Potentiators and Correctors in Paediatric Cystic Fibrosis Patients: A Narrative Review.
R DobraClaire EdmondsonD HughesI MartinJ C DaviesPublished in: Paediatric drugs (2019)
Cystic fibrosis is the most common inherited condition in the Caucasian population and is associated with significantly reduced life expectancy. Recent advances in treatment have focussed on addressing the underlying cause of the condition, the defective production, expression and function of the cystic fibrosis transmembrane conductance regulator (CFTR) protein. Several drugs with different modes of action have produced promising results in clinical trials, and some have been incorporated into routine clinical care for specific patients in many countries worldwide. Further trials continue to explore the safety and efficacy of these drugs in the youngest age groups and to search for more effective therapies to treat the most common disease-causing gene mutations in an ever-expanding drug pipeline. As evidence mounts for the early onset of disease in young patients, the prospect of introducing disease-modifying therapy in early life becomes more pertinent, although the cost implications of these expensive drugs are significant. In this review, we summarise these new therapy advances and review those currently being explored in clinical trials.
Keyphrases
- cystic fibrosis
- end stage renal disease
- clinical trial
- early onset
- ejection fraction
- newly diagnosed
- chronic kidney disease
- prognostic factors
- pseudomonas aeruginosa
- healthcare
- early life
- peritoneal dialysis
- palliative care
- poor prognosis
- randomized controlled trial
- late onset
- small molecule
- lung function
- bone marrow
- patient reported outcomes
- chronic obstructive pulmonary disease
- quality improvement
- pain management
- drug induced
- african american
- open label
- amino acid