{"id":59,"date":"2026-06-17T03:08:04","date_gmt":"2026-06-17T03:08:04","guid":{"rendered":"https:\/\/astinovabiolabs.com\/blog\/?p=59"},"modified":"2026-06-17T03:08:04","modified_gmt":"2026-06-17T03:08:04","slug":"synthesis-of-remibrutinib-rhapsido","status":"publish","type":"post","link":"https:\/\/astinovabiolabs.com\/blog\/synthesis-of-remibrutinib-rhapsido\/","title":{"rendered":"Synthesis of Remibrutinib (RHAPSIDO)"},"content":{"rendered":"\n<p><strong>Compiled:<\/strong>&nbsp;2026-06-17 \u00b7&nbsp;<strong>Trigger event:<\/strong>&nbsp;FDA approval, 2025-09-30&nbsp;<strong>Innovator:<\/strong>&nbsp;Novartis Pharmaceuticals Corporation&nbsp;<strong>Status:<\/strong>&nbsp;Approved NME<\/p>\n\n\n\n<p><strong>INN:<\/strong>&nbsp;remibrutinib<strong>Brand (US):<\/strong>&nbsp;RHAPSIDO<strong>CAS:<\/strong>&nbsp;1787294-07-8<strong>ChEMBL:<\/strong>&nbsp;CHEMBL4483575<strong>MW:<\/strong>&nbsp;507.5 g\/mol<strong>NDA #:<\/strong>&nbsp;NDA 218436<strong>Approval:<\/strong>&nbsp;2025-09-30<\/p>\n\n\n\n<p><strong>Mechanism:<\/strong>\u00a0Remibrutinib is an oral, small-molecule covalent (irreversible) inhibitor of Bruton&#8217;s tyrosine kinase (BTK), engaging the catalytic Cys481 via its acrylamide warhead and binding an inactive BTK conformation \u2014 the basis of its high kinome selectivity (reported biochemical IC\u2085\u2080 ~1 nM). BTK is expressed in mast cells, basophils, B cells, macrophages, and platelets and signals downstream of the high-affinity IgE receptor (Fc\u03b5R1), Fc\u03b3 receptors, and the B-cell antigen receptor (BCR). Remibrutinib also inhibits the BTK-related TEC-family kinases TEC and BMX. By blocking Fc\u03b5R1\/Fc\u03b3R signalling it inhibits mast-cell and basophil degranulation \u2014 release of histamine and other proinflammatory mediators driven by pathogenic IgE or IgG \u2014 the mechanism relevant to CSU. ChEMBL CHEMBL4483575; target BTK (CHEMBL5251). Ref: Angst et al., J. Med. Chem. 2020, PMID 32083858.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"3-synthesis-route-of-the-originator\">Synthesis Route of the Originator<\/h2>\n\n\n\n<p>Convergent route disclosed in the Novartis discovery paper (Angst et al., J. Med. Chem. 2020, 63, 5102-5118; remibrutinib = compound 25) and optimised in the process patent (WO2024069507A1 \/ EP4594306A1). Fragment B (central aniline) is built by acylating 3-bromo-5-fluoro-2-methylaniline with 4-cyclopropyl-2-fluorobenzoyl chloride (INT-1), then borylated to the arylboronate (INT-2). Fragment A is a 6-amino-4-chloropyrimidine bearing the N-Boc-N-methyl-aminoethoxy side chain (built from 4,6-dichloro-5-methoxypyrimidine by mono-amination, O-demethylation to the 5-ol, and Mitsunobu with N-Boc-N-methylethanolamine). Suzuki\u2013Miyaura coupling of INT-2 with Fragment A forms the Boc-protected biaryl (INT-3); Boc removal frees the secondary amine (INT-4); acryloylation installs the acrylamide warhead to give remibrutinib, crystallised as anhydrous Form A. The warhead is installed last \u2014 the standard covalent-kinase-inhibitor strategy. The improved process deliberately carries the aniline as an aryl bromide and borylates late to avoid a genotoxic boronate-aniline. Conditions are representative for the named transformations (corroborated by the process patent and a 2023 Molecules review); verify per-step loadings\/temperatures against the discovery-paper SI before scale-up.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"143\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-7-1024x143.png\" alt=\"\" class=\"wp-image-60\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-7-1024x143.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-7-300x42.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-7-768x107.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-7-1536x215.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-7-2048x286.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"134\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-8-1024x134.png\" alt=\"\" class=\"wp-image-61\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-8-1024x134.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-8-300x39.