zanubrutinib
Trade name: Brukinsa
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
Earliest trial started Aug 1, 2014 (NCT02343120)
Timeline
2010s
- Jan 1, 2014
BeOne Medicines — Earliest Phase 1 Sponsor(trial)
- Jun 23, 2016
Orphan Drug Designation
- Jan 1, 2017
BeOne Medicines — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2017
BeOne Medicines — Earliest Phase 3 Sponsor(trial)
- Nov 14, 2019
BeOne Medicines — Earliest FDA Approval
- Nov 14, 2019
BeOne Medicines — Marketing Organization
- Nov 14, 2019
BeOne Medicines — NDA Organization
Indications
Approved for
Studied for
- Agammaglobulinaemia Tyrosine Kinase · Phase 1/Phase 2
- Anemia, Hemolytic, Autoimmune · Phase 2
- Anemia, Refractory · Phase 2
- Antiphospholipid Syndrome · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 1/Phase 2
- Castleman Disease · Phase 2
- COVID-19 · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Healthy Volunteers · Phase 1
- Histone Deacetylase Inhibitors · Phase 2
- Hodgkin Disease · Phase 3
- Immunoglobulin G4-Related Disease · Phase 2
- Immunotherapy, Adoptive · Phase 2
- Intraocular Lymphoma · Phase 2
- Kidney Diseases · Phase 2/Phase 3
- Leukemia · Phase 1/Phase 2
- Leukemia, B-Cell · Phase 3
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Leukemia, Lymphoid · Phase 2
- Leukemia, Myeloid, Acute · Phase 1/Phase 2
- Lupus Nephritis · Phase 2
- Lymphohistiocytosis, Hemophagocytic · Phase 3
- Lymphoid Tissue · Phase 2
- Lymphoma · Phase 2
- Lymphoma, B-Cell · Phase 2
- Lymphoma, B-Cell, Marginal Zone · Phase 3
- Lymphoma, Follicular · Phase 3
- Lymphoma, Large B-Cell, Diffuse · Phase 3
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Mantle-Cell · Phase 2
- Lymphoma, Non-Hodgkin · Phase 3
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 2
- Lymphoma, T-Cell · Phase 2
- Maintenance · Phase 2
- Male · Phase 1
- Medial Collateral Ligament, Knee · Phase 2
- Melanoma · Phase 1/Phase 2
- Monoclonal Gammopathy of Undetermined Significance · Phase 2
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 1/Phase 2
- Neoplasms · Phase 2
- Neuromyelitis Optica · Phase 2
- Purpura, Thrombocytopenic, Idiopathic · Phase 2
- Therapeutics · Phase 2
- Thrombocytopenia · Phase 2
- Waldenstrom Macroglobulinemia · Phase 3
Mechanism of action
- Tyrosine-protein kinase BTKANTAGONIST
BTK antagonist
- Tyrosine-protein kinase BTKINHIBITOR
Tyrosine-protein kinase BTK inhibitor
Forms an active site covalent bond with the target kinase. Inhibition of BTK on B-cells impacts downstream signalling effects such as B-cell proliferation.
Approval history
- approvedPriority reviewAcceleratedBreakthroughNov 14, 2019
Chemistry & pharmacology
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
- WikipediaZanubrutinib ↗
- NCATSAG9MHG098Z ↗
- ChEMBLCHEMBL3936761 ↗
Also known as
- bgb-3111
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06859008 | Phase 1 | Feb 7, 2026 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT07277231 | Phase 3 | Jan 31, 2026 | BeOne Medicines |
| NCT07299331 | N/A | Jan 1, 2026 | Zhengzhou University |
| NCT07271667 | Phase 2 | Dec 31, 2025 | Curis |
| NCT07259122 | Phase 2 | Dec 30, 2025 | China Academy of Chinese Medical Sciences |
| NCT07299149 | Phase 2 | Dec 25, 2025 | China Academy of Chinese Medical Sciences |
| NCT07261163 | Phase 2 | Dec 20, 2025 | China Academy of Chinese Medical Sciences |
| NCT06958705 | Phase 2 | Dec 1, 2025 | AbbVie, Nanjing Medical University |
| NCT07052695 | Phase 1/Phase 2 (Phase 2) | Nov 30, 2025 | Genentech, Harvard University |
| NCT07270835 | Phase 4 | Nov 1, 2025 | Soochow University |
| NCT07169331 | Phase 4 | Oct 17, 2025 | BeOne Medicines |
| NCT06854003 | Phase 2 | Aug 31, 2025 | BeOne Medicines, Harvard University |
| NCT06735664 | Phase 1 | Aug 14, 2025 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT06849713 | Phase 2 | Jul 28, 2025 | BeOne Medicines, Harvard University |
| NCT07126678 | N/A | Jul 15, 2025 | Nanjing Medical University |
| NCT06839053 | Phase 2 | Jul 1, 2025 | BeOne Medicines, University of Washington |
| NCT06846463 | Phase 2 | Jun 30, 2025 | Virginia Commonwealth University |
| NCT07003464 | Phase 2 | Jun 15, 2025 | Jinlin University |
| NCT07012980 | Phase 2 | Jun 1, 2025 | BeOne Medicines, Fudan University, Roche |
| NCT06890585 | Phase 2 | Jun 1, 2025 | Sun Yat-Sen University |
Organizations
Research & Development (95)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| BeOne Medicines | For profit | 62 | 43 | 5 | 2014 |
| Jiao Tong University | Academic/Hospital | 15 | 14 | 2 | 2020 |
| Chinese Academy of Medical Sciences | Academic/Hospital | 14 | 14 | 2 | 2020 |
| China Academy of Chinese Medical Sciences | Academic/Hospital | 10 | 8 | 2 | 2022 |
| Fudan University | Academic/Hospital | 8 | 6 | 2 | 2022 |
| Harvard University | Academic/Hospital | 7 | 6 | 1 | 2019 |
| Sun Yat-Sen University | Academic/Hospital | 7 | 6 | 1 | 2020 |
| National Cancer Institute (NCI) | Government | 6 | 1 | 3 | 2022 |
| Peking University | Academic/Hospital | 6 | 5 | 2 | 2021 |
| Capital Medical University | Academic/Hospital | 5 | 2 | 2 | 2021 |
| Government of China | Government | 5 | 3 | 1 | 2022 |
| Nanjing Medical University | Academic/Hospital | 5 | 3 | 3 | 2022 |
| Soochow University | Academic/Hospital | 5 | 5 | 3 | 2020 |
| Huazhong University of Science and Technology | Academic/Hospital | 4 | 1 | 2 | 2022 |
| City of Hope National Medical Center | Academic/Hospital | 3 | 3 | 2 | 2023 |
| Dalian Medical University | Academic/Hospital | 3 | 1 | 2 | 2022 |
| Henan Medical University | Academic/Hospital | 3 | 3 | 1 | 2020 |
| Jinlin University | Academic/Hospital | 3 | 1 | 2 | 2022 |
| Roche | For profit | 3 | 0 | 1 | 2019 |
| Shandong University | Academic/Hospital | 3 | 0 | 2 | 2022 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| BeOne Medicines | For profit | MKTG | Nov 14, 2019 |
| BeOne Medicines | For profit | SYN | Nov 14, 2019 |
| BeOne Medicines | For profit | NDA | Nov 14, 2019 |
| BeOne Medicines | For profit | SYN | Nov 14, 2019 |