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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
Update on clinical trials of cystic fibrosis
1Department of Medicine, University of Washington Medical Center, Seattle 98112, USA.
Abstract:
This review attempts to summarize the important areas of cystic fibrosis (CF) clinical research. Some of the trials outlined are incomplete or the data are not yet published. Focus is given to gene therapy and to studies that probe our understanding of CF cellular biology by attempting to correct or bypass abnormal cystic fibrosis transmembrane regulator. Trials of more immediate clinical value include improvement of mucociliary transport and inhaled tobramycin. Finally, mention is made of the significant nonpulmonary treatments for CF including ursodeoxycholic acid for CF liver disease and intracytoplasmic sperm injection for male infertility.
Insights
This review summarizes key cystic fibrosis (CF) clinical research, focusing on gene therapy and cellular biology. It also covers mucociliary transport, inhaled tobramycin, and nonpulmonary treatments for CF liver disease and infertility.
Area of Science:
- Medical Research
- Genetics
- Pulmonology
Background:
- Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs.
- Understanding CF transmembrane regulator (CFTR) protein function is crucial.
- Current research addresses various aspects of CF management.
Purpose of the Study:
- To review significant advancements in clinical research for cystic fibrosis.
- To highlight ongoing gene therapy and cellular biology studies.
- To discuss treatments with immediate clinical impact and nonpulmonary interventions.
Main Methods:
- Literature review of ongoing and recently published clinical trials.
- Focus on studies investigating CFTR protein correction or bypass mechanisms.
- Inclusion of trials evaluating symptomatic treatments and non-organ specific therapies.
Main Results:
- Gene therapy research is progressing, though many trials are ongoing.
- Studies on CF cellular biology aim to understand and correct CFTR defects.
- Trials for mucociliary transport and inhaled tobramycin show clinical promise.
- Nonpulmonary treatments like ursodeoxycholic acid and intracytoplasmic sperm injection are important for CF patients.
Conclusions:
- Clinical research in CF is multifaceted, encompassing genetic, cellular, and symptomatic approaches.
- While gene therapy is a long-term goal, immediate benefits are seen from improved airway clearance and targeted antibiotics.
- Comprehensive management of CF includes addressing nonpulmonary complications to improve overall patient health and fertility.
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