Acalabrutinib

Highest phase reached
Drug type
Small molecule
First approval year

First approval year
Listing at source
Listed
Highest phase reached

Drug type
Small molecule
Drug name
Acalabrutinib
Molecular weight
Structure (SMILES)
CC#CC(=O)N1CCC[C@H]1c1nc(-c2ccc(C(=O)Nc3ccccn3)cc2)c2c(N)nccn12

  • acalabrutinib
  • Acalabrutinib
  • Acalabrutinib [INN]
  • Acalabrutinib [JAN]
  • Acalabrutinib [MI]
  • Acalabrutinib [ORANGE BOOK]
  • Acalabrutinib [USAN]
  • Acalabrutinib [WHO-DD]
  • acalabrutinib inn
  • acalabrutinib jan
  • acalabrutinib mi
  • acalabrutinib orange book
  • acalabrutinib usan
  • acalabrutinib who dd
  • acalabrutininb acp 196
  • acp 196
  • Acp-196
  • ACP-196

ATC classification codes
  • L01EL02
Sources for recorded values
CAS registry numbers
  • 1420477-60-6
ChEMBL ID
CHEMBL3707348
InChIKey
WDENQIQQYWYTPO-IBGZPJMESA-N
PubChem compound IDs
  • 71226662
RxNorm IDs (RxCUI)
  • 1986808
FDA ingredient codes (UNII)
  • I42748ELQW

Applicant
ASTRAZENECA
Approval date
31 Oct 2017
Application number
NDA210259

Status
Authorised
Status date
5 Nov 2020
Authorisation date
5 Nov 2020
Approved indications
Calquence as monotherapy or in combination with obinutuzumab is indicated for the treatment of adult patients with previously untreated chronic lymphocytic leukaemia (CLL).Calquence in combination with venetoclax with or without obinutuzumab is indicated for the treatment of adult patients with previously untreated chronic lymphocytic leukaemia (CLL).Calquence as monotherapy is indicated for the treatment of adult patients with chronic lymphocytic leukaemia (CLL) who have received at least one prior therapy.Calquence in combination with bendamustine and rituximab (BR) is indicated for the treatment of adult patients with previously untreated mantle cell lymphoma (MCL) who are not eligible for autologous stem cell transplant (ASCT).Calquence as monotherapy is indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL) not previously treated with a BTK inhibitor.
Product number
EMEA/H/C/005299
Authorisation holder
AstraZeneca AB
Priority medicines scheme
No
Generic
No
Biosimilar
No
Generic medicines
0
Biosimilar medicines
0
Advanced therapy
No
Conditional approval
No
Additional monitoring
No
Accelerated assessment
No
Exceptional circumstances
No

Therapeutic areas

  • Leukemia, Lymphocytic, Chronic, B-Cell
European medicines record

Patents
9
Designations
6
Earliest recorded loss of exclusivity
1 Jul 2036
First in class
No
Fast track
No
Breakthrough designation
Yes
Orphan designation
No
Priority review
Yes
Orphan exclusivity
No
Accelerated approval
Yes
Availability
Prescription only

United States (FDA)
Approved
European Union (EMA)
Authorised

Pharmacology name
acalabrutinib
Type
Synthetic organic
Drug name stem
-tinib
Approval recorded by Guide to Pharmacology
Yes

Administration routes

  • Oral

  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    epidermal growth factor receptor
    Gene symbol
    EGFR
    Protein identifier
    P00533
    Median affinity
    6
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    erb-b2 receptor tyrosine kinase 2
    Gene symbol
    ERBB2
    Protein identifier
    P04626
    Median affinity
    6
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    LCK proto-oncogene, Src family tyrosine kinase
    Gene symbol
    LCK
    Protein identifier
    P06239
    Median affinity
    6
    Affinity units
    pEC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    FYN proto-oncogene, Src family tyrosine kinase
    Gene symbol
    FYN
    Protein identifier
    P06241
    Median affinity
    6
    Affinity units
    pEC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    LYN proto-oncogene, Src family tyrosine kinase
    Gene symbol
    LYN
    Protein identifier
    P07948
    Median affinity
    6
    Affinity units
    pEC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    LYN proto-oncogene, Src family tyrosine kinase
    Gene symbol
    LYN
    Protein identifier
    P07948
    Median affinity
    6
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    SRC proto-oncogene, non-receptor tyrosine kinase
    Gene symbol
    SRC
    Protein identifier
    P12931
    Median affinity
    6
    Affinity units
    pEC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    tec protein tyrosine kinase
    Gene symbol
    TEC
    Protein identifier
    P42680
    Median affinity
    7.03
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    TXK tyrosine kinase
    Gene symbol
    TXK
    Protein identifier
    P42681
    Median affinity
    6.43
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    BLK proto-oncogene, Src family tyrosine kinase
    Gene symbol
    BLK
    Protein identifier
    P51451
    Median affinity
    6
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    BMX non-receptor tyrosine kinase
    Gene symbol
    BMX
    Protein identifier
    P51813
    Median affinity
    7.34
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 3
    Gene symbol
    JAK3
    Protein identifier
    P52333
    Median affinity
    6
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Bruton tyrosine kinase
    Gene symbol
    BTK
    Protein identifier
    Q06187
    Median affinity
    8
    Affinity units
    pEC50
    Primary target
    Yes
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Bruton tyrosine kinase
    Gene symbol
    BTK
    Protein identifier
    Q06187
    Median affinity
    8.29
    Affinity units
    pIC50
    Primary target
    Yes
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    IL2 inducible T cell kinase
    Gene symbol
    ITK
    Protein identifier
    Q08881
    Median affinity
    6
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    erb-b2 receptor tyrosine kinase 4
    Gene symbol
    ERBB4
    Protein identifier
    Q15303
    Median affinity
    7.8
    Affinity units
    pIC50
  • Mechanism
    Tyrosine-protein kinase BTK inhibitor
    Action type
    Inhibitor
    Target
    Tyrosine-protein kinase BTK
    Protein identifier
    Q06187

