Ibrutinib (PCI-32765)

别名: PCI-32765; PCI-32765, Ibrutinib, PCI 32765, trade name: Imbruvica 依鲁替尼; 1-[(3R)-3-[4-氨基-3-(4-苯氧基苯基)-1H-吡唑并[3,4-D]嘧啶-1-基; 1-[(3R)-3-[4-氨基-3-(4-苯氧基苯基)-1H-吡唑并[3,4-D]嘧啶-1-基]-1-哌啶基]-2-丙烯-1-酮; Ibrutinib标准品;PCI-32765依鲁替尼;拉铁尼伯(PCI-32765);临床实验依鲁替尼;伊布替尼;伊鲁替尼;依鲁替尼 靶向药;依鲁替尼(PCI32765);依鲁替尼(PCI-32765);依鲁替尼固体状;依鲁替尼杂质;依鲁替尼中间体;伊鲁替尼 PCI-32765 依布鲁替尼
目录号: V0643 纯度: ≥98%
依鲁替尼(原 PCI32765;商品名 Imbruvica)是一种已批准的抗癌药物,是一种共价/不可逆、口服生物可利用的布鲁顿酪氨酸激酶 (Btk) 抑制剂,具有潜在的抗癌活性。
Ibrutinib (PCI-32765) CAS号: 936563-96-1
产品类别: BTK
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
10 mM * 1 mL in DMSO
5mg
10mg
50mg
250mg
500mg
1g
2g
5g
10g
Other Sizes

Other Forms of Ibrutinib (PCI-32765):

  • 依鲁替尼外消旋体
  • Dihydrodiol-Ibrutinib-d5 (PCI-45227-d5)
  • 依鲁替尼 D5
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纯度/质量控制文件

