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Lupus nephritis is an inflammation of the kidneys caused by systemic lupus erythematosus (SLE) and childhood-onset systemic lupus erythematosus which is a more severe form of SLE that develops in children up to 18 years old; both are autoimmune diseases.
Voclosporin, sold under the brand name Lupkynis, is a calcineurin inhibitor used as an immunosuppressant medication for the treatment of lupus nephritis. [2] [4] It is an analog of ciclosporin that has enhanced action against calcineurin and greater metabolic stability.
The odds ratios (OR) for CRR for Lupkynis versus placebo were 4.26 for pure Class III, 2.59 for pure Class IV, 1.5 for pure Class V, and 2.68 for mixed Class III/IV/V patients.
Class VI, also termed advanced sclerosing lupus nephritis or Glomerulosclerosis, is poorly responsive to all therapies but progresses to kidney failure very slowly. Class III and IV (also termed the proliferative lupus nephritises) have the worst prognoses and account for up to 75% of all lupus nephritis cases in cSLE.
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Belimumab is primarily used in people with systemic lupus erythematosus. When it was introduced in 2011, it was the first new drug approved to treat lupus in 56 years. [8] Sales rose to $31.2 million in the first quarter of 2012. [37] The total cost for the first year of treatment with belimumab is $28,000. [38]
Mesangial proliferative glomerulonephritis of Lupus nephritis, Class II is also noted by mesangial hypercellularity and matrix expansion. Microscopic haematuria with or without proteinuria may be seen in Class II Lupus nephritis. Hypertension, nephrotic syndrome, and acute kidney injury are very rare at this stage. [6]
Mycophenolic acid is an immunosuppressant medication used to prevent rejection following organ transplantation and to treat autoimmune conditions such as Crohn's disease and lupus. [ 12 ] [ 13 ] Specifically it is used following kidney , heart , and liver transplantation . [ 13 ]
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