Aurinia Pharma Moves Into Phase 3 with Lupus Drug

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Aurinia Pharmaceuticals says it has received positive FDA feedback to plan a single Phase 3 clinical trial for voclosporin and its use in treating lupus nephritis (LN). The encouragement came from the CDER Division of Pulmonary, Allergy and Rheumatology Products during an end-of-Phase 2 meeting, the company says.

The Phase 3 AURORA trial will be a global 52-week double-blind, placebo controlled study in about 320 patients. Aurinia says it is finalizing the study protocol and regulatory submissions and in parallel is working on site selection with trial initiation expected in the second quarter of 2017. “The study population will be comprised of patients with biopsy-proven active LN who will be evaluated on the primary efficacy endpoint of renal response at 24 weeks,” it says.

“The readout of the primary endpoint of renal response at 24 weeks will occur after database lock at 52 weeks at which point the company intends to submit an NDA,” Aurinia says. “Patients completing the 52-week study will then have the option to roll-over into a 104 week blinded continuation study. These data will allow the company to assess long-term outcomes in LN patients that will be valuable in a post-marketing setting in addition to future interactions with various regulatory authorities.”

Voclosporin is described by the company as a calcineurin inhibitor — an immunosuppressant with a synergistic and dual mechanism of action that has the potential to improve near- and long-term outcomes in LN when added to standard of care. “By inhibiting calcineurin, voclosporin blocks IL-2 expression and T-cell mediated immune responses,” it says.

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