纯度: ≥98%

产品描述
依鲁替尼(原 PCI32765;商品名 Imbruvica)是一种已批准的抗癌药物,是一种共价/不可逆且口服生物可利用的布鲁顿酪氨酸激酶 (Btk) 抑制剂,具有潜在的抗癌活性。它在无细胞测定中抑制 BTK,IC50 为 0.5 nM,并且对其他激酶(如 Bmx、CSK、FGR、BRK、HCK)表现出适度的效力,对 EGFR、Yes、ErbB2、JAK3 等的效力较低。11 月 13 日2013年,依鲁替尼被美国FDA批准用于治疗套细胞淋巴瘤。
生物活性&实验参考方法
靶点
BTK (IC50=0.5 nM)
体外研究 (In Vitro)
伊马替尼 (PCI-32765) 特异性抑制 B 细胞活性和信号传导。它可以防止 Btk (IC50=11 nM) 自身磷酸化、Btk 的生理底物 PLCγ (IC50=29 nM) 被磷酸化以及 ERK (IC50=13 nM)(更下游的激酶)被磷酸化[1]。伊马替尼 (PCI-32765) 抑制 BCR 激活的原代 B 细胞生长 (IC50=8 nM)。 Ibrutinib (PCI-32765) 在 FcγR 刺激后抑制原代单核细胞中 TNFα、IL-1β 和 IL-6 的产生(IC50 分别 = 2.6、0.5 和 3.9 nM)[3]。 Cysteine481 或 BTK 的 C481 与伊马替尼结合,最佳 IC50 为 0.5 nM。丝氨酸的羟基与伊马替尼不相容,C481S 突变将针对 BTK-C481S 磷酸化的 IC50 从 2.2 nM 提高至 1 μM[4]。
体内研究 (In Vivo)
在患有胶原诱导关节炎的小鼠中,依鲁替尼 (PCI-32765)(3.125-50 mg/kg,口服)完全抑制疾病并降低循环自身抗体的量。在 MRL-Fas(lpr) 狼疮模型中,伊马替尼 (PCI-32765) 可防止自身抗体的形成和肾脏疾病的进展。在 MRL-Fas(lpr) 小鼠中,依鲁替尼 (PCI-32765)(3.125–50 mg/kg,口服)可改善肾脏疾病和自身抗体的产生[1]。与 T 细胞相比,依鲁替尼 (PCI-32765) (0.1 μM) 选择性地对 B 细胞产生细胞毒作用,但它会改变活化 T 细胞产生的细胞因子。当它被激活时,它还能抑制 CLL 细胞的增殖。在治疗性 CIA 模型中,依鲁替尼 (PCI-32765) 的 ED50 为 2.6 mg/kg/天,可有效且剂量依赖性地逆转关节炎炎症。依鲁替尼 (PCI-32765) 还可在 CAIA 模型中预防临床关节炎[3]。
酶活实验
将激酶, 33P-ATP, Ibrutinib, 和底物 [0.2 mg/mL 聚(EY)(4:1)]一起温育1小时后,使用33P 过滤结合实验测量体外激酶IC50值。
b细胞受体(BCR)信号在慢性淋巴细胞白血病(CLL)中异常激活。布鲁顿酪氨酸激酶(BTK)对BCR信号传导至关重要,在敲除小鼠模型中,其突变具有相对的B细胞特异性表型。本研究表明,与正常B细胞相比,BTK蛋白和mRNA在CLL中显著过表达。尽管BTK在CLL细胞中并不总是具有组成性活性,但BCR或CD40信号传导伴随着该途径的有效激活。使用不可逆的BTK抑制剂Ibrutinib (PCI-32765),我们发现CLL细胞的适度凋亡大于正常B细胞。未观察到Ibrutinib (PCI-32765)对t细胞存活的影响。用Ibrutinib (PCI-32765)处理CD40或BCR活化的CLL细胞可抑制BTK酪氨酸磷酸化,并有效地消除由该激酶激活的下游生存途径,包括ERK1/2、PI3K和NF-κB。此外,Ibrutinib (PCI-32765)在体外抑制活化诱导的CLL细胞增殖,并有效阻断微环境向CLL细胞提供的生存信号,包括可溶性因子(CD40L、BAFF、IL-6、IL-4和TNF-α)、纤连蛋白结合和基质细胞接触。基于这些集体数据,未来在CLL患者的临床试验中,有必要使用不可逆抑制剂Ibrutinib (PCI-32765)靶向BTK。[3]
细胞实验
B和T细胞。CD20+B和CD3+T细胞通过阴性选择(RosetteSep,>90%纯度)从血沉棕黄层PBMC中纯化,并可在10%DMSO中冷冻。细胞在37°C下解冻,并保持在生长培养基(含有10%FCS的RPMI培养基)中。用山羊抗人IgM F(ab′)2(10μg/mL;Invitrogen)刺激B细胞,用1∶1珠/细胞比例的抗CD3/CD28包被珠(Dynabeads)刺激T细胞。用PE-CD69(BD Biosciences)对细胞进行染色,并通过流式细胞术对活淋巴细胞进行门控分析。尽管PCI-32765确实阻断了B细胞中抗IgM刺激的适度生存益处,但在实验过程中,浓度低于10μM的PCI-327650并没有降低B细胞或T细胞的生存能力。对于冲洗实验,在10体积的生长培养基中冲洗细胞三次,该方案被证实完全冲洗了可逆Btk抑制剂PCI-29732对BCR信号传导的抑制。[1]
动物实验
Arthritis and Lupus Models.[1]
Male DBA/1 mice were immunized with type II collagen plus Freund adjuvant and boosted 21 d later. On a rolling basis, as significant swelling appeared in at least one paw, mice were enrolled and randomized. Ibrutinib (PCI-32765) or dexamethasone (0.2 mg/kg) were administered orally once per day for 11 d. Arthritis scores (0–5) were assigned to the mice based on the degree and extent of paw swelling. Mouse anti–type II collagen antibody and total IgG levels were measured by ELISA (Chondrex and Bethyl). Female MRL/MpJ-Faslpr mice received Ibrutinib (PCI-32765) by oral gavage once per day from week 8 through week 20. Proteinuria was monitored weekly. At week 20, serum was collected and analyzed for BUN (IDEXX) and mouse anti-dsDNA antibody levels. Kidney histology was scored according to established criteria. No drug-induced weight loss was observed at any of the dose levels tested. These studies were carried out at Boulder Biopath according to approved animal care protocols. Results are presented as the mean ± SEM. Statistical significance between groups were evaluated with repeated measures one-way ANOVA or one-way ANOVA using GraphPad Prism with Tukey or Bonferroni multicomparison posttest.
Spontaneous Canine Lymphoma. [1]
Spontaneous canine lymphoma studies were conducted with approval from the Colorado State University Institutional Animal Care and Use Committee and the Colorado State University Veterinary Medical Teaching Hospital Clinical Review Board. Client-owned dogs presenting as patients to the Colorado State University Animal Cancer Center were enrolled with the following inclusion criteria: (i) confirmed histologic or cytologic diagnosis of B-cell lymphoma (immunohistochemistry or flow cytometry for CD21 and CD79a or PCR for monoclonal Ig gene rearrangement), (ii) adequate organ function as indicated by standard laboratory tests, and (iii) modified Eastern Cooperative Oncology Group performance status of 0 or 1 on d 0. Exclusion criteria were (i) T cell or null-cell immunophenotype, (ii) chemotherapy within 3 wk, (iii) radiation therapy within 6 wk, and (iv) corticosteroids within 72 h. Signed informed consent was obtained from all owners before study entry. Ibrutinib (PCI-32765) was administered daily until disease progression with 40 mg and 200 mg hard gelatin capsules prepared using standard pharmaceutically acceptable excipients. Animals were rechecked weekly for 4 wk and then biweekly thereafter. Tumor burden was defined as the sum of the longest diameters of all target lesions. Response (complete response/partial response/stable disease/progressive disease) was evaluated according to Veterinary Cooperative Oncology Group criteria for assessment of response in peripheral nodal lymphoma in dogs, an adaptation of published RECIST criteria. Adverse events were recorded and prospectively graded according to the Veterinary Cooperative Oncology Group Common Terminology for Adverse Events, version 1.0. For pharmacodynamic analysis, blood was collected in CPT tubes and PBMCs purified using standard techniques. PBMC pellets were snap-frozen and stored at −80 °C. Tumor biopsies were stored at −80 °C and subsequently pulverized in PBS solution before analysis. PBMCs or tumor cells were lysed and 50 μg of soluble protein was labeled with PCI-33880 as described earlier.
Male DBA1/1OlaHsd mice are injected on days 0 and 21 with Freunds' Complete Adjuvant containing bovine type II collagen. On days 21 to 35, mice are randomized into treatment groups when the average clinical score of each animal is 1.5 (in a scale of 5). Ibrutinib (PCI-32765) treatment (1.56-12.5 mg/kg, p.o.) is initiated following enrollment and continues for 18 days. Clinical scores are given to each mouse daily for each paw. Clinical score assessment is made using the following criteria: 0=normal; 1=one hind paw or fore paw joint affected or minimal diffuse erythema and swelling; 2=two hind or fore paw joints affected or mild diffuse erythema and swelling; 3=three hind or fore paw joints affected or moderate diffuse erythema and swelling; 4=marked diffuse erythema and swelling or four digit joints affected; 5=severe diffuse erythema and severe swelling of entire paw, unable to flex digits.[3]
The aim was to determine the effect of the Bruton tyrosine kinase (Btk)-selective inhibitor Ibrutinib (PCI-32765), currently in Phase I/II studies in lymphoma trials, in arthritis and immune-complex (IC) based animal models and describe the underlying cellular mechanisms.[3]
Methods: Ibrutinib (PCI-32765) was administered in a series of murine IC disease models including collagen-induced arthritis (CIA), collagen antibody-induced arthritis (CAIA), reversed passive anaphylactic reaction (RPA), and passive cutaneous anaphylaxis (PCA). Clinical and pathologic features characteristic of each model were examined following treatment. PCI-32765 was then examined in assays using immune cells relevant to the pathogenesis of arthritis, and where Btk is thought to play a functional role. These included proliferation and calcium mobilization in B cells, cytokine and chemokine production in monocytes/macrophages, degranulation of mast cells and its subsequent cytokine/chemokine production.[3]
Results: Ibrutinib (PCI-32765) dose-dependently and potently reversed arthritic inflammation in a therapeutic CIA model with an ED(50) of 2.6 mg/kg/day. Ibrutinib (PCI-32765) also prevented clinical arthritis in CAIA models. In both models, infiltration of monocytes and macrophages into the synovium was completely inhibited and importantly, the bone and cartilage integrity of the joints were preserved. PCI-32765 reduced inflammation in the Arthus and PCA assays. In vitro, PCI-32765 inhibited BCR-activated primary B cell proliferation (IC(50) = 8 nM). Following FcγR stimulation, PCI-32765 inhibited TNFα, IL-1β and IL-6 production in primary monocytes (IC(50) = 2.6, 0.5, 3.9 nM, respectively). Following FcεRI stimulation of cultured human mast cells, PCI-32765 inhibited release of histamine, PGD(2), TNF-α, IL-8 and MCP-1.[3]