Open Targets mechanisms

  • Mechanism
    Tyrosine-protein kinase BTK inhibitor
    Action type
    Inhibitor
    Target
    Tyrosine-protein kinase BTK

  • Action type
    Inhibitor
    Gene symbol
    LYN
    Protein identifier
    P07948
    Organism
    Homo sapiens
    Target development level
    Clinical
  • Action type
    Inhibitor
    Gene symbol
    TEC
    Protein identifier
    P42680
    Organism
    Homo sapiens
    Target development level
    Chemical evidence
  • Action type
    Inhibitor
    Gene symbol
    TXK
    Protein identifier
    P42681
    Organism
    Homo sapiens
    Target development level
    Chemical evidence
  • Action type
    Inhibitor
    Gene symbol
    BMX
    Protein identifier
    P51813
    Organism
    Homo sapiens
    Target development level
    Chemical evidence
  • Action type
    Inhibitor
    Gene symbol
    BTK
    Protein identifier
    Q06187
    Organism
    Homo sapiens
    Target development level
    Clinical
  • Action type
    Inhibitor
    Gene symbol
    ERBB4
    Protein identifier
    Q15303
    Organism
    Homo sapiens
    Target development level
    Clinical

  • Condition
    Leukemia, Lymphocytic, Chronic, B-Cell
    Highest recorded phase
    4
    Condition identifier
    EFO:0000095
    Subject identifier
    D015451
  • Condition
    Carcinoma, Squamous Cell
    Highest recorded phase
    2
    Condition identifier
    EFO:0000181
    Subject identifier
    D002294
  • Condition
    Lymphoma, Large B-Cell, Diffuse
    Highest recorded phase
    3
    Condition identifier
    EFO:0000403
    Subject identifier
    D016403
  • Condition
    Glioblastoma
    Highest recorded phase
    1
    Condition identifier
    EFO:0000519
    Subject identifier
    D005909
  • Condition
    Leukemia
    Highest recorded phase
    1
    Condition identifier
    EFO:0000565
    Subject identifier
    D007938
  • Condition
    Lymphoma
    Highest recorded phase
    1
    Condition identifier
    EFO:0000574
    Subject identifier
    D008223
  • Condition
    Neoplasms
    Highest recorded phase
    4
    Condition identifier
    EFO:0000616
    Subject identifier
    D009369
  • Condition
    Arthritis, Rheumatoid
    Highest recorded phase
    2
    Condition identifier
    EFO:0000685
    Subject identifier
    D001172
  • Condition
    Multiple Myeloma
    Highest recorded phase
    1
    Condition identifier
    EFO:0001378
    Subject identifier
    D009101
  • Condition
    Pancreatic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0002618
    Subject identifier
    D010190
  • Condition
    Carcinoma, Non-Small-Cell Lung
    Highest recorded phase
    2
    Condition identifier
    EFO:0003060
    Subject identifier
    D002289
  • Condition
    Communicable Diseases
    Highest recorded phase
    1
    Condition identifier
    EFO:0005741
    Subject identifier
    D003141
  • Condition
    Lymphoma, Non-Hodgkin
    Highest recorded phase
    2
    Condition identifier
    EFO:0005952
    Subject identifier
    D008228
  • Condition
    Waldenstrom Macroglobulinemia
    Highest recorded phase
    2
    Condition identifier
    EFO:0009441
    Subject identifier
    D008258
  • Condition
    Lymphoma, B-Cell, Marginal Zone
    Highest recorded phase
    2
    Condition identifier
    EFO:1000630
    Subject identifier
    D018442
  • Condition
    Lymphoma, Mantle-Cell
    Highest recorded phase
    4
    Condition identifier
    EFO:1001469
    Subject identifier
    D020522
  • Condition
    Food Hypersensitivity
    Highest recorded phase
    2
    Condition identifier
    EFO:1001890
    Subject identifier
    D005512
  • Condition
    Leukemia, Prolymphocytic
    Highest recorded phase
    1
    Condition identifier
    MONDO:0001023
    Subject identifier
    D015463
  • Condition
    Neoplasms
    Highest recorded phase
    4
    Condition identifier
    MONDO:0004992
    Subject identifier
    D009369
  • Condition
    Ovarian Neoplasms
    Highest recorded phase
    2
    Condition identifier
    MONDO:0008170
    Subject identifier
    D010051
  • Condition
    Lymphoma, Follicular
    Highest recorded phase
    2
    Condition identifier
    MONDO:0018906
    Subject identifier
    D008224
  • Condition
    Bronchiolitis Obliterans Syndrome
    Highest recorded phase
    2
    Condition identifier
    MONDO:0020547
    Subject identifier
    D000092122
  • Condition
    Hematologic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    MONDO:0044881
    Subject identifier
    D019337
  • Condition
    Severe Acute Respiratory Syndrome
    Highest recorded phase
    3
    Condition identifier
    MONDO:0100096
    Subject identifier
    D045169

