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Pulmonary & Respiratory

Cystic Fibrosis (CF) Clinical Trials and Treatments

Also called CF

Cystic fibrosis (CF) is an autosomal recessive genetic disorder caused by mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene. CFTR encodes a chloride channel protein essential for regulating ion transport across epithelial cells.

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About Cystic Fibrosis

Cystic fibrosis (CF) is an autosomal recessive genetic disorder caused by mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene. CFTR encodes a chloride channel protein essential for regulating ion transport across epithelial cells. When CFTR is absent or dysfunctional, chloride transport is impaired, causing thick, sticky secretions in the lungs, pancreas, intestines, and other organs.

In the lungs, thick mucus accumulates, obstructs airways, and promotes chronic bacterial infections, leading to progressive airway inflammation, bronchiectasis, and eventual respiratory failure. In the pancreas, viscous secretions damage pancreatic tissue, causing exocrine insufficiency (requiring enzyme replacement) and endocrine dysfunction (type 1 diabetes).

GI symptoms include malabsorption and failure to thrive. CF is a complex multisystem disease requiring comprehensive, multidisciplinary care. Recent breakthroughs with CFTR modulators (especially lumacaftor/ivacaftor and newer combinations) have dramatically improved outcomes for patients with specific CFTR mutations.

Common Symptoms of Cystic Fibrosis

Recognizing the signs of Cystic Fibrosis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Persistent cough with sputum production
  • Recurrent respiratory infections
  • Wheezing and shortness of breath
  • Failure to thrive and malabsorption
  • Fatty, foul-smelling stools (steatorrhea)
  • Pancreatic insufficiency and insulin-dependent diabetes in some patients

Who Cystic Fibrosis Affects

Usually diagnosed in early childhood, though newborn screening enables earlier diagnosis. Autosomal recessive inheritance. Most common in Caucasians of European descent, but occurs in all ethnic groups.

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FDA-Approved Treatments for Cystic Fibrosis

There are currently 5 FDA-approved medications for Cystic Fibrosis. These therapies represent the current standard of care and may be used alongside or compared against investigational treatments in active clinical trials.

elexacaftor / tezacaftor / ivacaftor
Vertex Pharmaceuticals
Official site
vanzacaftor / tezacaftor / deutivacaftor
Vertex Pharmaceuticals
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ivacaftor
Vertex Pharmaceuticals
Official site
lumacaftor / ivacaftor
Vertex Pharmaceuticals
Official site
tezacaftor / ivacaftor
Vertex Pharmaceuticals
Official site

Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

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Help Paying for Cystic Fibrosis Treatment

Charity funds and drugmaker programs for Cystic Fibrosis, checked at the source. Pick your insurance to see what fits.

Your insurance
Charity funds
  • From a charity · The Assistance Fund
    Cystic Fibrosis fund
    Waitlist

    Pays for: Copays, coinsurance, deductibles and other health-related expenses.

    The foundation says: “WAITLIST — Accepting Waitlist Patients. TAF is currently accepting requests to join the enrollment waitlist for this program. Waitlists a…”
Status as each foundation showed it on September 28, 2026.

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Side Effect Explorer

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted Cystic Fibrosis Resources

Reputable organizations and medical references for learning more about Cystic Fibrosis, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Cystic Fibrosis

Use this Cystic Fibrosis clinical trial finder to see the 22 studies recruiting patients and 3 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for pulmonary & respiratory conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timelineMedication checker

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

180 active trials worldwide
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RECRUITINGPHASE2Recently updatedNCT07450547

Phase 2 Study to Assess the Safety and Efficacy of ANG003

Intervention: ANG003 Dose A, ANG003 Dose B, Creon

Sponsor: Anagram Therapeutics, Inc.

In this study, ANG003, a pancreatic enzyme replacement therapy (PERT; commonly called "enzymes"), is being investigated as a potential treatment for exocrine pancreatic insufficiency (EPI). People with EPI due to Cystic Fibrosis (CF) may be eligible to participate in this study. ...

