ibrutinib
Trade name: imbruvica
Approved
Nov 13, 2013
Ibrutinib is an orally bioavailable Bruton's tyrosine kinase (BTK) inhibitor indicated for the treatment of mantle cell lymphoma (MCL) patients that previously received at least one therapy. The drug was jointly developed by Janssen Biotech and Pharmacyclics. Ibrutinib selectively binds to Cys-481 residue in the allosteric inhibitory segment of BTK (TK/SH1 domain), and irreversibly blocks its enzymatic activity thus preventing B-cell activation and signaling, totally blocking the B-cell receptor and cytokine receptor pathways. This leads to an inhibition of the growth of malignant B cells that overexpress BTK. Apart from mantle cell lymphoma Ibrutinib is approved for the treatment of chronic lymphocytic leukemia and Waldenstrom Macroglobulinemia. — NCATS
Clinical trial activity
339 trials · 161 clinical orgs · 7 marketing orgs
Earliest trial started Feb 1, 2009 (NCT00849654)
Timeline
2000s
- Jan 1, 2009
Pharmacyclics — Earliest Phase 1 Sponsor(trial)
2010s
- Jan 1, 2010
Pharmacyclics — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2012
Pharmacyclics — Earliest Phase 3 Sponsor(trial)
- Apr 6, 2012
Orphan Drug Designation
- Nov 13, 2013
Pharmacyclics — Earliest FDA Approval
- Nov 13, 2013
Pharmacyclics — NDA Organization
- Nov 13, 2013
Pharmacyclics — Marketing Organization
- Feb 16, 2018
AbbVie — NDA Secondary Org
2020s
- Mar 1, 2021
Teva — Marketing Organization
- May 11, 2021
Sandoz — Marketing Organization
- Jun 3, 2021
Alvogen — Marketing Organization
- Jul 19, 2021
Zydus Discovery DMCC — Marketing Organization
- Mar 15, 2022
Novartis — Marketing Organization
Indications
Approved for
Studied for
- Agammaglobulinaemia Tyrosine Kinase · Phase 2/Phase 3
- Amyloidosis · Phase 2
- Anemia · Phase 3
- Anemia, Aplastic · Phase 2
- Anemia, Hemolytic, Autoimmune · Phase 2
- Anemia, Refractory · Phase 2
- Antigens, CD20 · Phase 2
- Body Weight · Phase 2
- Bone Marrow Failure Disorders · Phase 2
- Brain Neoplasms · Phase 1
- Breast Neoplasms · Phase 1/Phase 2
- Burkitt Lymphoma · Phase 2
- Carcinoid Tumor · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 1/Phase 2
- Carcinoma, Renal Cell · Phase 1/Phase 2
- Carcinoma, Transitional Cell · Phase 1/Phase 2
- Central Nervous System Neoplasms · Phase 1/Phase 2
- Chromosome Aberrations · Phase 2
- Colonic Diseases · Phase 1/Phase 2
- Colonic Neoplasms · Phase 1/Phase 2
- Colorectal Neoplasms · Phase 1/Phase 2
- COVID-19 · Phase 2
- Cyclin D1 · Phase 2
- Cyclin D2 · Phase 2
- Cyclin D3 · Phase 2
- Drugs, Investigational · Phase 2
- Ependymoma · Phase 1
- Esophageal Neoplasms · Phase 2
- Fever · Phase 2
- Food · Phase 2
- Food Hypersensitivity · Phase 2
- Glioblastoma · Phase 1
- Graft vs Host Disease · Phase 4
- Head and Neck Neoplasms · Phase 2
- Healthy Volunteers · Phase 1
- Hematologic Neoplasms · Phase 1/Phase 2
- Hematopoietic Stem Cell Transplantation · Phase 2
- Hepatitis B, Chronic · Phase 3
- HIV Infections · Phase 1
- Hodgkin Disease · Phase 2
- Hyperplasia · Phase 1
- Immune System Diseases · Phase 3
- Immunoglobulin Light Chains · Phase 2
- Immunoproliferative Disorders · Phase 3
- Infections · Phase 2
- Intestinal Neoplasms · Phase 1
