Lupus & antiphospholipid syndrome

Effect of Long‐Term Voclosporin Treatment on Renal Histology in Patients With Active Lupus Nephritis With Repeat Renal Biopsies

Arthritis RheumatolPublished Secondary analysis of the AURORA randomised trials

Authors' conclusion

Outcomes from this small subgroup show that exposure to study treatment was not associated with nephrotoxicity based on histopathologic evaluation after 18 months.

Study context

Population
Patients with active lupus nephritis (LN) in the AURORA trials with baseline and repeat kidney biopsies
Participants
16 vs 10
Comparison
Voclosporin vs placebo, both with MMF and low-dose GC, for up to 3 years
  • Voclosporinn = 16
  • Controln = 10reference
Primary endpoint
Change in kidney histology: revised NIH LN activity and chronicity (CI) indices, plus semiquantitative vascular and tubular lesion assessment
Follow-up
≈18 months
Methodological detailsprotocolized repeat kidney biopsies, placebo-controlled
  • Protocolized repeat kidney biopsies
  • Placebo-controlled

Primary result

As reported in the abstract

Change in chronicity index (CI)
GroupNo change in CIChange no greater than 2
Voclosporin86
Control36

No change in CI

Voclosporin8
Control3

Change no greater than 2

Voclosporin6
Control6

Original publication

Effect of Long‐Term Voclosporin Treatment on Renal Histology in Patients With Active Lupus Nephritis With Repeat Renal Biopsies. Arthritis Rheumatol. Published 17 July 2025. doi:10.1002/art.43209

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