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
-

A Phase II Study Using Ibrutinib and Short-Course Fludarabine in Treatment-Naive CLL

First Posted Date
2015-08-03
Last Posted Date
2023-03-24
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Target Recruit Count
29
Registration Number
NCT02514083
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Study of Acalabrutinib (ACP-196) Versus Ibrutinib in Previously Treated Participants With High Risk Chronic Lymphocytic Leukemia (CLL)

Phase 3
Active, not recruiting
Conditions
Interventions
First Posted Date
2015-06-23
Last Posted Date
2024-11-01
Lead Sponsor
Acerta Pharma BV
Target Recruit Count
533
Registration Number
NCT02477696
Locations
🇬🇧

Research Site, Surrey, United Kingdom

ABT-199 & Ibrutinib in Mantle Cell Lymphoma (AIM)

Phase 2
Active, not recruiting
Conditions
Interventions
First Posted Date
2015-06-15
Last Posted Date
2023-08-21
Lead Sponsor
Peter MacCallum Cancer Centre, Australia
Target Recruit Count
37
Registration Number
NCT02471391
Locations
🇦🇺

Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia

🇦🇺

Royal Melbourne Hospital, Melbourne, Victoria, Australia

A Trial of Ibrutinib, Lenalidomide and Rituximab for Patients With Relapsed/Refractory Mantle Cell Lymphoma

First Posted Date
2015-06-02
Last Posted Date
2020-04-24
Lead Sponsor
Lund University Hospital
Target Recruit Count
50
Registration Number
NCT02460276
Locations
🇸🇪

Lund University Hospital, Lund, Sweden

🇸🇪

Uppsala Akademiska Hospital, Uppsala, Sweden

🇩🇰

Rigshospitalet, Copenhagen, Denmark

and more 2 locations

Rituximab With or Without Ibrutinib for Patients With Advanced Follicular Lymphoma

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2015-05-21
Last Posted Date
2024-03-13
Lead Sponsor
Swiss Group for Clinical Cancer Research
Target Recruit Count
190
Registration Number
NCT02451111
Locations
🇦🇹

Akademisches Lehrkrankenhaus Feldkirch, Feldkirch, Austria

🇩🇰

Aalborg Universitetshospital, Aalborg, Denmark

🇫🇮

Helsinki University Hospital, Helsinki, Finland

and more 38 locations

Dose Finding Study of Ibrutinib Plus Lenalidomide / Rituximab in Relapsed or Refractory Mantle Cell Lymphoma

Phase 1
Active, not recruiting
Conditions
Interventions
First Posted Date
2015-05-18
Last Posted Date
2024-02-22
Lead Sponsor
Hackensack Meridian Health
Target Recruit Count
27
Registration Number
NCT02446236
Locations
🇺🇸

The Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States

Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma

First Posted Date
2015-05-13
Last Posted Date
2024-11-14
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
302
Registration Number
NCT02443077
Locations
🇺🇸

Logan Health Medical Center, Kalispell, Montana, United States

🇺🇸

Marshfield Medical Center - Minocqua, Minocqua, Wisconsin, United States

🇺🇸

Anchorage Associates in Radiation Medicine, Anchorage, Alaska, United States

and more 279 locations

Novel Combination Therapy in the Treatment of Relapsed and Refractory Aggressive B-Cell Lymphoma

First Posted Date
2015-05-07
Last Posted Date
2024-06-12
Lead Sponsor
Canadian Cancer Trials Group
Target Recruit Count
320
Registration Number
NCT02436707
Locations
🇨🇦

BCCA - Vancouver, Vancouver, British Columbia, Canada

🇨🇦

Allan Blair Cancer Centre, Regina, Saskatchewan, Canada

🇨🇦

Cross Cancer Institute, Edmonton, Alberta, Canada

and more 11 locations

Study of Ibrutinib vs Placebo, in Combination With Nab-paclitaxel and Gemcitabine, in the First Line Treatment of Patients With Metastatic Pancreatic Adenocarcinoma (RESOLVE)

First Posted Date
2015-05-07
Last Posted Date
2020-12-30
Lead Sponsor
Pharmacyclics LLC.
Target Recruit Count
430
Registration Number
NCT02436668
Locations
🇺🇸

Oncology Specialties, PC; Clearview Cancer Institute, Huntsville, Alabama, United States

🇺🇸

Moores UCSD Cancer Center, La Jolla, California, United States

🇺🇸

St. Mary's Medical Center, Daly City, California, United States

and more 83 locations
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