Effect of dornase alfa on inflammation and lung function: Potential role in the early treatment of cystic fibrosis  Michael W. Konstan, Felix Ratjen 

Slides:



Advertisements
Similar presentations
ARFI and transient elastography for characterization of cystic fibrosis related liver disease: First longitudinal follow-up data in adult patients  Thomas.
Advertisements

Comparing age of cystic fibrosis diagnosis and treatment initiation after newborn screening with two common strategies  Don B. Sanders, Huichuan J. Lai,
Zhumin Zhang, Suzanne M. Shoff, HuiChuan J. Lai 
Use of high-dose ibuprofen in a pediatric cystic fibrosis center
Randomized controlled trial of biofilm antimicrobial susceptibility testing in cystic fibrosis patients  Yvonne C.W. Yau, Felix Ratjen, Elizabeth Tullis,
William G. Flight, Jonathan Shaw, Susan Johnson, A
Abaigeal D. Jackson, Christopher H. Goss  Journal of Cystic Fibrosis 
ARFI and transient elastography for characterization of cystic fibrosis related liver disease: First longitudinal follow-up data in adult patients  Thomas.
Felix Ratjen, Paul Koker, David E
How does heart rate recovery after sub-maximal exercise correlate with maximal exercise testing in children with CF?  Sarah P. Cohen, David M. Orenstein 
H. Grasemann, E. Tullis, F. Ratjen  Journal of Cystic Fibrosis 
A randomized double blind, placebo controlled phase 2 trial of BIIL 284 BS (an LTB4 receptor antagonist) for the treatment of lung disease in children.
Measuring and improving respiratory outcomes in cystic fibrosis lung disease: Opportunities and challenges to therapy  Edith T. Zemanick, J. Kirk Harris,
Measures of body habitus are associated with lung function in adults with cystic fibrosis: A population-based study  Doug L. Forrester, Alan J. Knox,
Laura Viviani, Baroukh M. Assael, Eitan Kerem 
Raphaël Chiron, Y. Yaël Grumbach, Nga V. T
Cirrhosis and other liver disease in cystic fibrosis
John Widger, Sarath Ranganathan, Philip J. Robinson 
Pulmonary exacerbations in CF patients with early lung disease
Safety and early treatment effects of the CXCR2 antagonist SB in patients with cystic fibrosis  Richard B. Moss, Sunil J. Mistry, Michael W. Konstan,
Clinical outcomes in cystic fibrosis patients with Trichosporon respiratory infection  Charles R. Esther, Rongpong Plongla, Alan Kerr, Feng-Chang Lin,
Long-term azitromycin treatment of cystic fibrosis patients with chronic Pseudomonas aeruginosa infection; an observational cohort study  Christine Rønne.
Vitamin A and lung function in CF
The predictive potential of the sweat chloride test in cystic fibrosis patients with the G551D mutation  Verena I. Seliger, David Rodman, Fredrick Van.
A.H. Gifford  Journal of Cystic Fibrosis 
Economic effects of an eradication protocol for first appearance of Pseudomonas aeruginosa in cystic fibrosis patients: 1995 vs. 2009  Yolanda P. Lillquist,
Effectiveness of inhaled tobramycin in eradicating Pseudomonas aeruginosa in children with cystic fibrosis  Sanja Stanojevic, Valerie Waters, Joseph L.
Physiologic endpoints for clinical studies for cystic fibrosis
Christiane I. -U. Chen, Susanne Schaller-Bals, Karl P
Sophia L. Markantonis, Anna Katelari, Eleni Pappa, Stavros Doudounakis 
Correlation of sweat chloride and percent predicted FEV1 in cystic fibrosis patients treated with ivacaftor  Meredith C. Fidler, Jack Beusmans, Paul Panorchan,
Valerie Waters, Eshetu G
E. Tschiedel, H. Grasemann, F. Ratjen  Journal of Cystic Fibrosis 
Sally H. Pattison, Geraint B. Rogers, Martin Crockard, J
Cytokine gene polymorphisms and severity of CF lung disease
Nasal polyposis in lung transplant recipients with cystic fibrosis
Narelle S. Cox, Jennifer Follett, Karen O. McKay 
Novel concepts in evaluating antimicrobial therapy for bacterial lung infections in patients with cystic fibrosis  Geraint B. Rogers, Lucas R. Hoffman,
Effect of ivacaftor in patients with advanced cystic fibrosis and a G551D-CFTR mutation: Safety and efficacy in an expanded access program in the United.
Association between the introduction of a new cystic fibrosis inhaled antibiotic class and change in prevalence of patients receiving multiple inhaled.
Nutritional decline in cystic fibrosis related diabetes: The effect of intensive nutritional intervention  H. White, K. Pollard, C. Etherington, I. Clifton,
Chronic Stenotrophomonas maltophilia infection and mortality or lung transplantation in cystic fibrosis patients  Valerie Waters, Eshetu G. Atenafu, Annie.
Gender differences in treatment adherence among youth with cystic fibrosis: Development of a new questionnaire  Joän M. Patterson, Melanie Wall, Jerica.
Higher risk of hospitalization among females with cystic fibrosis
Trends in pathogens colonising the respiratory tract of adult patients with cystic fibrosis, 1985–2005  F.A. Millar, N.J. Simmonds, M.E. Hodson  Journal.
Stability of interleukin 8 and neutrophil elastase in bronchoalveolar lavage fluid following long-term storage  Luke J. Berry, Barbara Sheil, Luke Garratt,
Comparing age of cystic fibrosis diagnosis and treatment initiation after newborn screening with two common strategies  Don B. Sanders, Huichuan J. Lai,
H. White, A.M. Morton, S.P. Conway, D.G. Peckham 
J.E. Spahr, R.B. Love, M. Francois, K. Radford, K.C. Meyer 
James H. Hull, Rachel Garrod, Timothy B. Ho, Ronald K. Knight, John R
Randomized, single blind, controlled trial of inhaled glutathione vs placebo in patients with cystic fibrosis  C. Calabrese, A. Tosco, P. Abete, V. Carnovale,
Daniel J. Smith, Gregory J. Anderson, Scott C. Bell, David W. Reid 
Michael W. Konstan, David J. Pasta, Jeffrey S. Wagener, Donald R
Serum-surfactant SP-D correlates inversely to lung function in cystic fibrosis  Hanne Vebert Olesen, Uffe Holmskov, Peter Oluf Schiøtz, Grith Lykke Sørensen 
Randomized trial of efficacy and safety of dornase alfa delivered by eRapid nebulizer in cystic fibrosis patients  Gregory S. Sawicki, Will Chou, Karina.
D.F. Waterhouse, A.M. McLaughlin, C.G. Gallagher 
The role of respiratory viruses in adult patients with cystic fibrosis receiving intravenous antibiotics for a pulmonary exacerbation  C. Etherington,
CFTR modulators and pregnancy: Our work has only just begun
Felix Ratjen, Todd Durham, Tomas Navratil, Amy Schaberg, Frank J
Beta-lactam allergy in adults with cystic fibrosis
Predictors of non-referral of patients with cystic fibrosisfor lung transplant evaluation in the United States  Kathleen J. Ramos, Bradley S. Quon, Kevin.
Michael W. Konstan, Jeffrey S. Wagener, Donald R. VanDevanter, David J
Lutz Goldbeck, Sven Zerrer, Tim G. Schmitz  Journal of Cystic Fibrosis 
Khin M. Gyi, Margaret E. Hodson, Magdi Y. Yacoub 
David Adeboyeku, Sandra Scott, Margaret E. Hodson 
Elisabeth P. Dellon, Margaret W. Leigh, James R. Yankaskas, Terry L
Does the timing of inhaled dornase alfa matter?
Inhaled amiloride and tobramycin solutions fail to eradicate Burkholderia dolosa in patients with cystic fibrosis  Ahmet Z. Uluer, David A. Waltz, Leslie.
Safety, efficacy and convenience of tobramycin inhalation powder in cystic fibrosis patients: The EAGER trial  Michael W. Konstan, Patrick A. Flume, Matthias.
Cystic fibrosis and pregnancy in the modern era: A case control study
Presentation transcript:

