Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C63H111N11O12 |
| Molecular Weight | 1214.6244 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 12 / 12 |
| E/Z Centers | 1 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]1([C@H](O)[C@H](C)C\C=C\C=C)N(C)C(=O)[C@H](C(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](NC(=O)[C@H](CC(C)C)N(C)C(=O)CN(C)C(=O)[C@H](CC)NC1=O)C(C)C
InChI
InChIKey=BICRTLVBTLFLRD-PTWUADNWSA-N
InChI=1S/C63H111N11O12/c1-25-27-28-29-41(15)53(76)52-57(80)66-44(26-2)59(82)68(18)34-49(75)69(19)45(30-35(3)4)56(79)67-50(39(11)12)62(85)70(20)46(31-36(5)6)55(78)64-42(16)54(77)65-43(17)58(81)71(21)47(32-37(7)8)60(83)72(22)48(33-38(9)10)61(84)73(23)51(40(13)14)63(86)74(52)24/h25,27-28,35-48,50-53,76H,1,26,29-34H2,2-24H3,(H,64,78)(H,65,77)(H,66,80)(H,67,79)/b28-27+/t41-,42+,43-,44+,45+,46+,47+,48+,50+,51+,52+,53-/m1/s1
| Molecular Formula | C63H111N11O12 |
| Molecular Weight | 1214.6244 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 12 / 12 |
| E/Z Centers | 1 |
| Optical Activity | UNSPECIFIED |
Voclosporin (Lupkynis™) is an oral calcineurin inhibitor immunosuppressant that is being developed by Aurinia Pharmaceuticals. Voclosporin is an analogue of cyclosporine with a modification at the amino acid-1 position. The drug has been designed to show improved potency against calcineurin inhibition and better metabolic stability than cyclosporine. Although the exact mechanism of voclosporin is not yet clear, it inhibits calcineurin, thereby blocking lymphocyte proliferation and T-cell mediated immune responses, as well as increasing podocyte integrity in the kidney. In January 2021, based on positive results from the pivotal phases II and III trials, oral voclosporin received its first approval in the USA for use in combination with a background immunosuppressive therapy regimen for adults with active lupus nephritis. Voclosporin is also being explored for the novel coronavirus disease 2019 (COVID-19) in kidney transplant recipients. Clinical evaluation of voclosporin for plaque psoriasis, coronary artery restenosis and rheumatoid arthritis has been discontinued and no recent development for prevention of renal transplant rejection has been identified since 2015.
CNS Activity
Sources: https://www.ema.europa.eu/en/documents/withdrawal-report/withdrawal-assessment-report-luveniq_en.pdf
Curator's Comment: In monkeys, radioactivity concentrations and whole blood:tissue ratios were generally low in the tissues of the central nervous
system, indicating that voclosporin and/or its metabolites do not readily cross the blood/brain barrier
following a single oral dose.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL4445 Sources: https://pubmed.ncbi.nlm.nih.gov/21245533 |
15.8 null [IC50] | ||
Target ID: P62937|||Q9BTY9 Gene ID: 5478.0 Gene Symbol: PPIA Target Organism: Homo sapiens (Human) Sources: https://pubmed.ncbi.nlm.nih.gov/21245533 |
15.0 nM [Kd] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Lupkynis Approved UseIndicated in combination with a background immunosuppressive therapy regimen for the treatment of adult patients with active lupus nephritis Launch Date2021 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
48.6 ng/mL |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
117.9 ng/mL |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
496.2 ng/mL |
1 mg/kg single, oral dose: 1 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
705.2 ng/mL |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
43.4 ng/mL |
0.25 mg/kg 2 times / day multiple, oral dose: 0.25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
190.8 ng/mL |
0.5 mg/kg 2 times / day multiple, oral dose: 0.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
607.2 ng/mL |
1 mg/kg 2 times / day multiple, oral dose: 1 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
843.9 ng/mL |
1.5 mg/kg 2 times / day multiple, oral dose: 1.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
32 ng/mL |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
77 ng/mL |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
459 ng/mL |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
874.9 ng/mL |
3 mg/kg single, oral dose: 3 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
955.5 ng/mL |
4.5 mg/kg single, oral dose: 4.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
46.6 ng/mL |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
130 ng/mL |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
314 ng/mL |
1 mg/kg single, oral dose: 1 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
441 ng/mL |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
70.3 ng/mL |
0.25 mg/kg 2 times / day multiple, oral dose: 0.25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
160 ng/mL |
0.5 mg/kg 2 times / day multiple, oral dose: 0.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
416 ng/mL |
1 mg/kg 2 times / day multiple, oral dose: 1 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
619 ng/mL |
1.5 mg/kg 2 times / day multiple, oral dose: 1.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
195.8 ng × h/mL |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
468.3 ng × h/mL |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2191.6 ng × h/mL |
1 mg/kg single, oral dose: 1 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
3098.5 ng × h/mL |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
207.8 ng × h/mL |
0.25 mg/kg 2 times / day multiple, oral dose: 0.25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
804.6 ng × h/mL |
0.5 mg/kg 2 times / day multiple, oral dose: 0.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2880.2 ng × h/mL |
