Clinical Trials

Multiple clinical trials have evaluated spebrutinib across Phase I and Phase II development, testing the drug as both monotherapy and combination therapy. Sponsored by entities including Celgene, The Lymphoma Academic Research Organisation, and The Leukemia and Lymphoma Society, these studies investigated indications such as diffuse large B-cell lymphoma, relapsed or refractory B-cell lymphoma, chronic lymphocytic leukemia, Waldenström macroglobulinemia, active rheumatoid arthritis, and healthy volunteer cohorts. Recruitment status entries for these trials are listed as either completed or terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02031419 TERMINATED
Lymphoma, Large B-Cell, Diffuse
Celgene
2013-12-18 PHASE1
NCT01732861 COMPLETED
Leukemia Lymphocytic Chronic B-Cell
Celgene
2012-12-28 PHASE1
NCT01975610 COMPLETED
Rheumatoid Arthritis
Celgene
2013-10 PHASE2
NCT01744626 COMPLETED
Leukemia Lymphocytic Chronic B-Cell
Celgene Corporation
2012-12 PHASE1
NCT01766583 COMPLETED
Relapsed/Refractory B-cell Lymphoma
The Lymphoma Academic Research Organisation
2013-02 PHASE1
NCT02433457 COMPLETED
Healthy Volunteers
Celgene
2014-05-26 PHASE1
NCT02031419 Terminated
Lymphoma Large B-Cell Diffuse
Celgene
2013-12-18 Phase 1
NCT01766583 Completed
Relapsed/Refractory B-cell Lymphoma
The Lymphoma Academic Research Organisation|Celgene Corporation
2013-02 Phase 1
NCT01351935 Completed
B Cell Non-Hodgkin''s Lymphoma|Chronic Lymphocytic Leukemia|Waldenstrom Macroglobulinemia
Celgene|The Leukemia and Lymphoma Society
2011-07-18 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-01-18)

Check the Spebrutinib (AVL-292) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Spebrutinib covalently binds to Bruton's tyrosine kinase with high selectivity, thereby inhibiting downstream signal transduction and suppressing B-cell proliferation and survival. This targeted pathway inhibition reduces oncogenic signaling and autoimmune activation, providing clinical relevance for treating B-cell malignancies, such as diffuse large B-cell lymphoma and chronic lymphocytic leukemia, as well as rheumatoid arthritis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.