TheraRadar
Data updated: May 26, 2026

VOYXACT (sibeprenlimab-szsi)

Genetic Support
First-in-Class Breakthrough Therapy Priority Review Accelerated Approval
Renal Approved 2025-11-25

VOYXACT (sibeprenlimab-szsi) is indicated for the reduction of proteinuria in adults with primary immunoglobulin A nephropathy (IgAN) who are at risk for disease progression. This indication received accelerated approval based on the drug's ability to reduce proteinuria, though its impact on long-term kidney function decline has not yet been established. Continued approval for this use may be contingent upon the verification of clinical benefit in confirmatory clinical trials.

Source: FDA Label • OTSUKA PHARM CO LTD

How VOYXACT Works

VOYXACT is an antibody that binds to A Proliferation Inducing Ligand (APRIL), which blocks signaling at the B cell maturation antigen (BCMA) and TACI receptors. By inhibiting APRIL, the drug reduces serum levels of galactose-deficient immunoglobulin A1 (Gd-IgA1). This reduction is therapeutically relevant because Gd-IgA1 is a protein implicated in the pathogenesis of IgAN.

1
Indication
--
Phase 3 Trials
1
Priority Reviews
0
Years on Market

Details

Status
Prescription
First Approved
2025-11-25
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: SIBEPRENLIMAB-SZSI

VOYXACT Approval History

2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2025 to 2025
Nov 2025 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What VOYXACT Treats

1 indications

VOYXACT is approved for 1 conditions since its original approval in 2025. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Immunoglobulin A Nephropathy
Source: FDA Label

VOYXACT Target & Pathway

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Target

BCMA (B-Cell Maturation Antigen) Cell Surface Marker

A protein highly expressed on malignant plasma cells in multiple myeloma. BCMA-targeted therapies, including CAR-T cells and bispecific antibodies, can eliminate myeloma cells while sparing most normal immune cells.

VOYXACT Competitive Set

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Indication competitors

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Same indication, different mechanism — what else might this patient receive?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to VOYXACT

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FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

FABHALTA
IPTACOPAN HYDROCHLORIDE
1 shared
Novartis
Shared indications:
Immunoglobulin A Nephropathy
FILSPARI
SPARSENTAN
1 shared
TRAVERE
Shared indications:
Immunoglobulin A Nephropathy
TARPEYO
BUDESONIDE
1 shared
CALLIDITAS
Shared indications:
Immunoglobulin A Nephropathy
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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

VOYXACT FDA Label Details

Indications & Usage

FDA Label (PDF)

VOYXACT is indicated for the treatment of Immunoglobulin A Nephropathy.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.