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Chemistry

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Also known as: 515814-01-4, Lupkynis, Luveniq, Isatx-247, Voclosporin [usan], Isatx247
Molecular Formula
C63H111N11O12
Molecular Weight
1214.6  g/mol
InChI Key
BICRTLVBTLFLRD-PTWUADNWSA-N
FDA UNII
2PN063X6B1

Voclosporin
Lupus nephritis (LN) is a type of glomerulonephritis occurring in patients with systemic lupus erythematosus (SLE). LN is a significant cause of renal failure, morbidity, and death in patients with SLE. Within 10 years of being diagnosed with SLE, 5-20% of those suffering from LN develop end-stage kidney disease, a fatal condition. Early and accurate intervention for LN is important in improving clinical outcomes. Voclosporin, marketed as Lupkynis, is a calcineurin-inhibitor immunosuppressant for the treatment of LN. This [cyclosporine] A analog was approved by the FDA on January 22, 2021 following promising results in clinical trials. Early intervention with voclosporin coupled with a kidney response is believed to prevent irreversible damage to the kidney and lead to better long-term clinical outcomes for patients with LN. Voclosporin has demonstrated a more stable pharmacokinetic and pharmacodynamic relationship than cyclosporine, a higher potency than cyclosporine, and an improved metabolic profile when compared to older calcineurin inhibitors.
Voclosporin is a Calcineurin Inhibitor Immunosuppressant. The mechanism of action of voclosporin is as a Calcineurin Inhibitor, and P-Glycoprotein Inhibitor, and Organic Anion Transporting Polypeptide 1B1 Inhibitor, and Organic Anion Transporting Polypeptide 1B3 Inhibitor.
1 2D Structure

Voclosporin

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(3S,6S,9S,12R,15S,18S,21S,24S,30S,33S)-30-ethyl-33-[(1R,2R,4E)-1-hydroxy-2-methylhepta-4,6-dienyl]-1,4,7,10,12,15,19,25,28-nonamethyl-6,9,18,24-tetrakis(2-methylpropyl)-3,21-di(propan-2-yl)-1,4,7,10,13,16,19,22,25,28,31-undecazacyclotritriacontane-2,5,8,11,14,17,20,23,26,29,32-undecone
2.1.2 InChI
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
2.1.3 InChI Key
BICRTLVBTLFLRD-PTWUADNWSA-N
2.1.4 Canonical SMILES
CCC1C(=O)N(CC(=O)N(C(C(=O)NC(C(=O)N(C(C(=O)NC(C(=O)NC(C(=O)N(C(C(=O)N(C(C(=O)N(C(C(=O)N(C(C(=O)N1)C(C(C)CC=CC=C)O)C)C(C)C)C)CC(C)C)C)CC(C)C)C)C)C)CC(C)C)C)C(C)C)CC(C)C)C)C
2.1.5 Isomeric SMILES
CC[C@H]1C(=O)N(CC(=O)N([C@H](C(=O)N[C@H](C(=O)N([C@H](C(=O)N[C@H](C(=O)N[C@@H](C(=O)N([C@H](C(=O)N([C@H](C(=O)N([C@H](C(=O)N([C@H](C(=O)N1)[C@@H]([C@H](C)C/C=C/C=C)O)C)C(C)C)C)CC(C)C)C)CC(C)C)C)C)C)CC(C)C)C)C(C)C)CC(C)C)C)C
2.2 Other Identifiers
2.2.1 UNII
2PN063X6B1
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Isa 247

2. Isa(tx)247

3. Isa-247

4. Isatx247

5. Lupkynis

2.3.2 Depositor-Supplied Synonyms

1. 515814-01-4

2. Lupkynis

3. Luveniq

4. Isatx-247

5. Voclosporin [usan]

6. Isatx247

7. Isa-247

8. Isa247

9. Lx211

10. Lx-211

11. R 1524

12. R-1524

13. Isa(tx)247

14. (3s,6s,9s,12r,15s,18s,21s,24s,30s,33s)-30-ethyl-33-[(1r,2r,4e)-1-hydroxy-2-methylhepta-4,6-dienyl]-1,4,7,10,12,15,19,25,28-nonamethyl-6,9,18,24-tetrakis(2-methylpropyl)-3,21-di(propan-2-yl)-1,4,7,10,13,16,19,22,25,28,31-undecazacyclotritriacontane-2,5,8,11,14,17,20,23,26,29,32-undecone