Conclusions: Ibrutinib (PCI-32765) is efficacious in CIA, and in IC models that do not depend upon autoantibody production from B cells. Thus PCI-32765 targets not only B lymphocytes but also monocytes, macrophages and mast cells, which are important Btk-expressing effector cells in arthritis.[3]
Formulations: find more details in the "Solubility (In Vivo)" section; 50 mg/kg; Oral gavage
Male 5-week-old BALB-nu/nu with HPAC cells
药代性质 (ADME/PK)
Absorption, Distribution and Excretion
Ibrutinib is rapidly absorbed after oral administration and it presents a Cmax, tmax and AUC of approximately 35 ng/ml, 1-2 hour and 953 mg.h/ml respectively.
The cumulative excretion of ibrutinib in urine is of about 7.8% of the administered dose and most of this excretion is found during the first 24 hours after administration. In feces, the cumulative excretion accounts for 80% of the administered dose and the excretion occurs within 48 hours of the initial administration. The total excretion of ibrutinib during the first 168 hours after initial administration accounts for 88.5% of the administered dose.
The volume of distribution at steady-state of ibrutinib is in approximately 10,000 L.
In patients with normal renal function, the clearance rate is in the range of 112-159 ml/min.
Metabolism / Metabolites
Three metabolic pathways have been identified according to the possible metabolites. These pathways are the hydroxylation of the phenyl group (M35), the opening of the piperidine with a reduction of the primary alcohol (M34) and the oxidation to a carboxylic acid and epoxidation of the ethylene followed by a hydrolysis to the formation of dihydrodiol (PCI-45227). The latter metabolite presents also 15 times lower inhibitory activity against BTK. The metabolism of ibrutinib is mainly performed by CYP3A5 and CYP3A4. and in a minor extent it is seen to be performed by CYP2D6.
Since 2014, Ibrutinib has been available as a new drug for the treatment of leukemic diseases. Ibrutinib (Imbruvica) is metabolized in the liver mainly by the isoenzyme CYP3A4 and to a minor extent by CYP2D6. Simultaneous application of Imbruvica and consumption of foods containing secondary metabolites strongly inhibiting the CYP3A4 isoform, could significantly influence the toxicity of this drug. This article references the respective foods.
Biological Half-Life
The elimination half-life of ibrutinib is of approximately 4-6 hours.
毒性/毒理 (Toxicokinetics/TK)
Toxicity Summary
IDENTIFICATION AND USE: Ibrutinib is an oral tyrosine kinase inhibitor that irreversibly binds and inhibits tyrosine-protein kinase BTK (Bruton tyrosine kinase). BTK is important in the function of B-cell receptor signaling and therefore in the maintenance and expansion of various B-cell malignancies. Targeting BTK with ibrutinib is an effective strategy in treating these malignancies. Ibrutinib, marketed as Imbruvica, is indicated for the treatment of patients with mantle cell lymphoma (MCL) or chronic lymphocytic leukemia (CLL) who have received at least one prior therapy. It is also indicated for the treatment of patients with chronic lymphocytic leukemia (CLL) with 17p deletion and patients with Waldenstrom's macroglobulinemia (WM). HUMAN EXPOSURE AND TOXICITY: Studies in humans have shown that ibrutinib may enhance chemoimmunotherapy efficacy without additive toxicities. Ibrutinib is cytotoxic to malignant plasma cells from patients with multiple myeloma (MM) and furthermore treatment with ibrutinib significantly augments the cytotoxic activity of bortezomib and lenalidomide chemotherapies. Hypersensitivity reactions including anaphylactic shock (fatal), urticaria, and angioedema have been reported. The outcome of patients with MCL who experience disease progression following ibrutinib therapy is poor, with both low response rates to salvage therapy and short duration of responses. ibrutinib inhibited the proliferation and induced apoptosis of Germinal center B-cell like diffuse large B-cell lymphoma (GCB-DLBCL) cell lines through suppression of BCR signaling pathway and activation of caspase-3. Furthermore, the chemokines CCL3 and CCL4 production from tumor cells were also found to be attenuated by ibrutinib treatment. Different cell lines exhibited distinct sensitivity after ibrutinib treatment. Interestingly, the decreasing level of p-ERK after ibrutinib treatment, but not the basal expression level of Btk, correlated with different drug sensitivity. Ibrutinib could be a potentially useful therapy for GCB-DLBCL and the decreasing level of p-ERK could become a useful biomarker to predict related therapeutic response. Ibrutinib is well tolerated when added to R-CHOP (chemotherapy named after the initials of the drugs used: rituximab, cyclophosphamide, doxorubicin (hydroxydaunomycin), vincristine (Oncovin ), prednisolone), and could improve responses in patients with B-cell non-Hodgkin lymphoma. ANIMAL STUDIES: Ibrutinib caused malformations in rats at exposures 14 times those reported in patients with MCL and 20 times those reported in patients with CLL or WM, receiving the ibrutinib dose of 560 mg per day and 420 mg per day, respectively. Reduced fetal weights were observed at lower exposures.
Hepatotoxicity
In the prelicensure clinical trials of ibrutinib in patients with CLL and mantle cell lymphoma, the rates of serum enzyme elevations during therapy were 20% to 30% but were similar to comparator arms, and elevations were generally mild (less than 5 times ULN) and self limited. In multiple controlled trials there were no reports of clinically apparent liver injury or need for early discontinuation because of hepatotoxicity. The major toxicities of ibrutinib resembled those of the tyrosine kinase receptor inhibitors and included hemorrhage and myelosuppression. While ibrutinib depressed peripheral lymphocyte counts and caused both lymphopenia and neutropenia, it has little effect on serum immunoglobulin levels and was not associated with reactivation of tuberculosis or opportunistic infections in prelicensure studies. Nevertheless, with approval and more widespread use of ibrutinib, rare cases of acute liver injury including acute liver failure and severe instances of reactivation of hepatitis B have been reported. The latency to onset of liver injury varied from several weeks to 9 months. The pattern of injury was hepatocellular, but the course was atypical of an acute hepatitis-like injury and more similar to acute hepatic necrosis with early onset of hepatic failure.
Likelihood score: D (possible rare cause of clinically apparent liver injury).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
No information is available on the clinical use of ibrutinib during breastfeeding. Because ibrutinib is more than 97% bound to plasma proteins, the amount in milk is likely to be low. The manufacturer recommends that breastfeeding be discontinued during ibrutinib therapy and for 1 week after the last dose.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
Relevant published information was not found as of the revision date.
Protein Binding
Irreversible plasma protein binding increases gradually over time and reaches 25% of the administered dose 8 hours after initial administration. From the plasma proteins, ibrutinib has been shown to be mainly bound to albumin and to bind to α1 AGP. The irreversible protein binding of ibrutinib to plasma proteins can account for 97.3% of the administered dose.
参考文献

