Evidence map›Paper›PMID 41222452›Full record

ArticleClinical and translational science2025

Evaluation of Elexacaftor/Tezacaftor/Ivacaftor-Mediated Drug-Induced Liver Injury Using a Liver-On-Chip Model.

Alan Shi, Palak Agarwal, Zhang-Xu Liu, Paul M Beringer

Abstract read
In one paragraph

Article in Clinical and translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alan ShiDepartment of Clinical Pharmacy, Mann School of Pharmacy and Pharmaceutical Sciences, University of Southern California, Los Angeles, California, USA.ORCID 0009-0008-6939-039X
Palak AgarwalDepartment of Clinical Pharmacy, Mann School of Pharmacy and Pharmaceutical Sciences, University of Southern California, Los Angeles, California, USA.ORCID 0009-0008-6565-6779
Zhang-Xu LiuTranslational Research Lab Core, Mann School of Pharmacy and Pharmaceutical Sciences, University of Southern California, Los Angeles, California, USA.ORCID 0000-0001-7290-3506
Paul M BeringerDepartment of Clinical Pharmacy, Mann School of Pharmacy and Pharmaceutical Sciences, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-3744-3310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elexacaftor/tezacaftor/ivacaftor (ETI), a cystic fibrosis transmembrane conductance regulator (CFTR) modulator therapy, has provided great improvements in lung function and well-being for people with CF. The use of ETI has been complicated by reports of rare but significant liver function test elevations in clinical trials and drug-induced liver injury (DILI) in real-world use. Previous research by our group revealed that oxidative stress is the major driver of ETI-mediated DILI, and in silico ETI DILI simulations resulted in elevations of the emerging biomarker glutamine dehydrogenase (GLDH) which match the time course of predicted transaminase elevations. The assessment of emerging biomarkers and therapeutic strategies in a clinically relevant model will spur the development of more effective treatments for ETI-mediated DILI. This study used the human-relevant liver-on-chip model to investigate GLDH as a biomarker and ETI dose reduction and silymarin antioxidant administration as therapeutic strategies for ETI-mediated DILI. We found that GLDH was not as sensitive as ALT and albumin for detecting DILI due to ETI. Dose reduction was a more effective treatment strategy for ETI DILI than silymarin, which did not significantly lower ALT levels.

Indexed as

AminophenolsBenzodioxolesChemical and Drug Induced Liver InjuryIndolesLab-On-A-Chip DevicesLiverPyrazolesPyridinesPyrrolidinesQuinolonesBiomarkersCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDrug CombinationsHumansLiver Function TestsAminophenolsBenzodioxolesBiomarkersCystic Fibrosis Transmembrane Conductance RegulatorDrug CombinationsIndolesivacaftorPyrazolesPyridinesPyrrolidinesQuinolonesCFTR modulatorDILIhepatotoxicityliver injuryliver‐on‐chip

Identifiers

PMID41222452
PMCPMC12607282

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.