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Published in: Drugs 4/2021

01-03-2021 | Lymphoma | AdisInsight Report

Orelabrutinib: First Approval

Author: Sohita Dhillon

Published in: Drugs | Issue 4/2021

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Abstract

Dysregulation of Bruton's tyrosine kinase (BTK) signalling has been linked to various B cell malignancies and autoimmune diseases. Orelabrutinib (宜诺凯®) is an orally administered, potent, irreversible and highly selective BTK-inhibitor being developed by InnoCare Pharma for the treatment of B cell malignancies and autoimmune diseases. In December 2020, orelabrutinib received its first approval in China for the treatment of patients with mantle cell lymphoma (MCL) or chronic lymphocytic leukaemia (CLL)/small lymphocytic lymphoma (SLL), who have received at least one treatment in the past. Clinical development of orelabrutinib for various indications is underway in the USA and China. This article summarizes the milestones in the development of orelabrutinib leading to this first approval.
Literature
1.
go back to reference Vargas L, Hamasy A, Nore BF, et al. Inhibitors of BTK and ITK: state of the new drugs for cancer, autoimmunity and inflammatory diseases. Scand J Immunol. 2013;78(2):130–9.CrossRef Vargas L, Hamasy A, Nore BF, et al. Inhibitors of BTK and ITK: state of the new drugs for cancer, autoimmunity and inflammatory diseases. Scand J Immunol. 2013;78(2):130–9.CrossRef
2.
go back to reference Lorenzo-Vizcaya A, Fasano S, Isenberg DA. Bruton’s tyrosine kinase inhibitors: a new therapeutic target for the treatment of SLE? Immunotargets Ther. 2020;9:105–10.CrossRef Lorenzo-Vizcaya A, Fasano S, Isenberg DA. Bruton’s tyrosine kinase inhibitors: a new therapeutic target for the treatment of SLE? Immunotargets Ther. 2020;9:105–10.CrossRef
3.
go back to reference Pal Singh S, Dammeijer F, Hendriks RW. Role of Bruton’s tyrosine kinase in B cells and malignancies. Mol Cancer. 2018;17(1):57.CrossRef Pal Singh S, Dammeijer F, Hendriks RW. Role of Bruton’s tyrosine kinase in B cells and malignancies. Mol Cancer. 2018;17(1):57.CrossRef
4.
go back to reference Zarrin AA, Bao K, Lupardus P, et al. Kinase inhibition in autoimmunity and inflammation. Nat Rev Drug Discov. 2021;20(1):39–63.CrossRef Zarrin AA, Bao K, Lupardus P, et al. Kinase inhibition in autoimmunity and inflammation. Nat Rev Drug Discov. 2021;20(1):39–63.CrossRef
5.
go back to reference Shaw ML. Second-generation BTK inhibitors hit the treatment bullseye with fewer off-target effects. Am J Manag Care. 2020;26(7 Spec No.):SP226–7. Shaw ML. Second-generation BTK inhibitors hit the treatment bullseye with fewer off-target effects. Am J Manag Care. 2020;26(7 Spec No.):SP226–7.
7.
go back to reference InnoCare Pharma Ltd. Orelabrutinib: Chinese prescribing information. Beijing: Innocare Pharma Ltd.; 2021. InnoCare Pharma Ltd. Orelabrutinib: Chinese prescribing information. Beijing: Innocare Pharma Ltd.; 2021.
8.
go back to reference Zhang B, Zhao R, Liang R, et al. Orelabrutinib, a potent and selective Bruton's tyrosine kinase inhibitor with superior safety profile and excellent PK/PD properties [abstract no. CT132]. In: Proceedings American Association for Cancer Research Annual Meeting. 2020. Zhang B, Zhao R, Liang R, et al. Orelabrutinib, a potent and selective Bruton's tyrosine kinase inhibitor with superior safety profile and excellent PK/PD properties [abstract no. CT132]. In: Proceedings American Association for Cancer Research Annual Meeting. 2020.
9.
go back to reference Song Y, Liu L, Zhang M, et al. Safety and efficacy of orelabrutinib monotherapy in Chinese patients with relapsed or refractory mantle cell lymphoma: a multicenter, open-label, phase II study [abstract no. 755]. Blood 2019;134(Suppl. 1). Song Y, Liu L, Zhang M, et al. Safety and efficacy of orelabrutinib monotherapy in Chinese patients with relapsed or refractory mantle cell lymphoma: a multicenter, open-label, phase II study [abstract no. 755]. Blood 2019;134(Suppl. 1).
10.
go back to reference Song Y, Song Y, Liu L, et al. Long-term safety and efficacy of orelabrutinib monotherapy in Chinese patients with relapsed or refractory mantle cell lymphoma: a multicenter, open-label, phase II study [abstract]. Blood. 2020;136(Suppl. 1):1.CrossRef Song Y, Song Y, Liu L, et al. Long-term safety and efficacy of orelabrutinib monotherapy in Chinese patients with relapsed or refractory mantle cell lymphoma: a multicenter, open-label, phase II study [abstract]. Blood. 2020;136(Suppl. 1):1.CrossRef
11.
go back to reference Xu W, Song Y, Li Z, et al. Safety, tolerability and efficacy of orelabrutinib, once a day, to treat Chinese patients with relapsed or refractory chronic lymphocytic leukemia/small cell leukemia [abstract]. Blood. 2019;134(Suppl. 1):4319. Xu W, Song Y, Li Z, et al. Safety, tolerability and efficacy of orelabrutinib, once a day, to treat Chinese patients with relapsed or refractory chronic lymphocytic leukemia/small cell leukemia [abstract]. Blood. 2019;134(Suppl. 1):4319.
12.
go back to reference Xu W, Song Y, Wang T, et al. Updated results from the phase II study of orelabrutinib monotherapy in Chinese patients with relapsed or refractory chronic lymphocytic leukemia/ small cell leukemia [abstract]. Blood. 2020;136(Suppl. 1):26–7.CrossRef Xu W, Song Y, Wang T, et al. Updated results from the phase II study of orelabrutinib monotherapy in Chinese patients with relapsed or refractory chronic lymphocytic leukemia/ small cell leukemia [abstract]. Blood. 2020;136(Suppl. 1):26–7.CrossRef
13.
go back to reference Song Y, Xu W, Liu L, et al. Pooled analysis of safety data from clinical trials of orelabrutinib monotherapy in hematologic malignancies [abstract]. Blood. 2020;136(Suppl. 1):43.CrossRef Song Y, Xu W, Liu L, et al. Pooled analysis of safety data from clinical trials of orelabrutinib monotherapy in hematologic malignancies [abstract]. Blood. 2020;136(Suppl. 1):43.CrossRef
Metadata
Title
Orelabrutinib: First Approval
Author
Sohita Dhillon
Publication date
01-03-2021
Publisher
Springer International Publishing
Published in
Drugs / Issue 4/2021
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.1007/s40265-021-01482-5

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