[1]. The Bruton tyrosine kinase inhibitor PCI-32765 blocks B-cell activation and is efficacious in models of autoimmune disease and B-cell malignancy. Proc Natl Acad Sci U S A. 2010 Jul 20;107(29):13075-80.

[2]. Bruton tyrosine kinase represents a promising therapeutic target for treatment of chronic lymphocytic leukemia and is effectively targeted by PCI-32765. Blood. 2011 Jun 9;117(23):6287-96.

[3]. The Bruton tyrosine kinase inhibitor PCI-32765 ameliorates autoimmune arthritis by inhibition of multiple effector cells. Arthritis Res Ther. 2011 Jul 13;13(4):R115.

[4]. PROTAC-induced BTK degradation as a novel therapy for mutated BTK C481S induced ibrutinib-resistant B-cell malignancies. Cell Res. 2018 Jul;28(7):779-781.

其他信息
Therapeutic Uses
Ibrutinib is a novel oral tyrosine kinase inhibitor that irreversibly binds and inhibits tyrosine-protein kinase BTK (Bruton tyrosine kinase). BTK has been found to be important in the function of B-cell receptor signaling and therefore in the maintenance and expansion of various B-cell malignancies including chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). Targeting BTK with ibrutinib has been found to be an effective strategy in treating these malignancies. Phase I clinical testing in non-Hodgkin's lymphomas and CLL showed that the drug was extremely well tolerated with no major dose-limiting toxicities and a 54% overall response rate. Subsequently, two phase Ib/II studies were performed on patients with CLL, one in relapsed/refractory CLL and one in previously untreated elderly patients with CLL. Both of these studies continued to show good tolerability of the drug and an overall response rate of about 71% with extended duration of response. Another phase II study using ibrutinib in relapsed/refractory MCL was conducted and also showed that it was well tolerated with an overall response rate of 68% and extended duration of response. Due to these results, the U.S. Food and Drug Administration granted accelerated approval for ibrutinib in November 2013 for patients with MCL who had received at least one prior therapy and in February 2014 for patients with CLL who had received at least one prior therapy. This review will discuss the preclinical pharmacology, pharmacokinetics and clinical efficacy to date of ibrutinib in the treatment of CLL and MCL.
/CLINICAL TRIALS/ ClinicalTrials.gov is a registry and results database of publicly and privately supported clinical studies of human participants conducted around the world. The Web site is maintained by the National Library of Medicine (NLM) and the National Institutes of Health(NIH). Each ClinicalTrials.gov record presents summary information about a study protocol and includes the following: Disease or condition; Intervention (for example, the medical product, behavior, or procedure being studied); Title, description, and design of the study; Requirements for participation (eligibility criteria); Locations where the study is being conducted; Contact information for the study locations; and Links to relevant information on other health Web sites, such as NLM's MedlinePlus for patient health information and PubMed for citations and abstracts for scholarly articles in the field of medicine. Ibrutinib is included in the database.
Imbruvica is indicated for the treatment of patients with mantle cell lymphoma (MCL) who have received at least one prior therapy. Accelerated approval was granted for this indication based on overall response rate. Continued approval for this indication may be contingent upon verification of clinical benefit in confirmatory trials. /Included in US product label/
Imbruvica is indicated for the treatment of patients with chronic lymphocytic leukemia (CLL) who have received at least one prior therapy. /Included in US product label/
For more Therapeutic Uses (Complete) data for IBRUTINIB (7 total), please visit the HSDB record page.
Drug Warnings
Fatal and non-fatal infections have occurred with IMBRUVICA therapy. Grade 3 or greater infections occurred in 14% to 26% of patients. Cases of progressive multifocal leukoencephalopathy (PML) have occurred in patients treated with IMBRUVICA. Monitor patients for fever and infections and evaluate promptly.
Fatal bleeding events have occurred in patients treated with IMBRUVICA. Grade 3 or higher bleeding events (subdural hematoma, gastrointestinal bleeding, hematuria and post procedural hemorrhage) have occurred in up to 6% of patients. Bleeding events of any grade, including bruising and petechiae, occurred in approximately half of patients treated with IMBRUVICA. The mechanism for the bleeding events is not well understood. IMBRUVICA may increase the risk of hemorrhage in patients receiving antiplatelet or anticoagulant therapies. Consider the benefit-risk of withholding IMBRUVICA for at least 3 to 7 days pre and post-surgery depending upon the type of surgery and the risk of bleeding.
Treatment-emergent Grade 3 or 4 cytopenias including neutropenia (range, 19 to 29%), thrombocytopenia (range, 5 to 17%), and anemia (range, 0 to 9%) occurred in patients treated with IMBRUVICA. Monitor complete blood counts monthly.
Atrial fibrillation and atrial flutter (range, 6 to 9%) have occurred in patients treated with IMBRUVICA, particularly in patients with cardiac risk factors, acute infections, and a previous history of atrial fibrillation. Periodically monitor patients clinically for atrial fibrillation. Patients who develop arrhythmic symptoms (e.g., palpitations, lightheadedness) or new onset dyspnea should have an ECG performed. If atrial fibrillation persists, consider the risks and benefits of IMBRUVICA treatment and dose modification.
For more Drug Warnings (Complete) data for IBRUTINIB (8 total), please visit the HSDB record page.
Pharmacodynamics
In vitro studies have shown an induction of CLL cell apoptosis even in presence of prosurvival factors. It has also been reported an inhibition of CLL cell survival and proliferation as well as an impaired in cell migration and a reduction in the secretion of chemokines such as CCL3 and CCL4. The latter effect has been shown to produce regression in xenograft mouse models. Clinical studies for relapsed/refractory CLL in phase I and II showed an approximate 71% of overall response rate.. In the case of relapsed/refractory mantle cell lymphoma, approximately 70% of the tested patients presented a partial or complete response.. In clinical trials for relapsed/refractory diffuse large B-cell lymphoma, a partial response was found in between 15-20% of the patients studied; while for patients with relapsed/refractory Waldenstrom's macroglobulinemia, a partial response was observed in over 75% of the patients tested. Finally, for patients with relapsed/refractory follicular lymphoma, a partial to complete response was obtained in approximately 54% of the patients.
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C25H24N6O2
分子量
440.5
精确质量
440.196
元素分析
C, 68.17; H, 5.49; N, 19.08; O, 7.26
CAS号
936563-96-1
相关CAS号
Ibrutinib Racemate;936563-87-0;Ibrutinib-d5;1553977-17-5
PubChem CID
24821094
外观&性状
White to off-white solid powder
密度
1.3±0.1 g/cm3
沸点
715.0±60.0 °C at 760 mmHg
熔点
149-158ºC
闪点
386.2±32.9 °C
蒸汽压
0.0±2.3 mmHg at 25°C
折射率
1.696
LogP
2.92
tPSA
99.16
氢键供体(HBD)数目
1
氢键受体(HBA)数目
6
可旋转键数目(RBC)
5
重原子数目
33
分子复杂度/Complexity
678
定义原子立体中心数目
1
SMILES
NC1N=CN=C2N([C@@H]3CCCN(C(=O)C=C)C3)N=C(C=12)C1C=CC(OC2C=CC=CC=2)=CC=1
InChi Key
XYFPWWZEPKGCCK-GOSISDBHSA-N
InChi Code
InChI=1S/C25H24N6O2/c1-2-21(32)30-14-6-7-18(15-30)31-25-22(24(26)27-16-28-25)23(29-31)17-10-12-20(13-11-17)33-19-8-4-3-5-9-19/h2-5,8-13,16,18H,1,6-7,14-15H2,(H2,26,27,28)/t18-/m1/s1
化学名
(R)-1-(3-(4-amino-3-(4-phenoxyphenyl)-1H-pyrazolo[3,4-d]pyrimidin-1-yl)piperidin-1-yl)prop-2-en-1-one.
别名
PCI-32765; PCI-32765, Ibrutinib, PCI 32765, trade name: Imbruvica
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

注意: 本产品在运输和储存过程中需避光。
运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 88 mg/mL (199.8 mM)
Water:<1 mg/mL
Ethanol:<1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.75 mg/mL (6.24 mM) (饱和度未知) in 5% DMSO + 95% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.5 mg/mL (5.68 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL澄清DMSO储备液加入到400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

