Cystic Fibrosis
Recent clinical, regulatory, research and industry developments relating to this disease.
Prime editing-installed suppressor tRNAs for disease-agnostic genome editing.
Mucus Structure, Viscoelastic Properties, and Composition in Chronic Respiratory Diseases.
Tissue-Specific Regulation of <i>CFTR</i> Gene Expression.
What's happening now
An analyst briefing on current research, clinical, regulatory and industry activity surrounding this disease.
- 1 regulatory approval from EMA on record.
- 5 clinical trials expected to report results, the earliest in Q2 2027.
- Active recent publication activity, including 1 notable finding.
- 1 industry development reported.
- Q2 2027Maralixibat in Patients With Cystic Fibrosis and Constipation, A Within-Subjects Pilot Study
- Q3 2027A Phase 3, Open-label Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects 12 Months of Age and Older
- Q1 2029Phase 3 Single-arm, Open-label, Multicenter Study to Assess the Safety of HSK31858 in Participants With Non-cystic Fibrosis Bronchiectasis
- Q2 2030A Phase 3 Study Evaluating the Pharmacokinetics, Safety, and Tolerability of VX-121/Tezacaftor/Deutivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 1 Through 11 Years of Age
- Q4 2030Ensuring Access to Optimal Therapy in Cystic Fibrosis: The ENACT Study
Research HighlightsViewHide
- 2025-11-19Prime editing-installed suppressor tRNAs for disease-agnostic genome editing.Pierce SE · 2025
Clinical MilestonesView all 11Hide
- 2025-12-16A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of Brensocatib Administered Once Daily for 52 Weeks in Subjects With Non-Cystic Fibrosis Bronchiectasis - The ASPEN StudyResults posted
- 2025-10-15Comparison of Meal-Time Dosing of Rapid Acting Insulin Using Carbohydrate Counting vs. Fixed Doses Utilizing Continuous Glucose Monitoring In Patients With Cystic Fibrosis Related DiabetesResults posted
- 2026-06-05A Phase 3, Open-label Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects 12 Months of Age and OlderResults expected Q3 2027
- 2026-06-02Ensuring Access to Optimal Therapy in Cystic Fibrosis: The ENACT StudyResults expected Q4 2030
- 2026-06-01Phase 3 Single-arm, Open-label, Multicenter Study to Assess the Safety of HSK31858 in Participants With Non-cystic Fibrosis BronchiectasisResults expected Q1 2029
- 2026-05-28A Phase 3 Study Evaluating the Pharmacokinetics, Safety, and Tolerability of VX-121/Tezacaftor/Deutivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 1 Through 11 Years of AgeResults expected Q2 2030
- 2026-04-21Maralixibat in Patients With Cystic Fibrosis and Constipation, A Within-Subjects Pilot StudyResults expected Q2 2027
- 2026-01-29A Phase 3 Open-label Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 2 Years and OlderCompleted
- 2026-01-21The Return of the Pancreas: Evaluating Impact of CFTR Modulators on Pancreatic FunctionCompleted
- 2025-12-23Evaluating Trikafta for the Treatment of Patients With Non-cystic Fibrosis Bronchiectasis (NCFBE)Completed
Industry & MarketViewHide
- 2026-07-07Vertex Eyes Expansion Beyond Cystic Fibrosis with Planned $10B Crinetics BuyoutManufacturing · GEN News
Regulatory UpdatesViewHide
- 2025-11-18Approval — Brensocatib MonohydrateBrinsupri is indicated for the treatment of non-cystic fibrosis bronchiectasis (NCFB) in patients 12 years of age and older with two or more exacerbations in the prior 12 months.
- 2026-07-07IndustryVertex Eyes Expansion Beyond Cystic Fibrosis with Planned $10B Crinetics BuyoutManufacturing · GEN News
- 2026-06-05ClinicalA Phase 3, Open-label Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects 12 Months of Age and OlderResults expected Q3 2027
- 2026-06-02ClinicalEnsuring Access to Optimal Therapy in Cystic Fibrosis: The ENACT StudyResults expected Q4 2030
- 2026-06-01ClinicalPhase 3 Single-arm, Open-label, Multicenter Study to Assess the Safety of HSK31858 in Participants With Non-cystic Fibrosis BronchiectasisResults expected Q1 2029
- 2026-05-28ClinicalA Phase 3 Study Evaluating the Pharmacokinetics, Safety, and Tolerability of VX-121/Tezacaftor/Deutivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 1 Through 11 Years of AgeResults expected Q2 2030
- 2026-04-21ClinicalMaralixibat in Patients With Cystic Fibrosis and Constipation, A Within-Subjects Pilot StudyResults expected Q2 2027
- 2026-01-29ClinicalA Phase 3 Open-label Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 2 Years and OlderCompleted
- 2026-01-21ClinicalThe Return of the Pancreas: Evaluating Impact of CFTR Modulators on Pancreatic FunctionCompleted
- 2025-12-23ClinicalEvaluating Trikafta for the Treatment of Patients With Non-cystic Fibrosis Bronchiectasis (NCFBE)Completed
- 2025-12-16ClinicalA Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of Brensocatib Administered Once Daily for 52 Weeks in Subjects With Non-Cystic Fibrosis Bronchiectasis - The ASPEN StudyResults posted
Therapeutic landscape
Therapies with a regulatory footing for this condition, alongside the wider set of agents co-studied with it in the literature.
