Drug-induced acne with elexacaftor/tezacaftor/ivacaftor in people with cystic fibrosis

J Cyst Fibros. 2022 Nov;21(6):1066-1069. doi: 10.1016/j.jcf.2022.09.002. Epub 2022 Sep 8.

Abstract

Elexacaftor/tezacaftor/ivacaftor (ELX-TEZ-IVA) is a Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) modulator shown to improve lung function and reduce sweat chloride in people with Cystic Fibrosis (CF). The only commonly reported dermatologic adverse effect with CFTR modulators including ELX-TEZ-IVA is rash. In this case series, we describe 19 patients who reported new onset or worsening of acne after initiation of this drug to their CF pharmacist or another member of their CF care team. The mechanism and frequency of this adverse effect is unknown.

Keywords: “Acne vulgaris”; “Cystic fibrosis”; “Drug-Related side effects and adverse reactions”; “Elexacaftor”.

MeSH terms

  • Acne Vulgaris* / chemically induced
  • Acne Vulgaris* / drug therapy
  • Aminophenols / adverse effects
  • Benzodioxoles / adverse effects
  • Chloride Channel Agonists / adverse effects
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics
  • Cystic Fibrosis* / drug therapy
  • Cystic Fibrosis* / genetics
  • Humans
  • Mutation

Substances

  • ivacaftor
  • Cystic Fibrosis Transmembrane Conductance Regulator
  • tezacaftor
  • elexacaftor
  • Chloride Channel Agonists
  • Aminophenols
  • Benzodioxoles