15. 515814-00-3

16. 2pn063x6b1

17. Trans-isa 247

18. Voclera

19. Isa 247

20. (3s,6s,9s,12r,15s,18s,21s,24s,30s,33s)-30-ethyl-33-((1r,2r,e)-1-hydroxy-2-methylhepta-4,6-dien-1-yl)-6,9,18,24-tetraisobutyl-3,21-diisopropyl-1,4,7,10,12,15,19,25,28-nonamethyl-1,4,7,10,13,16,19,22,25,28,31-undecaazacyclotritriacontan-2,5,8,11,14,17,20,23,26,29,32-undecaone

21. Trans-isa-247

22. Voclosporin (usan/inn)

23. Voclosporin [usan:inn]

24. Isatx 247

25. Unii-2pn063x6b1

26. 3odi

27. Lx-214

28. Isatx-247; Luveniq

29. Voclosporin [mi]

30. Voclosporin [inn]

31. Voclosporin [mart.]

32. Voclosporin [who-dd]

33. E-isa247

34. Schembl12632344

35. Gtpl11388

36. Voclosporin [orange Book]

37. Chebi:135957

38. Dtxsid401030488

39. (e)-isa-247

40. Ex-a5922

41. At27977

42. Db11693

43. Hy-106638

44. Cs-0026210

45. R1524

46. D09033

47. Q7939256

48. Cyclosporin A, 6-((2s,3r,4r)-3-hydroxy-4-methyl-2-(methylamino)-6,8-nonadienoic Acid)-

49. (3s,6s,9s,12r,15s,18s,21s,24s,30s,33s)-30-ethyl-33-[(1r,2r,4e)-1-hydroxy-2-methylhepta-4,6-dien-1-yl]-1,4,7,10,12,15,19,25,28-nonamethyl-6,9,18,24-tetrakis(2-methylpropyl)-3,21-bis(propan-2-yl)-1,4,7,10,13,16,19,22,25,28,31-undecaazacyclotritriacontan-2,5,8,11,14,17,20,23,26,29,32-undecone

50. 1,11-anhydro[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-leucine]

51. 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)

52. 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)

53. Cyclosporin A, 6-((2s,3r,4r,6e)-3-hydroxy-4-methyl-2-(methylamino)-6,8- Nonadienoic Acid)-

2.4 Create Date
2006-07-28
3 Chemical and Physical Properties
Molecular Weight 1214.6 g/mol
Molecular Formula C63H111N11O12
XLogP37.9
Hydrogen Bond Donor Count5
Hydrogen Bond Acceptor Count12
Rotatable Bond Count16
Exact Mass1213.84136802 g/mol
Monoisotopic Mass1213.84136802 g/mol
Topological Polar Surface Area279 Ų
Heavy Atom Count86
Formal Charge0
Complexity2380
Isotope Atom Count0
Defined Atom Stereocenter Count12
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count1
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Voclosporin is used in combination with a background immunosuppressive regimen for the treatment of lupus nephritis. Safety has not been established in combination with cyclophosphamide.


Treatment of Systemic Lupus Erythematosus (SLE)


Treatment of non-infectious uveitis


Lupkynis is indicated in combination with mycophenolate mofetil for the treatment of adult patients with active class III, IV or V (including mixed class III/V and IV/V) lupus nephritis (LN).


5 Pharmacology and Biochemistry
5.1 Pharmacology

Voclosporin inhibits calcineurin, leading to the inhibition of T cell activation by blocking the transcription of early inflammatory cytokines. This reduces inflammation in the kidney, treating lupus nephritis and preventing permanent renal damage.


5.2 FDA Pharmacological Classification
5.2.1 Active Moiety
VOCLOSPORIN
5.2.2 FDA UNII
2PN063X6B1
5.2.3 Pharmacological Classes
Calcineurin Inhibitors [MoA]; Organic Anion Transporting Polypeptide 1B1 Inhibitors [MoA]; Organic Anion Transporting Polypeptide 1B3 Inhibitors [MoA]; P-Glycoprotein Inhibitors [MoA]; Calcineurin Inhibitor Immunosuppressant [EPC]
5.3 ATC Code

L04AD03


L - Antineoplastic and immunomodulating agents

L04 - Immunosuppressants

L04A - Immunosuppressants

L04AD - Calcineurin inhibitors

L04AD03 - Voclosporin


5.4 Absorption, Distribution and Excretion

Absorption

When administered on an empty stomach, the median Tmax of voclosporin is 1.5 hours, but can range from 1-4 hours. The AUC is estimated at 7693.6 ng/mL*h and the Cmax is estimated at 955.5 ng/mL.


