Reported Reactions

Drugs › Calcineurin inhibitor immunosuppressant

Brand name · Voclosporin

Lupkynis: adverse event reports filed with FDA

8,467 reports list it as a suspect or interacting product, 2021–2026. Class: Calcineurin inhibitor immunosuppressant.

8,467
reports as suspect product
0% of all reports · about 1,614 a year
2,444
reports, 12 months to June 2026
2,178 in the 12 months before
20.3%
marked serious by the reporter
79.1% across the class
0.6%
record death among outcomes, as reported
47 reports · not verified by FDA

8,467 adverse event reports received by FDA list the brand name Lupkynis (voclosporin) as a suspect or interacting product, from April 2021 to June 2026. A further 58 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 2,444 reports listed it, up 12% from 2,178 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 1,614 reports a year and 0% of the 20,646,523 reports in the database, and 4.1% of the reports for the calcineurin inhibitor immunosuppressant class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded therapy interrupted (11.4%), product dose omission issue (9.3%) and hypertension (8.4%). A report can list several reactions, so shares add to more than 100%; 673 different terms appear across these reports. Therapy interrupted is recorded in 11.4% of these reports, a larger share than in the median calcineurin inhibitor immunosuppressant drug (0.2%).

20.3% of the reports are marked serious by the reporter (79.1% across the class); 0.6% record death among the outcomes and 8.8% record hospitalisation, as reported. 81.1% of the reports came from consumers, and the largest patient age group is 18 to 44 (24.2%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

05521,103Jul 2021: 8Aug 2021: 150Sep 2021: 10Oct 2021: 11Nov 2021: 181Dec 2021: 72022Jan 2022: 8Feb 2022: 257Mar 2022: 9Apr 2022: 14May 2022: 9Jun 2022: 12Jul 2022: 25Aug 2022: 615Sep 2022: 9Oct 2022: 10Nov 2022: 13Dec 2022: 192023Jan 2023: 27Feb 2023: 602Mar 2023: 18Apr 2023: 13May 2023: 18Jun 2023: 27Jul 2023: 24Aug 2023: 657Sep 2023: 29Oct 2023: 20Nov 2023: 27Dec 2023: 282024Jan 2024: 33Feb 2024: 785Mar 2024: 24Apr 2024: 24May 2024: 30Jun 2024: 29Jul 2024: 889Aug 2024: 29Sep 2024: 31Oct 2024: 36Nov 2024: 27Dec 2024: 302025Jan 2025: 21Feb 2025: 1,018Mar 2025: 14Apr 2025: 33May 2025: 34Jun 2025: 16Jul 2025: 28Aug 2025: 1,006Sep 2025: 14Oct 2025: 21Nov 2025: 19Dec 2025: 332026Jan 2026: 28Feb 2026: 1,103Mar 2026: 47Apr 2026: 63May 2026: 48Jun 2026: 34

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01,1292,2572021: 43020212022: 1,00020222023: 1,49020232024: 1,96720242025: 2,25720252026: 1,3232026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Lupkynis reports recording the termmedian drug in calcineurin inhibitor immunosuppressant

  1. Product dose omission issuea dose was missed9.3%786
  2. Hypertensionhigh blood pressure8.4%711
  3. Headachehead pain8%674
  4. Nauseafeeling sick7.2%612
  5. Diarrhoealoose or frequent stools6.2%521
  6. Fatiguetiredness6.1%514
  7. Proteinuriaprotein in the urine5.7%482
  8. Blood pressure increaseda raised blood pressure reading4.3%368
  9. Glomerular filtration rate decreasedreduced kidney filtering3.8%325
  10. Abdominal discomfortstomach discomfort3.8%322
  11. Vomitingbeing sick3.8%320
  12. Product use issuea problem in how the product was used3.7%312
  13. Arthralgiajoint pain3.3%276
  14. Blood creatinine increasedraised creatinine, a kidney test3.2%275
  15. Dizzinesslight-headedness or unsteadiness3.2%270
  16. Abdominal pain upperupper stomach pain3.1%261
  17. Renal impairmentreduced kidney function3%251
  18. Covid-19COVID-19 infection2.9%242
  19. Alopeciahair loss2.8%237
  20. Off label useused for a purpose or in a way not on the label2.7%231
  21. Urine protein/creatinine ratio increased2.5%215
  22. Peripheral swellingswelling of the arms or legs2.4%205
  23. Painpain, site not specified2.3%198
  24. Systemic lupus erythematosuslupus, an autoimmune disease2.3%193
  25. Rashskin rash2.1%180
  26. Illness2.1%178
  27. Malaisegeneral feeling of being unwell2.1%178
  28. Urinary tract infectionbladder or urinary infection2.1%174