  • Condition identifier
    EFO_0000095
  • Condition identifier
    EFO_0000181
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000403
    Highest recorded phase
    3
  • Condition identifier
    EFO_0000519
  • Condition identifier
    EFO_0000616
  • Condition identifier
    EFO_0000685
    Highest recorded phase
    2
  • Condition identifier
    EFO_0001378
    Highest recorded phase
    1
  • Condition identifier
    EFO_0002618
    Highest recorded phase
    2
  • Condition identifier
    EFO_0003060
    Highest recorded phase
    2
  • Condition identifier
    EFO_0005741
    Highest recorded phase
    1
  • Condition identifier
    EFO_0005952
    Highest recorded phase
    2
  • Condition identifier
    EFO_0009441
    Highest recorded phase
    2
  • Condition identifier
    EFO_1000157
    Highest recorded phase
    2
  • Condition identifier
    EFO_1000630
    Highest recorded phase
    2
  • Condition identifier
    EFO_1001469
  • Condition identifier
    EFO_1001890
    Highest recorded phase
    2
  • Condition identifier
    HP_0001399
    Highest recorded phase
    1
  • Condition identifier
    MONDO_0001023
    Highest recorded phase
    1
  • Condition identifier
    MONDO_0002083
    Highest recorded phase
    2
  • Condition identifier
    MONDO_0002571
    Highest recorded phase
    2
  • Condition identifier
    MONDO_0003864
    Highest recorded phase
    2
  • Condition identifier
    MONDO_0004355
  • Condition identifier
    MONDO_0004355
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0004948
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0004949
    Highest recorded phase
    2

And 30 more, listed on the interactive page.

  • Event
    acquired gene mutation
    Reports
    3
    Reporting signal score
    8.93199
  • Event
    aplastic anaemia
    Reports
    4
    Reporting signal score
    8.17512
  • Event
    atrial fibrillation
    Reports
    20
    Reporting signal score
    19.6057
  • Event
    chronic lymphocytic leukaemia recurrent
    Reports
    3
    Reporting signal score
    10.0936
  • Event
    covid-19
    Reports
    12
    Reporting signal score
    12.9144
  • Event
    disease progression
    Reports
    15
    Reporting signal score
    10.4223
  • Event
    drug resistance
    Reports
    15
    Reporting signal score
    25.3332
  • Event
    febrile neutropenia
    Reports
    17
    Reporting signal score
    16.6993
  • Event
    haemoglobin abnormal
    Reports
    4
    Reporting signal score
    8.28638
  • Event
    leukocytosis
    Reports
    9
    Reporting signal score
    13.1824
  • Event
    leukostasis syndrome
    Reports
    2
    Reporting signal score
    10.1047
  • Event
    lymphocytosis
    Reports
    5
    Reporting signal score
    14.2417
  • Event
    malignant neoplasm progression
    Reports
    24
    Reporting signal score
    34.1039
  • Event
    myelodysplastic syndrome
    Reports
    6
    Reporting signal score
    8.9817
  • Event
    pseudomonal bacteraemia
    Reports
    3
    Reporting signal score
    11.7313
  • Event
    richter's syndrome
    Reports
    3
    Reporting signal score
    11.432
  • Event
    sars-cov-2 test negative
    Reports
    2
    Reporting signal score
    8.39067
  • Event
    tumour lysis syndrome
    Reports
    6
    Reporting signal score
    12.0296
  • Event
    white blood cell count abnormal
    Reports
    5
    Reporting signal score
    11.6569

And 73 more, listed on the interactive page.

Dose
100 mg
Route
Oral
How often
Every 12 hours

  • Swallow whole with water
  • With or without food

Hydrogen bond acceptors
7
Hydrogen bond donors
2
Polar surface area
118.51
Calculated partition coefficient (ALogP)
3.31
Calculated partition coefficient (XLogP)
3
Prodrug
No
Chirality
Single enantiomer
Inorganic
No
Rule-of-five violations
0
Rotatable bonds
4
Heavy atoms
35
Molecular formula
C26H23N7O2
Monoisotopic mass
465.19132300
Natural product
Yes

  • 0310-0512
  • 0310-3512
  • 0310-4513

Recorded assays
1,092
Active assays
98

  • Confirmatory
  • Other
  • Screening

Related records

Trials (153)

Approved for (5)

In development for (36)

Targets (14)