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Evaluating orelabrutinib as a novel treatment option for relapsed/refractory chronic lymphocytic leukemia in China - PubMed

Evaluating orelabrutinib as a novel treatment option for relapsed/refractory chronic lymphocytic leukemia in China - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36329558/

Orelabrutinib selectively inhibits BTK via covalent binding and exhibits linear pharmacokinetics. BTK is the only kinase targeted by orelabrutinib, and a few off-target toxicities of orelabrutinib have been reported. The phase I/II trial demonstrated the efficacy and safety of orelabrutinib in patie ...


Expert Opinion: Orelabrutinib selectively inhibits BTK via covalent binding and exhibits linear pharmacokinetics. BTK is the only kinase targeted by orelabrutinib, and a few off-target toxicities of orelabrutinib have been reported. The phase I/II trial demonstrated the efficacy and safety of orelabrutinib in patients with R/R CLL/SLL; however, further clinical trials are needed to compare orelabrutinib with ibrutinib in patients with R/R CLL/SLL and to evaluate its efficacy and safety in patients with treatment-naive CLL/SLL.


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    Key Points
    • Source: Expert Opinion on Pharmacotherapy
    • Conclusions/Relevance: “Orelabrutinib selectively inhibits BTK via covalent binding and exhibits linear pharmacokinetics. BTK is the only kinase targeted by orelabrutinib, and a few off-target toxicities of orelabrutinib have been reported.”
    • A phase I/II trial demonstrated the efficacy and safety of orelabrutinib in patients with R/R CLL/SLL. However, orelabrutinib needs to be compared with ibrutinib in patients with R/R CLL/SLL, as well as to assess its efficacy and safety in patients with treatment-naive CLL/SLL.
    • Orelabrutinib is a novel, highly selective covalent BTK inhibitor that has proven effective and has an acceptable safety profile. It was approved for relapsed /refractory (R/R) CLL/SLL in China, where the study was performed.

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