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Evobrutinib is an oral small molecule drug that acts as a highly selective inhibitor of Bruton’s tyrosine kinase (BTK). It was developed for the treatment of relapsing forms of multiple sclerosis (RMS) and other autoimmune diseases. By inhibiting BTK, evobrutinib reduces the activation and function of B cells and modulates macrophage/microglia activity, thereby decreasing inflammation in the central nervous system. Evobrutinib demonstrated promising results in early-phase clinical trials but failed to meet primary efficacy endpoints in phase III studies for RMS. The drug is not approved for any indication as of July 2024[3][5][6][8][9].
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