Drug review: Ibrutinib

Ibrutinib is an irreversible BTK inhibitor, characterized by high selectivity and potency. It has revolutionized the therapy of B-cell lymphomas, especially chronic lymphocytic leukemia (CLL) and mantle cell lymphoma. Importantly, it has expanded the armamentarium for those patients who are refracto...

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Main Author: Parathan Karunakaran
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=3;spage=383;epage=392;aulast=
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author Parathan Karunakaran
author_facet Parathan Karunakaran
author_sort Parathan Karunakaran
collection DOAJ
description Ibrutinib is an irreversible BTK inhibitor, characterized by high selectivity and potency. It has revolutionized the therapy of B-cell lymphomas, especially chronic lymphocytic leukemia (CLL) and mantle cell lymphoma. Importantly, it has expanded the armamentarium for those patients who are refractory to conventional chemoimmunotherapy. This small-molecule inhibitor has shown efficacy in this difficult-to-treat subset – those with del(17p)/TP53-mutated CLL. Its immunomodulatory properties make it an excellent choice for combining with other immunotherapeutic agents such as venetoclax. The drug is not without drawbacks. The need for indefinite therapy and the presence of adverse effects such as infection, bleeding, hypertension, and arrhythmia temper our enthusiasm for this versatile drug. But overall, ibrutinib's favorable risk profile and lack of myelosuppression make it an ideal therapy for the elderly and those with multiple comorbidities.
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spelling doaj-art-596bb9e4df204c5e82a0ca959ae78e192025-08-20T03:34:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292020-01-0141338339210.4103/ijmpo.ijmpo_36_20Drug review: IbrutinibParathan KarunakaranIbrutinib is an irreversible BTK inhibitor, characterized by high selectivity and potency. It has revolutionized the therapy of B-cell lymphomas, especially chronic lymphocytic leukemia (CLL) and mantle cell lymphoma. Importantly, it has expanded the armamentarium for those patients who are refractory to conventional chemoimmunotherapy. This small-molecule inhibitor has shown efficacy in this difficult-to-treat subset – those with del(17p)/TP53-mutated CLL. Its immunomodulatory properties make it an excellent choice for combining with other immunotherapeutic agents such as venetoclax. The drug is not without drawbacks. The need for indefinite therapy and the presence of adverse effects such as infection, bleeding, hypertension, and arrhythmia temper our enthusiasm for this versatile drug. But overall, ibrutinib's favorable risk profile and lack of myelosuppression make it an ideal therapy for the elderly and those with multiple comorbidities.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=3;spage=383;epage=392;aulast=bruton tyrosine kinase inhibitorschronic lymphocytic leukemiaibrutinib
spellingShingle Parathan Karunakaran
Drug review: Ibrutinib
Indian Journal of Medical and Paediatric Oncology
bruton tyrosine kinase inhibitors
chronic lymphocytic leukemia
ibrutinib
title Drug review: Ibrutinib
title_full Drug review: Ibrutinib
title_fullStr Drug review: Ibrutinib
title_full_unstemmed Drug review: Ibrutinib
title_short Drug review: Ibrutinib
title_sort drug review ibrutinib
topic bruton tyrosine kinase inhibitors
chronic lymphocytic leukemia
ibrutinib
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=3;spage=383;epage=392;aulast=
work_keys_str_mv AT parathankarunakaran drugreviewibrutinib