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配方 3 中的溶解度: 2.5 mg/mL (5.68 mM) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。


配方 4 中的溶解度: ≥ 2.5 mg/mL (5.68 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL 澄清 DMSO 储备液加入900 μL 玉米油中,混合均匀。

配方 5 中的溶解度: Formulation 1: ~10 mg/mL (23 mM) in 2% DMSO+Castor oil, 澄清溶液
Formulation 2: ≥ 2.5 mg/mL (5.7 mM) in 5% DMSO + 95% (20% SBE-β-CD in saline), 澄清溶液
Formulation 3: ≥ 2.5 mg/mL (5.7 mM) in 10% DMSO + 90% (20% SBE-β-CD in saline), 悬浮液
Formulation 4: ≥ 2.5 mg/mL (5.7 mM) in 10% DMSO + 40% PEG300 + 5% Tween80 + + 45% Saline, 澄清溶液
Formulation 5: ≥ 2.5 mg/mL (5.7 mM) in 10% DMSO + 90% Corn oil, 澄清溶液
Formulation 6: ~3.4 mg/mL (7.6 mM) in 0.5% MC+ 0.5% Tween-80, 悬浮液


配方 6 中的溶解度: 3.33 mg/mL (7.56 mM) in 0.5% MC 0.5% Tween-80 (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.2701 mL 11.3507 mL 22.7015 mL
5 mM 0.4540 mL 2.2701 mL 4.5403 mL
10 mM 0.2270 mL 1.1351 mL 2.2701 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Phase 1 Study of Ibrutinib and Immuno-Chemotherapy Using Temozolomide, Etoposide, Doxil, Dexamethasone, Ibrutinib,Rituximab (TEDDI-R) in Primary CNS Lymphoma
CTID: NCT02203526
Phase: Phase 1    Status: Recruiting
Date: 2024-12-02
Venetoclax, Ibrutinib, Prednisone, Obinutuzumab, and Revlimid (ViPOR) in Relapsed/Refractory B-cell Lymphoma
CTID: NCT03223610
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-12-02
A Study of Nemtabrutinib (MK-1026) Versus Comparator (Investigator's Choice of Ibrutinib or Acalabrutinib) in First Line (1L) Chronic Lymphocytic Leukemia (CLL)/ Small Lymphocytic Lymphoma (SLL) (MK-1026-011/BELLWAVE-011)
CTID: NCT06136559
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02
Ibrutinib and PD-1 Blockade in High Risk Lymphocytic Leukemia
CTID: NCT03514017
Phase: Phase 2    Status: Terminated
Date: 2024-11-29
Ibrutinib, Rituximab, Venetoclax, and Combination Chemotherapy in Treating Patients with Newly Diagnosed Mantle Cell Lymphoma
CTID: NCT03710772
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-27
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Testing the Combination of Venetoclax and Rituximab, in Comparison to the Usual Treatment (Ibrutinib and Rituximab) for Waldenstrom's Macroglobulinemia/Lymphoplasmacytic Lymphoma
CTID: NCT04840602
Phase: Phase 2    Status: Recruiting
Date: 2024-11-26


