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Current treatments for cystic fibrosis (CF) focus on alleviation of symptoms. Now, researchers are attempting to treat the actual cause of CF — a defect in the gene encoding the CF transmembrane conductance regulator (CFTR) protein. In an industry-supported, double-blind, randomized clinical trial, 39 adults with CF received oral VX-770 (a CFTR potentiator that increases the activity of CFTR protein) or placebo every 12 hours for 28 days. All patients had a specific CFTR mutation called G551D.
After 28 days, CFTR activity, as measured by nasal potential difference (an electrophysiologic assay of CFTR channels), increased significantly in the VX-770 group compared with the placebo group, and the level of sweat chloride decreased. Lung functio…