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pp 1–7 | Cite as

Zanubrutinib: First Approval

  • Yahiya Y. SyedEmail author
AdisInsight Report

Abstract

Zanubrutinib (Brukinsa®), an orally-administered Bruton tyrosine kinase (BTK) inhibitor, is being developed by BeiGene for the treatment of B-cell malignancies. Zanubrutinib received accelerated approval in the USA on 14 November 2019 for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy, based on overall response rate (ORR) seen in phase II and I/II clinical trials. This article summarizes the milestones in the development of zanubrutinib leading to this first approval for the treatment of MCL.

Notes

Compliance with Ethical Standards

Funding

The preparation of this review was not supported by any external funding.

Conflict of interest

During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the authors on the basis of scientific completeness and accuracy. Yahiya Syed is a salaried employee of Adis International Ltd/Springer Nature, is responsible for the article content and declares no relevant conflicts of interest.

References

  1. 1.
    Tam CS, Trotman J, Opat S, et al. Phase 1 study of the selective BTK inhibitor zanubrutinib in B-cell malignancies and safety and efficacy evaluation in CLL. Blood. 2019;134(11):851–9.CrossRefGoogle Scholar
  2. 2.
    Rickert RC. New insights into pre-BCR and BCR signalling with relevance to B cell malignancies. Nat Rev Immunol. 2013;13(8):578–91.CrossRefGoogle Scholar
  3. 3.
    BeiGene. Brukinsa™ (zanubrutinib) capsules, for oral use: US Prescribing Information; 2019. https://www.brukinsa.com. Accessed 10 Dec 2019.
  4. 4.
    Dimopoulos M, Opat S, Lee HP, et al. Major responses in Myd88 wildtype (Myd88wt) Waldenstrom macroglobulinemia (WM) patients treated with Bruton tyrosine kinase (BTK) inhibitor zanubrutinib (BGB-3111) [abstract no. PF487]. HemaSphere. 2019;3:196.CrossRefGoogle Scholar
  5. 5.
    BeiGene. BeiGene announces plan to pursue accelerated approval in the U.S. of BTK inhibitor zanubrutinib in Waldenstrm macroglobulinemia (WM) [media release]; 22 Jul 2018. http://www.beigene.com.
  6. 6.
    BieGene. BieGene Ltd. Form 10-K (28 February 2019); 2019. http://ir.beigene.com. Accessed 10 Dec 2019.
  7. 7.
    Catalent. Catalent to supply BeiGene’s BTK inhibitor BRUKINSA™ (zanubrutinib) [media release]. 21 Nov 2019. http://www.catalent.com.
  8. 8.
    Li CJ, Jiang C, Liu Y, et al. Pleiotropic action of novel Bruton’s tyrosine kinase inhibitor BGB-3111 in mantle cell lymphoma. Mol Cancer Ther. 2019;18(2):267–77.PubMedGoogle Scholar
  9. 9.
    Flinsenberg TWH, Tromedjo CC, Hu N, et al. Differential effects of BTK inhibitors ibrutinib and zanubrutinib on NK cell effector function in patients with mantle cell lymphoma. Haematologica. 2019.  https://doi.org/10.3324/haematol.2019.220590.CrossRefPubMedGoogle Scholar
  10. 10.
    Tarantelli C, Zhang L, Curti E, et al. The Bruton tyrosine kinase inhibitor zanubrutinib (BGB-3111) demonstrated synergies with other anti-lymphoma targeted agents. Haematologica. 2019;104(7):e307–9.CrossRefGoogle Scholar
  11. 11.
    Hu N, Zhang S, He M, et al. BTK inhibitor BGB-3111 synergizes with lenalidomide in MCL models. Cancer Res. 2016;76:3.CrossRefGoogle Scholar
  12. 12.
    Zou YX, Zhu HY, Li XT, et al. The impacts of zanubrutinib on immune cells in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma. Hematol Oncol. 2019;37(4):392–400.CrossRefGoogle Scholar
  13. 13.
    Zhu J, Li J, Zhou J, et al. BGB-3111, a highly specific BTK inhibitor, is well tolerated and highly active in Chinese patients with relapsed/refractory B-cell malignancies: initial report of a phase 1 trial in China [abstract]. Blood. 2017;130(Suppl 1).Google Scholar
