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    New Cystic Fibrosis Drug Improves Lung Function

    Study Shows Denufosol Delays Changes in Lungs That Lead to Airflow Obstruction
    By
    WebMD Health News
    Reviewed by Louise Chang, MD

    Dec. 21, 2010 -- An experimental cystic fibrosis drug appears to delay the progression of the chronic disease in children who have normal to mildly impaired lung function, according to a new study.

    ''These findings are encouraging," researcher Frank Accurso, MD, professor of pediatrics at the University of Colorado School of Medicine, Denver, tells WebMD.

    The drug is called denufosol.

    ''The patients who received the drug improved lung function compared to placebo," he says. When he compared lung function before and after denufosol, "the improvement was 2%.''

    'It's important because although the improvement was modest, the longer-term effect of the drug could be substantial," he says.

    Doctors believe the lungs of children with cystic fibrosis (CF) are normal at birth and that lung damage occurs early in life. The hope is that denufosol will delay or prevent the progressive changes that lead to irreversible airflow obstruction, Accurso says.

    The findings were published online in the American Journal of Respiratory and Critical Care Medicine.

    Other cystic fibrosis experts say the results look promising for those patients with milder symptoms.

    About 30,000 children and adults in the U.S. have cystic fibrosis, according to the Cystic Fibrosis Foundation.

    The inherited and chronic disease affects the lungs and digestive system. A defective gene causes the body to make sticky, thick mucus that clogs the lungs and leads to lung infections, and also obstructs the pancreas, leading to digestive problems.

    How Denufosol Works

    Denufosol works differently than other cystic fibrosis drugs, Accurso tells WebMD. "Most of the other drugs treat the secondary manifestations of CF, such as airway infection and inflammation.''

    Denufosol belongs to a class of drugs known as ion channel regulators. In cystic fibrosis, the chloride ion does not flow normally through cell membranes and there is increased sodium absorption, leading to the thick, sticky mucus that in turn increases infection risk.

    Denufosol increases chloride secretion, inhibits sodium absorption, and in the process helps clear mucus.

    In his study, Accurso assigned 352 cystic fibrosis patients, all age 5 or older, either to get inhaled denufosol or placebo three times a day for 24 weeks. All had early-stage disease, with no or minimal lung function impairment.

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