Report Sample - Zanubrutinib - 505B2

 

1. Market

The sales volume of zanubrutinib reached USD 160 million in 2020 and USD 450 million in the first three quarters of 2021.

2. RLD

Proprietary Name:

Brukinsa

Appl. No. :

N213217

Dosage Form:

Capsule

Route/Dose:

Oral, 160 mg orally twice daily or 320 mg orally once daily

Strength:

80 mg

Supply:

120 capsules/bottle

Ingredients:

colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, microcrystalline cellulose and sodium lauryl sulfate. (in a capsule)

Indications:

Mantle cell lymphoma, Waldenstrom’s Macroglobulinemia

Marginal Zone Lymphoma, Chronic Lymphocytic Leukemia or small lymphocytic lymphoma

API Solubility

The aqueous solubility of zanubrutinib is pH dependent, from very slightly soluble to practically insoluble. The solubility of zanubrutinib in ethanol and DMSO is approximately 5 mg/ml and approximately 10 mg/ml in DMF.

Applicant Holder

BEIGENE USA INC


3. Treatment

        Rituximab-based therapy is currently the standard first-line treatment for WM, while ibrutinib has emerged as an alternative. 

        First-line treatment of MCL can be subdivided essentially into aggressive therapy or less aggressive therapy depending on patient presentation and comorbidities. 

        The most common types of first line treatment for CLL are: targeted drugs (such as acalabrutinib, ibrutinib, venetoclax and obinutuzumab) chemotherapy (such as cyclophosphamide or fludarabine) These work in different ways to kill the leukaemia cells.

        Zanubrutinib was designed with improved BTK selectivity, which may confer tolerability advantages over ibrutinib, particularly for treatment-limiting toxicities caused by the inhibition of off-target tyrosine kinases.

4. Clinically Significant Adverse Events

  • Hemorrhage
  • Infections
  • Cytopenias
  • Second Primary Malignancies
  • Cardiac Arrhythmias
5. Dose Adjustments Due to Adverse Effects

  • For a study of 53 patients with relapsed/refractory MZL (n = 20) and relapsed/refractory FL (n = 33), all of whom were received zanubrutinib at the recommended phase 2 dose. 
  • Treatment with zanubrutinib was generally well tolerated, with most adverse events being ≤ grade 2. However, 2 patients required dose reduction, and 4 patients discontinued treatment because of adverse events.
  • In another report, 13.9% of zanubrutinib users require dose reduction, and 4% treatment discontinuation, caused by adverse events (AEs). 
6. PK
  • The plasma protein binding of zanubrutinib is approximately 94%.
  • The recommended dosage of BRUKINSA is 160 mg taken orally twice daily or 320 mg taken orally once daily until disease progression or unacceptable toxicity.
  • Cmax and AUC increase proportionally over a dosage range from 40 mg to 320 mg.
  • The median tmax of zanubrutinib is 2 hours.
  • No food effect.
  • Plasma protein binding ~94%.
  • Half-life 2-4 h.
  • primarily metabolized by cytochrome P450(CYP)3A.
  • 87% of the dose was recovered in feces and 8% in urine.
  • Co-administration of zanubrutinib with rifabutin* resulted in a less than 2-fold reduction of zanubrutinib exposures. ... Overall, zanubrutinib was well tolerated. 
7. Orange Book Patents (as of December, 2023)

Patent No

Patent Expiration

Key Elements

9447106

04/22/2034

Chemical patent

10570139

04/22/2034

Treating B-cell proliferative disorder

10927117

08/15/2037

A Crystal form (crystalline form exhibits an X-ray powder diffraction pattern comprising diffraction peaks having 2 θ angle values at 14.8±0.2°, 15.6±0.2°, 16.4±0.2° and 21.4±0.2°.)

11142528

04/22/2034

Chemical patent

11591340

08/15/2037

1. A method for treating mantle cell lymphoma in a subject, comprising administering to the subject in need thereof a crystalline form of Compound 1, X-ray: 2θ angle values at 14.8±0.2°, 15.6±0.2°, 16.4±0.2°, and 21.4±0.2°.

11786531

01/19/2043

A method of treating .. B-cell proliferative disorder comprising concomitantly administering zanubrutinib, and the moderate CYP3A inducer



8. API Suppliers
  • MSN Laboratories Private Ltd. 
  • Olon SPA
9. Potential New Indications

Similar KIs include afatinib, ibrutinib, neratinib, dacomitinib, osimertinib, acalabrutinib, remibrutinib and pirtobrutinib, and their indications may provide a hint for potential indications of zanubrutinib.

10. Development Plan: New Dosage Form (505B2) / Generic Product (ANDA)

11. Risk Analysis and Control

For a full report and service, please contact me at pharmdev360@gmail.com