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    Aurinia Announces That Voclosporin Achieves Primary Endpoints

    Chelsea Pratt
    Sep. 30, 2016 01:39AM PST
    Biotech Investing

    Aurinia Pharmaceuticals today announced that in addition to voclosporin (23.7 mg BID) achieving its primary endpoint of Complete Remission (CR) at 24 weeks, both doses of voclosporin when added to the current standard of care of Mycophenolate Mofetil (MMF) and a forced oral corticosteroid taper have met all 24-week pre-specified secondary endpoints vs the control group.

    Aurinia Pharmaceuticals Inc. (NASDAQ:AUPH) (TSX:AUP) (“Aurinia” or the“Company”) a clinical stage biopharmaceutical company focused on the global immunology market, today announced that in addition to
    voclosporin (23.7 mg BID) achieving its primary endpoint of Complete Remission (CR) at 24 weeks, both doses of voclosporin when added to the current standard of care of Mycophenolate Mofetil (MMF) and a forced oral corticosteroid taper have met all 24-week pre-specified secondary endpoints vs the control group.
    These pre-specified endpoints include: Partial Remission (PR), which is measured by a ≥50% reduction in UPCR with no concomitant use of rescue medication; time to CR and PR; reduction in Systemic Lupus Erythematosus Disease Activity Index or SLEDAI score; and reduction in UPCR over the 24-week treatment period.

    Pre-specified Secondary EndpointControlLow Dose VCS

    (23.7mg BID)

    High Dose VCS

    (39.5mg BID)

    Time to Complete Remission (TTCR) [median]Not achieved19.7 weeks23.4 weeks
    p<.001p=.001
    Partial Remission (as measured by UPCR reduction of ≥ 50%
    from baseline)
    49%70%66%
    p=.007p=.024
    Time to Partial Remission (TTPR) [median]6.6 weeks4.1 weeks4.4 weeks
    p=.002p=.003
    SLEDAI Reduction-4.5-6.3-7.1
    p=.003p=.003
    Reduction in UPCR-2.216 mg/mg-3.769 mg/mg-2.792 mg/mg
    p<.001p=.006