Route of Elimination

Voclosporin is eliminated in the urine and feces, with about 88% detected in the feces and about 2% detected in the urine.


Volume of Distribution

The apparent volume of distribution of voclosporin is 2,154 L. Voclosporin distributes extensively into red blood cells; distribution between whole blood and plasma is dependent on concentration and temperature.


Clearance

The mean apparent steady-state clearance of voclosporin is 63.6 L/h. Hepatic and renal impairment significantly reduce the clearance of voclosporin.


5.5 Metabolism/Metabolites

Voclosporin is mainly metabolized by the CYP3A4 hepatic cytochrome enzyme. Pharmacologic activity is mainly attributed to the parent molecule. A major metabolite has been detected in human whole blood, representing 16.7% of total exposure; this metabolite is about 8-fold less potent than the parent drug, voclosporin.


5.6 Biological Half-Life

The average terminal half-life of voclosporin is about 30 hours (24.9 to 36.5 hours).


5.7 Mechanism of Action

Through the inhibition of calcineurin, voclosporin blocks IL-2 expression and T-cell mediated immune responses, stabilizing podocytes in the kidneys. Voclospoprin is a cyclosporine A analog. It is structurally similar to cyclosporine A (CsA) with the exception of an amino acid modification in one region. This modification changes the binding of voclosporin to calcineurin. Cyclosporine inhibitors reversibly inhibit T-lymphocytes. They also inhibit lymphokine production and release. Cyclosporine A exerts its inhibitory effects on T-lymphocytes by binding to cyclophilin. A cyclophilin-cyclosporine complex is formed, leading to the inhibition of calcium- and calmodulin-dependent serine-threonine phosphatase activity of calcineurin. Along with calcineurin inhibition, the inhibition of many transcription factors necessary for the induction of various cytokine genes such as IL-2, IFN-, IL-4 and GM-CSF occurs. This, in turn, reduces inflammation, treating renal glomerulonephritis associated with systemic lupus erythematosus.


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Drugs in Development

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Details:

Lupkynis (voclosporin) is an approved oral calcineurin inhibitor, a small molecule drug candidate, which is indicated for the treatment of patients with Lupus Nephritis.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable September 24, 2024

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01

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is an approved oral calcineurin inhibitor, a small molecule drug candidate, which is indicated for the treatment of patients with Lupus Nephritis.

Brand Name : Lupkynis

Molecule Type : Small molecule

Upfront Cash : Not Applicable

September 24, 2024

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Details:

Lupkynis (voclosporin) is a USFDA approved oral calcineurin inhibitor, small molecule drug candidate, which is indicated for the treatment of patients with Lupus Nephritis.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 30, 2024

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02

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a USFDA approved oral calcineurin inhibitor, small molecule drug candidate, which is indicated for the treatment of patients with Lupus Nephritis.

Brand Name : Lupkynis

Molecule Type : Small molecule

Upfront Cash : Not Applicable

April 30, 2024

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Details:

Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with a dual mechanism of action. It is being developed for the treatment of lupus nephritis.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable November 13, 2023

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03

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with a dual mechanism of action. It is being developed for the treatment of lupus nephritis.

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

November 13, 2023

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Details:

Lupkynis (voclosporin) is an an oral calcineurin inhibitor which is being evaluated in clinical trials for the treatment of patients with Lupus Nephritis.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Otsuka Pharmaceutical

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable November 10, 2023

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04

SupplySide West 2024
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SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is an an oral calcineurin inhibitor which is being evaluated in clinical trials for the treatment of patients with Lupus Nephritis.

Brand Name : Lupkynis

Molecule Type : Small molecule

Upfront Cash : Not Applicable

November 10, 2023

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Details:

Lupkynis (voclosporin) is a calcineurin-inhibitor of calcineurin. The immunosuppressant activity results in inhibition of lymphocyte proliferation, T-cell cytokine production, and expression of T-cell activation surface antigens. Currently being developed for lupus nephritis.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 03, 2023

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05

SupplySide West 2024
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SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a calcineurin-inhibitor of calcineurin. The immunosuppressant activity results in inhibition of lymphocyte proliferation, T-cell cytokine production, and expression of T-cell activation surface antigens. Currently being develope...

