How does someone as smart as you think you are … ride this all the way down from $33 to $11 ?
Hubris …. You’re a wonderful example of hubris
Wife’s renal dept acknowledges the clinical benefit in using Lupkynis for severe LN . Problem is it’s currently overpriced on a QALY ( quality adjusted life years ) basis so insurers require patients to fail existing therapies first …. and patients still need to take steriods with it .
Yes they can taper the steroid use faster with Lupkynis then with other therapies …BUT the patients hate the steroids for all the reasons you should know by now .
Any LN therapy that also requires steroid use is prone to patient discontinuing that therapy
If you manage to overcome your hubris then consider those CKD / LN drugs in development that protect kidney function for LN patients without steriods being needed as well