  14. 14.
    Song Y, Zhou K, Zou D, et al. Zanubrutinib in patients with relapsed/refractory mantle cell lymphoma [abstract no. 015]. Hematol Oncol. 2019;37(Suppl 2):45–6.CrossRefGoogle Scholar
  15. 15.
    Tam CS, Wang M, Simpson D, et al. Updated safety and efficacy data in the phase 1 trial of patients with mantle cell lymphoma (MCL) treated with bruton tyrosine kinase (BTK) inhibitor zanubrutinib (BGB-3111) [abstract no. 191]. Hematol Oncol. 2019;37(Suppl 2):245–7.CrossRefGoogle Scholar
  16. 16.
    Trotman J, Opat S, Marlton P, et al. Updated safety and efficacy data in a phase 1/2 trial of patients with Waldenstrom macroglobulinaemia (WM) treated with the Bruton tyrosine kinase (BTK) inhibitor zanubrutinib (BGB-3111) [abstract no. PF481]. HemaSphere. 2019;3:192–3.CrossRefGoogle Scholar
  17. 17.
    Trotman J, Tam CS, Marlton P, et al. Improved depth of response with increased follow-up for patients (PTS) with Waldenstrom macroglobulinemia (WM) treated with Bruton’s tyrosine kinase (BTK) inhibitor zanubrutinib [abstract no. PS1186]. HemaSphere. 2018;2(Suppl 2):537–8.Google Scholar
  18. 18.
    Trotman J, Opat S, Marlton P, et al. Bruton’s tyrosine kinase (BTK) inhibitor BGB-3111 demonstrates high very good partial response (VGPR) rate in patients with Waldenstrom macroglobulinemia (WM) [abstract no. 59]. Hematol Oncol. 2017;35(Suppl 2):70–1.CrossRefGoogle Scholar
  19. 19.
    Tam CS, Robak P, Ghia P, et al. Efficacy and safety of zanubrutinib in patients with treatment-naive chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) with Del(17p): initial results from arm C of the SEQUOIA (BGB-3111-304) trial [abstract no. 499]. In: American Society of Hematology annual meeting and exposition; 2019.Google Scholar
  20. 20.
    Xu W, Yang S, Zhou K, et al. Zanubrutinib for patients with relapsed or refractory chronic lymphocytic leukemia [abstract no. 049]. Hematol Oncol. 2019;37(Suppl 2):87–8.Google Scholar
  21. 21.
    Cull G, Simpson D, Opat S, et al. Treatment with the Bruton tyrosine kinase inhibitor zanubrutinib (BGB-3111) demonstrates high overall response rate and durable responses in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL): updated results from a phase 1/2 trial [abstract no. 500]. In: American Society of Hematology annual meeting and exposition; 2019.Google Scholar
  22. 22.
    Tam CS, Simpson D, Opat S, et al. Safety and activity of the highly specific BTK inhibitor BGB-3111 in patients with indolent and aggressive non-Hodgkin’s lymphoma [abstract]. Blood. 2017;130(Suppl 1).Google Scholar
  23. 23.
    Cull G, Opat S, Trotman J, et al. Safety and activity of the highly specific BTK inhibitor BGB-3111 in combination with the PD-1 inhibitor BGB-A317 in patients with B-cell lymphoid malignancies [abstract]. Blood. 2017;130(Suppl 1).Google Scholar
  24. 24.
    Tam CS, Quach H, Nicol A, et al. Zanubrutinib plus obinutuzumab in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) or relapsed/refractory (R/R) follicular lymphoma (FL) [abstract no. 075]. Hematol Oncol. 2019;37(Suppl 2):121–2.CrossRefGoogle Scholar
  25. 25.
    Tam CS, Opat S, Zhu J, et al. Pooled analysis of safety data from monotherapy studies of the Bruton tyrosine kinase (BTK) inhibitor, zanubrutinib (BGB-3111), in B-cell malignancies [abstract no. PS1159]. HemaSphere. 2019;3:526.CrossRefGoogle Scholar
  26. 26.
    BeiGene. BeiGene announces results of phase 3 ASPEN trial of zanubrutinib compared to ibrutinib for the treatment of patients with Waldenström’s macroglobulinemia [media release]. 2019. http://ir.beigene.com.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Springer NatureAucklandNew Zealand

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