Drug intelligence / Profile preview

lenalidomide + ibrutinib + rituximab

Development stage
Unknown
Lead developer
Bristol Myers Squibb
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

This is a combination regimen of three drugs: **lenalidomide**, an immunomodulatory agent; **ibrutinib**, a Bruton's tyrosine kinase (BTK) inhibitor; and **rituximab**, a monoclonal anti-CD20 antibody. The triplet is investigated primarily for relapsed/refractory diffuse large B-cell lymphoma (DLBCL), especially the non-germinal center B-cell-like subtype, and mantle cell lymphoma (MCL), as well as central nervous system (CNS) lymphoma and follicular lymphoma. The combination capitalizes on synergy between lenalidomide and ibrutinib, which can result in a pronounced anti-lymphoma effect via immunomodulation, inhibition of NF-κB signaling, reduction of IRF4 expression, and enhanced interferon-β signaling. Rituximab contributes to targeted B-cell depletion by binding CD20 on malignant B cells, augmenting the immune response. Clinical trials indicate high response rates, manageable toxicity, and potential for durable remissions, particularly in previously treated or high-risk populations[1][2][3][9].

Brand names
Revlimid + Imbruvica + Rituxan
Other names
RLIIR2IR-2IR 2R2IR-2IR 2Iibrutinib + lenalidomide + rituximabrituximab + lenalidomide + ibrutinib
02

Targets

CRBN (Cereblon)BTK (Bruton tyrosine kinase)CD20 (B-lymphocyte antigen CD20)

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