Lupus & antiphospholipid syndrome

Safety and Efficacy of Long‐Term Voclosporin Treatment for Lupus Nephritis in the Phase 3 AURORA 2 Clinical Trial

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

Data demonstrate the safety and efficacy of long-term voclosporin treatment over three years of follow-up in patients with LN.

Study context

Population
Patients with lupus nephritis (LN) who completed the one-year AURORA 1 study86.1% completed
Participants
216 patients
Comparison
Voclosporin vs placebo, with MMF and low-dose GC, for an additional two years after AURORA 1
Primary endpoint
Safety: AEs and biochemical and hematological assessments
Methodological detailscontinuation study of AURORA 1, double-blinded, placebo-controlled, phase 3
  • Continuation study of AURORA 1
  • Double-blinded
  • Placebo-controlled
  • Phase 3

Primary result

As reported in the abstract

AEs

Further findings

OutcomeVoclosporinPlaceboOR (95% CI)
Complete renal response · three years50.9%39.0%1.74 (1.00–3.03)

mL/min/1.73 m²

OutcomeVoclosporinPlacebo
eGFR slope over the two-year period · two years−0.2 (95% CI −3.0–2.7)−5.4 (95% CI −8.4–-2.3)

Estimated GFR (eGFR) slope over the two-year period · two years

Mean corrected eGFR within the normal range and stable in both groups

Safety

Investigator-reported GFR decrease

Investigator-reported hypertension

Original publication

Safety and Efficacy of Long‐Term Voclosporin Treatment for Lupus Nephritis in the Phase 3 AURORA 2 Clinical Trial. Arthritis Rheumatol. Published 15 September 2023. doi:10.1002/art.42657

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