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Rilzabrutinib

From Wikipedia, the free encyclopedia
Medication

Pharmaceutical compound
Rilzabrutinib
Clinical data
Trade namesWayrilz
Other namesPRN-1008
AHFS/Drugs.comWayrilz
License data
Routes of
administration
By mouth
Drug classAntineoplastic
ATC code
  • None
Legal status
Legal status
Identifiers
  • (E)-2-[(3R)-3-[4-amino-3-(2-fluoro-4-phenoxyphenyl)pyrazolo[3,4-d]pyrimidin-1-yl]piperidine-1-carbonyl]-4-methyl-4-[4-(oxetan-3-yl)piperazin-1-yl]pent-2-enenitrile
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
Chemical and physical data
FormulaC36H40FN9O3
Molar mass665.774 g·mol−1
3D model (JSmol)
  • CC(C)(/C=C(\C#N)/C(=O)N1CCC[C@H](C1)N2C3=NC=NC(=C3C(=N2)C4=C(C=C(C=C4)OC5=CC=CC=C5)F)N)N6CCN(CC6)C7COC7
  • InChI=1S/C36H40FN9O3/c1-36(2,45-15-13-43(14-16-45)26-21-48-22-26)18-24(19-38)35(47)44-12-6-7-25(20-44)46-34-31(33(39)40-23-41-34)32(42-46)29-11-10-28(17-30(29)37)49-27-8-4-3-5-9-27/h3-5,8-11,17-18,23,25-26H,6-7,12-16,20-22H2,1-2H3,(H2,39,40,41)/b24-18+/t25-/m1/s1
  • Key:LCFFREMLXLZNHE-GBOLQPHISA-N

Rilzabrutinib, sold under the brand nameWayrilz, is ananti-cancer medication used for the treatment ofimmune thrombocytopenia.[1] Rilzabrutinib is atyrosine kinase inhibitor.[1] It is takenby mouth.[1]

Rilzabrutinib may increase the risk of serious infections (including bacterial, viral, or fungal).[2] The most common side effects include diarrhea, nausea, headache, abdominal pain, and COVID-19.[2]

Rilzabrutinib was approved for medical use in the United States in August 2025.[2]

Medical uses

[edit]

Rilzabrutinib isindicated for the treatment of adults with persistent or chronicimmune thrombocytopenia who have had an insufficient response to a previous treatment.[1][2]

History

[edit]

The safety and efficacy of rilzabrutinib was evaluated in a 24-week, double-blind, parallel-group study looking at durable platelet response (i.e., an increased number of platelets from baseline lasting the majority of the last twelve weeks of the treatment period).[2] In this study, 202 participants were randomly assigned to either the rilzabrutinib group (133) or placebo group (69).[2] During the 24-week treatment period, 31 (23%) participants in the rilzabrutinib group and no participants in placebo group achieved a sufficient and durable platelet count response, as determined by the study.[2]

Society and culture

[edit]

Legal status

[edit]

Rilzabrutinib was approved for medical use in the United States in August 2025.[3]

In October 2025, theCommittee for Medicinal Products for Human Use of theEuropean Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Wayrilz, intended for the treatment of immune thrombocytopenia in adults who are refractory to other treatments. The applicant for this medicinal product is Sanofi B.V.[4]

Names

[edit]

Rilzabrutinib is theinternational nonproprietary name.[5]

Rilzabrutinib is sold under the brand name Wayrilz.[2]

Research

[edit]

Rilzabrutinib is an oral, reversible covalent inhibitor ofBruton's tyrosine kinase, that may increaseplatelet counts in people withimmune thrombocytopenia by means of dual mechanisms of action: decreasedmacrophage (Fcγ receptor)–mediated platelet destruction and reduced production of pathogenicautoantibodies.[6]

References

[edit]
  1. ^abcdehttps://www.accessdata.fda.gov/drugsatfda_docs/label/2025/219685s000lbl.pdf
  2. ^abcdefgh"FDA Approves Drug to Treat Adults with Persistent or Chronic Immune Thrombocytopenia".U.S. Food and Drug Administration. 2 September 2025. Retrieved5 September 2025.Public Domain This article incorporates text from this source, which is in thepublic domain.
  3. ^"Press Release: Sanofi's Wayrilz approved in US as first BTK inhibitor for immune thrombocytopenia" (Press release). Sanofi. 29 August 2025. Retrieved5 September 2025 – via GlobeNewswire.
  4. ^"Wayrilz EPAR".European Medicines Agency (EMA). 17 October 2025. Retrieved27 October 2025. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  5. ^World Health Organization (2020). "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 83".WHO Drug Information.34 (1).hdl:10665/339768.
  6. ^Kuter DJ, Efraim M, Mayer J, Trněný M, McDonald V, Bird R, et al. (April 2022). "Rilzabrutinib, an Oral BTK Inhibitor, in Immune Thrombocytopenia".The New England Journal of Medicine.386 (15):1421–1431.doi:10.1056/NEJMoa2110297.PMID 35417637.

External links

[edit]
CImonoclonal antibodies ("-mab")
Receptor tyrosine kinase
Others for solid tumors
Leukemia/lymphoma
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Tyrosine kinase inhibitors ("-nib")
Receptor tyrosine kinase
Non-receptor
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