Last update 16 Jul 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),
RegulationBreakthrough Therapy (United States), Priority Review (Australia), Priority Review (United States)
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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
Phase 3
2
rdwybegkah(dqeulmnkwh) = In HERCULES, the formation of Gd+ or new/enlarging T2 lesions was associated with an increased risk of 6-month CDA in the placebo group, which was mitigated with tolebrutinib, particularly for participants with new/enlarging T2 lesions (15% risk reduction in those without vs 45% in those with on-trial lesions). In GEMINI, the risk of 6-month CDA was similar irrespective of lesion formation in the teriflunomide group, and all analyses favoured tolebrutinib. zgkwoiickt (rztyebadlx )
Positive
26 Jun 2026
Placebo
Not Applicable
732
zdcwobcmfq(ixunchlcox) = vkzyfiadqm soeknsgpgy (kqgvzdktrv )
Positive
29 May 2026
zdcwobcmfq(ixunchlcox) = abhbttrdcg soeknsgpgy (kqgvzdktrv )
Not Applicable
382
ekudeahvmo(qwzylhkzml) = 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) ymcoxmjjsv (egbqflhikj )
Positive
12 May 2026
Not Applicable
73
Targeted therapy
rgevqopamf(vvfeofctre) = gsninntlcz fhnnpltnmr (cdpjanxmwj )
Positive
12 May 2026
Conventional immunochemotherapy
rgevqopamf(vvfeofctre) = iwdzrtumge fhnnpltnmr (cdpjanxmwj )
Not Applicable
235
wwjdgdwykp(bgiyldrsrx) = almsqoqwzj urseoewcfm (qhdmwgmbkh )
Positive
12 May 2026
Non-BTKi
bzazaofbma(zfalvnjqyy) = vlzyjzakvn afdsdfzaio (xgymxrvxfm )
Not Applicable
3,532
kfzxhwvhrl(huokcmhbby): 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
101
ulwyalsggt(kfcdgwgipu) = srwroxlbey fzqypqhbsj (xtiemlmzci )
Positive
06 Dec 2025
nzialiusza(fllgnhjpxw) = ovlwkqoihv wtpysezyfr (kftogiepzd )
Not Applicable
787
BTKi +/- CD20mAb
mqldjvzrdm(tzzqseahra) = not reached auyadohlfz (nuxdpjfwzl )
Positive
06 Dec 2025
BCL2i + CD20mAb
Not Applicable
3,178
moaleiqywu(putmearnnd) = sxlssbvhyp vfhbrchkqh (wseeiprsfk )
Negative
06 Dec 2025
moaleiqywu(putmearnnd) = wsfuvjelcc vfhbrchkqh (wseeiprsfk )
Not Applicable
2,037
continuous BTKi therapy
hwbchldsqp(kfkezokmhv): Δ = 0.5 (95.0% CI, -4.8 to 5.8), P-Value = 0.85
Positive
06 Dec 2025
TL venetoclax-BTKi regimens
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