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Fenebrutinib is an investigational oral, reversible and non-covalent Bruton's tyrosine kinase (BTK) inhibitor developed by Genentech (a member of the Roche Group). It selectively blocks BTK, a key enzyme involved in B-cell development and activation as well as the activation of myeloid lineage cells such as macrophages and microglia. By inhibiting both B-cell and microglia activation, fenebrutinib aims to reduce disease activity and disability progression in autoimmune diseases. It is currently being evaluated primarily for multiple sclerosis (MS), including relapsing MS (RMS) and primary progressive MS (PPMS), with ongoing Phase III clinical trials. Fenebrutinib is notable for being a highly selective reversible BTK inhibitor[3][7].
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