The effect of dornase alfa on ventilation inhomogeneity in patients with cystic fibrosis Journal Articles uri icon

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  • Outcome measures to assess therapeutic interventions in cystic fibrosis (CF) patients with mild lung disease are lacking. Our aim was to determine if the lung clearance index (LCI) can detect a treatment response to dornase alfa in paediatric CF patients with normal spirometry.CF patients between 6–18 yrs of age with FEV1≥80% pred were eligible. In a crossover design, 17 patients received 4 weeks of dornase alfa and placebo in a randomised sequence separated by a 4-week washout period. The primary end-point was the change in LCI from dornase alfaversusplacebo. A mixed model approach incorporating period-dependent baselines was used.The mean±sdage was 10.32±3.35 yrs. Dornase alfa improved LCIversusplacebo (0.90±1.44; p = 0.022). Forced expiratory flow at 25–75% expired volume measured by % pred and z-scores also improved in subjects on dornase alfa (6.1%±10.34%; p = 0.03 and 0.28±0.46 z-score; p = 0.03).Dornase alfa significantly improved LCI. Therefore the LCI may be a suitable tool to assess early intervention strategies in this patient population.


  • Amin, R
  • Subbarao, Padmaja
  • Lou, W
  • Jabar, A
  • Balkovec, S
  • Jensen, R
  • Kerrigan, S
  • Gustafsson, P
  • Ratjen, F

publication date

  • April 2011