U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C26H23N7O2
Molecular Weight 465.5065
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ACALABRUTINIB

SMILES

CC#CC(=O)N1CCC[C@H]1C2=NC(=C3N2C=CN=C3N)C4=CC=C(C=C4)C(=O)NC5=CC=CC=N5

InChI

InChIKey=WDENQIQQYWYTPO-IBGZPJMESA-N
InChI=1S/C26H23N7O2/c1-2-6-21(34)32-15-5-7-19(32)25-31-22(23-24(27)29-14-16-33(23)25)17-9-11-18(12-10-17)26(35)30-20-8-3-4-13-28-20/h3-4,8-14,16,19H,5,7,15H2,1H3,(H2,27,29)(H,28,30,35)/t19-/m0/s1

HIDE SMILES / InChI
Acalabrutinib, also known as ACP-196, is a novel irreversible second-generation Bruton’s tyrosine kinase (BTK) inhibitor, which prevents the activation of the B-cell antigen receptor (BCR) signaling pathway and that, was rationally designed to be more potent and selective than ibrutinib. This drug in clinical trials phase III for treatment the treatment of relapsed chronic lymphocytic leukemia. Also in combination with others drugs, Acalabrutinib in phase II of clinical trials for the treatment Glioblastoma Multiforme, Mantle Cell Lymphoma, Squamous Cell Carcinoma of the Head and Neck, Rheumatoid Arthritis and some others.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
3.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
CALQUENCE

Approved Use

CALQUENCE is indicated for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy.

Launch Date

2017
Primary
Unknown

Approved Use

Unknown
Palliative
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
827 ng/mL
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
323 ng/mL
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1850 ng × h/mL
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1111 ng × h/mL
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.6 h
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
0.9 h
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
2.5%
100 mg 2 times / day multiple, oral
dose: 100 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ACALABRUTINIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
400 mg 1 times / day steady, oral
Highest studied dose
Dose: 400 mg, 1 times / day
Route: oral
Route: steady
Dose: 400 mg, 1 times / day
Sources:
unhealthy, 62 years (range: 44–84 years)
Health Status: unhealthy
Condition: Relapsed Chronic Lymphocytic Leukemia
Age Group: 62 years (range: 44–84 years)
Sex: M+F
Sources:
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Disc. AE: Neoplasms malignant site unspecified NEC, Aortic stenosis...
AEs leading to
discontinuation/dose reduction:
Neoplasms malignant site unspecified NEC (0.2%)
Aortic stenosis (0.2%)
Dyspnea (0.2%)
Leukostasis (0.2%)
Thrombocytopenia (0.5%)
Pulmonary fibrosis (0.2%)
Hemorrhagic bullae (0.2%)
Chest pain (non-cardiac) (0.2%)
Sources: Page: p. 132
AEs

AEs

AESignificanceDosePopulation
Aortic stenosis 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Chest pain (non-cardiac) 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Dyspnea 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Hemorrhagic bullae 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Leukostasis 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Neoplasms malignant site unspecified NEC 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Pulmonary fibrosis 0.2%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Thrombocytopenia 0.5%
Disc. AE
100 mg 2 times / day steady, oral
Recommended
Dose: 100 mg, 2 times / day
Route: oral
Route: steady
Dose: 100 mg, 2 times / day
Sources: Page: p. 132
unhealthy, adult
n = 610
Health Status: unhealthy
Condition: hematological malignancies
Age Group: adult
Sex: M+F
Population Size: 610
Sources: Page: p. 132
Overview