1 mg/kg 2 times / day multiple, oral dose: 1 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
4567.7 ng × h/mL |
1.5 mg/kg 2 times / day multiple, oral dose: 1.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
142.9 ng × h/mL |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
354.4 ng × h/mL |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2166.5 ng × h/mL |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
5079.6 ng × h/mL |
3 mg/kg single, oral dose: 3 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
7693.6 ng × h/mL |
4.5 mg/kg single, oral dose: 4.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
199 ng × h/mL |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
492 ng × h/mL |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1260 ng × h/mL |
1 mg/kg single, oral dose: 1 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1780 ng × h/mL |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
591 ng × h/mL |
0.25 mg/kg 2 times / day multiple, oral dose: 0.25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1480 ng × h/mL |
0.5 mg/kg 2 times / day multiple, oral dose: 0.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
4180 ng × h/mL |
1 mg/kg 2 times / day multiple, oral dose: 1 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
8080 ng × h/mL |
1.5 mg/kg 2 times / day multiple, oral dose: 1.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
30 h |
steady-state, oral |
VOCLOSPORIN plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
6.9 h |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
8.5 h |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
11.9 h |
1 mg/kg single, oral dose: 1 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
12.5 h |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
30.2 h |
0.25 mg/kg 2 times / day multiple, oral dose: 0.25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
33.2 h |
0.5 mg/kg 2 times / day multiple, oral dose: 0.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
31.4 h |
1 mg/kg 2 times / day multiple, oral dose: 1 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
36.8 h |
1.5 mg/kg 2 times / day multiple, oral dose: 1.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
5.7 h |
0.25 mg/kg single, oral dose: 0.25 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
7.9 h |
0.5 mg/kg single, oral dose: 0.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
14.3 h |
1.5 mg/kg single, oral dose: 1.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
17.4 h |
3 mg/kg single, oral dose: 3 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
42.3 h |
4.5 mg/kg single, oral dose: 4.5 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
27.1 h |
0.25 mg/kg 2 times / day multiple, oral dose: 0.25 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
29.6 h |
0.5 mg/kg 2 times / day multiple, oral dose: 0.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
29.9 h |
1 mg/kg 2 times / day multiple, oral dose: 1 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
30.6 h |
1.5 mg/kg 2 times / day multiple, oral dose: 1.5 mg/kg route of administration: Oral experiment type: MULTIPLE co-administered: |
VOCLOSPORIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3.03% |
VOCLOSPORIN plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1.5 mg/kg 2 times / day steady, oral Highest studied dose Dose: 1.5 mg/kg, 2 times / day Route: oral Route: steady Dose: 1.5 mg/kg, 2 times / day Sources: |
healthy, ADULT Health Status: healthy Age Group: ADULT Sex: unknown Sources: |
|
39.5 mg 2 times / day steady, oral Highest studied dose Dose: 39.5 mg, 2 times / day Route: oral Route: steady Dose: 39.5 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
Disc. AE: Sepsis, Pulmonary embolism... AEs leading to discontinuation/dose reduction: Sepsis (1 patient) Sources: Pulmonary embolism (1 patient) |
4.5 mg/kg single, oral Highest studied dose Dose: 4.5 mg/kg Route: oral Route: single Dose: 4.5 mg/kg Sources: |
healthy Health Status: healthy Sex: unknown Sources: |
|
23.7 mg 2 times / day steady, oral Recommended Dose: 23.7 mg, 2 times / day Route: oral Route: steady Dose: 23.7 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
Disc. AE: renal toxicity, decreased eGFR... AEs leading to discontinuation/dose reduction: renal toxicity, decreased eGFR (4%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Pulmonary embolism | 1 patient Disc. AE |
39.5 mg 2 times / day steady, oral Highest studied dose Dose: 39.5 mg, 2 times / day Route: oral Route: steady Dose: 39.5 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Sepsis | 1 patient Disc. AE |
39.5 mg 2 times / day steady, oral Highest studied dose Dose: 39.5 mg, 2 times / day Route: oral Route: steady Dose: 39.5 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| renal toxicity, decreased eGFR | 4% Disc. AE |
23.7 mg 2 times / day steady, oral Recommended Dose: 23.7 mg, 2 times / day Route: oral Route: steady Dose: 23.7 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no [IC50 >9.9 uM] | ||||
| no [IC50 >9.9 uM] | ||||
| no [IC50 >9.9 uM] | ||||
| no [IC50 >9.9 uM] | ||||
| no [IC50 >9.9 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/213716Orig1s000MultidisciplineR.pdf#page=289 Page: 289.0 |
no | |||
| no | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/213716Orig1s000MultidisciplineR.pdf#page=289 Page: 289.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/213716Orig1s000MultidisciplineR.pdf#page=289 Page: 289.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/213716Orig1s000MultidisciplineR.pdf#page=289 Page: 289.0 |
no | |||
Page: 48 | 109 | 289 |
weak | yes (co-administration study) Comment: Voclosporin BID increased digoxin (multiple doses) AUC24 and Cmax by 1.25-fold and 1.51-fold Page: 48 | 109 | 289 |