Top 30 of 673 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 11 drugs in the calcineurin inhibitor immunosuppressant class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death0.6%47
Life-threatening0%3
Hospitalisation (initial or prolonged)8.8%749
Disability0.1%6
Congenital anomaly0%0
Other serious16.2%1,372
Not serious79.7%6,747

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 206,378 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%1
2 to 110.1%6
12 to 170.7%63
18 to 4424.2%2,049
45 to 6410.1%858
65 to 741.8%151
75 and over0.4%36
Age not given62.6%5,303

Patient sex

Female82.4%6,979
Male15.4%1,308
Not given2.1%180

Who reported

Physician11.3%954
Pharmacist0.5%43
Other health professional7.1%605
Lawyer0%0
Consumer or non-health professional81.1%6,865
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Lupus nephritis7,48888.4%
Systemic lupus erythematosus1892.2%
Juvenile idiopathic arthritis50.1%
Intra-uterine contraceptive device insertion40%
Nephritic syndrome30%
Glomerulonephritis membranous20%

The indication field is filled in by the reporter and is often blank; shares are of all 8,467 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Lupkynis reports
Prednisone7198.5%
CellCept4615.4%
Mycophenolic acid3063.6%
Mycophenolate mofetil2833.3%
Hydroxychloroquine2573%
Plaquenil2432.9%
Lisinopril2252.7%
Losartan2222.6%
Benlysta1862.2%
Amlodipine1491.8%

Other products listed in reports where Lupkynis is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureLupkynisCalcineurin inhibitor immunosuppressantAll reports
Reports as suspect product8,467206,37820,646,523
Share of that pool—4.1%0%
Reports, latest 12 months2,444—1,332,454
Marked serious20.3%79.1%57.4%
Death recorded among outcomes, per 1,000 reports615391
Hospitalisation recorded, per 1,000 reports88324213
Consumer-filed share81.1%25.1%45.8%
Top term, share of reportsTherapy interrupted 11.4%median 0.2%0.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the calcineurin inhibitor immunosuppressant class

DrugName typeReportsLatest 12 monthsMarked serious
Tacrolimusgeneric95,1659,30193.5%
Cyclosporinegeneric38,6884,60994.1%
Prografbrand20,42741589.6%
Restasisbrand18,2436108.9%
Neoralbrand11,36313394.5%
Vevyebrand4,7943,5060.7%
Envarsusbrand3,77640784.6%
Cequabrand3,0415984.6%
Sandimmunebrand1,871792.8%
Gengrafbrand5431359.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Lupkynis reports

How many adverse event reports has FDA received for Lupkynis?

8,467 reports list Lupkynis as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,444 of them arrived in the latest 12 months. Another 58 list it only as a concomitant medication.

What reactions are recorded in Lupkynis reports?

therapy interrupted (11.4%), product dose omission issue (9.3%), hypertension (8.4%), headache (8%) and nausea (7.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Lupkynis was responsible.

How serious are the reports?

20.3% are marked serious by the reporter. Among the outcomes recorded, 0.6% of reports include death and 8.8% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (81.1%), physician (11.3%) and other health professional (7.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lupkynis rising?

2,444 reports in the 12 months to June 2026, up 12% from 2,178 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Lupkynis was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Lupkynis?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Lupkynis as a suspect or interacting product; reports listing it only as a concomitant medication (58) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.