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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. When CFTR is absent or dysfunctional, chloride transport is impaired, causing thick, sticky secretions in the lungs, pancreas, intestines, and other organs.

In plain words, cystic fibrosis is an inherited disease where a faulty protein makes mucus and other body fluids thick and sticky. Thick mucus clogs the lungs and digestive system, which leads to lung problems and trouble digesting food.

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Cystic Fibrosis

Where treatments stand, from ClinicalTrials.gov and FDA labels

FDA review0

No decision pending. FDA calendar

FDA-approved medicines10

Alyftrek · Kalydeco · Orkambi · Symdeko · Trikafta · 5 more

Cystic Fibrosis has 10 FDA-approved medicines, 147 open or active clinical trials, and no pending FDA decision.

Labels checked October 21, 2026. Corticosteroids and immune globulins count once each.Download the data

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More about Cystic Fibrosis

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 (cystic fibrosis-related diabetes, a distinct type of diabetes).

Keep reading about Cystic Fibrosis

GI symptoms include malabsorption and failure to thrive. CF is a complex multisystem disease requiring comprehensive, multidisciplinary care. CFTR modulators, especially the triple combinations Trikafta and Alyftrek, have dramatically improved outcomes, and Vertex says about 95% of people with CF in the U.S. are now eligible for one.

What are the symptoms of Cystic Fibrosis?

These are common symptoms of Cystic Fibrosis, and how strong they are varies from person to person.

  • 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 gets Cystic Fibrosis?

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.

Next steps: find trials you might fitsee approved treatmentsget help payingget alerts

Which medicines are FDA-approved for Cystic Fibrosis?

There are currently 10 FDA-approved medications for Cystic Fibrosis.

vanzacaftor / tezacaftor / deutivacaftor
Vertex Pharmaceuticals
Search
ivacaftor
Vertex Pharmaceuticals
Official site
lumacaftor / ivacaftor
Vertex Pharmaceuticals
Official site
tezacaftor / ivacaftor
Vertex Pharmaceuticals
Official site
elexacaftor / tezacaftor / ivacaftor
Vertex Pharmaceuticals
Official site
Acetylcysteine inhalation solution
acetylcysteine (inhalation)
Bronchitol
mannitol (inhalation powder)
Cayston
aztreonam (inhalation)
Pulmozyme
dornase alfa
Tobi
tobramycin (inhalation)

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

How to get help paying for Cystic Fibrosis treatment

Charity funds and drugmaker programs for Cystic Fibrosis, checked at the source.

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

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

Status as each foundation showed it on October 26, 2026.

Every program and fund for Cystic Fibrosis, by insurance →

Side effects people have reported to the FDA

Side effects people have reported to the FDA

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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Diagnosis and genetic testing

Genetic testing for Cystic Fibrosis

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

The CFTR gene page lists every condition Orphanet links to the gene and the open trials that name it.

Finding labs...

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 not yet recruiting in the United States and worldwide, with eligibility criteria in plain English. Of these, 16 test a treatment and 9 are observational studies or registries; each card says which. Every trial comes from ClinicalTrials.gov.

Jump to the trial list, the site map, the pipeline timeline or the medication 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.

147 active trials worldwide
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RecruitingObservational study, no treatment givenRecently updatedNCT00943514

Natural History of Bronchiectasis

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

Bronchiectasis is a chronic inflammatory and muco-obstructive condition that results in abnormal dilation of the airways, decline in lung function, frequent exacerbations, and chronic respiratory tract infections. Cystic fibrosis (CF) is the most well studied genetic condition th...

Ages 5 Years to 100 Years1 location
Started Aug 2009Updated yesterdayCompletion date not listed
RecruitingTreatment trialRecently updatedNCT07930884

Continuous Glucose Monitoring Parameter and Oral Glucose Tolerance Testing (OGTT) Parameters in Children and Young Adults With Cystic Fibrosis (CF)

Intervention: Continuous Glucose Monitor

Sponsor: Northwell Health

As modulator therapies extend the lifespan of CF patients, the detection of complications like Cystic Fibrosis Related Diabetes (CFRD) becomes increasingly vital. The current gold standard for CFRD screening, the 2-hour OGTT, is cumbersome and suffers from low compliance. This st...

Ages 10 Years to 25 Years1 location
Started Jun 2025Updated yesterdayEst. Aug 2027 (~9 months)
RecruitingTreatment trialPhase 2Recently updatedNCT06429176

Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of SPL84 in Patients With Cystic Fibrosis

Intervention: SPL84, Placebo

Sponsor: SpliSense Ltd.

The goal of this clinical trial is to learn if drug SPL84 is safe for adult patients with cystic fibrosis (CF). It will also learn if the drug works to treat works to treat CF with a specific mutation (3849 +10kb C-->T).

Ages 18 Years+
Started Jun 2024Updated 3 days agoEst. Oct 2027 (~10 months)
RecruitingTreatment trialPhase 3Recently updatedNCT06996951

Sinonasal Therapies and Histologic Correlations of Patients With Cystic Fibrosis in the Era of Highly Effective Modulator Therapy

Intervention: STOP NASAL SALINE IRRIGATION WITH OR WITHOUT STEROID, CONTINUE NASAL SALINE IRRIGATION WITH OR WITHOUT STEROID

Sponsor: Indiana University

The investigators are doing this study to discover if it is appropriate for people with Cystic Fibrosis (CF) on highly effective modulator therapy (HEMT) to stop using certain standard Sino nasal therapies such as high-volume nasal saline irrigations, topical nasal steroids, and ...

Ages 18 Years+1 location
Started Jul 2025Updated 3 days agoEst. Jul 2027 (~8 months)
RecruitingObservational study, no treatment givenRecently updatedNCT02417740

Natural History of Noncirrhotic Portal Hypertension

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

Background:

Ages 12 Years to 100 Years1 location
Started Jul 2015Updated 4 days agoEst. Sep 2029 (~2y 9m)
Find Cystic Fibrosis trials near you, ranked by distance →
Active trial locations73 cities in the US
A study site. Select it to see its trials and get directions. Several sites close together. Select the number to zoom in.
+65 more

Trial Pipeline

Jan 2021 to Feb 2031
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Phase 1
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Observational
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RecruitingNot yet recruitingDelayed startTodayHover a bar for trial details

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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.

How medications affect trial eligibility for Cystic Fibrosis
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.

Cystic Fibrosis patient communities

Facebook groups, Reddit communities and YouTube channels where Cystic Fibrosis patients, caregivers and advocacy groups talk.

Cystic Fibrosis news and guides

Trial Friend articles about Cystic Fibrosis, newest first

Companies developing Cystic Fibrosis treatments

Drugmakers that list Cystic Fibrosis in their rare disease portfolio, with makers of its treatments first.

Questions people ask about Cystic Fibrosis