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LUPUSMay 2021Summary reviewed August 2026

A Daily Pill Stopped Kidney Damage in 41% of Lupus Patients

People with lupus nephritis—a serious kidney complication of lupus—took voclosporin along with standard medications. After one year, 41% had their kidney function return to normal levels, compared to 23% on standard treatment alone. The pill was FDA-approved in 2021 based on this trial.

What the trial was testing

The AURORA 1 enrolled 358 patients with lupus. The study was sponsored by Aurinia Pharmaceuticals Inc. and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

41% of patients achieved normal kidney function after one year on the treatment.

Lancet (London, England) · 2021 · NCT03021499

These findings — that had kidney function return to normal after one year — were published in the Lancet (London, England) and represent the headline result of the study.

Researchers tracked outcomes across 358 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with lupus, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

If you have lupus that's affecting your kidneys, this pill is now FDA-approved and available. It works alongside standard medications to protect your kidneys from further damage. Talk to your rheumatologist about whether voclosporin is right for you—it nearly doubled the chance of getting kidney function back to healthy levels.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open lupus trials

RecruitingInterventional study

Creating Health Course Study for People With Rheumatological Conditions and Mood Disorders

The goal of this project is to critically evaluate the effectiveness of an online health program designed to improve diet and self-care in patients with rheumatological conditions, including rheumatoid arthritis (RA), Sjogren's syndrome (SS), systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), psoriatic arthritis (PsA), anxiety disorders, depressive disorders and moderate depression. Additionally, investigators will assess the program's effectiveness, as well as the challenges and facilitators involved in using an online wellness program to reduce fatigue and enhance the quality of life in patients suffering from these conditions.

Iowa City, Iowa, United States
RecruitingInterventional study

Intervention to Improve Communication and Medication Adherence in Lupus

CO-LEAD is an intervention to improve patient-provider communication and medication adherence among patients with systemic lupus erythematosus (SLE). The purpose of this study is to optimize the culturally appropriate delivery and test the effect of the CO-LEAD intervention, which includes the following: 1. clinicians will be provided with a program to teach them to use effective communication strategies with patients to review real-time pharmacy refill date, engage and formulate solutions to adherence barriers, and collaboratively overcome adherence barriers. 2. use of a reliable and valid patient-reported measure of the extent of and reasons for nonadherence that helps patients identify and communicate their adherence barriers with clinicians proactively, efficiently, and comprehensively.

Durham, North Carolina, United States