Effect of dornase alfa on inflammation and lung function: Potential role in the early treatment of cystic fibrosis  Michael W. Konstan, Felix Ratjen  Journal of Cystic Fibrosis  Volume 11, Issue 2, Pages 78-83 (March 2012) DOI: 10.1016/j.jcf.2011.10.003 Copyright © 2011 European Cystic Fibrosis Society. Terms and Conditions

Fig. 1 Effect of dornase alfa on markers of inflammation over the 3-year BEAT study [26]. [reprint permission needed] Median neutrophils (% of total cell population), interleukin-8 levels, and elastase activity in bronchoalveolar lavage fluid (BALF) of patients randomized to treatment with dornase alfa or no dornase alfa treatment, at baseline and after 3years. Journal of Cystic Fibrosis 2012 11, 78-83DOI: (10.1016/j.jcf.2011.10.003) Copyright © 2011 European Cystic Fibrosis Society. Terms and Conditions

Fig. 2 Changes in MMP-9 concentrations in BAL fluid for patients who were untreated (A) or treated with dornase alfa (B) over 18months [24]. Journal of Cystic Fibrosis 2012 11, 78-83DOI: (10.1016/j.jcf.2011.10.003) Copyright © 2011 European Cystic Fibrosis Society. Terms and Conditions

Fig. 3 Benefit of increasing forced expiratory volume in 1second (FEV1) vs. slowing the rate of decline of FEV1[17]. Journal of Cystic Fibrosis 2012 11, 78-83DOI: (10.1016/j.jcf.2011.10.003) Copyright © 2011 European Cystic Fibrosis Society. Terms and Conditions

Fig. 4 Mean change in FEV1 from baseline through 96weeks in a study of children with early-stage CF lung disease [9]. Journal of Cystic Fibrosis 2012 11, 78-83DOI: (10.1016/j.jcf.2011.10.003) Copyright © 2011 European Cystic Fibrosis Society. Terms and Conditions

Fig. 5 Annual rates of decline in FEV1% predicted before and after index PFT in children and adults for the dornase alfa and comparator groups [18]. Journal of Cystic Fibrosis 2012 11, 78-83DOI: (10.1016/j.jcf.2011.10.003) Copyright © 2011 European Cystic Fibrosis Society. Terms and Conditions