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rilzabrutinib   Click here for help

GtoPdb Ligand ID: 9993

Synonyms: Example 31 [WO2014039899] | PRN-1008 | PRN1008 | Wayrilz®
Approved drug PDB Ligand Immunopharmacology Ligand
rilzabrutinib is an approved drug
Compound class: Synthetic organic
Comment: Rilzabrutinib (PRN1008) is an oral, reversible covalent inhibitor of Bruton's tyrosine kinase (BTK) [1]. One possible structure is claimed as Example 31 in Principia Biopharma patent WO2014039899 [2] and this is depicted in PubChem CID 118325989 as the R form without E/Z specification. We show the (E,R) structure here.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 10
Hydrogen bond donors 1
Rotatable bonds 9
Topological polar surface area 138.66
Molecular weight 665.32
XLogP 3.67
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES N#CC(=CC(N1CCN(CC1)C1COC1)(C)C)C(=O)N1CCCC(C1)n1nc(c2c1ncnc2N)c1ccc(cc1F)Oc1ccccc1
Isomeric SMILES N#C/C(=C\C(N1CCN(CC1)C1COC1)(C)C)/C(=O)N1CCC[C@H](C1)n1nc(c2c1ncnc2N)c1ccc(cc1F)Oc1ccccc1
InChI InChI=1S/C36H40FN9O3/c1-36(2,45-15-13-43(14-16-45)26-21-48-22-26)18-24(19-38)35(47)44-12-6-7-25(20-44)46-34-31(33(39)40-23-41-34)32(42-46)29-11-10-28(17-30(29)37)49-27-8-4-3-5-9-27/h3-5,8-11,17-18,23,25-26H,6-7,12-16,20-22H2,1-2H3,(H2,39,40,41)/b24-18+/t25-/m1/s1
InChI Key LCFFREMLXLZNHE-GBOLQPHISA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Summary of Clinical Use Click here for help
Rilzabrutinib (PRN1008) was advanced to clinical trials. Phase 1 results from healthy volunteers showed that orally administered PRN1008 was safe and well-tolerated , and that high and sustained levels of BTK occupancy were achieved in peripheral blood mononuclear cells [3]. More advanced studies include phase 3 evaluation in subjects with pemphigus vulgaris (NCT03762265), and a Phase 1/2 study in patients with immune thrombocytopenic purpura (ITP) (NCT03395210). Principia Biopharma modified the NCT03395210 protocol to add a long-term extension cohort for responders, and to facilitate the potential enrollment of additional patients to aid design of the Phase 3 study.
First FDA approval was granted in August 2025, to treat persistent/chronic, treatment-resistant ITP.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT03395210 A Study of PRN1008 in Adult Patients With Immune Thrombocytopenic Purpura (ITP) Phase 1/Phase 2 Interventional Principia Biopharma Inc.
NCT03762265 A Study of PRN1008 in Patients With Pemphigus Phase 3 Interventional Principia Biopharma Inc.