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Disease

Cystic Fibrosis

Late-stage therapeutic developmentEmerging researchSteady momentum
18
Publications
24
Clinical trials
4
Related conditions
3
Related proteins
2025
Latest publication
Current focus
Mucins biologyP13569 biologyTherapeutic developmentInflammation & immunityDisease mechanisms & pathology
Latest activity
beta

Recent clinical, regulatory, research and industry developments relating to this disease.

Mucus Structure, Viscoelastic Properties, and Composition in Chronic Respiratory Diseases.

Research2024-02-05International journal of molecular sciences

Tissue-Specific Regulation of <i>CFTR</i> Gene Expression.

Research2023-06-26International journal of molecular sciences

Phage Therapy of Mycobacterium Infections: Compassionate Use of Phages in 20 Patients With Drug-Resistant Mycobacterial Disease.

Research2023-01-01Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

What's happening now

An analyst briefing on current research, clinical, regulatory and industry activity surrounding this disease.

Major developments
Upcoming trial readoutHigh impact
Results expected Q4 20302026-06-02
Important regulatory approvalImportant
Brinsupri 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.2025-11-18
Research Highlights1View
Clinical Milestones11View all 11
+3 more in the activity timeline below
Industry & Market1View
Regulatory Updates1View
  • 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.
Activity timeline14

Therapeutic landscape

Therapies with a regulatory footing for this condition, alongside the wider set of agents co-studied with it in the literature.

Approved & established therapies

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)

Tobramycinapproved

Approval — Vantobra&nbsp;is indicated for the management of chronic pulmonary infection due to Pseud… (2019)

Levofloxacinapproved

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)

Ivacaftorapproved

Accelerated approval — Kalydeco tablets are indicated:&nbsp;&nbsp;- As monotherapy for the treatment of adults,… (2012)

Mannitolapproved

Approval — Bronchitol is indicated for the treatment of cystic fibrosis (CF) in adults aged 18 years… (2012)

Clinical trials

16 sponsors · 1 new · 4 completed in the last 12 months (net +0)

The current development programme across all trial phases.

Clinical programme
24
All trials
6
Active
18
Late-stage
6
Completed
Late-stage studies
Recruiting
Recently completed

Regulatory timeline

Drug regulatory events matched to this condition by indication — EMA.

First approvals
2025emaApprovalBrensocatib Monohydrate· Brinsupri 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. source ↗
2020emaApprovalAmikacin sulfate· Arikayce liposomal is indicated for the treatment of non-tuberculous mycobacterial (NTM) lung infections caused by Mycobacterium avium Complex (MAC) in adults with limited treatment options who do not have cystic fibrosis. source ↗
2019emaApprovalTobramycin· Vantobra&nbsp;is indicated for the management of chronic pulmonary infection due to Pseudomonas aeruginosa in patients aged 6 years and older with cystic fibrosis (CF). Consideration should be given to official guidance on the appropriate use of antibacterial agents. source ↗
2015emaApprovalLevofloxacin· Quinsair is indicated for the management of chronic pulmonary infections due to Pseudomonas aeruginosa in adult patients with cystic fibrosis. Consideration should be given to official guidance on the appropriate use of antibacterial agents. source ↗
2012emaAccelerated approvalIvacaftor· Kalydeco tablets are indicated:&nbsp;&nbsp;- As monotherapy for the treatment of adults, adolescents, and children aged 6 years and older and weighing 25 kg or more with cystic fibrosis (CF) who have an R117H CFTR mutation or one of the following gating (Class III) mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene: G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N or S549R.&nbsp;- In a combination regimen with tezacaftor/ivacaftor tablets for the treatment of adults, adolescents, and children aged 6 years and older with cystic fibrosis (CF) who are homozygous for the F508del mutation or who are heterozygous for the F508del mutation and have one of the following mutations in the CFTR gene: P67L, R117C, L206W, R352Q, A455E, D579G, 711+3A→G, S945L, S977F, R1070W, D1152H, 2789+5G→A, 3272 26A→G, and 3849+10kbC→T.&nbsp;- In a combination regimen with ivacaftor/tezacaftor/elexacaftor tablets for the treatment of adults, adolescents, and children aged 6 years and older with cystic fibrosis (CF) who have at least one non-Class I mutation in the CFTR gene. Kalydeco granules are indicated:&nbsp;- As monotherapy for the treatment of infants aged at least 1 month, toddlers and children weighing 3 kg to less than 25 kg with cystic fibrosis (CF) who have an R117H CFTR mutation or one of the following gating (Class III) mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene: G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N or S549R.&nbsp;- In a combination regimen with ivacaftor/tezacaftor/elexacaftor for the treatment of cystic fibrosis (CF) in paediatric patients aged 2 to less than 6 years who have at least one non-Class I mutation in the CFTR gene. source ↗
2012emaApprovalMannitol· Bronchitol is indicated for the treatment of cystic fibrosis (CF) in adults aged 18 years and above as an add-on therapy to best standard of care. source ↗
2012emaApprovalColistimethate sodium· Colobreathe is indicated for the management of chronic pulmonary infections due to Pseudomonas aeruginosa in patients with cystic fibrosis (CF) aged six years and older. Consideration should be given to official guidance on the appropriate use of antibacterial agents. source ↗
2011emaApprovalTobramycin· Tobi Podhaler is indicated for the suppressive therapy of chronic pulmonary infection due to Pseudomonas aeruginosa in adults and children aged 6 years and older with cystic fibrosis. See sections 4.4 and 5.1 regarding data in different age groups. Consideration should be given to official guidance on the appropriate use of antibacterial agents. source ↗

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

18 papers

Key research shaping understanding of this disease, combining the latest publications with the most influential evidence.

Publications over time
20012025
Most influential

The human ATP-binding cassette (ABC) transporter superfamily.

Journal of lipid research · 2001 · 766 cites

The role of bacterial biofilms in chronic infections.

APMIS. Supplementum · 2013 · 648 cites

Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation.

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021 · 547 cites

Protein kinase CK2: a potential therapeutic target for diverse human diseases.

Signal transduction and targeted therapy · 2021 · 273 cites
Recent publications
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

3 matches

Key proteins & gene products studied in this disease. Number shows shared papers.

Related conditions

4 matches

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.

Overview

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.

Causes

The disease is caused by mutations in the CFTR gene. The supplied grounding supports a genetic etiology and does not identify non-genetic causes.

Pathophysiology

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.

Risk factors

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.

Current standard of care

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.

Defined in MeSH

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.

References & data sources
  • 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.