| Literature DB >> 35054167 |
Renée V E Dagenais1,2, Victoria C Su1,2, Bradley S Quon1,3,4.
Abstract
In the original article [...].Entities:
Year: 2022 PMID: 35054167 PMCID: PMC8779097 DOI: 10.3390/jcm11020318
Source DB: PubMed Journal: J Clin Med ISSN: 2077-0383 Impact factor: 4.241
Summary of characteristics and results of cohort or survey studies with full manuscript.
| Ref | Study Design & Location | Population a |
| Recruitment Period & Follow-Up Duration | Overall Adverse Events (AE) b,c | Dose Modification, Interruption, or Discontinuation Due to AE b,c | ||||
|---|---|---|---|---|---|---|---|---|---|---|
| Ivacaftor | ||||||||||
| [29] | Prospective Cohort d | 44 |
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| - Pulmonary exacerbation | 20 | 45 | - Severe abdominal pain | 1 | 2 | |||||
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| - Pulmonary exacerbation | NS | - | ||||||||
| [55] | Prospective Cohort | 23 |
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| None reported | ||||
| - Respiratory, unspecified | NS | - | ||||||||
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| - Respiratory infection | 4 | 17 | ||||||||
| [56] | Retrospective Cohort | 4 | None reported | |||||||
| [57] | Retrospective Cohort | 26 |
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| None reported | |||||
| 1 | 4 | |||||||||
| [58] | Retrospective Cohort | 57 |
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| - Transaminitis | 3 | 5 | - Hepatitis | NS | - | |||||
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| - Transaminitis | 1 | 2 | ||||||||
| [30] | Retrospective Cohort d | 14 | | |||||||
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| [41] | Prospective Cohort | 32 | None reported | |||||||
| [42] | Prospective Cohort | 845 |
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| - Respiratory | 316 | 37 | - Respiratory | 16 | 2 | |||||
| [59] | Prospective Cohort | 26 | See | |||||||
| [31] | Prospective Cohort d | 20 |
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| - Dyspnea | - Respiratory intolerance | 3 | 15 | |||||||
| [32] | Prospective Cohort | 12 |
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| - Acute drop in ppFEV1 | 12 | 100 | - Chest tightness/dyspnea * | 3 | 25 | |||||
| [33] | Prospective Cohort | 53 |
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| - Abnormal respiration | 13 | 25 | - Respiratory intolerance | 13 | 25 | |||||
| [25] | Prospective Cohort d,g | 10 |
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| None reported | ||||
| - Chest tightness/dyspnea | 6 | 60 | ||||||||
| [43] | Retrospective Cohort | 15 |
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| None reported | |||||
| - Acute drop in ppFEV1 | 14 | 93 | ||||||||
| [44] | Retrospective Cohort | 116 |
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| - Chest tightness | 23 | 20 | - AE not specified | 10 | 9 | |||||
| [60] | Retrospective Cohort | 62 | ||||||||
| [34] | Retrospective Cohort d | 20 |
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| - Chest tightness | 9 | 45 | - Decreased ppFEV1 | 1 | 5 | |||||
| [45] | Retrospective Cohort | 22 |
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| - Chest tightness | 14 | 64 | - Respiratory symptoms | 3 | 14 | |||||
| [61] | Retrospective Cohort | 82 | See | |||||||
| [26] | Retrospective Cohort d,g | 72 |
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| - Chest tightness/dyspnea | 40 | 56 | - Chest tightness/dyspnea | 22 | 31 | |||||
| [27] | Case Series (Survey) j | 26 |
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| - Pulmonary exacerbation | 1 | 4 | - Chest tightness | 2 | 8 | |||||
a When adult and pediatric patients both included, age range reported when possible; b Rates not reported for all AE, as indicated by ‘NS’; c To avoid redundancy, if AE only reported in context of dose modification, interruption, and/or discontinuation of therapy, it was not listed in overall AE; d Study population part of a compassionate, ‘expanded access’, ‘managed access’, or ‘named patient’ program; e Mean calculated from n = 3 (75%) of study subjects, as baseline not reported for n = 1 (25%); f Frequency of 17% based on n = 12 screened; 8% frequency for overall cohort of n = 26; g Study was case-control, but only LUM/IVA-treated participants included in systematic review; therefore, assessed as cohort study; h Reason for discontinuation was not consistently assessed, and may include reasons unrelated to AE; i Mean baseline age and ppFEV1 based on n = 52 in final analysis of outcomes assessing effectiveness; n = 10 excluded from this analysis; j This case series is included in Table 1 due to results being presented in aggregate. AST, aspartate aminotransferase; CFTR, cystic fibrosis transmembrane conductance regulator; CK, creatine kinase; h, hour(s); LFT, liver function test; mo, month(s); NR, not reported; NS, not specified; ppFEV, percent predicted Forced Expiratory Volume in 1 sec; RLS, restless leg syndrome; SAE, serious adverse events; ULN, upper limit of normal; URTI, upper respiratory tract infection; wk, week(s); yr, year(s).
