Drug Type Small molecule drug |
Synonyms BRUKINSAPP, Zanubrutinib (USAN/INN), 赞布替尼 + [5] |
Target |
Action inhibitors |
Mechanism BTK inhibitors(Tyrosine-protein kinase BTK inhibitors) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
License Organization |
Drug Highest PhaseApproved |
First Approval Date United States (14 Nov 2019), |
RegulationFast Track (United States), Accelerated Approval (United States), Orphan Drug (United States), Orphan Drug (European Union), Breakthrough Therapy (China), Conditional marketing approval (China), Priority Review (China), Special Review Project (China), Breakthrough Therapy (United States) |
Molecular FormulaC27H29N5O3 |
InChIKeyRNOAOAWBMHREKO-QFIPXVFZSA-N |
CAS Registry1691249-45-2 |
| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| D11422 | Zanubrutinib |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| Plasmablastic Lymphoma | Japan | 27 Dec 2024 | |
| Follicular Lymphoma | Thailand | 07 Feb 2024 | |
| Waldenstrom's macroglobulinaemia refractory | Thailand | 07 Feb 2024 | |
| Recurrent Follicular Lymphoma | European Union | 17 Nov 2023 | |
| Recurrent Follicular Lymphoma | Iceland | 17 Nov 2023 | |
| Recurrent Follicular Lymphoma | Liechtenstein | 17 Nov 2023 | |
| Recurrent Follicular Lymphoma | Norway | 17 Nov 2023 | |
| Marginal zone lymphoma recurrent | United States | 19 Jan 2023 | |
| Refractory Marginal Zone Lymphoma | Brazil | 10 Nov 2022 | |
| Refractory Follicular Lymphoma | United Kingdom | 06 Dec 2021 | |
| Marginal Zone B-Cell Lymphoma | Uruguay | 28 Apr 2021 | |
| Waldenstrom Macroglobulinemia | Canada | 30 Mar 2021 | |
| Chronic Lymphocytic Leukemia | China | 03 Jun 2020 | |
| Small Lymphocytic Lymphoma | China | 02 Jun 2020 | |
| Mantle-Cell Lymphoma | United States | 14 Nov 2019 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Idiopathic Membranous Glomerulonephritis | Phase 3 | United States | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | China | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Argentina | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Brazil | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Canada | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Czechia | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Italy | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Poland | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Russia | 17 Apr 2023 | |
| Idiopathic Membranous Glomerulonephritis | Phase 3 | Turkey | 17 Apr 2023 |
Phase 2 | Diffuse Large B-Cell Lymphoma CD79B mutation | 65 | bwjurngemp(yuuexvunjc) = cbgdnbdfcl yvnkumwiow (csibyaucsm ) View more | Positive | 06 Dec 2025 | ||
Not Applicable | Chronic Lymphocytic Leukemia First line | 2,264 | srlpwtmlil(vwrideavps) = including pneumonia (6.63% vs 5.92%, p = 0.4880; RR: 1.119, 95% CI: 0.814 to 1.54), sepsis (4.51% vs 3.53%, p = 0.2392; RR: 1.275, 95% CI: 0.85 to 1.913), GI symptoms (6.98% vs 5.83%, p = 0.2645; RR: 1.197, 95% CI: 0.872 to 1.699), and atrial fibrillation/flutter (7.98% vs 7.18%, p = 0.4741; RR: 1.11, 95% CI: 0.833 to 1.483), was slightly higher with acalabrutinib, though differences were not statistically significant between cohorts. Rates of headache (RD: 0.297, p = 0.6955; RR: 1.11; 95% CI: 0.67 to 1.82), neutropenia/neutropenic fever (RD: 1.237, p = 0.1442; RR: 1.341, 95% CI: 0.903 to 1.993) and thrombocytopenia (RD: -0.618%, p = 0.6716; RR: 0.957, 95% CI: 0.78 to 1.174) did not differ significantly. ozlckgzbtm (xgksngsacm ) View more | Positive | 06 Dec 2025 | ||
Phase 2 | Mantle-Cell Lymphoma First line | 23 | (Age ≥65 years) | xbuwfhjivq(rfhaemzbaz) = No grade 3-4 AEs were observed in elderly patients. Grade 3-4 adverse events (AEs) occurred mainly in younger high-risk patients, including neutropenia (38.5%), anemia (15.4%), thrombocytopenia (23.1%), and pneumonia (23.1%), mostly related to R-BAC and all manageable. yyayqqtnmd (xhgpmwczse ) | Positive | 06 Dec 2025 | |
(Age <65 years with high-risk features (e.g., TP53 mutation, high Ki-67)) | |||||||
Not Applicable | 175 | xzohbobjdf(ckrpojsare) = 97% had at least one documented AE (grade unspecified) during treatment. The most common AEs were bleeding/bruising (33%), fatigue (31%), gastrointestinal symptoms (28%), musculoskeletal pain (24%), neuropsychiatric symptoms (21%), infections (15%), and cytopenia (12%). ofnqssrnmu (oljqsobejp ) View more | Positive | 06 Dec 2025 | |||
Phase 2 | 39 | Zanubrutinib 160 mg twice daily or 320 mg once daily | egmoemxnmh(cbtvirhjng) = ddshqzvfdc ikrgjdirrk (emgfcbgtfc ) View more | Positive | 06 Dec 2025 | ||
Phase 2 | 30 | eruzacsyws(cokxlkmtes) = gtcpbctxvl tqshqdkazp (gotqbrxuky ) View more | Positive | 06 Dec 2025 | |||
Not Applicable | 26 | (treatment-naïve) | lwybkpzhil(vjtsjfqdbo) = Four pts required ZANU dose reductions due to adverse events (grade 1 thrombocytopenia and postsurgical bleeding; grade 2 hypertension; and grade 2 arthralgia), with improved tolerability thereafter; all had responding disease at the time of dose reduction, which continued despite dose reduction. mjkvbnxnid (bsdqkvhmje ) | Positive | 06 Dec 2025 | ||
(relapsed/refractory) | |||||||
Phase 3 | Chronic Lymphocytic Leukemia del(17p) | TP53 mutations | 300 | (high-risk R/R CLL) | ozetwcqegf(nnxsertcvx) = ohcelvcmkm bofkmdgbsi (sasvbryiul ) View more | Positive | 06 Dec 2025 | |
(high-risk R/R CLL) | wfkjaahgbu(tmhoysgdsj) = mmhgkrsbvi jywlohxyvg (xgqglaflwl ) | ||||||
Phase 2 | Primary Central Nervous System Lymphoma First line | 29 | khtkbeviot(rjbvjsxdzk) = togbvnxkbr hrtttblldf (ognoyghvgd, 68.7 - 98.8) View more | Positive | 06 Dec 2025 | ||
Not Applicable | 118 | yeroatrdhj(slyhgqczuo) = fodobcznvg dvfzgvanbv (vpzrolmsaq ) View more | Positive | 06 Dec 2025 |