Overview

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [Ki 8.5 uM]
no
no
no
no
no
no
unlikely
unlikely
Comment: acalabrutinib does not inhibit P-gp transporter at clnically relevant concentrations; [I]1/IC50 < 0.1, [I]2/IC50 < 10
Page: 72.0
weak [Ki 11.3 uM]
weak
weak
weak
weak
likely
Comment: Acalabrutinib is a weak BCRP inhibitor at the intestinal level, per calculations according to FDA Draft Guidance on DDI ([I]1/IC50 < 0.1, [I]2/IC50 = 21); acalabrutinib may increase exposure of BCRP substrates; acalabrutinib may increase methotrexate through inhibition of intestinal BCRP;
Page: 72.0
yes [Ki 20.6 uM]
yes [Ki 23.9 uM]
yes [Ki 3.3 uM]
yes [Ki 4 uM]
yes [Ki 8.5 uM]
yes
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
yes
yes
yes
yes
yes (co-administration study)
Comment: itraconazole increased acalabrutinib Cmax by 3.9-fold and AUC by 5.1-fold; rifampin decreased acalabrutinib Cmax by 68% and AUC by 77%
Page: 17.0
yes
yes (co-administration study)
Comment: ketoconazole abolished 100% of ACP-5862 clearance in human liver microsomes
Page: 62.0
Tox targets
PubMed

PubMed

TitleDatePubMed
Acalabrutinib (ACP-196) in Relapsed Chronic Lymphocytic Leukemia.
2016 Jan 28

Sample Use Guides

for Chronic Lymphocytic Leukemia: 100 to 400 mg once daily in the dose-escalation (phase 1) portion of the study and 100 mg twice daily in the expansion (phase 2) portion.
Route of Administration: Oral
The differential effects of acalabrutinib on primary chronic lymphocytic leukemia (CLL) cells, T cells, NK cells, and epithelial cells were studied by signaling and functional assays. Acalabrutinib inhibited purified ruton’s tyrosine kinase (BTK) with an IC50 of 3 nM and EC50 of 8 nM in a human whole-blood CD69 B cell activation assay. Acalabrutinib was shown to have improved target specificity over ibrutinib with 323-, 94-, 19-, and 9-fold selectivity over the other TEC kinase family members (ITK, TXK, BMX, and TEC, respectively) and no activity against EGFR.
Name Type Language
ACALABRUTINIB
INN   USAN   WHO-DD  
USAN   INN  
Official Name English
ACALABRUTINIB [JAN]
Common Name English
ACP-196
Code English
ACALABRUTINIB [ORANGE BOOK]
Common Name English
BENZAMIDE, 4-(8-AMINO-3-((2S)-1-(1-OXO-2-BUTYN-1-YL)-2-PYRROLIDINYL)IMIDAZO(1,5-A)PYRAZIN-1-YL)-N-2-PYRIDINYL-
Systematic Name English
Acalabrutinib [WHO-DD]
Common Name English
acalabrutinib [INN]
Common Name English
ACALABRUTINIB [USAN]
Common Name English
ACALABRUTINIB [MI]
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 477415
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
NCI_THESAURUS C124801
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
NDF-RT N0000175605
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
NCI_THESAURUS C129825
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
EU-Orphan Drug EU/3/16/1625
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
FDA ORPHAN DRUG 489015
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
FDA ORPHAN DRUG 488915
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
Code System Code Type Description
DAILYMED
I42748ELQW
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
DRUG BANK
DB11703
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
NCI_THESAURUS
C113442
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
CAS
1639823-20-3
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
SUPERSEDED
CAS
1420477-60-6
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
EVMPD
SUB182073
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
SMS_ID
100000168547
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
FDA UNII
I42748ELQW
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
MERCK INDEX
m12069
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
LACTMED
Acalabrutinib
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
EPA CompTox
DTXSID401026209
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
WIKIPEDIA
Acalabrutinib
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
RXCUI
1986808
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
PUBCHEM
71226662
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
ChEMBL
CHEMBL3707348
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
INN
10150
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
USAN
DE-48
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
DRUG CENTRAL
5260
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY
CHEBI
167707
Created by admin on Sat Dec 16 10:02:00 GMT 2023 , Edited by admin on Sat Dec 16 10:02:00 GMT 2023
PRIMARY