ICER ‘s final evidence report on therapies for IgA nephropathy

1 April 2026

US health technology assessor the Institute for Clinical and Economic Review (ICER) has released a Final Evidence Report assessing the comparative clinical effectiveness and value of Otsuka (TYO:4578) sibeprenlimab (Voyxact) , Vera Therapeutics’ (Nasdaq: VERA) atacicept and delayed-release budesonide (Nefecon, Tarpeyo) from Calliditas Therapeutics (Nasdaq Stockholm: CALT) in IgA nephropathy.

“Even with greater recognition that IgA nephropathy often progresses to end-stage kidney disease, treatment options have been limited and have serious side effects,” said the ICER’s chief medical officer Dr David Rind, adding: “New non-glucocorticoid therapies targeted at B-cells appear likely to provide greater efficacy with fewer side effects, although longer term data are needed. Despite this, the very high price for sibeprenlimab led the independent appraisal council to conclude that it provides low value for money. We hope that the price of atacicept aligns better with the benefits it provides.”

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