{"id":36707,"date":"2025-12-09T16:10:48","date_gmt":"2025-12-09T21:10:48","guid":{"rendered":"https:\/\/nephcure.org\/?page_id=36707"},"modified":"2025-12-11T15:21:42","modified_gmt":"2025-12-11T20:21:42","slug":"voyxact-sibeprenlimab","status":"publish","type":"page","link":"https:\/\/nephcure.org\/es\/managing-rkd\/treatment-options\/voyxact-sibeprenlimab\/","title":{"rendered":"VOYXACT (Sibeprenlimab)"},"content":{"rendered":"<section class=\"gb-container gb-container-ba2e2dcb\">\n<div class=\"yoast-breadcrumbs breadcrumb\"><span><span><a href=\"https:\/\/nephcure.org\/\">Home<\/a><\/span> \/ <span><a href=\"https:\/\/nephcure.org\/managing-rkd\/\">Managing RKD<\/a><\/span> \/ <span><a href=\"https:\/\/nephcure.org\/managing-rkd\/treatment-options\/\">Treatment Options<\/a><\/span> \/ <span class=\"breadcrumb_last\" aria-current=\"page\">VOYXACT (Sibeprenlimab)<\/span><\/span><\/div>\n\n<div class=\"gb-container gb-container-80071c84 hero-copy\">\n\n<h1 class=\"gb-headline gb-headline-6cf43bd0 gb-headline-text hero-content\">VOYXACT (Sibeprenlimab)<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sibeprenlimab<\/strong>\u00a0(brand name VOYXACT)<br>This is a new prescription medication used to treat IgA nephropathy (IgAN), a kidney disease caused by the buildup of abnormal IgA antibodies (called Gd-IgA1) in the bloodstream. These antibodies are produced in the gut, enter\u00a0your bloodstream,\u00a0and eventually reach the kidneys. Once in the kidneys, they trigger significant\u00a0inflammation that can<ins>\u00a0<\/ins>damage the kidneys.\u00a0\u00a0This damage can\u00a0lead to blood\u00a0and protein in the urine and, over time, loss of kidney function.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Medically reviewed by Dr. Vasquez Rios, MD<\/em><\/p>\n\n<\/div>\n<\/section>\n\n<div class=\"gb-container gb-container-a6126eda\">\n\n<figure class=\"gb-block-image gb-block-image-40625f55\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-40625f55\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-88096344 gb-headline-text\"><strong><strong>What Is VOYXACT?<\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">VOYXACT (Sibeprenlimab) is a type of medicine known as a monoclonal antibody. These are highly specific proteins made in a laboratory.\u00a0They help the immune system\u00a0block the\u00a0processes that\u00a0drive\u00a0certain diseases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In IgAN, immune cells in the gut make too much of the abnormal IgA (Gd-IgA1).\u00a0Too much abnormal IgA contributes tokidney inflammation and long-term kidney scarring.<br>VOYXACT (Sibeprenlimab) was developed to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reduce the production of harmful&nbsp;Gd-IgA1 (abnormal IgA) in the gut<\/li>\n\n\n\n<li>Lower inflammation in both the gut and the kidney<\/li>\n\n\n\n<li>Prevent ongoing kidney damage and help stabilize kidney function over time<\/li>\n<\/ul>\n\n\n\n<figure class=\"gb-block-image gb-block-image-ad2e7c32\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-ad2e7c32\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-c6e9e4a9 gb-headline-text\"><strong>How does\u00a0VOYXACT\u00a0work?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">VOYXACT (Sibeprenlimab) works by blocking APRIL, a protein that normally helps the body produce IgA antibodies. Because IgAN is driven by the overproduction of the abnormal form of IgA, lowering APRIL can:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reduce the&nbsp;amount of abnormal IgA&nbsp;entering the bloodstream<\/li>\n\n\n\n<li>Decrease inflammation inside the kidneys<\/li>\n\n\n\n<li>Slow or prevent further kidney injury<\/li>\n\n\n\n<li>Reduce protein loss in the urine (proteinuria)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Importantly, VOYXACT does not suppress the entire immune system. It targets a very specific\u00a0part of the immune system\u00a0linked to IgAN.\u00a0\u00a0Targeting only part of the immune system helps to limit unwanted side effects.<\/p>\n\n\n<div class=\"gb-container gb-container-626eb763\"><\/div>\n\n\n<figure class=\"gb-block-image gb-block-image-90d8a47a\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-90d8a47a\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-3de92b95 gb-headline-text\"><strong>How is\u00a0VOYXACT\u00a0administered?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">VOYXACT is given as a\u00a0<strong>subcutaneous injection<\/strong>\u2014meaning it is injected just under the skin.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Route of administration:<\/strong>&nbsp;Subcutaneous<\/li>\n\n\n\n<li><strong>Dose:<\/strong>&nbsp;400 mg once every four weeks<\/li>\n\n\n\n<li><strong>How it is supplied:<\/strong>&nbsp;Prefilled syringe<\/li>\n\n\n\n<li><strong>Who gives the injection:<\/strong>&nbsp;You or a caregiver,&nbsp;<em>after proper training<\/em><\/li>\n\n\n\n<li><strong>Injection sites:<\/strong>&nbsp;Front of the thigh, abdomen, or the back of the upper arm (if given by a caregiver)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Most patients find this method convenient because it does&nbsp;<em>not<\/em>&nbsp;require visits to an infusion center.