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泰扎卡托/依伐卡托联合用药概况及其在治疗囊性纤维化方面的潜力。

Profile of tezacaftor/ivacaftor combination and its potential in the treatment of cystic fibrosis.

作者信息

Shiferaw Dejene, Faruqi Shoaib

机构信息

Department of Respiratory Medicine, Hull University Teaching Hospitals NHS Trust, Cottingham HU16 5JQ, UK.

出版信息

Ther Clin Risk Manag. 2019 Aug 22;15:1029-1040. doi: 10.2147/TCRM.S165027. eCollection 2019.


DOI:10.2147/TCRM.S165027
PMID:31692517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6710479/
Abstract

Cystic fibrosis (CF) is a life-limiting autosomal recessive disease caused by dysfunction of the cystic fibrosis transmembrane conductance regulator (CFTR) ion channel. Management of CF has traditionally relied upon managing complications of CFTR protein dysfunction and this has led to a steady improvement in survival of CF patients. However, the landscape of CF care has changed substantially over the last decade with the discovery of CFTR modulators that aim to increase or potentially restore the function of the disease-causing CFTR protein. This narrative review summarizes the development of CFTR therapies so far with emphasis on tezacaftor/ivacaftor combination therapy. We have also summarized the Phase II results of triple combination therapy which promises an effective CFTR modulator therapy for more than 90% of CF patients.

摘要

囊性纤维化(CF)是一种由囊性纤维化跨膜传导调节因子(CFTR)离子通道功能障碍引起的危及生命的常染色体隐性疾病。传统上,CF的治疗依赖于处理CFTR蛋白功能障碍的并发症,这使得CF患者的生存率稳步提高。然而,在过去十年中,随着旨在增加或潜在恢复致病CFTR蛋白功能的CFTR调节剂的发现,CF护理的格局发生了重大变化。这篇叙述性综述总结了迄今为止CFTR疗法的发展,重点是tezacaftor/ivacaftor联合疗法。我们还总结了三联联合疗法的II期结果,该疗法有望为超过90%的CF患者提供有效的CFTR调节剂治疗。

相似文献

[1]
Profile of tezacaftor/ivacaftor combination and its potential in the treatment of cystic fibrosis.

Ther Clin Risk Manag. 2019-8-22

[2]
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Cochrane Database Syst Rev. 2020-12-17

[3]
Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del).

Cochrane Database Syst Rev. 2023-11-20

[4]
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[5]
The preclinical discovery and development of the combination of ivacaftor + tezacaftor used to treat cystic fibrosis.

Expert Opin Drug Discov. 2020-8

[6]
Cystic fibrosis transmembrane conductance regulator modulators: precision medicine in cystic fibrosis.

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[7]
The combination of tezacaftor and ivacaftor in the treatment of patients with cystic fibrosis: clinical evidence and future prospects in cystic fibrosis therapy.

Ther Adv Respir Dis. 2019

[8]
Isotope dilution LC-MS/MS quantification of the cystic fibrosis transmembrane conductance regulator (CFTR) modulators ivacaftor, lumacaftor, tezacaftor, elexacaftor, and their major metabolites in human serum.

Clin Chem Lab Med. 2022-1-26

[9]
The Effects of Elexacaftor, Tezacaftor, and Ivacaftor (ETI) on Blood Glucose in Patients With Cystic Fibrosis: A Systematic Review.

Cureus. 2023-7-11

[10]
Tezacaftor/Ivacaftor therapy has negligible effects on the cystic fibrosis gut microbiome.

Microbiol Spectr. 2023-8-21

引用本文的文献

[1]
Elexacaftor/tezacaftor/ivacaftor in children aged ≥6 years with cystic fibrosis heterozygous for and a minimal function mutation: results from a 96-week open-label extension study.

Eur Respir J. 2025-7-14

[2]
Analysis of Depression and Anxiety Scores Following Initiation of Elexacaftor/Tezacaftor/Ivacaftor in Adults With Cystic Fibrosis.

Clin Respir J. 2024-9

[3]
State of the Art on Approved Cystic Fibrosis Transmembrane Conductance Regulator () Modulators and Triple-Combination Therapy.

Pharmaceuticals (Basel). 2021-9-15

本文引用的文献

[1]
Pharmacokinetic and Drug-Drug Interaction Profiles of the Combination of Tezacaftor/Ivacaftor.

Clin Transl Sci. 2019-1-29

[2]
VX-659-Tezacaftor-Ivacaftor in Patients with Cystic Fibrosis and One or Two Phe508del Alleles.

N Engl J Med. 2018-10-18

[3]
VX-445-Tezacaftor-Ivacaftor in Patients with Cystic Fibrosis and One or Two Phe508del Alleles.

N Engl J Med. 2018-10-18

[4]
Dornase alfa for cystic fibrosis.

Cochrane Database Syst Rev. 2018-9-6

[5]
Data from the US and UK cystic fibrosis registries support disease modification by CFTR modulation with ivacaftor.

Thorax. 2018-5-10

[6]
Cytochrome P450 3A4 Induction: Lumacaftor versus Ivacaftor Potentially Resulting in Significantly Reduced Plasma Concentration of Ivacaftor.

Drug Metab Lett. 2018

[7]
Inhaled mannitol for cystic fibrosis.

Cochrane Database Syst Rev. 2018-2-9

[8]
Tezacaftor-Ivacaftor in Patients with Cystic Fibrosis Homozygous for Phe508del.

N Engl J Med. 2017-11-3

[9]
Tezacaftor-Ivacaftor in Residual-Function Heterozygotes with Cystic Fibrosis.

N Engl J Med. 2017-11-23

[10]
Tezacaftor/Ivacaftor in Subjects with Cystic Fibrosis and F508del/F508del-CFTR or F508del/G551D-CFTR.

Am J Respir Crit Care Med. 2018-1-15

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