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-8-768x101.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-8-1536x201.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-8-2048x268.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"287\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-9-1024x287.png\" alt=\"\" class=\"wp-image-62\" style=\"aspect-ratio:3.5680626534811175;width:508px;height:auto\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-9-1024x287.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-9-300x84.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-9-768x215.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-9.png 1298w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Reagents and conditions: (1) 4-cyclopropyl-2-fluorobenzoic acid (CAS 1247927-81-6) \u2192 acyl chloride (SOCl\u2082, cat. pyridine, toluene, 50 \u00b0C); then SM-1 aniline, DIPEA, iPrOAc\/toluene; ~87\u201393% (process route, EP4594306A1); (2) B\u2082pin\u2082 (or bis-boronic acid), Pd(MeCN)\u2082Cl\u2082 (0.25\u20130.5 mol%), tBuPPh\u2082, KOAc, 2-MeTHF, 50\u201360 \u00b0C (process route, EP4594306A1). The process route deliberately borylates late to avoid isolating the Ames-positive boronate-aniline of the original route.; (3) Fragment A pyrimidinyl chloride (1.0 eq), Pd(MeCN)\u2082Cl\u2082 + tBuPPh\u2082 (or XPhos-Pd-G2), K\u2083PO\u2084, 2-MeTHF\/H\u2082O ~10:3, 60 \u00b0C, ~24 h, ~92% (process route). Discovery route used PdCl\u2082(PPh\u2083)\u2082.; (4) HCl (process route) or TFA\/CH\u2082Cl\u2082 (discovery route), rt; free-base on workup; (5) Acryloyl chloride (1.05 eq), Na\u2082CO\u2083 (1.2 eq), EtOAc, 50\u219265 \u00b0C (process route); discovery route used acrylic acid + T3P\/base. Warhead installed last to avoid Michael side-reactions\/oligomerisation upstream. Crystallise to anhydrous Form A (free base)..<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"833\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-10-1024x833.png\" alt=\"\" class=\"wp-image-63\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-10-1024x833.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-10-300x244.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-10-768x625.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-10-1536x1250.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-10.png 1752w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"929\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-11-1024x929.png\" alt=\"\" class=\"wp-image-64\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-11-1024x929.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-11-300x272.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-11-768x697.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-11-1536x1394.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-11.png 1754w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"2-patent-landscape-exclusivity\">atent Landscape &amp; Exclusivity<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"21-key-patent-filings\">2.1 Key patent filings<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">Patent \/ Application<\/th><th class=\"has-text-align-left\" data-align=\"left\">Type<\/th><th class=\"has-text-align-left\" data-align=\"left\">Assignee<\/th><th class=\"has-text-align-left\" data-align=\"left\">Filed<\/th><th class=\"has-text-align-left\" data-align=\"left\">Expiry (~)<\/th><th class=\"has-text-align-left\" data-align=\"left\"><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>WO2015079417A1 \u2014 &#8216;Novel amino pyrimidine derivatives&#8217; (composition of matter)<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">Composition of matter (originator)<\/td><td class=\"has-text-align-left\" data-align=\"left\">Novartis AG (inventors incl. D. Angst et al.)