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August 27, 2026Pediatric Pulmonology

Ethical Considerations With CFTR Modulator Use in Pregnancy

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Authors

MSMegan SheppardJMJohn Massie

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Overview

Ethical review examines dilemmas surrounding CFTR modulator safety in pregnancy, highlighting the urgent need for structured guidance across varied maternal and fetal genetic scenarios.

Key Points

  • To evaluate ethical and clinical dilemmas regarding CFTR modulator use during pregnancy and lactation across distinct maternal-fetal scenarios.
  • Assessed ethical and clinical implications across four distinct maternal-fetal and lactation scenarios involving CFTR modulator treatment.
  • Evaluated the balance between preserving maternal health and mitigating potential fetal toxicity risks.
  • Pregnancy rates in individuals with cystic fibrosis have doubled following the introduction of CFTR modulators.
  • Clinicians and parents face ongoing ethical conflicts between maintaining maternal health and exposing fetuses or nursing infants to unknown drug toxicities.
  • Evidence regarding reproductive safety remains limited, highlighting an urgent need for targeted research to guide clinical decision-making.

Cite This Study

Sheppard et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea0110c91c1e92621f5dhttps://doi.org/10.1002/ppul.71806
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