About Lupus Nephritis
Lupus is an autoimmune disease, and in lupus nephritis the immune attack reaches the glomeruli, the tiny filters that clean the blood. Damaged filters let protein and blood leak into the urine, and over time kidney function can fall. Doctors look for it with urine tests for protein and blood and with blood tests of kidney function. A kidney biopsy confirms it and sorts it into classes I to VI, which guide treatment; the active forms (classes III, IV and V) are usually treated with medicines that calm the immune system.
Under the American College of Rheumatology's 2024 guideline, treatment of active lupus nephritis is one continuous course rather than separate phases: high-dose steroids tapered to a low dose, plus 2 other immune-calming medicines, kept up for 3 to 5 years once the kidneys respond fully. Most people with lupus also take hydroxychloroquine, and blood pressure medicines that protect the kidneys are often added. Three medicines carry an FDA label for lupus nephritis: Benlysta (belimumab), Lupkynis (voclosporin), approved January 22, 2021, and Gazyva (obinutuzumab), approved in October 2025. A steady response matters, because the goal is to keep the kidneys working and avoid dialysis or a transplant.
Common Symptoms of Lupus Nephritis
Recognizing the signs of Lupus Nephritis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.
- Foamy urine, from protein leaking into it
- Blood in the urine, or brown urine
- Swelling in the legs, feet, ankles, hands, face or around the eyes
- High blood pressure
- Often no symptoms early on, so it is found through urine and blood tests
Who Lupus Nephritis Affects
Lupus nephritis develops in people with lupus, and 9 in 10 people with lupus are women. It is more likely in Black, Hispanic and Asian American people (NIDDK). In a Minnesota study, 76% of people diagnosed with lupus nephritis were female and the average age at diagnosis was 38. Children with lupus are more likely than adults to develop kidney disease.
Find Your Next Step
FDA-Approved Treatments for Lupus Nephritis
There are currently 3 FDA-approved medications for Lupus Nephritis. These therapies represent the current standard of care and may be used alongside or compared against investigational treatments in active clinical trials.
Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.
Help Paying for Lupus Nephritis Treatment
Charity funds and drugmaker programs for Lupus Nephritis, checked at the source.
- Lupkynis (Voclosporin) · Aurinia Alliance
- Benlysta (Belimumab) · Together with BENLYSTA
- Gazyva (Obinutuzumab) · Genentech Access Solutions
Side Effect Explorer
Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.
Loading side effect data...
Genetic Testing
Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.
Finding labs...
Trusted Lupus Nephritis Resources
Reputable organizations and medical references for learning more about Lupus Nephritis, including disease registries, foundation resources, and clinical guidelines.