Ruxolitinib

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
Ruxolitinib
Molecular weight
Structure (SMILES)
N#CC[C@H](C1CCCC1)n1cc(-c2ncnc3[nH]ccc23)cn1

  • jakavi
  • Jakavi

  • (R)-RUXOLITINIB
  • 1h pyrazole 1 propanenitrile beta cyclopentyl 4 7h pyrrolo 2 3 d pyrimidin 4 yl beta r
  • 1H-PYRAZOLE-1-PROPANENITRILE, .BETA.-CYCLOPENTYL-4-(7H-PYRROLO(2,3-D)PYRIMIDIN-4-YL)-, (.BETA.R)-
  • drug inc424
  • inc 424
  • INC-424
  • inc424
  • INC424
  • incb 018424
  • incb 018424 salt
  • incb 18424
  • INCB-018424
  • INCB-018424 SALT
  • INCB-18424
  • incb018424
  • INCB018424
  • INCB018424 (RUXOLITINIB)
  • incb018424 r ruxolitinib
  • incb018424 ruxolitinib
  • INCB018424(R)-RUXOLITINIB
  • incb18424
  • INCB18424
  • jakafi
  • JAKAFI
  • jakavi

And 26 more, listed on the interactive page.

CAS registry numbers
  • 941678-49-5
ChEMBL ID
CHEMBL1789941
InChIKey
HFNKQEVNSGCOJV-OAHLLOKOSA-N
PubChem compound IDs
  • 25126798
FDA ingredient codes (UNII)
  • 82S8X8XX8H

  • D11AH09
  • L01EJ01
Sources for recorded values

  • 1193325
  • 1193326

Applicant
INCYTE CORP
Approval date
16 Nov 2011
Application number
NDA202192

Status
Authorised
Status date
23 Aug 2012
Authorisation date
23 Aug 2012
Approved indications
Myelofibrosis (MF)Jakavi is indicated for the treatment of disease related splenomegaly or symptoms in adult patients with primary myelofibrosis (also known as chronic idiopathic myelofibrosis), post polycythaemia vera myelofibrosis or post essential thrombocythaemia myelofibrosis.Polycythaemia vera (PV)Jakavi is indicated for the treatment of adult patients with polycythaemia vera who are resistant to or intolerant of hydroxyurea.Graft versus host disease (GvHD)Acute GvHDJakavi is indicated for the treatment of adults and paediatric patients aged 28 days and older with acute graft versus host disease who have inadequate response to corticosteroids or other systemic therapies (see section 5.1).Chronic GvHDJakavi is indicated for the treatment of adults and paediatric patients aged 6 months and older with chronic graft versus host disease who have inadequate response to corticosteroids or other systemic therapies (see section 5.1). Myelofibrosis (MF)Jakavi is indicated for the treatment of disease related splenomegaly or symptoms in adult patients with primary myelofibrosis (also known as chronic idiopathic myelofibrosis), post polycythaemia vera myelofibrosis or post essential thrombocythaemia myelofibrosis.Polycythaemia vera (PV)Jakavi is indicated for the treatment of adult patients with polycythaemia vera who are resistant to or intolerant of hydroxyurea.Graft versus host disease (GvHD)Acute GvHDJakavi is indicated for the treatment of adults and paediatric patients aged 28 days and older with acute graft versus host disease who have inadequate response to corticosteroids or other systemic therapies (see section 5.1).Chronic GvHDJakavi is indicated for the treatment of adults and paediatric patients aged 6 months and older with chronic graft versus host disease who have inadequate response to corticosteroids or other systemic therapies (see section 5.1).
Product number
EMEA/H/C/002464
Authorisation holder
Novartis Europharm Limited
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

  • Graft vs Host Disease
  • Myeloproliferative Disorders
  • Polycythemia Vera
European medicines record

Patents
0
Designations
5
First in class
Yes
Fast track
Yes
Breakthrough designation
Yes
Orphan designation
No
Priority review
Yes
Orphan exclusivity
No
Accelerated approval
No
Availability
Prescription only
Boxed warning
Yes

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

Administration routes

  • Oral
  • topical

  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 2
    Gene symbol
    JAK2
    Protein identifier
    O60674
    Affinity units
    pIC50
    Primary target
    Yes
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 2
    Gene symbol
    JAK2
    Protein identifier
    O60674
    Median affinity
    8.05
    Affinity units
    pIC50
    Primary target
    Yes
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 1
    Gene symbol
    JAK1
    Protein identifier
    P23458
    Affinity units
    pIC50
    Primary target
    Yes
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 1
    Gene symbol
    JAK1
    Protein identifier
    P23458
    Median affinity
    8.22
    Affinity units
    pIC50
    Primary target
    Yes
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    tyrosine kinase 2
    Gene symbol
    TYK2
    Protein identifier
    P29597
    Median affinity
    7.52
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    tyrosine kinase 2
    Gene symbol
    TYK2
    Protein identifier
    P29597
    Median affinity
    9.26
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 3
    Gene symbol
    JAK3
    Protein identifier
    P52333
    Median affinity
    6.31
    Affinity units
    pIC50
  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    Janus kinase 3
    Gene symbol
    JAK3
    Protein identifier
    P52333
    Median affinity
    8.49
    Affinity units
    pIC50