- Intraocular Lymphoma · Phase 2
- Leukemia · Phase 2
- Leukemia, B-Cell · Phase 4
- Leukemia, Biphenotypic, Acute · Phase 2
- Leukemia, Hairy Cell · Phase 2
- Leukemia, Lymphoid · Phase 3
- Leukemia-Lymphoma, Adult T-Cell · Phase 1
- Leukemia, Mast-Cell · Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 2
- Leukemia, Myeloid, Acute · Phase 2/Phase 3
- Leukemia, Myelomonocytic, Chronic · Phase 1
- Leukemia, Prolymphocytic · Phase 2
- Leukemia, Prolymphocytic, B-Cell · Phase 1
- Leukemia, Prolymphocytic, T-Cell · Phase 2
- Liver Diseases · Phase 1
- Lung Neoplasms · Phase 1/Phase 2
- Lymphatic Diseases · Phase 3
- Lymphocytosis · Phase 2
- Lymphoma · Phase 4
- Lymphoma, AIDS-Related · Phase 1
- Lymphoma, B-Cell · Phase 4
- 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, Non-Hodgkin · Phase 4
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 2
- Lymphoma, T-Cell · Phase 2
- Lymphomatoid Granulomatosis · Phase 1
- Lymphoproliferative Disorders · Phase 3
- Mastocytosis, Systemic · Phase 2
- Medulloblastoma · Phase 1
- Melanoma · Phase 2
- Monoclonal Gammopathy of Undetermined Significance · Phase 2
- Multiple Myeloma · Phase 2
- Mutation · Phase 2/Phase 3
- Myelodysplastic Syndromes · Phase 2
- Neoplasm Metastasis · Phase 2
- Neuroectodermal Tumors · Phase 1
- Pancreatic Neoplasms · Phase 2/Phase 3
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Prostatic Neoplasms · Phase 1/Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 1
- Recurrence · Phase 2
- Risk Factors · Phase 2
- Small Cell Lung Carcinoma · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Squamous Intraepithelial Lesions · Phase 1/Phase 2
- Stomach Neoplasms · Phase 1/Phase 2
- Testicular Neoplasms · Phase 1
Mechanism of action
- Tyrosine-protein kinase BTKINHIBITOR
BTK inhibitor
Irreversible inhibitor
Thromboxane-A synthase, p450 domain — Binds to a cysteine residue in the BTK active site
Approval history
- approvedPriority reviewAcceleratedFast trackBreakthroughNov 13, 2013
Chemistry & pharmacology
SMILES
NC1=C2C(=NC=N1)N(N=C2C3=CC=C(OC4=CC=CC=C4)C=C3)[C@@H]5CCCN(C5)C(=O)C=C- Mol. weight
- 440.4971 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
- WikipediaIbrutinib ↗
- NCATS1X70OSD4VX ↗
- ChEMBLCHEMBL1873475 ↗
Also known as
- 1-[(3r)-3-[4-amino-3-(4-phenoxyphenyl)-1h-pyrazolo[3,4-d]pyrimidin-1-yl]piperidin-1-yl]prop-2-en-1-one
- 1-[(3r)-3-[4-amino-3-(4-phenoxyphenyl)-1h-pyrazolo[3,4-d]pyrimidin-1-yl]piperidin-1-yl]prop-2-en-1-one
- cra-032765
- cra-032765
- cra-032765
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- ibrutinib
- imbruvica
- imbruvica
- imbruvica
- imbruvica
- imbruvica
- imbruvica
- imbruvica
- pci32765
- pci 32765
- pci 32765
- pci 32765
- pci-32765
- pci-32765
- pci-32765
- pci-32765
- pci-32765
- pci-32765-00
- pci-32765-00
- pci-32765-00
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06958705 | Phase 2 | Dec 1, 2025 | AbbVie, Nanjing Medical University |
| NCT07052695 | Phase 1/Phase 2 (Phase 2) | Nov 30, 2025 | Genentech, Harvard University |
| NCT07169565 | Phase 1 | Sep 1, 2025 | China Academy of Chinese Medical Sciences |
| NCT07082868 | Phase 1 | Aug 13, 2025 | Memorial Sloan-Kettering Cancer Center |