    All p-values are vs control
    The AURA-LV study remains ongoing to its 48-week endpoint upon which
    similar and additional secondary analysis will be analysed and presented
    early next year.
    “We are thrilled by the results of the AURA study and voclosporin’s
    potential to shift the treatment paradigm for active lupus nephritis,”
    said Charles Rowland, CEO of Aurinia. “The ability to get more patients
    into remission and in a shorter period time than the current standard of
    care can have a significant impact on the long-term outcomes for these
    patients.”
    “LN is a serious and devastating disease that can severely impact a
    patient’s life,” said William Pendergraft, MD, PhD, Assistant Professor
    of Medicine in the Division of Nephrology & Hypertension, at the
    University of North Carolina and a Principal Investigator in the study.
    “Voclosporin has demonstrated it can nearly double the number of
    patients that achieve Complete Remission in the presence of very low
    corticosteroid exposure. Based on these data, I believe this drug has
    the potential to significantly improve the long-term prognosis of my
    patients afflicted with LN and could become an integral component of the
    standard of care.”
    The Company will present the full efficacy (including pre-specified and
    ad hoc sub-analyses) and comprehensive safety data during a webcast
    presentation to be held at 8:00am ET. A link to the live webcast and
    slides will be available on the Investors section of the Company’s
    website at https://www.auriniapharma.com.
    About AURA-LV
    The AURA–LV study or “Aurinia Urine
    Protein Reduction in Active Lupus Nephritis Study” compared the efficacy
    of voclosporin added to current standard of care of mycophenolate
    mofetil (MMF, also known as CellCept®) against standard of care with
    placebo in achieving complete remission (CR) in patients with active LN.
    Both arms also received low doses of corticosteroids as background
    therapy. It enrolled 265 patients at centers in over 20 countries
    worldwide. On entry to the study, patients were required to have a
    diagnosis of LN according to established diagnostic criteria (American
    College of Rheumatology) and clinical and biopsy features indicative of
    highly active nephritis.
    About Voclosporin
    Voclosporin, an investigational
    drug, is a novel and potentially best-in-class calcineurin inhibitor
    (“CNI”) with clinical data in over 2,000 patients in other indications.
    Voclosporin is 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 (MMF). By
    inhibiting calcineurin, voclosporin blocks IL-2 expression and T-cell
    mediated immune responses. It is made by a modification of a single
    amino acid of the cyclosporine molecule which has shown a more
    predictable pharmacokinetic and pharmacodynamic relationship, an
    increase in potency, an altered metabolic profile, and potential for
    flat dosing. The Company anticipates that upon regulatory approval,
    patent protection for voclosporin will be extended in the United States
    and certain other major markets, including Europe and Japan, until at
    least October 2027 under the Hatch-Waxman Act and comparable laws in
    other countries.
    About Lupus Nephritis (LN)
    Lupus Nephritis (LN) in an
    inflammation of the kidney caused by Systemic Lupus Erythematosus (SLE)
    and represents a serious progression of SLE. SLE is a chronic, complex
    and often disabling disorder and affects more than 500,000 people in the
    United States (mostly women). The disease is highly heterogeneous,
    affecting a wide range of organs & tissue systems. It is estimated that
    as many as 60% of all SLE patients have clinical LN requiring treatment.
    Unlike SLE, LN has straightforward disease outcomes where an early
    response correlates with long-term outcomes, measured by proteinuria. In
    patients with LN, renal damage results in proteinuria and/or hematuria
    and a decrease in renal function as evidenced by reduced estimated
    glomerular filtration rate (eGFR), and increased serum creatinine
    levels. LN is debilitating and costly and if poorly controlled, LN can
    lead to permanent and irreversible tissue damage within the kidney,
    resulting in end-stage renal disease (ESRD), thus making LN a serious
    and potentially life-threatening condition.
    About Aurinia
    Aurinia is a clinical stage
    biopharmaceutical company focused on developing and commercializing
    therapies to treat targeted patient populations that are suffering from
    serious diseases with a high unmet medical need. The company is
    currently developing voclosporin, an investigational drug, for the
    treatment of lupus nephritis (LN). The company is headquartered in
    Victoria, BC and focuses its development efforts globally. www.auriniapharma.com
    Forward Looking Statements
    This press release
    contains forward-looking statements, including statements related to
    Aurinia’s regulatory strategy (including plans to meet with the U.S.
    Food and Drug Administration to discuss these data and the voclosporin’s
    subsequent clinical development and path to registration in LN),
    Aurinia’s analysis, assessment and conclusions of the results of the
    AURA-LV clinical study, and the efficacy and commercial potential of
    voclosporin. It is possible that such results or conclusions may change
    based on further analyses of these data. Words such as “plans,”
    “intends,” “may,” “will,” “believe,” and similar expressions are
    intended to identify forward-looking statements. These forward-looking
    statements are based upon Aurinia’s current expectations.
    Forward-looking statements involve risks and uncertainties. Aurinia’s
    actual results and the timing of events could differ materially from
    those anticipated in such forward-looking statements as a result of
    these risks and uncertainties, which include, without limitation, the
    risk that Aurinia’s analyses, assessment and conclusions of the results
    of the AURA-LV clinical study set forth in this release may change based
    on further analyses of such data, and the risk that Aurinia’s clinical
    studies for voclosporin may not lead to regulatory approval. These and
    other risk factors are discussed under “Risk Factors” and elsewhere in
    Aurinia’s Annual Information Form for the year ended December 31, 2015
    filed with Canadian securities authorities and available at www.sedar.com
    and on Form 40-F with the U.S. Securities Exchange Commission and
    available at www.sec.gov,
    each as updated by subsequent filings, including filings on Form 6-K.
    Aurinia expressly disclaims any obligation or undertaking to release
    publicly any updates or revisions to any forward-looking statements
    contained herein to reflect any change in Aurinia’s expectations with
    regard thereto or any change in events, conditions or circumstances on
    which any such statements are based.

    clinical dataclinical studieseuropeclinical trialsfood and drug administration
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