zanubrutinib

Trade name: Brukinsa

Small moleculeapprovedOrphan Drug FDABreakthrough Therapy FDA

Approved

Nov 14, 2019

BGB-3111 is a potent and highly selective small molecule BTK inhibitor (Bruton’s Tyrosine Kinase), which we are developing as a monotherapy and in combination with other therapies for the treatment of a variety of lymphomas—the most common form of blood cancer. BGB-3111 blocks the signaling that leads to growth inhibition and cell death in malignant B-cells. In preclinical studies, BGB-3111 showed more restricted off-target activities against a panel of kinases, including ITK. Due to the weaker activity on ITK, BGB-3111 was at least 10 times weaker than ibrutinib in inhibiting rituximab-induced ADCC activity. Both in the REC-1 MCL and ABC subtype DLBCL (TMD-8) xenograft models, BGB-3111 induced dose-dependent antitumor effects and demonstrated superior efficacy in comparison with ibrutinib. Toxicity study in rats indicated that BGB-3111 was very well tolerated, and the MTD was not reached when it was dosed up to 250 mg/ kg/day. The first-in-human, open-label phase 1 trial of BGB-3111 is ongoing as a modified 3 + 3 dose-escalation design (40, 80, 160, 320 mg PO QD; 160 mg PO BID) in patients with advanced B cell malignancies. — NCATS

Clinical trial activity

173 trials · 95 clinical orgs · 1 marketing orgs

Phase 1
31
Phase 2
141
Phase 3
18
Phase 4
2

Earliest trial started Aug 1, 2014 (NCT02343120)

Timeline

2010s

  1. Jan 1, 2014

    BeOne Medicines — Earliest Phase 1 Sponsor(trial)

  2. Jun 23, 2016

    Orphan Drug Designation

  3. Jan 1, 2017

    BeOne Medicines — Earliest Phase 2 Sponsor(trial)

  4. Jan 1, 2017

    BeOne Medicines — Earliest Phase 3 Sponsor(trial)

  5. Nov 14, 2019

    BeOne Medicines — Earliest FDA Approval

  6. Nov 14, 2019

    BeOne Medicines — Marketing Organization

  7. Nov 14, 2019

    BeOne Medicines — NDA Organization

Indications

Studied for

Mechanism of action

Approval history

  • approvedPriority reviewAcceleratedBreakthroughNov 14, 2019

Chemistry & pharmacology

Loading structure…

SMILES

NC(=O)C1=C2NCC[C@@H](C3CCN(CC3)C(=O)C=C)N2N=C1C4=CC=C(OC5=CC=CC=C5)C=C4
Mol. weight
471.5509 g/mol
Lipinski Ro5
Pass
Rule of 3
No
Chirality
Single Stereoisomer
Inorganic
No
Polymer
No
Delivery
Oral
Availability
Prescription Only

Oral

Yes

Parenteral

No

Topical

No

Sources

Also known as

  • bgb-3111

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT06859008Phase 1Feb 7, 2026City of Hope National Medical Center, National Cancer Institute (NCI)
NCT07277231Phase 3Jan 31, 2026BeOne Medicines
NCT07299331N/AJan 1, 2026Zhengzhou University
NCT07271667Phase 2Dec 31, 2025Curis
NCT07259122Phase 2Dec 30, 2025China Academy of Chinese Medical Sciences
NCT07299149Phase 2Dec 25, 2025China Academy of Chinese Medical Sciences
NCT07261163Phase 2Dec 20, 2025China Academy of Chinese Medical Sciences
NCT06958705Phase 2Dec 1, 2025AbbVie, Nanjing Medical University
NCT07052695Phase 1/Phase 2 (Phase 2)Nov 30, 2025Genentech, Harvard University
NCT07270835Phase 4Nov 1, 2025Soochow University
NCT07169331Phase 4Oct 17, 2025BeOne Medicines
NCT06854003Phase 2Aug 31, 2025BeOne Medicines, Harvard University
NCT06735664Phase 1Aug 14, 2025City of Hope National Medical Center, National Cancer Institute (NCI)
NCT06849713Phase 2Jul 28, 2025BeOne Medicines, Harvard University
NCT07126678N/AJul 15, 2025Nanjing Medical University
NCT06839053Phase 2Jul 1, 2025BeOne Medicines, University of Washington
NCT06846463Phase 2Jun 30, 2025Virginia Commonwealth University
NCT07003464Phase 2Jun 15, 2025Jinlin University
NCT07012980Phase 2Jun 1, 2025BeOne Medicines, Fudan University, Roche
NCT06890585Phase 2Jun 1, 2025Sun Yat-Sen University
Showing 20 of 173 trials
Page 1 / 9

Organizations

Research & Development (95)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
BeOne MedicinesFor profit624352014
Jiao Tong UniversityAcademic/Hospital151422020
Chinese Academy of Medical SciencesAcademic/Hospital141422020
China Academy of Chinese Medical SciencesAcademic/Hospital10822022
Fudan UniversityAcademic/Hospital8622022
Harvard UniversityAcademic/Hospital7612019
Sun Yat-Sen UniversityAcademic/Hospital7612020
National Cancer Institute (NCI)Government6132022
Peking UniversityAcademic/Hospital6522021
Capital Medical UniversityAcademic/Hospital5222021
Government of ChinaGovernment5312022
Nanjing Medical UniversityAcademic/Hospital5332022
Soochow UniversityAcademic/Hospital5532020
Huazhong University of Science and TechnologyAcademic/Hospital4122022
City of Hope National Medical CenterAcademic/Hospital3322023
Dalian Medical UniversityAcademic/Hospital3122022
Henan Medical UniversityAcademic/Hospital3312020
Jinlin UniversityAcademic/Hospital3122022
RocheFor profit3012019
Shandong UniversityAcademic/Hospital3022022
95 organizations
Page 1 / 5

Marketing (4)

OrganizationOrg typeRelationshipDate
BeOne MedicinesFor profitMKTGNov 14, 2019
BeOne MedicinesFor profitSYNNov 14, 2019
BeOne MedicinesFor profitNDANov 14, 2019
BeOne MedicinesFor profitSYNNov 14, 2019