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Oral voclosporin: novel calcineurin inhibitor for treatment of noninfectious uveitis

Authors Roesel M, Tappeiner, Heiligenhaus, Heinz

Published 13 September 2011 Volume 2011:5 Pages 1309—1313


Review by Single anonymous peer review

Peer reviewer comments 3

Martin Roesel1, Christoph Tappeiner2, Arnd Heiligenhaus1,3, Carsten Heinz1,3
1Department of Ophthalmology, St Franziskus-Hospital, Muenster, Germany; 2Department of Ophthalmology, Inselspital, University of Bern, Switzerland; 3University Duisburg-Essen, Germany

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.

Keywords: uveitis, immunosuppression, voclosporin

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