» Articles » PMID: 21966207

Oral Voclosporin: Novel Calcineurin Inhibitor for Treatment of Noninfectious Uveitis

Overview
Journal Clin Ophthalmol
Publisher Dove Medical Press
Specialty Ophthalmology
Date 2011 Oct 4
PMID 21966207
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Voclosporin, a novel immunomodulatory drug inhibiting the calcineurin enzyme, was developed to prevent organ graft rejection and to treat autoimmune diseases. The chemical structure of voclosporin is similar to that of cyclosporine A, with a difference in one amino acid, leading to superior calcineurin inhibition and less variability in plasma concentration. Compared with placebo, voclosporin may significantly reduce inflammation and prevent recurrences of inflammation in patients with noninfectious uveitis. Future studies have to show if these advantages are accompanied by greater clinical efficacy and fewer side effects compared with the classic calcineurin inhibitors.

Citing Articles

Voclosporin: Unique Chemistry, Pharmacology and Toxicity Profile, and Possible Options for Implementation into the Management of Lupus Nephritis.

Kale A, Shelke V, Lei Y, Gaikwad A, Anders H Cells. 2023; 12(20).

PMID: 37887284 PMC: 10605893. DOI: 10.3390/cells12202440.


The Conundrum of Clinical Trials for the Uveitides: Appropriate Outcome Measures for One Treatment Used in Several Diseases.

Jabs D, Berkenstock M, Altaweel M, Holbrook J, Sugar E Epidemiol Rev. 2022; 44(1):2-16.

PMID: 35442407 PMC: 10362938. DOI: 10.1093/epirev/mxac001.


Pharmacotherapy for uveitis: current management and emerging therapy.

Barry R, Nguyen Q, Lee R, Murray P, Denniston A Clin Ophthalmol. 2014; 8:1891-911.

PMID: 25284976 PMC: 4181632. DOI: 10.2147/OPTH.S47778.


Voclosporin as a treatment for noninfectious uveitis.

Schultz C Ophthalmol Eye Dis. 2013; 5:5-10.

PMID: 23700374 PMC: 3653814. DOI: 10.4137/OED.S7995.

References
1.
Birsan T, Dambrin C, Freitag D, Yatscoff R, Morris R . The novel calcineurin inhibitor ISA247: a more potent immunosuppressant than cyclosporine in vitro. Transpl Int. 2005; 17(12):767-71. DOI: 10.1007/s00147-004-0799-z. View

2.
Jabs D, Nussenblatt R, Rosenbaum J . Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. Am J Ophthalmol. 2005; 140(3):509-16. PMC: 8935739. DOI: 10.1016/j.ajo.2005.03.057. View

3.
Daniel E, Thorne J, Newcomb C, Pujari S, Kacmaz R, Levy-Clarke G . Mycophenolate mofetil for ocular inflammation. Am J Ophthalmol. 2010; 149(3):423-32.e1-2. PMC: 2826576. DOI: 10.1016/j.ajo.2009.09.026. View

4.
Papp K, Bissonnette R, Rosoph L, Wasel N, Lynde C, Searles G . Efficacy of ISA247 in plaque psoriasis: a randomised, multicentre, double-blind, placebo-controlled phase III study. Lancet. 2008; 371(9621):1337-42. DOI: 10.1016/S0140-6736(08)60593-0. View

5.
Kuglstatter A, Mueller F, Kusznir E, Gsell B, Stihle M, Thoma R . Structural basis for the cyclophilin A binding affinity and immunosuppressive potency of E-ISA247 (voclosporin). Acta Crystallogr D Biol Crystallogr. 2011; 67(Pt 2):119-23. PMC: 3045272. DOI: 10.1107/S0907444910051905. View