Ibrutinib

Generic Name
Ibrutinib
Brand Names
Imbruvica
Drug Type
Small Molecule
Chemical Formula
C25H24N6O2
CAS Number
936563-96-1
Unique Ingredient Identifier
1X70OSD4VX
Background

Ibrutinib is a small molecule that acts as an irreversible potent inhibitor of Burton's tyrosine kinase. It is designated as a targeted covalent drug and presented as a promising activity in B-cell malignancies in clinical trials. Ibrutinib was developed by Pharmacyclics Inc and was first approved by the FDA in November 2013 for the treatment of mantle cell lymphoma (MCL) under accelerated approval; however, in April 2023, the drug manufacturer withdrew the accelerated approvals for ibrutinib in the US.

Ibrutinib was approved by the EMA in October 2014 and by Health Canada in November 2014. It is currently approved for the treatment of various conditions, such as chronic lymphocytic leukemia (CLL), Waldenström's Macroglobulinemia, and chronic graft versus host disease (cGVHD) in August 2017. Notably, ibrutinib became the first FDA-approved cGVHD treatment for children in August 2017.

Indication

Ibrutinib is indicated for the treatment of the following conditions.

Chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL)

Waldenström's macroglobulinemia

Chronic graft-versus-host disease (cGVHD)

Mantle cell lymphoma (MCL)

Marginal zone lymphoma (MZL)

Associated Conditions
Chronic Graft-Versus-Host Disease, Chronic Lymphocytic Leukemia, Marginal Zone Lymphoma (MZL), Refractory Mantle Cell Lymphoma, Relapsed Mantle Cell Lymphoma, Small Lymphocytic Lymphoma, Steroid-dependent chronic graft-versus-host disease, Waldenström's Macroglobulinemia (WM), Steroid refractory Chronic graft versus host disease
Associated Therapies
-

Ibrutinib as Neoadjuvant Therapy in Localized Prostate Cancer

First Posted Date
2015-12-31
Last Posted Date
2023-12-28
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
27
Registration Number
NCT02643667
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

A Drug Interaction Study to Assess the Effect of Omeprazole on the Pharmacokinetics of Ibrutinib in Healthy Adults

Phase 1
Completed
Conditions
Interventions
First Posted Date
2015-12-22
Last Posted Date
2016-04-15
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
20
Registration Number
NCT02638116

Smart Start: A Phase II Study of Rituximab, Lenalidomide, and Ibrutinib

First Posted Date
2015-12-21
Last Posted Date
2024-03-13
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
60
Registration Number
NCT02636322
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Ibrutinib, Idarubicin and Cytarabine in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia

First Posted Date
2015-12-18
Last Posted Date
2018-05-14
Lead Sponsor
Steven E. Coutre
Target Recruit Count
2
Registration Number
NCT02635074
Locations
🇺🇸

Stanford University, School of Medicine, Palo Alto, California, United States

Ibrutinib, Fludarabine Phosphate, Cyclophosphamide, and Obinutuzumab in Treating Patients with Chronic Lymphocytic Leukemia

First Posted Date
2015-12-14
Last Posted Date
2024-11-19
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
81
Registration Number
NCT02629809
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Ibrutinib in Relapsed Nodular Lymphocyte-predominant Hodgkin Lymphoma (NLPHL)

First Posted Date
2015-12-10
Last Posted Date
2021-04-08
Lead Sponsor
University of Cologne
Target Recruit Count
14
Registration Number
NCT02626884
Locations
🇩🇪

1st Department of Medicine, Cologne University Hospital, Cologne, Germany

Buparlisib and Ofatumumab or Ibrutinib in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia

First Posted Date
2015-11-25
Last Posted Date
2019-09-03
Lead Sponsor
Emory University
Target Recruit Count
1
Registration Number
NCT02614508
Locations
🇺🇸

Emory University/Winship Cancer Institute, Atlanta, Georgia, United States

Study of Ibrutinib in Patients With Symptomatic, Previously Untreated Waldenstrom's Macroglobulinemia, and Impact on Tumor Genomic Evolution Using Whole Genome Sequencing

Phase 2
Completed
Conditions
Interventions
First Posted Date
2015-11-13
Last Posted Date
2022-12-07
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
31
Registration Number
NCT02604511
Locations
🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Massacusetts General Hospital, Boston, Massachusetts, United States

Study to Evaluate Ibrutinib Combination Therapy in Patients With Selected Gastrointestinal and Genitourinary Tumors

First Posted Date
2015-11-06
Last Posted Date
2023-11-18
Lead Sponsor
Pharmacyclics LLC.
Target Recruit Count
263
Registration Number
NCT02599324
Locations
🇺🇸

Whittingham Cancer Center at Norwalk Hospital /ID# 1128-0411, Norwalk, Connecticut, United States

🇬🇧

Sarah Cannon Research Institute /ID# 1128-1079, London, England, United Kingdom

🇺🇸

Franciscan Health Indianapolis /ID# 1128-1125, Indianapolis, Indiana, United States

and more 62 locations
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