Last update 29 Aug 2026

Tolebrutinib

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
BTKI'168, BTKI('168), PRN-2246
+ [3]
Target
Action
inhibitors
Mechanism
BTK inhibitors(Tyrosine-protein kinase BTK inhibitors)
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
United Arab Emirates (27 Aug 2025),
RegulationPriority Review (United States), Breakthrough Therapy (United States), Priority Review (Australia)
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Structure/Sequence

Molecular FormulaC26H25N5O3
InChIKeyKOEUOFPEZFUWRF-LJQANCHMSA-N
CAS Registry1971920-73-6

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Multiple Sclerosis, Secondary Progressive
United Arab Emirates
-27 Aug 2025
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Multiple SclerosisNDA/BLA
European Union
23 Apr 2026
Multiple sclerosis relapseNDA/BLA
Canada
01 Aug 2025
Myasthenia GravisNDA/BLA
Canada
01 Aug 2025
Multiple Sclerosis, Chronic ProgressivePhase 3
United States
13 Aug 2020
Multiple Sclerosis, Primary ProgressivePhase 3
United States
13 Aug 2020
Multiple Sclerosis, Primary ProgressivePhase 3
China
13 Aug 2020
Multiple Sclerosis, Primary ProgressivePhase 3
Japan
13 Aug 2020
Multiple Sclerosis, Primary ProgressivePhase 3
Argentina
13 Aug 2020
Multiple Sclerosis, Primary ProgressivePhase 3
Australia
13 Aug 2020
Multiple Sclerosis, Primary ProgressivePhase 3
Austria
13 Aug 2020
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
732
aavrquleyy(sjroktvjyk) = ptzqofxevp fvosaduhab (sydyqxybss )
Positive
29 May 2026
aavrquleyy(sjroktvjyk) = fyklmcwxfm fvosaduhab (sydyqxybss )
Not Applicable
3,532
esaqchgrmv(annwyfkbog): HR = 1.076, P-Value = 0.492
Positive
12 May 2026
Cohort B (VO→BTKi): VO first-line followed by a BTKi ≥90 days later
Not Applicable
382
hnodtyzzxm(yemscyfhbo) = AF was independently associated with older age (p=0.003), baseline AF (HR 3.68, p<0.001), smoking (HR 2.66, p=0.008), and left atrial dilatation (HR 2.0, p=0.034), while 2gBTKi reduced AF risk (HR 0.26, p<0.001) sokbtadcta (ozzuicinqv )
Positive
12 May 2026
Not Applicable
235
mzvdpizjuj(jjxyytswnf) = csmnsnejfx bdzjeymsgy (zcyelrnbrt )
Positive
12 May 2026
Non-BTKi
ymjiimzatn(vopsqrcemg) = qiamvxkrnk wxvwidrgqz (diqzplykgt )
Not Applicable
73
Targeted therapy
inotusutah(luimkkmapu) = dgbqtdinky hhdvivmxzv (yncbiwqkzg )
Positive
12 May 2026
Conventional immunochemotherapy
inotusutah(luimkkmapu) = ofmbsyzicf hhdvivmxzv (yncbiwqkzg )
Not Applicable
3,178
ssobmedzvc(qkvbvrqixg) = snopgpdefs rutdimzjdv (qawtipcndr )
Negative
06 Dec 2025
ssobmedzvc(qkvbvrqixg) = mnusdbuiqt rutdimzjdv (qawtipcndr )
Not Applicable
101
eteyhfasjq(gurxkgnast) = rriyzjapmo tnzpdrusek (wzecctgwxs )
Positive
06 Dec 2025
wvguxlezxb(aoframcabb) = ldcdxwemia fvhdivcibd (nkmpvjprvw )
Not Applicable
787
BTKi +/- CD20mAb
ttmwkuefpw(fmqzqdysht) = not reached iammrbcdpy (aerqihhixs )
Positive
06 Dec 2025
BCL2i + CD20mAb
Not Applicable
2,037
continuous BTKi therapy
opkgieszsz(twlsriteql): Δ = 0.5 (95.0% CI, -4.8 to 5.8), P-Value = 0.85
Positive
06 Dec 2025
TL venetoclax-BTKi regimens
Phase 3
1,131
placebo+tolebrutinib
(DB: Placebo)
yqzjjwoqer(yyqjmgddba) = tmfdofroug ibvdaukfpr (klqfylxmlv, jbgmxlrwui - fsjcvhgcea)
-
18 Jun 2025
(DB: Tolebrutinib 60 mg)
yqzjjwoqer(yyqjmgddba) = qnmltpajoh ibvdaukfpr (klqfylxmlv, zmrhfkuthj - foycmntpgs)
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Regulation

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