  • Mechanism
    Tyrosine-protein kinase JAK1 inhibitor
    Action type
    Inhibitor
    Target
    Tyrosine-protein kinase JAK1
  • Mechanism
    Tyrosine-protein kinase JAK2 inhibitor
    Action type
    Inhibitor
    Target
    Tyrosine-protein kinase JAK2
  • Mechanism
    Tyrosine-protein kinase JAK3 inhibitor
    Action type
    Inhibitor
    Target
    Tyrosine-protein kinase JAK3
  • Mechanism
    Tyrosine-protein kinase TYK2 inhibitor
    Action type
    Inhibitor
    Target
    Non-receptor tyrosine-protein kinase TYK2

  • Action type
    Inhibitor
    Gene symbol
    JAK2
    Protein identifier
    O60674
    Organism
    Homo sapiens
    Target development level
    Clinical
  • Action type
    Inhibitor
    Gene symbol
    JAK1
    Protein identifier
    P23458
    Organism
    Homo sapiens
    Target development level
    Clinical

  • Condition
    Leukemia, Lymphocytic, Chronic, B-Cell
    Highest recorded phase
    2
    Condition identifier
    EFO:0000095
    Subject identifier
    D015451
  • Condition
    Carcinoma, Squamous Cell
    Highest recorded phase
    2
    Condition identifier
    EFO:0000181
    Subject identifier
    D002294
  • Condition
    Hodgkin Disease
    Highest recorded phase
    2
    Condition identifier
    EFO:0000183
    Subject identifier
    D006689
  • Condition
    Leukemia, Biphenotypic, Acute
    Highest recorded phase
    1
    Condition identifier
    EFO:0000209
    Subject identifier
    D015456
  • Condition
    Precursor Cell Lymphoblastic Leukemia-Lymphoma
    Highest recorded phase
    2
    Condition identifier
    EFO:0000220
    Subject identifier
    D054198
  • Condition
    Leukemia, Myeloid, Acute
    Highest recorded phase
    2
    Condition identifier
    EFO:0000222
    Subject identifier
    D015470
  • Condition
    Dermatitis, Atopic
    Highest recorded phase
    3
    Condition identifier
    EFO:0000274
    Subject identifier
    D003876
  • Condition
    Breast Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0000305
    Subject identifier
    D001943
  • Condition
    Leukemia, Myelogenous, Chronic, BCR-ABL Positive
    Highest recorded phase
    2
    Condition identifier
    EFO:0000339
    Subject identifier
    D015464
  • Condition
    Thrombocythemia, Essential
    Highest recorded phase
    3
    Condition identifier
    EFO:0000479
    Subject identifier
    D013920
  • Condition
    Glioblastoma
    Highest recorded phase
    1
    Condition identifier
    EFO:0000519
    Subject identifier
    D005909
  • Condition
    Leukemia
    Highest recorded phase
    2
    Condition identifier
    EFO:0000565
    Subject identifier
    D007938
  • Condition
    Lymphoma
    Highest recorded phase
    2
    Condition identifier
    EFO:0000574
    Subject identifier
    D008223
  • Condition
    Neoplasms
    Highest recorded phase
    4
    Condition identifier
    EFO:0000616
    Subject identifier
    D009369
  • Condition
    Psoriasis
    Highest recorded phase
    2
    Condition identifier
    EFO:0000676
    Subject identifier
    D011565
  • Condition
    Arthritis, Rheumatoid
    Highest recorded phase
    2
    Condition identifier
    EFO:0000685
    Subject identifier
    D001172
  • Condition
    Severe Acute Respiratory Syndrome
    Highest recorded phase
    3
    Condition identifier
    EFO:0000694
    Subject identifier
    D045169
  • Condition
    HIV Infections
    Highest recorded phase
    2
    Condition identifier
    EFO:0000764
    Subject identifier
    D015658
  • Condition
    Multiple Myeloma
    Highest recorded phase
    2
    Condition identifier
    EFO:0001378
    Subject identifier
    D009101
  • Condition
    Hematologic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0001642
    Subject identifier
    D019337
  • Condition
    Polycythemia Vera
    Highest recorded phase
    3
    Condition identifier
    EFO:0002429
    Subject identifier
    D011087
  • Condition
    Primary Myelofibrosis
    Highest recorded phase
    3
    Condition identifier
    EFO:0002430
    Subject identifier
    D055728
  • Condition
    Pancreatic Neoplasms
    Highest recorded phase
    3
    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
    Pneumonia
    Highest recorded phase
    1
    Condition identifier
    EFO:0003106
    Subject identifier
    D011014

And 41 more, listed on the interactive page.

