Lupus & antiphospholipid syndrome

Early antiproteinuric effect of voclosporin in patients with LN in a real-life setting: preliminary results from the VoRLiSS ( Vo closporin in R eal L ife S etting S tudy) experience

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

VCL may provide a valuable therapeutic option in LN management, achieving early 24 h-proteinuria response consistent with clinical trial data.

Study context

Population
Patients with biopsy-proven LN, tertiary Rheumatology and Nephrology Italian Centres, November 2023 to April 2025; excluded uncontrolled arterial hypertension and eGFR < 30 ml/min/1.73 m²
Participants
42 patients14 centres
Outcome
CRR or PRR
Methodological detailsobservational, clinical-practice-based, nationwide multicentre
  • Observational
  • Clinical-practice-based
  • Nationwide multicentre

Main finding

As reported in the abstract

Complete renal response (CRR) or partial renal response (PRR) at 6 weeks

31.5%

CRR or PRR at 12 weeks

68.9%

CRR or PRR at 24 weeks

83.3%

CRR or PRR at 48 weeks

91.6%

Observational data: associations, not effects.

Further findings

24-h proteinuria decrease · 6 weeks and all subsequent time points

Significant decrease at 6 weeks
P = 0.006
  • Significant at all subsequent time points

eGFR decrease (mild)

At 6 weeks
P = 0.008
At 24 weeks
P = 0.01
Not at 48 weeks

Anti-dsDNA positivity decrease

At 6 weeks
P = 0.0016
At 12 weeks
P = 0.0009

SLEDAI-2K decrease

After 24 weeks
P = 0.008
After 48 weeks
P = 0.05

Original publication

Early antiproteinuric effect of voclosporin in patients with LN in a real-life setting: preliminary results from the VoRLiSS ( Vo closporin in R eal L ife S etting S tudy) experience. Rheumatology (Oxford). Published 12 December 2025. doi:10.1093/rheumatology/keaf654

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