Lupus & antiphospholipid syndrome

Voclosporin and Changes in Blood Pressure: An Analysis of Real‐World Data

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

Our results may differ because of differences in the intensity of BP management or the higher prevalence of cardiovascular risk factors in US patients.

Study context

Population
Patients with lupus nephritis (LN) starting voclosporin, US practices (mean age 41.4 years; 83.6% women); mean baseline blood pressure (BP) 126/79 (SD 16/11) mm Hg
Participants
287 patients
Exposure
BP changes after starting voclosporin, by baseline BP
Outcome
Time from first voclosporin prescription to MCID increase in systolic (10 mm Hg) or diastolic (5 mm Hg) BP; mean change in BP from baseline
Follow-up
0 to 1, 1 to 2, 2 to 3, 3 to 6, 6 to 9, and 9 to 12 months
Methodological detailsreal-world data, EHR data from US practices, stratified by baseline BP
  • Real-world data
  • EHR data from US practices
  • Stratified by baseline BP

Main finding

As reported in the abstract

Systolic BP MCID
GroupValueMedian time to systolic MCID
Overall60.3%90 days (95% CI 70-102)

Overall

Value60.3%
Median time to systolic MCID90 days (95% CI 70-102)

Observational data: associations, not effects.

Further findings

OutcomeNormalElevatedHigh
Mean systolic BP change, by baseline BP · first monthmean 13.7 ± 18.6 mm Hgmean 2.7 ± 18.8 mm Hgmean 7.9 ± 17.8 mm Hg
Mean diastolic BP change, by baseline BP · first monthmean 6.0 ± 13.8 mm Hgmean −0.6 ± 11.2 mm Hgmean −7.3 ± 16.5 mm Hg
  • Diastolic BP MCID: Overall 60.6% · median time to diastolic MCID 88 days (95% CI 72-111)

Original publication

Voclosporin and Changes in Blood Pressure: An Analysis of Real‐World Data. Arthritis Care Res (Hoboken). Published 18 May 2026. doi:10.1002/acr.80082

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