<\/td><td class=\"has-text-align-left\" data-align=\"left\">PCT published 2015-06-04; priority ~2013 (the BTK-inhibitor amino-pyrimidine benzamide series described in Angst et al., J. Med. Chem. 2020) [VERIFY exact priority date on Espacenet]<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2034\u20132035 nominal (20 yr from PCT filing), before any PTE [VERIFY exact date]<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>WO2024069507A1 \/ EP4594306A1 \u2014 &#8216;Synthesis methods and intermediates for the production of remibrutinib&#8217; (process)<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">Process<\/td><td class=\"has-text-align-left\" data-align=\"left\">Novartis<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2023 (published 2024)<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2043\u20132044 nominal<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>WO2023161887A1 \u2014 &#8216;Remibrutinib for use in the treatment of hidradenitis suppurativa&#8217; (method of use)<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">Method of use<\/td><td class=\"has-text-align-left\" data-align=\"left\">Novartis<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2022 (published 2023)<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2042\u20132043 nominal<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Structural class &amp; SAR background:<\/strong>&nbsp;Convergent route disclosed in the Novartis discovery paper (Angst et al., J. Med. Chem. 2020, 63, 5102-5118; remibrutinib = compound 25) and optimised in the process patent (WO2024069507A1 \/ EP4594306A1). Fragment B (central aniline) is built by acylating 3-bromo-5-fluoro-2-methylaniline with 4-cyclopropyl-2-fluorobenzoyl chloride (INT-1), then borylated to the arylboronate (INT-2). Fragment A&#8230;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"4-crystal-forms-salts-and-solid-state-profile\">Crystal Forms, Salts, and Solid-State Profile<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>API in approved drug product:<\/strong>\u00a0Remibrutinib free base (C\u2082\u2087H\u2082\u2087F\u2082N\u2085O\u2083, MW 507.54; achiral \u2014 no stereocentres). White to pale-yellow powder; practically insoluble in water. Marketed drug-substance form is the anhydrous crystalline Form A (per process patent EP4594306A1).<\/li>\n\n\n\n<li><strong>Strengths approved:<\/strong>\u00a025 mg oral film-coated tablet, twice daily<\/li>\n\n\n\n<li><strong>Third-party polymorph activity:<\/strong>\u00a0No third-party US polymorph activity identified as of 2026-06-17 \u2014 expected given the long-dated COM. Monitor SureChEMBL\/Espacenet.<\/li>\n\n\n\n<li><strong>Originator polymorph filing:<\/strong>\u00a0Novartis anhydrous Form A is the marketed solid form; polymorph claims expected within the Novartis estate\u00a0<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"pharmacology-snapshot\">Pharmacology snapshot<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">Target<\/th><th class=\"has-text-align-left\" data-align=\"left\">Activity (ChEMBL pChEMBL)<\/th><th class=\"has-text-align-left\" data-align=\"left\">Selectivity<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\">Tyrosine-protein kinase BTK<\/td><td class=\"has-text-align-left\" data-align=\"left\">Kd = 0.24 nM<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Unchecked<\/td><td class=\"has-text-align-left\" data-align=\"left\">IC50 = 36.0 nM<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Tyrosine-protein kinase Tec<\/td><td class=\"has-text-align-left\" data-align=\"left\">Kd = 77.0 nM<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Cytoplasmic tyrosine-protein kinase BMX<\/td><td class=\"has-text-align-left\" data-align=\"left\">Kd = 540.0 nM<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Voltage-gated inwardly rectifying potassium channel KCNH2<\/td><td class=\"has-text-align-left\" data-align=\"left\">IC50 = 1400.0 nM<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Phosphatidylinositol 4-kinase beta<\/td><td class=\"has-text-align-left\" data-align=\"left\">IC50 = 3100.0 nM<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>PK summary:<\/strong>&nbsp;&#8211; t\u00bd: Short \u2014 estimated elimination t\u00bd \u2248 1 to 2 h (covalent, irreversible BTK engagement means pharmacodynamic effect outlasts plasma exposure, enabling BID dosing despite the short t\u00bd) &#8211; Tmax: Median Tmax \u2248 1 h (range 0\u20134 h) at steady state &#8211; Steady-state PD: Flat dose-response for UAS7 at Week 4 across 0.2\u20134\u00d7 the recommended dose; near-complete BTK occupancy underlies the efficacy plateau and the 25 mg BID dose selection. &#8211; Food effect: No clinically significant effect of a high-fat meal (1000 kcal, 50% fat) \u2014 may be taken with or without food.