Exam 2 - Cystic Fibrosis Flashcards
Which class of CFTR mutation is most common?
Class II
What is the name of most common CFTR mutation?
F508del
What was the initial identified mutation for cystic fibrosis?
G551D
What is the age indication for ivacaftor (Kalydeco)?
1 month or more
What is the age indication for lumacaftor/ivacaftor (Orkambi)?
1 year or more
What is the age indication for tezacaftor/ivacaftor (Symdeko)?
6 years or more
What is the age indication for elexacaftor/tezacaftor/ivacaftor (Trikafta)?
2 years or more
What genotype must patients have to qualify for ivacaftor (Kalydeco)?
heterozygous
What genotype must patients have to qualify for lumacaftor/ivacaftor (Orkambi)?
homozygous
What genotype must patients have to qualify for tezacaftor/ivacaftor (Symdeko)?
homo or heterozygous
What genotype must patients have to qualify for elexacaftor/tezacaftor/ivacaftor (Trikafta)?
homo or heterozygous
What is the MOA of the ivacaftor component?
facilitates the opening of the chloride channel (potentiator)
What is the MOA of the lumacaftor, tezacaftor, and elexacaftor components?
chaperone that aids in trafficking of CFTR protein to cell membrane (corrector)
What are the AEs of CFTRs? (3)
GI, rash, increased ALT/AST
What are counseling points for CFTR modulators? (3)
take w/fat-containing meal, avoid grapefruit juice, dose reduction in hepatic dysfunction