Clinical Trials

Multiple clinical trials spanning Phase 1 to Phase 3 evaluate the safety and efficacy of tirabrutinib hydrochloride for oncological and autoimmune indications, with sponsorship from organizations including Ono Pharmaceutical Co., Ltd., Gilead Sciences, and Kyorin University. These studies target B-cell malignancies—such as primary central nervous system lymphoma, chronic lymphocytic leukemia, and non-Hodgkin's lymphoma—alongside autoimmune conditions including Sjogren's syndrome, rheumatoid arthritis, and chronic spontaneous urticaria. Trial recruitment statuses across these protocols encompass active, recruiting, completed, terminated, and withdrawn.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06940791 RECRUITING
Primary Central Nervous System Lymphoma
Kyorin University
2023-10-06 PHASE2
NCT06541665 ACTIVE_NOT_RECRUITING
Primary Central Nervous System Lymphoma
Ono Pharmaceutical Co., Ltd.
2024-05-17 PHASE1
NCT07104032 RECRUITING
Relapsed/Refractory Primary Central Nervous System Lymphoma
Ono Pharmaceutical Co., Ltd.
2026-06-12 PHASE3
NCT06696716 ACTIVE_NOT_RECRUITING
Pemphigus; Steroid-resistant Pemphigus
Ono Pharmaceutical Co., Ltd.
2022-08-15 PHASE3
NCT07198087 COMPLETED
Primary Central Nervous System Lymphoma (PCNSL)
Ono Pharmaceutical Co., Ltd.
2025-10-01 PHASE1
NCT04947319 ACTIVE_NOT_RECRUITING
Refractory Primary Central Nervous System Lymphoma; Primary CNS Lymphoma
Ono Pharmaceutical Co., Ltd.
2021-12-29 PHASE2
NCT02457598 TERMINATED
B-cell Malignancies
Gilead Sciences
2015-06-16 PHASE1
NCT04827589 WITHDRAWN
Chronic Spontaneous Urticaria
Gilead Sciences
2021-07 PHASE2
NCT02457559 COMPLETED
Relapsed/Refractory B-cell Malignancies
Gilead Sciences
2015-09-10 PHASE1
NCT02968563 COMPLETED
Chronic Lymphocytic Leukemia
Gilead Sciences
2016-12-13 PHASE2
NCT02983617 COMPLETED
Chronic Lymphocytic Leukemia
Gilead Sciences
2017-04-06 PHASE2
NCT03100942 COMPLETED
Sjogren's Syndrome
Gilead Sciences
2017-05-01 PHASE2
NCT02626026 COMPLETED
Rheumatoid Arthritis
Gilead Sciences
2016-01-26 PHASE1
NCT01659255 COMPLETED
Non Hodgkins Lymphoma; Chronic Lymphocytic Leukaemia
Gilead Sciences
2012-08-17 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-05)

Check the tirabrutinib(ONO-4059) hydrochloride product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tirabrutinib hydrochloride selectively binds to and inhibits Bruton's tyrosine kinase (BTK) with an IC50 of 2.2 nM, blocking downstream B-cell receptor signal transduction and pro-survival biochemical cascades. This signaling blockade suppresses B-lymphocyte proliferation and induces apoptosis, thereby inhibiting tumor progression in clinical conditions such as primary central nervous system lymphoma and chronic lymphocytic leukemia.

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.