Resources
and FAQs
Videos, guides, and answers to help you no matter where you are in your VOYXACT journey.
FAQs
VOYXACT is a prescription medicine used to reduce protein in the urine (proteinuria) in adults with primary IgA nephropathy who are at risk for their disease getting worse.
VOYXACT was designed to precisely block APRIL (A PRoliferation-Inducing Ligand). Blocking APRIL is one way to target the immune system activity of IgA nephropathy—as stated by the KDIGO guidelines.
VOYXACT is unique in multiple ways. First, VOYXACT is the only subcutaneous (under the skin) self-administered injection that is indicated for adults with primary IgA nephropathy at risk for disease progression. Second, it is the only medicine for IgA nephropathy that comes in a prefilled syringe. Third, it's self-injected once every 4 weeks. And lastly, it is the first and only FDA-approved treatment that selectively blocks APRIL.
The safety of VOYXACT was evaluated in 510 patients with IgA nephropathy. Side effects for people taking VOYXACT were similar to those on placebo (no active medicine). The most common side effects were upper respiratory infections and injection-site reactions. Most infections and injection-site reactions were mild to moderate and resolved without pausing or stopping treatment.
VOYXACT is available by prescription only. Together, you and your nephrologist can decide if VOYXACT is right for you.
If you’d like help starting the conversation, download our Doctor discussion guide.
After your nephrologist prescribes VOYXACT, the specialty pharmacy that dispenses VOYXACT will contact you.
VOYXACT is only available from a specialty pharmacy. Specialty pharmacies work differently from traditional pharmacies. They ship your medicine directly to the address you provide. The specialty pharmacy for VOYXACT is called PANTHERx® Rare. PANTHERx Rare focuses solely on rare and orphan conditions like IgA nephropathy. They will call you to set up your shipments of VOYXACT.
A single dose of VOYXACT is 400 mg/2 mL in 1 self-administered prefilled syringe.
Once you receive your VOYXACT prefilled syringe, be sure to keep it in the refrigerator (36 °F to 46 °F/2 °C to 8 °C) in its original box to protect it from light. Do not freeze, heat, or expose it to direct sunlight. Always keep VOYXACT—and all medicines—out of the reach of children.
Before injecting, let the prefilled syringe warm naturally to room temperature (up to 77 °F/25 °C). To get it to room temperature, let it sit out for 15–30 minutes before injecting. You can set a timer so you know when enough time has passed.
Once the VOYXACT prefilled syringe has reached room temperature, do not return it to the refrigerator.
Yes, it’s normal to see air bubbles. Do not try to remove them.
Do not use the VOYXACT prefilled syringe before injecting if:
- The liquid looks cloudy or discolored (it should look clear to opalescent, colorless to yellow)
- It has particles in it (it should look clear)
- The expiration date has passed
- It has been at room temperature for 7 days or longer
- Any part of the prefilled syringe is damaged
- The needle guard has been activated
If you can’t use the prefilled syringe because of any of these reasons, contact PANTHERx® Rare by phone at 833-VOYXACT (869-9228), or use the PANTHERx Rare app. They will send you another VOYXACT prefilled syringe.
If you miss a dose, take the next dose as soon as possible, and then resume every 4 weeks after that.
When you are enrolled in Otsuka Patient Services, you will be paired with an Otsuka Care Navigator. Otsuka Care Navigators can provide education about IgA nephropathy, VOYXACT, and support those getting started on treatment. They can also provide more information about using the prefilled syringe.
The Otsuka Care Navigator is not a replacement for your nephrologist. Talk to your doctor about any medical questions. You should continue to keep your lab and nephrologist appointments and follow their medical advice while on VOYXACT.
If you have questions about the Otsuka Patient Services program or need assistance, you can call 833-VOYXACT (869-9228), Monday through Friday, 8 AM-8 PM ET (except holidays).
Yes. Be sure to download the PANTHERx Rare app using one of these links:
Once you’ve been prescribed VOYXACT, you can use the PANTHERx Rare app for delivery coordination and refill requests. You can also contact PANTHERx Rare by phone at 833-VOYXACT (869-9228) Monday through Friday, 8 AM-8 PM ET (except holidays).
IgA=immunoglobulin A.
More IgA nephropathy education and support
Living with IgA nephropathy can feel overwhelming at times, but you are not alone. Here are a few trusted websites where you can learn more about the disease and connect with others who understand what you’re going through.*
AKF provides education, support services, and financial assistance programs for people living with kidney disease. They also offer tools to help you track your kidney health. www.kidneyfund.org
The IgA Nephropathy Foundation provides education, research updates, and ways for you to connect with others living with the disease.www.igan.org
NKF provides information about kidney health, testing, and ways to manage kidney disease. They also offer free support programs and events for patients and families. www.kidney.org
NephCure is uniquely focused on protein-spilling kidney diseases like IgA nephropathy. They help patients find the best care, resources, and community support available. www.nephcure.org
*The organizations and resources listed are not affiliated with nor are they controlled or influenced by Otsuka America Pharmaceutical, Inc. (OAPI). OAPI may have entered into limited fee-for-service or sponsorship arrangements with some of the listed organizations and resources from time to time. OAPI are providing information to you about these organizations and resources merely as a convenience, and OAPI shall not be liable for any use of this information, or for any information obtained from or provided by these organizations or resources. OAPI are not responsible for the consequences of your use of any information provided by these organizations and resources.


