MedPath

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

A Pilot Study on Intermittent Ibrutinib in Patients With Advanced-phase Chronic Lymphocytic Leukemia (CLL)

Phase 1
Recruiting
Conditions
Small Lymphocytic Lymphoma
Chronic Lymphocytic Leukemia
Interventions
First Posted Date
2021-02-25
Last Posted Date
2021-02-25
Lead Sponsor
Jeanette Lundin
Target Recruit Count
50
Registration Number
NCT04771507
Locations
🇳🇴

St Olavs Hospital, Trondheim, Norway

🇸🇪

Gävle Hospital, Gävle, Gävleborg, Sweden

🇸🇪

Skåne University Hospital, Lund, Skåne, Sweden

and more 6 locations

Venetoclax, Rituximab and Ibrutinib in TN Patients With CLL Undetectable Minimal Residual Disease (uMRD) in Treatment-naïve Patients With Chronic Lymphocytic Leukemia (CLL)

Phase 2
Recruiting
Conditions
Chronic Lymphocytic Leukemia (CLL)
Interventions
First Posted Date
2021-02-17
Last Posted Date
2023-10-04
Lead Sponsor
Paolo Ghia
Target Recruit Count
55
Registration Number
NCT04758975
Locations
🇮🇹

IRCCS Ospedale San Raffaele, Milano, MI, Italy

Clinical Study With Ibrutinib and Venetoclax for Patients With Relapsed/Refractory Chronic Lymphocytic Leukemia

Phase 2
Active, not recruiting
Conditions
Chronic Lymphocytic Leukemia
Interventions
First Posted Date
2021-02-15
Last Posted Date
2023-10-03
Lead Sponsor
Paolo Ghia
Target Recruit Count
31
Registration Number
NCT04754035
Locations
🇮🇹

Ospedale San Raffaele, Milano, MI, Italy

Venetoclax, Ibrutinib, Prednisone, Obinutuzumab, and Revlimid in Combination With Polatuzumab (ViPOR-P) in Relapsed/Refractory B-cell Lymphoma

Phase 1
Recruiting
Conditions
Lymphoma
Non-Hodgkin Lymphoma
Diffuse Large B-Cell Lymphoma
Burkitt Lymphoma
Interventions
First Posted Date
2021-02-05
Last Posted Date
2025-03-13
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
55
Registration Number
NCT04739813
Locations
🇺🇸

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

Copanlisib Plus Ibrutinib or Acalabrutinib in R/R CLL

Phase 2
Withdrawn
Conditions
Chronic Lymphocytic Leukemia (CLL)
Interventions
First Posted Date
2020-12-28
Last Posted Date
2023-01-17
Lead Sponsor
Inhye Ahn
Registration Number
NCT04685915

Ibrutinib for the Treatment of Patients With B-Cell Malignancies Who Are Infected With Coronavirus Disease 2019 (COVID-19)

Phase 2
Withdrawn
Conditions
B-Cell Neoplasm
Chronic Lymphocytic Leukemia
Asymptomatic COVID-19 Infection Laboratory-Confirmed
Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Small Lymphocytic Lymphoma
Marginal Zone Lymphoma
Waldenstrom Macroglobulinemia
Mantle Cell Lymphoma
Symptomatic COVID-19 Infection Laboratory-Confirmed
Interventions
Other: Quality-of-Life Assessment
First Posted Date
2020-12-11
Last Posted Date
2022-08-03
Lead Sponsor
Academic and Community Cancer Research United
Registration Number
NCT04665115
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

Study of BTK Inhibitor LOXO-305 Versus Approved BTK Inhibitor Drugs in Patients With Mantle Cell Lymphoma (MCL)

Phase 3
Recruiting
Conditions
Lymphoma, Mantle-Cell
Interventions
First Posted Date
2020-12-10
Last Posted Date
2025-05-21
Lead Sponsor
Loxo Oncology, Inc.
Target Recruit Count
500
Registration Number
NCT04662255
Locations
🇺🇸

Alaska Oncology and Hematology, LLC, Anchorage, Alaska, United States

🇺🇸

Arizona Oncology Associates, P.C. - HOPE, Phoenix, Arizona, United States

🇺🇸

UCLA Medical Center, Los Angeles, California, United States

and more 186 locations

Study of Selinexor in Combination With Backbone Treatments or Novel Therapies In Participants With Relapsed or Refractory (RR) Diffuse Large B-Cell Lymphoma (DLBCL)

First Posted Date
2020-10-29
Last Posted Date
2023-01-25
Lead Sponsor
Karyopharm Therapeutics Inc
Target Recruit Count
350
Registration Number
NCT04607772
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

🇺🇸

US Oncology - Oncology Associates of Oregon, Eugene, Oregon, United States

🇺🇸

University of Texas Southwestern, Dallas, Texas, United States

and more 15 locations

Ibrutinib Monotherapy Versus Fixed-duration Venetoclax Plus Obinutuzumab Versus Fixed-duration Ibrutinib Plus Venetoclax in Patients with Previously Untreated Chronic Lymphocytic Leukaemia (CLL)

Phase 3
Active, not recruiting
Conditions
Chronic Lymphoid Leukemia
Interventions
First Posted Date
2020-10-29
Last Posted Date
2024-12-31
Lead Sponsor
German CLL Study Group
Target Recruit Count
897
Registration Number
NCT04608318
Locations
🇩🇪

Klinikum rechts der Isar - Technische Universitaet Muenchen, München, Germany

🇳🇱

Franciscus Vlietland, Schiedam, Netherlands

🇸🇪

Hallands Sjukhus, Varberg, Sweden

and more 177 locations

PRECISE CURATE.AI Pilot Clinical Trial

Phase 1
Recruiting
Conditions
Solid Tumor
Interventions
Device: CURATE.AI
Drug: XELOX
Drug: XELIRI
First Posted Date
2020-08-21
Last Posted Date
2023-03-29
Lead Sponsor
National University Hospital, Singapore
Target Recruit Count
20
Registration Number
NCT04522284
Locations
🇸🇬

Ng Teng Fong General Hospital, Singapore, Singapore

🇸🇬

National University Hospital, Singapore, Singapore

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