Lupus & antiphospholipid syndrome

Update on the Efficacy and Safety Profile of Voclosporin: An Integrated Analysis of Clinical Trials in Lupus Nephritis

Arthritis Care Res (Hoboken)Published Integrated analysis of randomised controlled trials

Primary result · CRRResult — go to the resultOdds ratio 2.76 95% CI 1.88–4.05

Authors' conclusion

This integrated analysis demonstrates the efficacy and safety of voclosporin in the treatment of LN across the diverse racial and ethnic groups studied.

Study context

Population
Patients with lupus nephritis (LN) in the AURA-LV and AURORA 1 trials2 trials pooled
Participants
534 patients
Comparison
Voclosporin 23.7 mg twice daily vs control, both with mycophenolate mofetil (MMF) and oral GC
  • Voclosporinn = 268
  • Controln = 266reference
Primary endpoint
Complete renal response (CRR)
Follow-up
Approximately one year (Week 48 AURA-LV; Week 52 AURORA 1)
Methodological detailspooled data from phase II (AURA-LV) and phase III (AURORA 1) trials, randomized, placebo-controlled, double-blind
  • Pooled data from phase II (AURA-LV) and phase III (AURORA 1) trials
  • Randomized
  • Placebo-controlled
  • Double-blind

Primary result

CRR · one year

Odds ratio

2.76

95% CI 1.88–4.05

P < 0.0001

By group

Voclosporinvs Control
OR 2.76 (95% CI 1.88–4.05); P < 0.0001

As reported in the abstract

Safety

Adverse events

Infections and infestations

Gastrointestinal disorders

Adverse events

Most adverse events (AEs) mild to moderate; no new or unexpected safety signals

Original publication

Update on the Efficacy and Safety Profile of Voclosporin: An Integrated Analysis of Clinical Trials in Lupus Nephritis. Arthritis Care Res (Hoboken). Published 12 February 2023. doi:10.1002/acr.25007

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