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. Author manuscript; available in PMC: 2024 Oct 1.
Published in final edited form as: Lancet Respir Med. 2023 Sep 9;11(10):932–944. doi: 10.1016/S2213-2600(23)00297-7

Table 3. Considerations for combining CF and NCFB disease populations for CF therapeutic development.

Summarized responses from workshop attendees surveyed regarding considerations when combining CF and NCFB populations for clinical trials of symptomatic therapies. Table indicates rank order of preferences in which more than 50% of respondents felt that consideration is important. NCFB=non-CF bronchiectasis; NTM=non-tuberculous mycobacterium; IV= intravenous; FEV1=forced expiratory volume in one second.

Hydrators/Muco-active Therapies Anti-inflammatories Inhaled antimicrobials NTM therapies
Target Characteristics within the CF population
  1. Produces mucopurulent sputum on a regular basis (at least 3X/week)

  2. Requires acute antibiotic interventions (oral, inhaled or IV) at least twice yearly

  3. Requires IV antibiotics at least yearly

  1. Requires acute antibiotic interventions (oral, inhaled or IV) at least twice yearly

  2. Requires IV antibiotics at least yearly

  3. Produces mucopurulent sputum on a regular basis (at least 3X/week)

  1. Requires acute antibiotic interventions (oral, inhaled or IV) at least twice yearly

  2. Requires IV antibiotics at least yearly

  3. Produces mucopurulent sputum on a regular basis (at least 3X/week)

  1. Persistent NTM infection

Target Characteristics in the NCFB population
  1. Produces mucopurulent sputum on a regular basis (at least 3X/week)

  2. Requires acute antibiotic interventions (oral, inhaled or IV) at least twice yearly

  3. Multi-lobe involvement by CT scan or x-ray

  4. Requires IV antibiotics at least yearly

  1. Requires acute antibiotic interventions (oral, inhaled or IV) at least twice yearly

  2. Requires IV antibiotics at least yearly

  3. Produces mucopurulent sputum on a regular basis (at least 3X/week)

  1. Produces mucopurulent sputum on a regular basis (at least 3X/week)

  2. Requires acute antibiotic interventions (oral, inhaled or IV) at least twice yearly

  3. Requires IV antibiotics at least yearly

  4. Continues to perform airway clearance and use other inhaled maintenance therapies daily

  1. Persistent NTM infection

Recommended Sub-populations to Exclude in NCFB population
  1. Traction bronchiectasis in setting of fibrosis

  2. Bronchiectasis associated with chronic aspiration

  3. Bronchiectasis associated with active mycobacterial disease

  4. Bronchiectasis due to COPD

  5. Bronchiectasis due to immune deficiency or connective tissue disease

  1. Traction bronchiectasis in setting of fibrosis

  2. Bronchiectasis associated with chronic aspiration

  3. Bronchiectasis associated with active mycobacterial disease

  4. Bronchiectasis due to COPD

  5. Bronchiectasis due to immune deficiency or connective tissue disease

  1. Traction bronchiectasis in setting of fibrosis

  2. Bronchiectasis associated with chronic aspiration

  3. Bronchiectasis associated with active mycobacterial disease

  4. Bronchiectasis due to COPD

  5. Bronchiectasis due to immune deficiency or connective tissue disease

  1. Traction bronchiectasis in setting of fibrosis

Novel/Unique and Common Endpoints to Consider
  1. Lung clearance index

  2. Mucociliary clearance

  3. FEV1

  4. HRCT/imaging

  5. Sputum analytes (e.g., rheology, etc)

  1. Mucociliary clearance

  2. Lung clearance index

  3. Pulmonary exacerbation rate

  4. FEV1

  5. Sputum analytes (e.g., rheology, etc)

  1. Mucociliary clearance

  2. Sputum analytes (e.g., rheology, etc)

  3. Pulmonary exacerbation rate

  4. FEV1

  5. Lung clearance index

  6. HRCT/imaging

  1. Sputum microbiology

  2. HRCT/imaging

  3. Research biomarkers (e.g., urine tests)