<\/p>\n\n\n\n<figure class=\"gb-block-image gb-block-image-71d48691\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-71d48691\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-98b74a19 gb-headline-text\"><strong>Is\u00a0VOYXACT\u00a0right for me?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">VOYXACT may be an option if you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Biopsy-proven IgA nephropathy, and<\/li>\n\n\n\n<li>Persistent proteinuria&nbsp;even with&nbsp;supportive therapies (such as ACE inhibitors or ARBs), or<\/li>\n\n\n\n<li>A high risk of kidney function decline, now defined as proteinuria above 0.3 grams<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Your doctor may recommend sibeprenlimab if:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Your proteinuria remains elevated<\/li>\n\n\n\n<li>Your kidney function is gradually worsening<\/li>\n\n\n\n<li>You prefer a therapy that targets the underlying cause of IgAN<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">VOYXACT may not be appropriate during\u00a0<strong>active infections, acute illness, pregnancy, or breastfeeding<\/strong>. Please talk with your doctor before starting or continuing the medication if any of these apply to you.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>*Note: The decision to prescribe a medication is the responsibility of your physician\/primary care provider based on his\/her evaluation of your condition. The above is meant for informational purposes only. Discuss this information and all information about drugs\/medications with your physician before starting or stopping any medication.<\/em><a href=\"https:\/\/nephcure.org\/wp-admin\/post.php?post=540&amp;action=edit&amp;classic-editor\"><\/a><\/p>\n\n<\/div>\n\n<div class=\"gb-container gb-container-80f48e60\">\n\n<figure class=\"gb-block-image gb-block-image-d398f7d1\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-d398f7d1\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-bff6dfde gb-headline-text\">Frequently Asked Questions<\/h2>\n\n\n<div class=\"gb-container gb-container-3f003111 gb-accordion\">\n<div class=\"gb-container gb-container-342c972d gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-05b57231 gb-accordion__toggle\" id=\"gb-accordion-toggle-05b57231\"><span class=\"gb-button-text\"><strong>What do studies show regarding <\/strong>VOYXACT&#8217;s<strong> effectiveness in IgA Nephropathy?<\/strong><\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-f9fdcd74\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-f9fdcd74\">\n\n<p class=\"wp-block-paragraph\">Clinical studies have shown that Sibeprenlimab:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Significantly reduces proteinuria, an important marker of kidney inflammation<\/li>\n\n\n\n<li>Slows the decline in kidney function (eGFR) compared with placebo&nbsp;(or receiving no treatment)<\/li>\n\n\n\n<li>Produces early improvements&nbsp;that continue over months of treatment<\/li>\n\n\n\n<li>May be especially effective in patients with more active IgA Nephropathy, these patients usually have higher levels of Gd-IgA1 (abnormal IgA antibodies); manifesting as too much blood\/protein in the urine or decreasing kidney function.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These findings suggest that Sibeprenlimab can reduce long-term kidney damage by directly targeting a key driver of IgAN.<\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-2fcf7640 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-69efb835 gb-accordion__toggle\" id=\"gb-accordion-toggle-69efb835\"><span class=\"gb-button-text\"><strong>Is <strong>VOYXACT<\/strong> safe?<\/strong><\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-7a4bb49d\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-7a4bb49d\">\n\n<p class=\"wp-block-paragraph\">In clinical trials, sibeprenlimab was generally well tolerated.<br>Possible side effects include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mild injection-related reactions (such as fever, chills, or headache)<\/li>\n\n\n\n<li>Upper-respiratory symptoms (sore throat, nasal congestion)<\/li>\n\n\n\n<li>Fatigue or mild nausea<\/li>\n\n\n\n<li>Lower levels of normal IgA&nbsp;used to fight some infections (your care team will monitor this)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Most side effects were mild and&nbsp;occurred in a small number of patients. Because the medication lowers IgA levels,&nbsp;which is a part of your immune system,&nbsp;your doctor will monitor you for any signs of infection and perform regular blood tests.