Summary of characteristics and results of cohort or survey studies in abstract form.
| Ref | Study Design | Population |
| Overall Adverse Events (AE) a,b | Dose Modification, Interruption, or Discontinuation Due to AE a,b | ||||
|---|---|---|---|---|---|---|---|---|---|
| Ivacaftor | |||||||||
| [62] | Prospective Cohort | 4 |
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| - URTI | NS | - | |||||||
| [63] | Retrospective Cohort | 10 | None reported | ||||||
| [64] | Prospective Cohort | 15 |
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| None reported | ||||
| 2 | 13 | ||||||||
| [65] | Cross-sectional Survey | 11 d
| None reported | ||||||
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| [66] | Prospective Cohort | 14 |
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| - Acute drop in ppFEV1
| 1 | 7 | - Chest tightness, tachypnea | 1 | 7 | ||||
| [67] | Prospective Cohort | 13 |
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| None reported | ||||
| - Drop in ppFEV1 requiring salbutamol | 7 | 54 | |||||||
| [68] | Prospective Cohort | 369 |
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| - Bronchospasm | 15 | 4 | - Unspecified AE | 16 | 4 | ||||
| [69] | Prospective Cohort | 311 | |||||||
| [35] | Prospective Cohort c | 14 |
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| - Chest tightness, breathless | 7 | 50 | - Respiratory AE and/or rash | 4 | 29 | ||||
| [70] | Prospective Cohort | 29 |
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| - Chest tightness * | 13 | 45 | - Chest tightness | 2 | 7 | ||||
| [36] | Prospective Cohort c | 32 |
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| - Respiratory AE | NS | 87 | - Unspecified AEA | 1 | 3 | ||||
| [71] | Retrospective Cohort | 34 | |||||||
| - Respiratory failure i | 1 | 3 | |||||||
| [72] | Retrospective Cohort | 103 | See |
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| - Chest tightness and/or pain | 17 | 17 | |||||||
| [73] | Retrospective Cohort | 71 |
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| - Chest tightness | 22 | 31 | - Dyspnea | 7 | 10 | ||||
| [74] | Retrospective Cohort | 54 |
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| - Chest tightness, dyspnea, and/or drop in ppFEV1 | 8 | 15 | |||||
| [75] | Retrospective Cohort | 28 | |||||||
| [76] | Retrospective Cohort | 46 |
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| - Drop in ppFEV1
| 21 | 46 | - Dyspnea, cough, CFPEx, and/or chest tightness | 4 | 9 | ||||
| [77] | Retrospective Cohort | 28 | See |
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| - SOB and/or drop in ppFEV1 | 15 | 54 | |||||||
| [78] | Retrospective Cohort | 20 |
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| - Chest tightness | NS | - | - Unspecified AE | ||||||
| [79] | Retrospective Cohort | 60 | None reported | ||||||
| [80] | Retrospective Cohort | 34 | See |
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| Overall total: | 11 | 32 | |||||||
| [81] | Cohort l | 39 |
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| None reported | ||||
| - AST >3x ULN | 2 | 5 | |||||||
| [82] | Cohort l | 47 |
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| - Thoracic oppression and unspecified AE | 4 | 9 | |||||||
| [83] | Cohort l | 46 | See |
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| - Dyspnea, increased sputum, and unspecified AE | 6 | 13 | |||||||
| [37] | Cohort c,l | 30 | |||||||
| [84] | Cohort l | 8 | See |
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| - Drop in ppFEV1
| 1 | 13 | |||||||
| [38] | Cohort c,l | 19 | See |
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| - Chest tightness and dyspnea | 4 | 21 | |||||||
| [85] | Cross-sectional | 11 |
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| 4 | 36 | - Increased cough | 1 | 9 | |||||
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| [86] | Prospective Cohort | 72 | See | | | ||||
| [87] | Prospective Cohort | 50 |