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

May 03, 2023

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Details:

Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with dual mechanism of action, has received swissmedic approval to treat adults with active class III, IV and V lupus nephritis.


Lead Product(s): Voclosporin

Therapeutic Area: Immunology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 02, 2023

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06

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with dual mechanism of action, has received swissmedic approval to treat adults with active class III, IV and V lupus nephritis.

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

May 02, 2023

blank

Details:

Lupkynis (voclosporin) is a calcineurin-inhibitor of calcineurin. The immunosuppressant activity results in inhibition of lymphocyte proliferation, T-cell cytokine production, and expression of T-cell activation surface antigens. Currently being developed for lupus nephritis.


Lead Product(s): Voclosporin,Mycophenolate Mofetil,Undisclosed

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: PreclinicalProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 11, 2023

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07

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a calcineurin-inhibitor of calcineurin. The immunosuppressant activity results in inhibition of lymphocyte proliferation, T-cell cytokine production, and expression of T-cell activation surface antigens. Currently being develope...

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

April 11, 2023

blank

Details:

Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with a dual mechanism of action, acting as an immunosuppressant through inhibition of T-cell activation and cytokine production and promoting podocyte stability in the kidney.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 05, 2023

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08

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with a dual mechanism of action, acting as an immunosuppressant through inhibition of T-cell activation and cytokine production and promoting podocyte stability in the k...

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

April 05, 2023

blank

Details:

Lupkynis (voclosporin) is a calcineurin-inhibitor of calcineurin. The immunosuppressant activity results in inhibition of lymphocyte proliferation, T-cell cytokine production, and expression of T-cell activation surface antigens. Currently being developed for lupus nephritis.


Lead Product(s): Voclosporin,Mycophenolate Mofetil,Undisclosed

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: PreclinicalProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable January 24, 2023

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09

SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a calcineurin-inhibitor of calcineurin. The immunosuppressant activity results in inhibition of lymphocyte proliferation, T-cell cytokine production, and expression of T-cell activation surface antigens. Currently being develope...

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

January 24, 2023

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Details:

Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with a dual mechanism of action, acting as an immunosuppressant through inhibition of T-cell activation and cytokine production and promoting podocyte stability in the kidney.


Lead Product(s): Voclosporin

Therapeutic Area: Nephrology Brand Name: Lupkynis

Study Phase: ApprovedProduct Type: Peptide

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable November 30, 2022

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SupplySide West 2024
Not Confirmed
SupplySide West 2024
Not Confirmed

Details : Lupkynis (voclosporin) is a novel, structurally modified calcineurin inhibitor (CNI) with a dual mechanism of action, acting as an immunosuppressant through inhibition of T-cell activation and cytokine production and promoting podocyte stability in the k...

Brand Name : Lupkynis

Molecule Type : Peptide

Upfront Cash : Not Applicable

November 30, 2022

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US Patents

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SupplySide West 2024
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AURINIA

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VOCLOSPORIN

US Patent Number : 7332472

Drug Substance Claim : Y

Drug Product Claim : Y

Application Number : 213716

Patent Use Code : U-3056

Delist Requested :

Patent Use Description :

Patent Expiration Date : 2025-10-17

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SupplySide West 2024
Not Confirmed

AURINIA

Canada
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SupplySide West 2024
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VOCLOSPORIN

US Patent Number : 10286036

Drug Substance Claim :

Drug Product Claim :

Application Number : 213716

Patent Use Code : U-3056

Delist Requested :

Patent Use Description :

Patent Expiration Date : 2037-12-07

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SupplySide West 2024
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AURINIA

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SupplySide West 2024
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VOCLOSPORIN

US Patent Number : 11622991

Drug Substance Claim :

Drug Product Claim :

Application Number : 213716

Patent Use Code : U-3056

Delist Requested :

Patent Use Description :

Patent Expiration Date : 2037-12-07

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US Exclusivities

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SupplySide West 2024
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AURINIA

Canada
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SupplySide West 2024
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VOCLOSPORIN

Exclusivity Code : NCE

Exclusivity Expiration Date : 2026-01-22

Application Number : 213716

Product Number : 1

Exclusivity Details :

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