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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
Structure of Voclosporin

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

HIDE SMILES / InChI

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

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

Targets

Primary TargetPharmacologyConditionPotency
15.8 null [IC50]
Target ID: P62937|||Q9BTY9
Gene ID: 5478.0
Gene Symbol: PPIA
Target Organism: Homo sapiens (Human)
15.0 nM [Kd]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Lupkynis

Approved Use

Indicated in combination with a background immunosuppressive therapy regimen for the treatment of adult patients with active lupus nephritis

Launch Date

2021
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
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

AUC

ValueDoseCo-administeredAnalytePopulation
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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

Funbound

ValueDoseCo-administeredAnalytePopulation
3.03%
VOCLOSPORIN plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse 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
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)
Pulmonary embolism (1 patient)
Sources:
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
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

AEs

AESignificanceDosePopulation
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:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical 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]
no
no
no
no
no
weak
yes [IC50 0.24 uM]
yes [IC50 0.49 uM]
yes [Inhibition 10 uM]
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

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
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
PubMed

PubMed

TitleDatePubMed
Cytochrome P450 3A and P-glycoprotein drug-drug interactions with voclosporin.
2014-06

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
Using a human lymphocyte proliferation assay it was shown that the IC50 for voclosporin to inhibit calcineurin activity was 15.8±10.2 ng/ml.
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:06:37 GMT 2025
Edited
by admin
on Mon Mar 31 18:06:37 GMT 2025
Record UNII
2PN063X6B1
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Name Type Language
LUPKYNIS
Preferred Name English
Voclosporin
DASH   INN   MART.   MI   USAN   WHO-DD  
USAN   INN  
Official Name English
VOCLOSPORIN [MART.]
Common Name English
VOCLOSPORIN [MI]
Common Name English
ISA-247
Code English
CYCLO(L-ALANYL-D-ALANYL-N-METHYL-L-LEUCYL-N-METHYL-L-LEUCYL-N-METHYL-L-VALYL- ((2S,3R,4R,6E)-3-HYDROXY-4-METHYL-2-(METHYLAMINO)NONA-6,8-DIENOYL)-(2S)-2- AMINOBUTANOYL-N-METHYLGLYCYL-N-METHYL-L-LEUCYL-L-VALYL-N-METHYL-L-LEUCYL)
Common Name English
Voclosporin [WHO-DD]
Common Name English
voclosporin [INN]
Common Name English
LX211
Code English
CYCLOSPORIN A, 6-((2S,3R,4R,6E)-3-HYDROXY-4-METHYL-2-(METHYLAMINO)-6,8- NONADIENOIC ACID)-
Common Name English
VOCLOSPORIN [USAN]
Common Name English
LX-211
Code English
VOCLOSPORIN [ORANGE BOOK]
Common Name English
ISA247
Code English
ISATX247
Code English
CYCLO (((E,Z)-(2S,3R,4R)-3-HYDROXY-4-METHYL-2-(METHYLAMINO)NONA-6,8-DIENOYL)-L-2-AMINOBYTYRL-N-METHYL-GLYCYL-N-METHYL-L-LEUCYL-L-VALYL-N-METHYL-L-LEUCYL-L-ALANYL-D-ALANYL-N-METHYL-L-LEUCYL-N-METHYL-L-LEUCYL-N-METHYL-L-VALYL)
Common Name English
ISATX-247
Code English
Classification Tree Code System Code
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
WHO-ATC L04AD03
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
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
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
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
Code System Code Type Description
MERCK INDEX
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
PRIMARY Merck Index
EVMPD
SUB31127
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
CAS
515814-01-4
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
USAN
SS-03
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
DRUG CENTRAL
4366
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
DRUG BANK
DB11693
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
FDA UNII
2PN063X6B1
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
SMS_ID
100000115486
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
NCI_THESAURUS
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
PRIMARY
WIKIPEDIA
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
PRIMARY
INN
8889
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
ChEMBL
CHEMBL2218919
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
RXCUI
2475166
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
DAILYMED
2PN063X6B1
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
PUBCHEM
6918486
Created by admin on Mon Mar 31 18:06:37 GMT 2025 , Edited by admin on Mon Mar 31 18:06:37 GMT 2025
PRIMARY
EPA CompTox
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
PRIMARY
Related Record Type Details
TRANSPORTER -> INHIBITOR
IN VITRO
TRANSPORTER -> INHIBITOR
clinical studies indicate that voclosporin is a weak inhibitor of P-gp
WEAK
TARGET -> INHIBITOR
BINDING
EXCRETED UNCHANGED
Following single oral administration of radiolabeled voclosporin 70 mg
FECAL
BINDER->LIGAND
TRANSPORTER -> INHIBITOR
IN VITRO
EXCRETED UNCHANGED
Following single oral administration of radiolabeled voclosporin 70 mg
URINE
METABOLIC ENZYME -> SUBSTRATE
MAJOR
Related Record Type Details
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Volume of Distribution PHARMACOKINETIC
Biological Half-life PHARMACOKINETIC
Tmax PHARMACOKINETIC WHEN ADMINISTERED ON AN EMPTY STOMACH
PHARMACOKINETIC