Temozolomide, Etoposide, Doxil, Dexamethasone, Ibrutinib, and Rituximab (TEDDI-R) in Aggressive B-cell Lymphomas With Secondary Involvement of the Central Nervous System (CNS)
CTID: NCT03964090
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-25
Venetoclax, Ibrutinib, Prednisone, Obinutuzumab, and Revlimid in Combination With Polatuzumab (ViPOR-P) in Relapsed/Refractory B-cell Lymphoma
CTID: NCT04739813
Phase: Phase 1    Status: Recruiting
Date: 2024-11-25
Ibrutinib With or Without Rituximab in Treating Patients With Relapsed Chronic Lymphocytic Leukemia
CTID: NCT02007044
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-20
Ibrutinib and Rituximab in Treating Patients With Relapsed or Refractory Mantle Cell Lymphoma or Older Patients With Newly Diagnosed Mantle Cell Lymphoma
CTID: NCT01880567
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-20
Study to Evaluate the Safety and Preliminary Efficacy of Ibrutinib and Pembrolizumab in Patients With Chronic Lymphocytic Leukemia (CLL) or Mantle Cell Lymphoma (MCL)
CTID: NCT03153202
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-19
Ibrutinib, Fludarabine Phosphate, Cyclophosphamide, and Obinutuzumab in Treating Patients with Chronic Lymphocytic Leukemia
CTID: NCT02629809
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-19
A Study of CA-4948 in Patients with Relapsed or Refractory Primary Central Nervous System Lymphoma
CTID: NCT03328078
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-18
A Phase I/Ib Safety and Efficacy Study of the PI3K-delta Inhibitor TGR-1202 and Ibrutinib in Patients With CLL or MCL
CTID: NCT02268851
Phase: Phase 1    Status: Completed
Date: 2024-11-15
Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma
CTID: NCT02443077
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-14
Ibrutinib With Rituximab and Lenalidomide for Patients With Recurrent/Refractory Primary or Secondary Central Nervous System Lymphoma (PCNSL/SCNSL)
CTID: NCT03703167
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-13
Bruton's Tyrosine Kinase (BTK) Inhibitor, Ibrutinib, in Patients With Newly Diagnosed or Refractory/Recurrent Primary Central Nervous System Lymphoma (PCNSL) and Refractory/Recurrent Secondary Central Nervous System Lymphoma (SCNSL)
CTID: NCT02315326
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-13
Ibrutinib and Rituximab Compared With Fludarabine Phosphate, Cyclophosphamide, and Rituximab in Treating Patients With Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
CTID: NCT02048813
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Rituximab and Bendamustine Hydrochloride, Rituximab and Ibrutinib, or Ibrutinib Alone in Treating Older Patients With Previously Untreated Chronic Lymphocytic Leukemia
CTID: NCT01886872
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Testing The Addition of a New Anti-cancer Drug, Venetoclax, to the Usual Treatment (Ibrutinib and Obinutuzumab) in Untreated, Older Patients With Chronic Lymphocytic Leukemia
CTID: NCT03737981
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-12
Ibrutinib Combination Therapy in Transplant Ineligible Individuals With Newly Diagnosed Primary CNS Lymphoma
CTID: NCT05998642
Phase: Phase 2    Status: Recruiting
Date: 2024-11-12
Assessing the Ability of Combination Treatment With Venetoclax to Permit Time Limited Therapy in Chronic Lymphocytic Leukemia
CTID: NCT03701282
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-12
Ibrutinib, Rituximab, Etoposide, Prednisone, Vincristine Sulfate, Cyclophosphamide, and Doxorubicin Hydrochloride in Treating Patients With HIV-Positive Stage II-IV Diffuse Large B-Cell Lymphomas
CTID: NCT03220022
Phase: Phase 1    Status: Recruiting
Date: 2024-11-12
Study Evaluating Safety and Efficacy of JCAR017 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL)
CTID: NCT03331198
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-07
A Study to Evaluate Adverse Events and Change in Disease Activity of Subcutaneous (SC) Epcoritamab in Combination With Oral and Intravenous Anti-Neoplastic Agents in Adult Participants With Non-Hodgkin Lymphoma
CTID: NCT05283720
Phase: Phase 2    Status: Recruiting
Date: 2024-11-05
Rollover Study to Provide Continued Treatment for Participants With B-Cell Malignancies Previously Enrolled in Studies of Parsaclisib (INCB050465)
CTID: NCT04509700
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-01
Study of Acalabrutinib (ACP-196) Versus Ibrutinib in Previously Treated Participants With High Risk Chronic Lymphocytic Leukemia (CLL)
CTID: NCT02477696
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-01
Venetoclax With Ibrutinib or Acalabrutinib in Pts. With High-risk CLL
CTID: NCT03128879
Phase: Phase 2    Status: Recruiting
Date: 2024-10-29
Evaluation of the Safety and Efficacy of the Association of Ibrutinib and Daratumumab in Relapsed/Refractory Chronic Lymphocytic Leukemia with P53 Dysfunction
CTID: NCT03734198
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-29
Rituximab, Lenalidomide, and Ibrutinib in Treating Patients With Previously Untreated Stage II-IV Follicular Lymphoma
CTID: NCT01829568
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-28
A Long-term Extension Study of PCI-32765 (Ibrutinib)
CTID: NCT01804686
Phase: Phase 3    Status: Enrolling by invitation
Date: 2024-10-26
A Study Comparing BGB-3111 and Ibrutinib in Participants With Waldenström's Macroglobulinemia (WM)
CTID: NCT03053440
Phase: Phase 3    Status: Completed
Date: 2024-10-26
A Study of Zanubrutinib (BGB-3111) Versus Ibrutinib in Participants With Relapsed/Refractory Chronic Lymphocytic Leukemia
CTID: NCT03734016
Phase: Phase 3    Status: Completed
Date: 2024-10-26
Ipilimumab, Ibrutinib, and Nivolumab for the Treatment of Chronic Lymphocytic Leukemia and Richter Transformation
CTID: NCT04781855
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-24
Ibrutinib in Treating Participants With Untreated High Risk Smoldering Mantle Cell Lymphoma
CTID: NCT03282396
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-24
A Study of the Combination of Ibrutinib Plus Venetoclax Versus Chlorambucil Plus Obinutuzumab for the First-line Treatment of Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
CTID: NCT03462719
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-24
Study of Ibrutinib in Combination With Revlimid/Dexamethasone in Relapsed/Refractory Multiple Myeloma
CTID: NCT03702725
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-23
Testing the Effectiveness of a Combination Targeted Therapy (ViPOR) for Patients With Relapsed and/or Refractory Aggressive B-cell Lymphoma
CTID: NCT06649812
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-21
Nivolumab and Ibrutinib in Treating Patients With Relapsed or Refractory Central Nervous System Lymphoma
CTID: NCT03770416
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-18
Pembrolizumab, Ibrutinib and Rituximab in PCNSL
CTID: NCT04421560
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-17
TLR9 Agonist SD-101, Ibrutinib, and Radiation Therapy in Treating Patients With Relapsed or Refractory Grade 1-3A Follicular Lymphoma
CTID: NCT02927964
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-10-16
Study of Ibrutinib + CD20 Antibody and Venetoclax in Patients With Untreated Mantle Cell Lymphoma
CTID: NCT04802590
Phase: Phase 2    Status: Recruiting
Date: 2024-10-15
A Study of Ibrutinib With Rituximab in Relapsed or Refractory Mantle Cell Lymphoma
CTID: NCT05564052
Phase: Phase 2    Status: Completed
Date: 2024-10-15
Benefits of Individual Physical Activity Intervention on Health-related Quality of Life in Participants With Chronic Lymphocytic Leukemia
CTID: NCT06299540
Phase:    Status: Recruiting
Date: 2024-10-10
A Study to Customize Ibrutinib Treatment Regimens for Participants With Previously Untreated Chronic Lymphocytic Leukemia
CTID: NCT05963074
Phase: Phase 2    Status: Recruiting
Date: 2024-10-10
Ibrutinib in Patients With Refractory/Relapsed Non-GCB Diffuse Large B-cell Lymphoma Non-candidates to ASCT
CTID: NCT02692248
Phase: Phase 2    Status: Completed
Date: 2024-10-10
Lenalidomide and Ibrutinib in Treating Patients With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma
CTID: NCT01955499
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-10
A Study of the MALT1 Inhibitor JNJ-67856633 and Ibrutinib in Combination in B-cell NHL and CLL
CTID: NCT04876092