Ages 12 Years+27 locations
Started Apr 2026Updated yesterdayEst. Jul 2027 (~10 months)
RECRUITINGRecently updatedNCT00943514

Natural History of Bronchiectasis

Sponsor: National Heart, Lung, and Blood Institute (NHLBI)

Background:

Ages 5 Years – 100 Years1 location
Started Aug 2009Updated yesterdayCompletion date not listed
RECRUITINGNARecently updatedNCT05463289

ACCESS 2: AI for pediatriC diabetiC Eye examS Study 2

Intervention: Point of Care Autonomous AI diabetic retinopathy exam

Sponsor: Johns Hopkins University

The purpose of this study is to determine if use of a nonmydriatic fundus camera using autonomous artificial intelligence software at the point of care increases the proportion of underserved youth with diabetes screened for diabetic retinopathy, and to determine the diagnostic a...

Ages 8 Years – 21 Years1 location
Started Jul 2022Updated 6 days agoEst. Dec 2026 (~3 months)
RECRUITINGPHASE1Recently updatedNCT07437105

Dose Escalation Study Evaluating the Safety and Pharmacokinetics of VX-272 in Healthy Participants

Intervention: VX-272, Placebo, Tezacaftor, Deutivacaftor

Sponsor: Vertex Pharmaceuticals Incorporated

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of single and multiple ascending doses of VX-272 in combination with deutivacaftor (D-IVA) with or without tezacaftor (TEZ) in healthy subjects.

Ages 18 Years – 55 Years1 location
Started Feb 2026Updated 6 days agoEst. Jun 2027 (~8 months)
RECRUITINGRecently updatedNCT02417740

Natural History of Noncirrhotic Portal Hypertension

Sponsor: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Background:

Ages 12 Years – 100 Years1 location
Started Jul 2015Updated 1 week agoEst. Sep 2029 (~2y 11m)
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Active trial locations94 cities in the US
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Trial Pipeline

Jan 2021 to Feb 2030
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Can I Join a CF Clinical Trial While Taking My Current Medication?

This medication conflict checker helps cystic fibrosis patients find out if their current CF medications could disqualify them from clinical trials. Select your drugs above to instantly screen active trials for potential eligibility conflicts.

CFTR Modulators
Trikafta, Alyftrek, Kalydeco, Orkambi, Symdeko — CFTR modulators are the standard of care for the majority of CF patients. Trials studying next-generation modulators often specify which existing modulators patients must be on, must wash out from, or whether treatment-naive patients are preferred. Stable dosing requirements of 4 to 12 weeks are common.
Inhaled Antibiotics & Mucolytics
TOBI (tobramycin), Cayston (aztreonam), Pulmozyme (dornase alfa) — inhaled antibiotics targeting Pseudomonas aeruginosa and mucolytics are generally continued during trials as standard airway clearance therapy. Some trials require stable regimens, while others may restrict specific inhaled antibiotics during the study period to avoid confounding spirometry endpoints.
Supportive Therapies
Azithromycin, pancreatic enzymes (Creon), bronchodilators, antifungals — chronic azithromycin for its anti-inflammatory properties, pancreatic enzyme replacement, and bronchodilators are generally allowed in CF trials. Azole antifungals (itraconazole, voriconazole) used for ABPA may have drug-drug interaction concerns with CFTR modulators. CFTR mutation type also critically affects which trials you qualify for.
How the medication conflict checker works: This free tool helps CF patients learn if their current medications could affect clinical trial eligibility. It scans the published eligibility criteria of every active CF trial and flags which ones may exclude your specific treatment. Eligibility also depends on CFTR mutation type, lung function (FEV1), microbiology culture results, and other factors. Always confirm eligibility directly with the study team.

Across 1,853 open rare disease treatment trials, a third exclude people over a medication they commonly take. See which medications and diseases, in our September 2026 analysis.

Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

Patient Communities

Connect with other Cystic Fibrosis patients, caregivers, and advocacy groups across Facebook groups, Reddit communities, and YouTube channels. These patient communities offer peer support, shared experiences, caregiver resources, and real-time discussion about Cystic Fibrosis treatments, clinical trial participation, and day-to-day disease management.

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Related Pulmonary & Respiratory Conditions

Other rare diseases in the pulmonary & respiratory category. Patients with Cystic Fibrosis may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Cystic Fibrosis Treatments

12 pharmaceutical companies have Cystic Fibrosis in their rare disease portfolio

Frequently Asked Questions About Cystic Fibrosis