<\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-68f0eaa5 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-d702eeea gb-accordion__toggle\" id=\"gb-accordion-toggle-d702eeea\"><span class=\"gb-button-text\"><strong><strong>How is VOYXACT different from other IgA Nephropathy treatments?<\/strong><\/strong><\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-2b8161d3\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-2b8161d3\">\n\n<p class=\"wp-block-paragraph\">VOYXACT is unique because it:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Targets the root cause of IgAN \u2014 overproduction of abnormal IgA in the gut<\/li>\n\n\n\n<li>Reduces kidney inflammation at its source<\/li>\n\n\n\n<li>Reduces protein in the urine and helps protect long-term kidney function<\/li>\n\n\n\n<li>Does&nbsp;<em>not<\/em>&nbsp;broadly suppress the immune system or lower blood pressure<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Other treatments (like ACE inhibitors, ARBs, SGLT2 inhibitors, sparsentan, or budesonide) either reduce kidney stress or inflammation but do not specifically target&nbsp;the part of the immune system responsible&nbsp;for IgA production.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n<\/div><\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-64035107 gb-accordion__item\" data-transition=\"slide\">\n\n<button class=\"gb-button gb-button-c7f1541e gb-accordion__toggle\" id=\"gb-accordion-toggle-c7f1541e\"><span class=\"gb-button-text\"><strong><strong>How do I get <strong>VOYXACT<\/strong>?<\/strong><\/strong><\/span><span class=\"gb-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" width=\"1em\" height=\"1em\" ariahidden=\"true\" role=\"img\" class=\"gb-accordion__icon-open\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\" fill=\"currentColor\"><\/path><\/svg><\/span><\/button>\n\n\n<div id=\"gb-accordion-content-3e46ae19\" class=\"gb-accordion__content\"><div class=\"gb-container gb-container-3e46ae19\">\n\n<p class=\"wp-block-paragraph\">VOYXACT is a specialty medication, so it is not available at regular retail pharmacies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here is the typical process:<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Your nephrologist determines whether you are a good candidate<\/li>\n\n\n\n<li>Your doctor\u2019s office submits a prior authorization to your insurance<\/li>\n\n\n\n<li>Once approved, the medication is sent to a specialty pharmacy<\/li>\n\n\n\n<li>You (or your caregiver) administer the monthly injection at home after training<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Your kidney care team will walk you through each step and help coordinate delivery, insurance approvals, and training.<\/p>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-0d21e4ac\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-3d338a55\">\n<div class=\"gb-grid-column gb-grid-column-296a2c84\"><div class=\"gb-container gb-container-296a2c84\">\n<div class=\"gb-container gb-container-eb83049f\">\n\n<h2 class=\"gb-headline gb-headline-5127a4de gb-headline-text\">Find a Specialist<\/h2>\n\n\n\n<p class=\"gb-headline gb-headline-00d5119d gb-headline-text\">It is important to work with a nephrologist who specializes in rare kidney disease (RKD) and can provide personalized advice based on your individual health needs and changes in available treatments. NephCure has a curated list of NephCure Specialists nationwide ready to help you.<\/p>\n\n<\/div>\n\n<div class=\"gb-container gb-container-54aa31c0\"><a class=\"gb-container-link\" href=\"https:\/\/nephcure.org\/managing-rkd\/find-a-specialist\/\"><\/a>\n\n<p class=\"gb-headline gb-headline-38137575\"><span class=\"gb-icon\"><svg fill=\"none\" viewBox=\"0 0 27 24\" height=\"24\" width=\"27\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path fill=\"#00556B\" d=\"M26.0607 13.0607C26.6464 12.4749 26.6464 11.5251 26.0607 10.9393L16.5147 1.3934C15.9289 0.807611 14.9792 0.807611 14.3934 1.3934C13.8076 1.97919 13.8076 2.92893 14.3934 3.51472L22.8787 12L14.3934 20.4853C13.8076 21.0711 13.8076 22.0208 14.3934 22.6066C14.9792 23.1924 15.9289 23.1924 16.5147 22.6066L26.0607 13.0607ZM0 13.5H25V10.5H0V13.5Z\"><\/path> <\/svg><\/span><\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-00512214\"><div class=\"gb-container gb-container-00512214\">\n<div class=\"gb-container gb-container-178632bb\">\n\n<h2 class=\"gb-headline gb-headline-74b009b0 gb-headline-text\">Clinical Trials<\/h2>\n\n\n\n<p class=\"has-secondary-lighter-gray-color has-text-color has-link-color wp-elements-6bb4aec7a7f561f2b664a676c9d49fc4 wp-block-paragraph\">From accessing cutting-edge treatments to being part of groundbreaking research, discover the benefits that can make a real difference. 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