| NCT06649812 | Phase 2 | Jan 17, 2025 | ECOG-ACRIN Cancer Research Group, National Cancer Institute (NCI) |
| NCT06520098 | Phase 2 | Jan 1, 2025 | Department of Veteran Affairs |
| NCT06788509 | Phase 1 | Dec 30, 2024 | Johnson and Johnson |
| NCT06683885 | Phase 1/Phase 2 (Phase 2) | Nov 20, 2024 | Zhengzhou University |
| NCT06271616 | Phase 2 | Nov 1, 2024 | Mayo Clinic |
| NCT06536049 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2024 | AbbVie, Genmab, Ohio State University |
| NCT06357676 | Phase 1/Phase 2 (Phase 2) | May 1, 2024 | Genentech, OHSU Knight Cancer Institute, Oregon Health and Science University |
| NCT05963074 | Phase 2 | Feb 27, 2024 | Pharmacyclics |
| NCT06482684 | Phase 2 | Feb 15, 2024 | Johannes Gutenburg University, Ludwig Maximilians University |
| NCT06136559 | Phase 3 | Dec 13, 2023 | Merck |
| NCT06134284 | Phase 4 | Dec 1, 2023 | Ningbo No. 1 Hospital |
| NCT05998642 | Phase 2 | Nov 30, 2023 | Canadian Cancer Trials Group, Janssen Pharmaceutica NV, University of Toronto |
| NCT05694312 | Phase 2 | Nov 24, 2023 | Gruppo Italiano Malattie EMatologiche dell'Adulto |
| NCT05864742 | Phase 2 | Sep 7, 2023 | Peter MacCallum Cancer Centre |
| NCT05672173 | Phase 2 | Jun 2, 2023 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT05564052 | Phase 2/Phase 3 (Phase 3) | Dec 21, 2022 | Pharmacyclics |
Organizations
Research & Development (161)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Pharmacyclics | For profit | 90 | 33 | 5 | 2009 |
| Johnson and Johnson | For profit | 58 | 33 | 5 | 2010 |
| National Cancer Institute (NCI) | Government | 58 | 24 | 4 | 2013 |
| Janssen Pharmaceutica NV | For profit | 37 | 4 | 4 | 2011 |
| University of Texas at Houston | Academic/Hospital | 25 | 23 | 3 | 2012 |
| Ohio State University | Academic/Hospital | 18 | 11 | 2 | 2010 |
| AbbVie | For profit | 14 | 5 | 2 | 2015 |
| Harvard University | Academic/Hospital | 14 | 13 | 2 | 2012 |
| Celgene | For profit | 12 | 3 | 2 | 2013 |
| Mayo Clinic | Academic/Hospital | 10 | 8 | 1 | 2013 |
| Genentech | For profit | 9 | 0 | 2 | 2015 |
| Cornell University | Academic/Hospital | 7 | 5 | 3 | 2014 |
| Memorial Sloan-Kettering Cancer Center | Academic/Hospital | 7 | 7 | 3 | 2017 |
| Novartis | For profit | 7 | 3 | 2 | 2016 |
| German CLL Study Group | Academic/Hospital | 6 | 5 | 2 | 2014 |
| Merck | For profit | 5 | 1 | 2 | 2017 |
| Stanford University | Academic/Hospital | 5 | 5 | 2 | 2015 |
| Swiss Group for Clinical Cancer Research | Academic/Hospital | 5 | 3 | 2 | 2015 |
| TG Therapeutics, Inc. | For profit | 5 | 4 | 3 | 2013 |
| University of California, Davis | Academic/Hospital | 5 | 5 | 2 | 2016 |
Marketing (11)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | NDA2 | Feb 16, 2018 |
| Alvogen | For profit | MKTG | Jun 3, 2021 |
| Alvogen | For profit | SYN | Apr 9, 2021 |
| Novartis | For profit | MKTG | Mar 15, 2022 |
| Pharmacyclics | For profit | NDA | Nov 13, 2013 |
| Pharmacyclics | For profit | MKTG | Nov 13, 2013 |
| Sandoz | For profit | MKTG | May 11, 2021 |
| Teva | For profit | MKTG | Mar 1, 2021 |
| Zydus Discovery DMCC | For profit | MKTG | Mar 31, 2021 |
| Zydus Discovery DMCC | For profit | MKTG | Jul 19, 2021 |
| Zydus Discovery DMCC | For profit | SYN | Mar 31, 2021 |