Lupkynis (voclosporin) vs Benlysta (belimumab)

Lupkynis (voclosporin) vs Benlysta (belimumab)

Lupkynis (voclosporin) is a calcineurin inhibitor immunosuppressant that works by suppressing the immune system to reduce inflammation and is specifically approved for the treatment of adults with active lupus nephritis. Benlysta (belimumab) is a monoclonal antibody that inhibits the activity of BLyS, a protein necessary for B-cell survival, and is approved for systemic lupus erythematosus (SLE) and may be used in lupus nephritis as well. When deciding between the two, it is important to consider the specific indications, potential side effects, and the mechanism of action of each drug, as well as to consult with a healthcare provider to determine which medication aligns best with the individual's medical history and treatment goals.

Difference between Lupkynis and Benlysta

Metric Lupkynis (voclosporin) Benlysta (belimumab)
Generic name Voclosporin Belimumab
Indications For the treatment of adult patients with active lupus nephritis For the treatment of systemic lupus erythematosus (SLE)
Mechanism of action Calcineurin inhibitor immunosuppressant B-lymphocyte stimulator (BLyS)-specific inhibitor
Brand names Lupkynis Benlysta
Administrative route Oral Intravenous infusion, Subcutaneous injection
Side effects Common side effects include high blood pressure, tremor, headache, gastrointestinal symptoms, low magnesium levels, and others Common side effects include nausea, diarrhea, fever, insomnia, pain in extremities, and others
Contraindications Hypersensitivity to voclosporin or any of its excipients Hypersensitivity to belimumab or any of its excipients, active severe infections
Drug class Immunosuppressant Monoclonal antibody
Manufacturer Aurinia Pharmaceuticals Inc. GlaxoSmithKline

Efficacy

Lupkynis (Voclosporin) Efficacy in Systemic Lupus Erythematosus

Lupkynis (voclosporin) is a medication approved by the FDA for the treatment of adult patients with active lupus nephritis (LN), which is a common complication of Systemic Lupus Erythematosus (SLE). The efficacy of Lupkynis was evaluated in a pivotal clinical trial known as the AURORA study. This study demonstrated that patients treated with Lupkynis, in combination with a background immunosuppressive therapy regimen, showed a statistically significant increase in renal response rates compared to the control group. The treatment was associated with improved renal function and reduced proteinuria, which is a marker of kidney damage in lupus nephritis.

The AURORA study's results were significant because achieving a renal response is a critical clinical goal in managing lupus nephritis, which can lead to kidney failure if not adequately treated. The addition of Lupkynis to standard therapy has been shown to enhance the likelihood of achieving this goal, thus potentially altering the long-term prognosis for patients with this serious manifestation of SLE.

Benlysta (Belimumab) Efficacy in Systemic Lupus Erythematosus

Benlysta (belimumab) is another medication approved by the FDA for the treatment of Systemic Lupus Erythematosus (SLE). It is designed for patients who are receiving standard therapy but is not indicated for those with severe active lupus nephritis or central nervous system lupus. The efficacy of Benlysta was established through several phase III clinical trials, including BLISS-52 and BLISS-76. These studies showed that Benlysta, when added to standard therapy, increased the percentage of patients who achieved a reduction in disease activity without significant worsening of their condition.

Furthermore, Benlysta has been shown to reduce the frequency of SLE flare-ups and to allow for a reduction in the dosage of corticosteroids, which are commonly used in SLE treatment but can have undesirable long-term side effects. The approval of Benlysta was a significant milestone in SLE treatment, as it was the first new treatment for the condition in over 50 years at the time of its approval. Patients treated with Benlysta have demonstrated sustained control of disease activity, which is a key factor in improving the quality of life for those living with SLE.

Regulatory Agency Approvals

Lupkynis
  • Food and Drug Administration (FDA), USA
Benlysta
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Lupkynis or Benlysta are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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