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Verfasst von:Berges, Julian [VerfasserIn]   i
 Graeber, Simon Y. [VerfasserIn]   i
 Hämmerling, Susanne Hedwig [VerfasserIn]   i
 Yu, Yin [VerfasserIn]   i
 Krümpelmann, Arne [VerfasserIn]   i
 Stahl, Mirjam [VerfasserIn]   i
 Hirtz, Stephanie [VerfasserIn]   i
 Scheuermann, Heike [VerfasserIn]   i
 Mall, Marcus A. [VerfasserIn]   i
 Sommerburg, Olaf [VerfasserIn]   i
Titel:Effects of lumacaftor—ivacaftor therapy on cystic fibrosis transmembrane conductance regulator function in F508del homozygous patients with cystic fibrosis aged 2-11 years
Verf.angabe:Julian Berges, Simon Y. Graeber, Susanne Hämmerling, Yin Yu, Arne Krümpelmann, Mirjam Stahl, Stephanie Hirtz, Heike Scheuermann, Marcus A. Mall and Olaf Sommerburg
E-Jahr:2023
Jahr:30 May 2023
Umfang:9 S.
Fussnoten:Gesehen am 03.07.2023
Titel Quelle:Enthalten in: Frontiers in pharmacology
Ort Quelle:Lausanne : Frontiers Media, 2010
Jahr Quelle:2023
Band/Heft Quelle:14(2023) vom: Mai, Artikel-ID 1188051, Seite 1-9
ISSN Quelle:1663-9812
Abstract:Rationale: Lumacaftor/ivacaftor was approved for the treatment of patients with cystic fibrosis who are homozygous for F508del aged 2 years and older following positive results from phase three trials. However, the improvement in CFTR function associated with lumacaftor/ivacaftor has only been studied in patients over 12 years of age, while the rescue potential in younger children is unknown.Methods: In a prospective study, we aimed to evaluate the effect of lumacaftor/ivacaftor on the CFTR biomarkers sweat chloride concentration and intestinal current measurement as well as clinical outcome parameters in F508del homozygous CF patients 2-11 years before and 8-16 weeks after treatment initiation.Results: A total of 13 children with CF homozygous for F508del aged 2-11 years were enrolled and 12 patients were analyzed. Lumacaftor/ivacaftor treatment reduced sweat chloride concentration by 26.8 mmol/L (p = 0.0006) and showed a mean improvement in CFTR activity, as assessed by intestinal current measurement in the rectal epithelium, of 30.5% compared to normal (p = 0.0015), exceeding previous findings of 17.7% of normal in CF patients homozygous for F508del aged 12 years and older.Conclusion: Lumacaftor/ivacaftor partially restores F508del CFTR function in children with CF who are homozygous for F508del, aged 2-11 years, to a level of CFTR activity seen in patients with CFTR variants with residual function. These results are consistent with the partial short-term improvement in clinical parameters.
DOI:doi:10.3389/fphar.2023.1188051
URL:kostenfrei: Volltext: https://doi.org/10.3389/fphar.2023.1188051
 kostenfrei: Volltext: https://www.frontiersin.org/articles/10.3389/fphar.2023.1188051
 DOI: https://doi.org/10.3389/fphar.2023.1188051
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1851464883
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