial Cell Spheroids for Individualized Cystic Fibrosis Transmembrane Conductance Regulator Study
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Improving Modulator Management and Side Effect Screening: A CF Learning Network Innovation Lab.

Kevin P Lonabaugh1, Anna Saulitis2, Elizabeth Boettinger2

  • 1University of Virginia, Charlottesville, Virginia, USA.

Pediatric Pulmonology
|July 22, 2025
PubMed
Summary
This summary is machine-generated.

Quality improvement methods increased cystic fibrosis transmembrane conductance regulator (CFTR) modulator use and side effect screening in people with CF. This approach enhanced modulator management and identified common, often unlisted, side effects.

Keywords:
cystic fibrosiselexacaftor‐tezacaftor‐ivacaftormodulatorsquality Improvementside effects

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Area of Science:

  • Pulmonology
  • Pharmacology
  • Quality Improvement Science

Background:

  • Over 90% of people with cystic fibrosis (PwCF) are eligible for CFTR modulators, yet 12% are not prescribed these life-changing therapies.
  • Gaps in modulator uptake and management prompted the CF Foundation CF Learning Network (CFLN) to launch a quality improvement (QI) initiative.

Purpose of the Study:

  • To investigate barriers to CFTR modulator use in eligible PwCF.
  • To implement and evaluate best practices for modulator initiation, management, and side effect screening.

Main Methods:

  • Thirty-one CF centers utilized the Model for Improvement and Plan-Do-Study-Act cycles to adapt interventions.
  • The study focused on two aims: increasing elexacaftor-tezacaftor-ivacaftor/ivacaftor (ETI/I) use or documented deferral, and improving side effect screening rates for PwCF on ETI.
  • Data were collected through weekly center submissions and analyzed using control and run charts.

Main Results:

  • From December 2022 to May 2023, 98.5% of evaluated PwCF had documented ETI/I use (89.3%) or deferral (9.2%), with previous side effects being the most common deferral reason (39.0%).
  • Between March and August 2024, ETI side effect screening rates improved from a baseline of 67.1% to 80.8%.
  • Potential side effects, including mood changes, inattention/brain fog, and weight gain, were identified in 24.5% of screenings.

Conclusions:

  • QI methods successfully enhanced CFTR modulator management and side effect screening across multiple CF centers.
  • Commonly reported side effects, some not listed in prescribing information, underscore the need for vigilant screening and management.
  • The developed processes and tools are reproducible and applicable to future CF therapies.