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-09
Phase I/II Study of Rapcabtagene Autoleucel in CLL, 3L+ DLBCL, r/r ALL and 1L HR LBCL
CTID: NCT03960840
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-08
Ibrutinib in Treating Minimal Residual Disease in Patients with Chronic Lymphocytic Leukemia After Front-Line Therapy
CTID: NCT02649387
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-02
The Safety and Efficacy of Ibrutinib in Refractory/Relapsed Autoimmune Hemolytic Anemia
CTID: NCT04398459
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-25
Ibrutinib in Combination With Rituximab and Lenalidomide in Treating Patients With Previously Untreated, Stage II-IV Follicular Lymphoma or Marginal Zone Lymphoma
CTID: NCT02532257
Phase: Phase 2    Status: Completed
Date: 2024-09-24
Pevonedistat and Ibrutinib in Treating Participants With Relapsed or Refractory CLL or Non-Hodgkin Lymphoma
CTID: NCT03479268
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-23
Novel Combination Therapy in the Treatment of Relapsed and Refractory Aggressive B-Cell Lymphoma
CTID: NCT02436707
Phase: Phase 2    Status: Recruiting
Date: 2024-09-23
A Study of ABT-199 Plus Ibrutinib and Rituximab in Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma
CTID: NCT03136497
Phase: Phase 1    Status: Terminated
Date: 2024-09-23
Open-label Extension Study in Patients 65 Years or Older With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
CTID: NCT01724346
Phase: Phase 3    Status: Completed
Date: 2024-09-19
Daratumumab and Ibrutinib for the Treatment of Relapsed or Refractory Chronic Lymphocytic Leukemia, DIRECT Study
CTID: NCT04230304
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
VAY736 in Combination With Ibrutinib in Patients With CLL on Ibrutinib
CTID: NCT03400176
Phase: Phase 1    Status: Terminated
Date: 2024-09-19
Ibrutinib in Treating Patients With Refractory Metastatic Cutaneous Melanoma
CTID: NCT02581930
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Ibrutinib in Treating Patients With Relapsed or Refractory Follicular Lymphoma
CTID: NCT01849263
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Copanlisib with Ibrutinib for Patients with Recurrent/ Refractory Primary Central Nervous System Lymphoma (PCNSL)
CTID: NCT03581942
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Ibrutinib, Fludarabine, and Pembrolizumab in High-Risk or Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
CTID: NCT03204188
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
A Phase II Study Using Ibrutinib and Short-Course Fludarabine in Treatment-Naive CLL
CTID: NCT02514083
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
PCI-32765 for Special Cases of Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
CTID: NCT01500733
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Study of APG2575 Single Agent and Combination Therapy in Patients With Relapsed/Refractory CLL/SLL
CTID: NCT04494503
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-08-28
MALIBU Trial - Combination of Ibrutinib and Rituximab in Untreated Marginal Zone Lymphomas
CTID: NCT03697512
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-28
A Study of the Bruton's Tyrosine Kinase Inhibitor Ibrutinib Given in Combination With Bendamustine and Rituximab in Patients With Newly Diagnosed Mantle Cell Lymphoma
CTID: NCT01776840
Phase: Phase 3    Status: Completed
Date: 2024-08-28
A Study of Mavorixafor in Combination With Ibrutinib in Participants With Waldenstrom's Macroglobulinemia (WM) Whose Tumors Express Mutations in MYD88 and CXCR4
CTID: NCT04274738
Phase: Phase 1    Status: Completed
Date: 2024-08-27
Study of Ibrutinib and Rituximab in Treatment Naïve Follicular Lymphoma
CTID: NCT02947347
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-26
Ibrutinib for the Prevention of Chronic Graft-Versus-Host Disease in Patients Undergoing Donor Stem Cell Transplant
CTID: NCT06271616
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-08-23
Lenalidomide, Ibrutinib, and Rituximab in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma That Is Metastatic or Cannot Be Removed by Surgery
CTID: NCT02160015
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-19
Pembrolizumab and Ibrutinib in Treating Patients with Stage III-IV Melanoma That Cannot Be Removed by Surgery
CTID: NCT03021460
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-16
Ibrutinib and Ixazomib Citrate in Treating Newly Diagnosed, Relapsed or Refractory Waldenstrom Macroglobulinemia
CTID: NCT03506373
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-14
Genetically Risk-Stratified Venetoclax, Ibrutinib, Rituximab (± Navitoclax) in Relapsed/Refractory Mantle Cell Lymphoma
CTID: NCT05864742
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-12
A Study of PCI-32765 (Ibrutinib) in Combination With Either Bendamustine and Rituximab or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone in Participants With Previously Treated Indolent Non-Hodgkin Lymphoma
CTID: NCT01974440
Phase: Phase 3    Status: Completed
Date: 2024-08-09
Ibrutinib With Radiation and Temozolomide in Patients With Newly Diagnosed Glioblastoma
CTID: NCT03535350
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-06
Ibrutinib as Early Therapy in Chronic Lymphocytic Leukemia (CLL)
CTID: NCT03207555
Phase: Phase 2    Status: Completed
Date: 2024-08-06
Ibrutinib and Palbociclib in Treating Patients With Previously Treated Mantle Cell Lymphoma
CTID: NCT02159755
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-02
Epcoritamab Plus Ibrutinib for the Treatment of Relapsed or Refractory Aggressive B-Cell Non-Hodgkin Lymphoma
CTID: NCT06536049
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-08-02
Venetoclax and Ibrutinib in Treating Patients With Chronic or Small Lymphocytic Leukemia
CTID: NCT02756897
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-02
A Phase II Study of Ibrutinib Plus FCR in Previously Untreated, Younger Patients With Chronic Lymphocytic Leukemia
CTID: NCT02251548
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-31
A Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
CTID: NCT05254743
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-07-30
A Study of Ibrutinib + Obinutuzumab in Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia
CTID: NCT02537613
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-07-30
LOC-R01 Study of Lenalidomide and Ibrutinib in Association With Rituximab-Methotrexate Procarbazine Vincristin (R-MPV)
CTID: NCT04446962
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-07-29
A Study to Assess Safety of ImbruvicaTM in Indian Participants With Chronic Lymphocytic Leukemia or Mantle Cell Lymphoma Who Have Received at Least One Prior Therapy or Chronic Lymphocytic Leukemia With 17p Deletion
CTID: NCT03190330
Phase: Phase 4    Status: Completed
Date: 2024-07-23
A Study of Ibrutinib With Rituximab in People With Untreated Marginal Zone Lymphoma
CTID: NCT04212013
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-07-23
Chemo-immunotherapy Using Ibrutinib Plus Indoximod for Patients With Pediatric Brain Cancer
CTID: NCT05106296
Phase: Phase 1    Status: Recruiting
Date: 2024-07-09
Venetoclax With High-dose Ibrutinib for CLL Progressing on Single Agent Ibrutinib
CTID: NCT03422393
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-07-05
Ibrutinib in Treating Patients With Relapsed Hairy Cell Leukemia
CTID: NCT01841723
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-03
Front Line Ibrutinib Without Corticosteroids for Newly Diagnosed Chronic Graft-versus-Host Disease
CTID: NCT04294641
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-03
Study of Ibrutinib Combined With Venetoclax in Subjects With Mantle Cell Lymphoma (SYMPATICO)
CTID: NCT03112174
Phase: Phase 3    Status: Completed
Date: 2024-07-01
CAR-T-cell Treatment for Untreated High Risk MANtle Cell Lymphoma
CTID: NCT06482684
Phase: Phase 2    Status: Recruiting
Date: 2024-07-01
Venetoclax, Ibrutinib, Prednisone, Obinutuzumab, and Revlimid (VIPOR) for Diffuse Large B-cell Lymphoma Involving the Central Nervous System
CTID: NCT05211336
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-06-24
Extended Treatment Protocol for Subjects Continuing to Benefit From Ibrutinib.
CTID: NCT03229200
Phase: Phase 4    Status: Enrolling by invitation
Date: 2024-06-20
Lisocabtagene Maraleucel, Nivolumab and Ibrutinib for the Treatment of Richter's Transformation