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>KSM supply:<\/strong>\u00a03-bromo-5-fluoro-2-methylaniline (CAS 502496-36-8), 4-cyclopropyl-2-fluorobenzoic acid (CAS 1247927-81-6), 4,6-dichloro-5-methoxypyrimidine (CAS 5018-38-2), N-Boc-N-methylethanolamine (CAS 57561-39-4), acryloyl chloride, B\u2082pin\u2082 \u2014 all commercial. No precious-metal-heavy chemistry beyond catalytic Pd (Suzuki + borylation).<\/li>\n\n\n\n<li><strong>Critical process risk:<\/strong>\u00a0(1) Pd removal to ICH-Q3D limits after the borylation + Suzuki steps. (2) Regiocontrol\/purity of the di-substituted aniline and pyrimidine fragments. (3) Late-stage acrylamide installation must avoid Michael oligomerisation \u2014 controlled acryloylation. (4) Anhydrous Form A polymorph control on crystallisation. Note: process patent specifically engineered the route to AVOID a genotoxic (Ames-positive) boronate-aniline intermediate \u2014 a genotoxic-impurity control point.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"74-comparator-competitive-class\">Comparator \/ competitive class<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">Asset<\/th><th class=\"has-text-align-left\" data-align=\"left\">Code<\/th><th class=\"has-text-align-left\" data-align=\"left\">Sponsor<\/th><th class=\"has-text-align-left\" data-align=\"left\">Mechanism<\/th><th class=\"has-text-align-left\" data-align=\"left\">Selectivity<\/th><th class=\"has-text-align-left\" data-align=\"left\">Stage<\/th><th class=\"has-text-align-left\" data-align=\"left\">IP cliff<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Omalizumab (Xolair)<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><td class=\"has-text-align-left\" data-align=\"left\">Genentech\/Roche (US); Novartis (ex-US)<\/td><td class=\"has-text-align-left\" data-align=\"left\">Anti-IgE monoclonal antibody<\/td><td class=\"has-text-align-left\" data-align=\"left\">IgE<\/td><td class=\"has-text-align-left\" data-align=\"left\">Approved for CSU since 2014 \u2014 the incumbent advanced therapy; injectable (SC q4wk)<\/td><td class=\"has-text-align-left\" data-align=\"left\">biologic; biosimilars emerging<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Dupilumab (Dupixent)<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><td class=\"has-text-align-left\" data-align=\"left\">Sanofi \/ Regeneron<\/td><td class=\"has-text-align-left\" data-align=\"left\">Anti-IL-4R\u03b1 monoclonal antibody<\/td><td class=\"has-text-align-left\" data-align=\"left\">IL-4R\u03b1<\/td><td class=\"has-text-align-left\" data-align=\"left\">FDA-approved for CSU 2025; injectable (SC) \u2014 newest biologic competitor<\/td><td class=\"has-text-align-left\" data-align=\"left\">biologic<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Rilzabrutinib<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">PRN1008<\/td><td class=\"has-text-align-left\" data-align=\"left\">Sanofi<\/td><td class=\"has-text-align-left\" data-align=\"left\">Reversible-covalent BTK inhibitor<\/td><td class=\"has-text-align-left\" data-align=\"left\">BTK<\/td><td class=\"has-text-align-left\" data-align=\"left\">Phase 3 in CSU (positive Ph2 RILECSU); the most direct ORAL-BTKi follower [VERIFY Ph3 status]<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Fenebrutinib<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">GDC-0853<\/td><td class=\"has-text-align-left\" data-align=\"left\">Roche\/Genentech<\/td><td class=\"has-text-align-left\" data-align=\"left\">Reversible (non-covalent) BTK inhibitor<\/td><td class=\"has-text-align-left\" data-align=\"left\">BTK<\/td><td class=\"has-text-align-left\" data-align=\"left\">Positive Phase 2 in CSU (Nat Med 2021); program now MS-focused \u2014 reversible transaminase elevations seen<\/td><td class=\"has-text-align-left\" data-align=\"left\">\u2014<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"54-key-peer-reviewed-literature\">Key