Intervention

Cystic fibrosis: appeal to Aifa for life-saving drug already approved by Ema

Kaftrio is already available in Italy, but only for one mutation: without a new authorisation, one in four young patients remains without treatment today

by Francesca Farma*.

2' min read

2' min read

Cystic fibrosis is a degenerative genetic disease with no cure. The only lifesaver available today is the drug Kaftrio, which greatly slows down, if not stops, the degeneration of organs, giving years of life. Life expectancy today for those not taking Kaftrio is 40 years, lived very badly. Overall in Italy we are talking about 6,000 patients.

Kaftrio is already available in Italy, for only one mutation, delF508, which is present in about 75% of patients

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Cystic fibrosis, however, can be caused by more than 2000 mutations and therefore 25% of patients remain untreated to date.

The April decision of the European Medicines Agency

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In April 2025, the EMA authorised enlargement to include a large number of mutations (all but class 1), thus giving access to the life-saving drug even to those patients who until then could not take it.

Unfortunately, the timescales in Italy are always very long and to date our young people (in this case we are talking mostly about young adults), are not yet entitled to the treatment, whereas in most European countries it is already available.

With this enlargement, an additional 26/27% of patients would be able to use the life-saving device. We are talking about 1,500 patients whose quality of life and life expectancy would be completely changed.

Just this week, the WHO also included Kaftrio in its list of essential life-saving drugs.

Approval of the drug for all mutations

We consider it imperative that Kaftrio be made available as soon as possible for all EMA-approved mutations. In the current situation, moreover, patients with cystic fibrosis are divided therapeutically into 2 groups:

1. delf508 treated with life-saving drug

2. rest of the EMA-authorised mutations without effective treatment due to bureaucratic delays

It is clear that this situation does not guarantee fairness in the treatment of patients, going against the very principles contained in the Constitution.

This is an unacceptable situation about which we intend to raise awareness among institutions and the public. We have also started a petition on change.org

In the next few days there will be a new meeting of the Scientific and Economic Commission and the Board of Directors of AIFA, and we believe it is essential, given also the position of the WHO, that the authorisation be given: if the drug is available and authorised at European level, it is our duty to guarantee it to our children. Their lives are at stake.

*Cystic Fibrosis Research Foundation.

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