Approval — Brinsupri is indicated for the treatment of non-cystic fibrosis bronchiectasis (NCFB) in… (2025)
Approval — Arikayce liposomal is indicated for the treatment of non-tuberculous mycobacterial (NTM)… (2020)
Approval — Vantobra is indicated for the management of chronic pulmonary infection due to Pseud… (2019)
Approval — Quinsair is indicated for the management of chronic pulmonary infections due to Pseudomon… (2015)
Approval — Colobreathe is indicated for the management of chronic pulmonary infections due to Pseudo… (2012)
Accelerated approval — Kalydeco tablets are indicated: - As monotherapy for the treatment of adults,… (2012)
Approval — Bronchitol is indicated for the treatment of cystic fibrosis (CF) in adults aged 18 years… (2012)
Clinical trials
The current development programme across all trial phases.
Regulatory timeline
Drug regulatory events matched to this condition by indication — EMA.
European Medicines Agency (CC BY 4.0). Events are matched to this condition by drug indication text — approvals/updates for drugs indicated for it, not disease-specific acts.
Research activity
Key research shaping understanding of this disease, combining the latest publications with the most influential evidence.
Major themes8
- Cystic Fibrosis9
- Gene Editing3
- Cystic Fibrosis Transmembrane Conductance Regulator2
- Epithelial Cells2
- Immunity, Innate2
- Adaptive Immunity1
- Asthma1
- Bacteriophages1
Leading journals6
- International journal of molecular sciences2
- APMIS. Supplementum1
- Cell reports1
- Cell reports. Medicine1
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America1
- Current gastroenterology reports1
Leading researchers8
- Beekman JM2
- Dekkers JF2
- Liu DR2
- Oye K2
- van der Ent CK2
- Abrami M1
- Amatngalim GD1
- An M1
Affiliations (unnormalised)6
- Harvard University2
- Howard Hughes Medical Institute2
- Inova Fairfax Hospital2
- Johns Hopkins University School of Medicine2
- Merkin Institute of Transformative Technologies in Healthcare2
- Amsterdam University Medical Centers1
Disease biology
Key proteins & gene products studied in this disease. Number shows shared papers.
Related conditions
Diseases frequently studied alongside this one. Number shows shared papers.
Disease profile
A grounded synthesis of the condition — overview, causes, mechanism, risk factors and current standard of care.
Cystic fibrosis is an autosomal recessive genetic disease of the exocrine glands caused by mutations in the gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR). It affects multiple organs, including the lungs, pancreas, biliary system, and sweat glands. The disease is characterized by epithelial secretory dysfunction with ductal obstruction, leading to airway obstruction, chronic respiratory infections, pancreatic insufficiency, maldigestion, salt depletion, and heat prostration.
The disease is caused by mutations in the CFTR gene. The supplied grounding supports a genetic etiology and does not identify non-genetic causes.
CFTR dysfunction leads to abnormal epithelial secretion and ductal obstruction in affected organs. In the airways, mucus becomes overproduced and more concentrated, with altered structure and viscoelastic properties that impair mucociliary defense and promote obstruction and infection. The literature also describes dysregulated innate and adaptive immune responses in chronic lung infection, contributing to persistent bacterial infection and inflammatory lung damage.
An autosomal recessive inheritance pattern increases risk when an individual inherits pathogenic CFTR mutations from both parents. The grounding does not support additional risk factors beyond the underlying genetic cause.
The supplied grounding supports treatment categories rather than a single definitive regimen. Literature in the grounding includes drug therapy and therapy focused on CFTR-directed approaches, modulation of mucus and airway disease, and management of chronic respiratory infection and inflammatory complications. It also mentions investigational or adjunctive approaches affecting CFTR trafficking, kinase inhibition, and immune modulation, but does not support a more specific standard-of-care summary.
AI-generated summary grounded in MeSH and 6 peer-reviewed sources. Informational only — not medical advice. Generated 2026-07-07.
Reference
Authoritative identity, definition & identifiers.
An autosomal recessive genetic disease of the EXOCRINE GLANDS. It is caused by mutations in the gene encoding the CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR expressed in several organs including the LUNG, the PANCREAS, the BILIARY SYSTEM, and the SWEAT GLANDS. Cystic fibrosis is characterized by epithelial secretory dysfunction associated with ductal obstruction resulting in AIRWAY OBSTRUCTION; chronic RESPIRATORY INFECTIONS; PANCREATIC INSUFFICIENCY; maldigestion; salt depletion; and HEAT PROSTRATION.
- Disease identity & definition — NLM Medical Subject Headings (MeSH), public domain
- Clinical trials — ClinicalTrials.gov (U.S. National Library of Medicine)
- Research activity — Europe PMC (EMBL-EBI) + OpenAlex-derived paper links
- Related entities are derived from literature co-mention (studied together) — associative, not causal.