||
| yes [IC50 0.24 uM] | ||||
| yes [IC50 0.49 uM] | ||||
| yes [Inhibition 10 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/213716Orig1s000MultidisciplineR.pdf#page=48 Page: 48 | 278 | 289 |
yes [Ki 1.1 uM] | |||
| yes [Ki 1.1 uM] | no (co-administration study) Comment: Voclosporin BID decreased midazolam (single dose) Cmax by 11% and increased AUCinf by 2% Page: 48 | 109 | 278 | 289 |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2021/213716Orig1s000MultidisciplineR.pdf#page=48 Page: 48 | 289 |
major | |||
Page: 48 | 93 | 99 | 109 | 289 |
major | yes (co-administration study) Comment: Ketoconazole increased AUC and Cmax by 18.55-fold and 6.45-fold, Verapamil increased AUC and Cmax by 2.71-fold and 2.08-fold, rifampicin decreased AUC and Cmax by 87% and 68% Page: 48 | 93 | 99 | 109 | 289 |
||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| yes | ||||
| yes |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sample Use Guides
Recommended starting dose: 23.7 mg orally, twice a day. Lupkynis must be swallowed whole on an empty stomach. Administer consistently as close to a 12-hour schedule as possible, and with at least 8 hours between doses.
Route of Administration:
Oral
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:06:37 GMT 2025
by
admin
on
Mon Mar 31 18:06:37 GMT 2025
|
| Record UNII |
2PN063X6B1
|
| Record Status |
FAILED
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| Record Version |
|
-
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Code | English |
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|---|---|---|---|---|
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EU-Orphan Drug |
EU/3/12/1085
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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WHO-ATC |
L04AD03
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admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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NCI_THESAURUS |
C574
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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WHO-VATC |
QL04AD03
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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FDA ORPHAN DRUG |
227806
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
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m11494
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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PRIMARY | Merck Index | ||
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SUB31127
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admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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PRIMARY | |||
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515814-01-4
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PRIMARY | |||
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SS-03
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PRIMARY | |||
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4366
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PRIMARY | |||
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DB11693
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PRIMARY | |||
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2PN063X6B1
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PRIMARY | |||
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100000115486
Created by
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C152902
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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PRIMARY | |||
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VOCLOSPORIN
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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8889
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admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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CHEMBL2218919
Created by
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PRIMARY | |||
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2475166
Created by
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PRIMARY | |||
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2PN063X6B1
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PRIMARY | |||
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6918486
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PRIMARY | |||
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DTXSID401030488
Created by
admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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TRANSPORTER -> INHIBITOR |
IN VITRO
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TRANSPORTER -> INHIBITOR |
clinical studies indicate that voclosporin is a weak inhibitor of P-gp
WEAK
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TARGET -> INHIBITOR |
BINDING
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EXCRETED UNCHANGED |
Following single oral administration of radiolabeled voclosporin 70 mg
FECAL
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BINDER->LIGAND |
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TRANSPORTER -> INHIBITOR |
IN VITRO
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EXCRETED UNCHANGED |
Following single oral administration of radiolabeled voclosporin 70 mg
URINE
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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| Tmax | PHARMACOKINETIC |
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WHEN ADMINISTERED ON AN EMPTY STOMACH PHARMACOKINETIC |
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