  • Condition identifier
    EFO_0000095
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000181
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000183
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000198
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000222
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000274
    Highest recorded phase
    3
  • Condition identifier
    EFO_0000305
  • Condition identifier
    EFO_0000339
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000398
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000479
  • Condition identifier
    EFO_0000565
  • Condition identifier
    EFO_0000574
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000616
  • Condition identifier
    EFO_0000676
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000685
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000694
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000764
    Highest recorded phase
    2
  • Condition identifier
    EFO_0001378
    Highest recorded phase
    2
  • Condition identifier
    EFO_0002429
    Highest recorded phase
    3
  • Condition identifier
    EFO_0002430
    Highest recorded phase
    3
  • Condition identifier
    EFO_0002618
    Highest recorded phase
    3
  • Condition identifier
    EFO_0003060
    Highest recorded phase
    2
  • Condition identifier
    EFO_0003860
    Highest recorded phase
    3
  • Condition identifier
    EFO_0004192
    Highest recorded phase
    2
  • Condition identifier
    EFO_0004208

And 135 more, listed on the interactive page.

  • Warning
    Black Box Warning
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    infectious disease
    Country
    United States

  • Event
    acute myeloid leukaemia
    Reports
    173
    Reporting signal score
    316.379
  • Event
    anaemia
    Reports
    1,171
    Reporting signal score
    1,037.85
  • Event
    blast cell count increased
    Reports
    83
    Reporting signal score
    280.026
  • Event
    blood count abnormal
    Reports
    305
    Reporting signal score
    593.793
  • Event
    blood lactate dehydrogenase increased
    Reports
    154
    Reporting signal score
    181.919
  • Event
    contusion
    Reports
    343
    Reporting signal score
    292.158
  • Event
    drug hypersensitivity
    Reports
    14
    Reporting signal score
    196.816
  • Event
    fatigue
    Reports
    1,106
    Reporting signal score
    222.261
  • Event
    febrile neutropenia
    Reports
    302
    Reporting signal score
    191.291
  • Event
    haematocrit decreased
    Reports
    182
    Reporting signal score
    208.568
  • Event
    haemoglobin decreased
    Reports
    990
    Reporting signal score
    1,251.47
  • Event
    injection site pain
    Reports
    2
    Reporting signal score
    186.564
  • Event
    myelofibrosis
    Reports
    233
    Reporting signal score
    827.201
  • Event
    night sweats
    Reports
    179
    Reporting signal score
    210.937
  • Event
    platelet count decreased
    Reports
    977
    Reporting signal score
    1,273.84
  • Event
    platelet count increased
    Reports
    419
    Reporting signal score
    1,041.99
  • Event
    primary myelofibrosis
    Reports
    44
    Reporting signal score
    184.83
  • Event
    red blood cell count decreased
    Reports
    259
    Reporting signal score
    367.117
  • Event
    second primary malignancy
    Reports
    300
    Reporting signal score
    764.502
  • Event
    splenomegaly
    Reports
    541
    Reporting signal score
    1,542
  • Event
    squamous cell carcinoma
    Reports
    143
    Reporting signal score
    227.727
  • Event
    thrombocytopenia
    Reports
    608
    Reporting signal score
    406.87
  • Event
    weight increased
    Reports
    518
    Reporting signal score
    317.511
  • Event
    white blood cell count increased
    Reports
    408
    Reporting signal score
    555.89

And 180 more, listed on the interactive page.

Route
Topical
How often
Twice daily

  • Apply a thin layer
  • Do not use with occlusive dressings

Hydrogen bond acceptors
5
Hydrogen bond donors
1
Polar surface area
83.18
Calculated partition coefficient (ALogP)
3.47
Calculated partition coefficient (XLogP)
2.1
Prodrug
No
Chirality
Single enantiomer
Inorganic
No
Rule-of-five violations
0
Rotatable bonds
4
Heavy atoms
23
Molecular formula
C17H18N6
Monoisotopic mass
306.15929460
Natural product
Yes

  • 50881-005
  • 50881-010
  • 50881-011
  • 50881-015
  • 50881-020
  • 50881-022
  • 50881-025
  • 50881-033
  • 50881-044
  • 50881-055

Recorded assays
1,828
Active assays
483

  • Confirmatory
  • Other
  • Screening

These details could not be displayed.

Related records

Trials (32)

Approved for (2)

In development for (69)

Other linked conditions (2)

Targets (4)