CTID: NCT05672173
Phase: Phase 2    Status: Recruiting
Date: 2024-06-18
Study to Assess Change in Disease Activity and Adverse Events of Oral Venetoclax in Combination With Intravenous (IV) Obinutuzumab or Oral Ibrutinib in Adult Participants With Untreated Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
CTID: NCT05105841
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-06-18
ACY-1215 in Combination With BCR Pathway Inhibitors in Relapsed CLL
CTID: NCT02787369
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-06-11
Abexinostat and Ibrutinib in Diffuse Large B-cell Lymphoma and Mantle Cell Lymphoma
CTID: NCT03939182
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-06-10
Ibrutinib, Rituximab, and Consolidation Chemotherapy in Treating Young Patients With Newly Diagnosed Mantle Cell Lymphoma
CTID: NCT02427620
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-06-10
Ibrutinib + R-CHOP Followed by Ibrutinib Maintenance
CTID: NCT03731234
Phase: Phase 2    Status: Recruiting
Date: 2024-06-04
Ibrutinib and Blinatumomab in Treating Patients With Relapsed or Refractory B Acute Lymphoblastic Leukemia
CTID: NCT02997761
Phase: Phase 2    Status: Recruiting
Date: 2024-05-29
Ib
A Phase 3 Open-Label, Randomized Study of LOXO-305 versus Investigator Choice of BTK Inhibitor in Patients with Previously Treated BTK Inhibitor Naïve Mantle Cell Lymphoma (BRUIN MCL-321)
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Completed
Date: 2021-07-14
A phase 3 multicentre, randomized, prospective, open-label trial of Ibrutinib monotherapy versus fixed-duration Venetoclax plus Obinutuzumab versus fixed-duration Venetoclax plus Ibrutinib in patients with previously untreated chronic lymphocytic leukaemia (CLL)
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2021-06-11
Fixed-duration therapy with ibrutinib and obinutuzumab (GA-101) in treatment-naïve patients with CLL
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-06-04
A randomized phase II trial evaluating Ibrutinib plus CD20 Ab and Ibrutinib-Venetoclax plus CD20 Ab in patients with untreated mantle cell lymphoma
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-05-11
Efficacy and safety of Carfilzomib in combination with Ibrutinib vs. Ibrutinib alone in Waldenström’s Macroglobulinemia
CTID: null
Phase: Phase 2    Status: Trial now transitioned, Prematurely Ended, Ongoing
Date: 2020-12-15
First line treatment with VeNEtoclaX and ibruTinib induction followed by obinutuzumab intenSificaTion Exclusively in CLL/SLL Patients not in complete remission and/or with detectable bone marrow minimal residual disease (NEXT STEP trial)
CTID: null
Phase: Phase 2    Status: Trial now transitioned, Ongoing
Date: 2020-10-01
A Prospective, Open-Label, Single Arm, Phase 2, Multi-Center Study Evaluating the Efficacy of Venetoclax Plus Ibrutinib in Subjects with T-cell Prolymphocytic Leukemia
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA, Completed
Date: 2020-07-01
Phase I/II, open label, multicenter study of rapcabtagene autoleucel in
CTID: null
Phase: Phase 1, Phase 2    Status: Trial now transitioned
Date: 2020-04-07
Extended treatment protocol for subjects continuing to benefit from ibrutinib after completion of ibrutinib clinical trials
CTID: null
Phase: Phase 4    Status: Ongoing, Trial now transitioned, GB - no longer in EU/EEA, Completed
Date: 2020-03-11
MALIBU trial - Phase II study of combination ibrutinib and rituximab in untreated marginal zone lymphomas
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2020-01-27
Randomised phase II/III study of Rituximab and Ibrutinib (RI) versus Dexamethasone, Rituximab and Cyclophosphamide (DRC) as initial therapy for Waldenström's macroglobulinaemia
CTID: null
Phase: Phase 2, Phase 3    Status: GB - no longer in EU/EEA
Date: 2019-11-05
Efficacy of first line Bortezomib, Rituximab, Ibrutinib (B-RI) for patients with treatment naive Waldenström’s Macroglobulinemia
CTID: null
Phase: Phase 2    Status: Trial now transitioned, Ongoing
Date: 2019-04-12
Phase II multicenter single arm study to evaluate the efficacy and safety of ibrutinib in combination to rituximab-CHOP followed by ibrutinib maintenance
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2019-02-07
Phase 1/2 Dose Finding, Safety and Efficacy Study of Ibrutinib in Pediatric Subjects with Chronic Graft Versus Host Disease (cGVHD)
CTID: null
Phase: Phase 2    Status: Trial now transitioned, GB - no longer in EU/EEA, Prematurely Ended, Ongoing
Date: 2019-02-07
A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of Loncastuximab Tesirine and Ibrutinib in Patients with Advanced Diffuse Large B-Cell Lymphoma or Mantle Cell Lymphoma (LOTIS-3)
CTID: null
Phase: Phase 1, Phase 2    Status: GB - no longer in EU/EEA, Completed
Date: 2018-12-11
Tisagenlecleucel versus standard of care in adult patients with relapsed or refractory aggressive B-cell non-Hodgkin lymphoma: A randomized, open label, phase III trial (BELINDA)
CTID: null
Phase: Phase 3    Status: Completed, Trial now transitioned, GB - no longer in EU/EEA, Ongoing
Date: 2018-11-22
A Phase 3, Randomized Study of Zanubrutinib (BGB-3111) Compared with Ibrutinib in Patients with Relapsed/Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Completed
Date: 2018-11-07
Clonal evolution in progressive CLL patients harboring subclonal TP53 aberrations treated with ibrutinib first-line
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2018-07-12
An Open-Label Phase 1/2 Study of INCB039110 in Combination With Ibrutinib in Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
CTID: null
Phase: Phase 1, Phase 2    Status: Ongoing, GB - no longer in EU/EEA, Completed
Date: 2018-06-25
A Randomized, Open-label, Phase 3 study of the Combination of Ibrutinib plus Venetoclax versus Chlorambucil plus Obinutuzumab for the First-line Treatment of Subjects with Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
CTID: null
Phase: Phase 3    Status: Trial now transitioned, GB - no longer in EU/EEA, Ongoing
Date: 2018-06-04
Ibrutinib and Standard Immuno-Chemotherapy (R-CHOEP-14) In Younger, High-Risk Patients with Diffuse Large B-Cell Lymphoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2018-03-22
Combination of ibrutinib and bortezomib followed by ibrutinib maintenance to treat patients with relapsed and refractory mantle cell lymphoma;
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-11-23
Phase 3 Study of Ibrutinib in Combination with Venetoclax in Subjects with Mantle Cell Lymphoma
CTID: null
Phase: Phase 3    Status: Ongoing, GB - no longer in EU/EEA, Completed
Date: 2017-10-10
A multicenter, non-randomized, open label study to evaluate the efficacy and security of Ibrutinib followed by ofatumumab consolidation in previously untreated patients with Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL)
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2017-07-13
A prospective, multicenter, phase-II trial of ibrutinib plus venetoclax in patients with creatinine clearance ≥ 30 ml/min who have relapsed or refractory chronic lymphocytic leukemia (RR-CLL) with or without TP53 aberrations
CTID: null
Phase: Phase 2    Status: Trial now transitioned, Ongoing
Date: 2017-05-18
A Randomized, Double-Blind Phase 3 Study of Ibrutinib in Combination With Corticosteroids versus Placebo in Combination With Corticosteroids in Subjects with New Onset Chronic Graft Versus Host Disease (cGVHD)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-04-18
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase 3 Study of the Bruton’s Tyrosine Kinase (BTK) Inhibitor, Ibrutinib, in Combination with Rituximab versus Placebo in Combination with Rituximab in Treatment Naïve Subjects with Follicular Lymphoma
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing, GB - no longer in EU/EEA
Date: 2017-04-12
Phase 2 study of the combination of ibrutinib plus venetoclaxlse if(down_display === 'none' || down_display === '') { icon_angle_up.style.display = 'none'; icon_

生物数据图片
  • Selective irreversible targeting of Btk.Proc Natl Acad Sci U S A. 2010 Jul 20;107(29):13075-80.
  • Inhibition of B-cell receptor signaling.Proc Natl Acad Sci U S A. 2010 Jul 20;107(29):13075-80.
  • Btk inhibition by PCI-32765 inhibits collagen-induced arthritis in mice. Proc Natl Acad Sci U S A. 2010 Jul 20;107(29):13075-80.
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