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| - AE not specified | 5 | 10 | - Liver function abnormalities | 1 | 2 | ||||
| [88] | Prospective Cohort | 5 m |
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| - Sleep pattern disturbance | 2 | 5 | - Out of body experience, visual hallucination | 1 | 2 | ||||
| [89] | Retrospective Cohort | 18 | See |
| % | ||||
| - Hair loss and fatigue | 1 | 6 | |||||||
| [39] | Cohort c,l | 22 |
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| 2 | 9 | - Blurred vision | 1 | 5 | |||||
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| [40] | Retrospective Cohort | 11 |
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| None reported | ||||
| - Transaminitis | 4 | 36 | |||||||
a Rates not reported for all AE, as indicated by ‘NS’; b To avoid redundancy, if AE only reported in context of dose modification, interruption, and/or discontinuation of therapy, it was not listed in overall AE; c Study population part of a compassionate, ‘early access’, ‘expanded access’, ‘managed access’, or ‘named patient’ program; d Total study cohort of n = 11, but only n = 9 patients completed symptom questionnaire; AE frequency calculated based on total n = 11, e Mean baseline age and ppFEV1 based on n = 135 in final analysis of outcomes assessing effectiveness; n = 234 excluded from this analysis; f As reported, unable to accurately determine the absolute number of patients who experienced AE; g Frequency of specific reasons for interruption or discontinuation not clear and include reasons unrelated to AE; h Included age groups (i.e., pediatric and/or adult) not specified; i Respiratory failure occurred in 1 individual on two occasions, both within 24 h of initiating and reinitiating LUM/IVA; j Of the n = 25 who stopped, 9 restarted and 6 of experienced the same AE; unclear which AE the 3 who restarted experienced and whether the 6 who experienced the same AE then discontinued permanently; k Mean baseline age and ppFEV1 based on n = 23 in final analysis of outcomes assessing effectiveness; n = 11 excluded from this analysis; l Unable to discern if prospective versus retrospective based on reported information; m Total study cohort of n = 44, but focused on neurocognitive AE in n = 5; AE frequencies calculated based on total n = 44. AST, aspartate aminotransferase; CFTR, cystic fibrosis transmembrane conductance regulator; CFPEx, cystic fibrosis pulmonary exacerbation; GI, gastrointestinal; LFT, liver function test; LUM/IVA, lumacaftor/ivacaftor; NR, not reported; NS, not specified; ppFEV percent predicted forced expiratory volume in 1 sec; RA, rheumatoid arthritis; SOB, shortness of breath; ULN, upper limit of normal; URTI, upper respiratory tract infection; yr, year(s).
Summary of methodological ratings of included case series a,b.
| Criteria | McKinzie et al., 2017 [47] | Nash et al., 2020 [27] | Rotolo et al., 2020 [52] | Safirstein et al., 2020 [53] | Talwalkar et al., 2017 [48] |
|---|---|---|---|---|---|
| 1. Study objective clearly stated | Y | Y | N | Y | Y |
| 2. Study population clearly defined, using case definition | N | N | N | N | N |
| 3. Cases consecutive | NR | NR | NR | NR | NR |
| 4. Subjects comparable | CD | CD | CD | N | N |
| 5. Intervention clearly described | Y | Y | Y | Y | Y |
| 6. Outcome measures clearly defined, valid, reliable, implemented consistently | N | N | N | Y | N |
| 7. Adequate length of follow-up | Y | Y | Y | Y | CD |
| 8. Statistical methods well-described | N/A | N/A | N/A | N/A | N |
| 9. Results well-described | Y | N | Y | Y | Y |
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a Studies were rated against the 9 criteria of the Quality Assessment for Case Series Studies from the National Institutes of Health, National Heart, Lung, and Blood Institute [24] from the standpoint of AE assessment; b Only case series with a full manuscript were assessed for quality. AE, adverse event; CD, cannot determine; N, no; N/A, not applicable; NR, not reported; Y, yes.