peer-reviewed literature<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u00e1nchez J et al.,\u00a0<em>J Allergy Clin Immunol Glob<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jacig.2026.100729\">Knowledge among primary care physicians on urticaria treatment: Impact of educational&#8230;<\/a>\u00a0(PMID 42256030)<\/li>\n\n\n\n<li>Mosnaim G et al.,\u00a0<em>Ann Allergy Asthma Immunol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.anai.2026.06.011\">Remibrutinib impact on disease control, sleep, and quality of life: Analysis of phase&#8230;<\/a>\u00a0(PMID 42297099)<\/li>\n\n\n\n<li>Labrador-Horrillo M et al.,\u00a0<em>J Investig Allergol Clin Immunol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.18176\/jiaci.1183\">A New Drug Target in Allergic Diseases: Bruton Tyrosine Kinase<\/a>\u00a0(PMID 42043389)<\/li>\n\n\n\n<li>Gim\u00e9nez-Arnau AM et al.,\u00a0<em>J Allergy Clin Immunol Pract<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jaip.2026.05.027\">Safety of remibrutinib in chronic spontaneous urticaria: a pooled analysis of REMIX-1&#8230;<\/a>\u00a0(PMID 42242425)<\/li>\n\n\n\n<li>Wu L et al.,\u00a0<em>J Am Acad Dermatol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jaad.2026.04.2010\">Indirect Comparison of Remibrutinib and Dupilumab in Omalizumab-Refractory Chronic&#8230;<\/a>\u00a0(PMID 42235605)<\/li>\n\n\n\n<li>Sher M et al.,\u00a0<em>J Allergy Clin Immunol Pract<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jaip.2026.05.012\">Solar urticaria successfully treated with Remibrutinib<\/a>\u00a0(PMID 42173244)<\/li>\n\n\n\n<li>Lamkin EN et al.,\u00a0<em>Trends Pharmacol Sci<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.tips.2026.05.001\">Remibrutinib (Rhapsido) for chronic spontaneous urticaria<\/a>\u00a0(PMID 42168043)<\/li>\n\n\n\n<li>Yang M et al.,\u00a0<em>Z Rheumatol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1007\/s00393-026-01824-2\">Efficacy and safety of pharmacological treatment for Sj\u00f6gren&#8217;s disease: a\u00a0network meta-analysis<\/a>\u00a0(PMID 42113283)<\/li>\n\n\n\n<li>Khan SA et al.,\u00a0<em>Mol Divers<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1007\/s11030-026-11577-4\">Chemistry, pharmacology and spotlight on the clinical trials of remibrutinib: a first&#8230;<\/a>\u00a0(PMID 42084704)<\/li>\n\n\n\n<li>Aguilar-Gonz\u00e1lez L et al.,\u00a0<em>J Dtsch Dermatol Ges<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1111\/ddg.70288\">Efficacy and safety of remibrutinib in chronic spontaneous urticaria: clinical experience<\/a>\u00a0(PMID 42068168)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Compiled:&nbsp;2026-06-17 \u00b7&nbsp;Trigger event:&nbsp;FDA approval, 2025-09-30&nbsp;Innovator:&nbsp;Novartis Pharmaceuticals Corporation&nbsp;Status:&nbsp;Approved NME INN:&nbsp;remibrutinibBrand (US):&nbsp;RHAPSIDOCAS:&nbsp;1787294-07-8ChEMBL:&nbsp;CHEMBL4483575MW:&nbsp;507.5 g\/molNDA #:&nbsp;NDA 218436Approval:&nbsp;2025-09-30 Mechanism:\u00a0Remibrutinib is an oral, small-molecule covalent (irreversible) inhibitor of Bruton&#8217;s tyrosine kinase (BTK), engaging the catalytic Cys481 via its acrylamide warhead and binding an inactive&hellip;<\/p>\n","protected":false},"author":1,"featured_media":65,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[23,22],"class_list":["post-59","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fda-approved-small-molecules","tag-btkinhibitor","tag-remibrutinib"],"_links":{"self":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/59","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/comments?post=59"}],"version-history":[{"count":1,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/59\/revisions"}],"predecessor-version":[{"id":66,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/59\/revisions\/66"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/media\/65"}],"wp:attachment":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/media?parent=59"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/categories?post=59"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/tags?post=59"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}