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Ibrutinib is a small molecule, oral antineoplastic agent classified as a Bruton's tyrosine kinase (BTK) inhibitor. It acts by irreversibly binding to the cysteine residue (Cys481) in the active site of BTK, thereby inhibiting its enzymatic activity and blocking B-cell receptor signaling pathways. This inhibition disrupts processes essential for malignant B-cell proliferation, survival, adhesion, and migration. Ibrutinib is primarily indicated for the treatment of chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), mantle cell lymphoma (MCL), Waldenström's macroglobulinemia (WM), marginal zone lymphoma (MZL), and chronic graft versus host disease (cGVHD). The drug was developed by Pharmacyclics and first approved in 2013.
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