Evidence map›Paper›PMID 31875923›Full record

ArticleCancer chemotherapy and pharmacology2020

Effect of rifampin and itraconazole on the pharmacokinetics of zanubrutinib (a Bruton's tyrosine kinase inhibitor) in Asian and non-Asian healthy subjects.

Song Mu, Zhiyu Tang, William Novotny, Manal Tawashi, Ta-Kai Li, Ying Ou, Srikumar Sahasranaman

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03336333 (An International, Phase 3, Open-Label, Randomized Study of BGB-3111 Compared With Bendamustine Plus Rituximab in Patients With Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03336333 phase3active not recruitingnot on this map

An International, Phase 3, Open-Label, Randomized Study of BGB-3111 Compared With Bendamustine Plus Rituximab in Patients With Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (CLL/SLL)

TypeinterventionalSponsorBeiGeneRan2017 to 2027Enrolled590ConditionsChronic Lymphocytic Leukemia, Small Lymphocytic LymphomaArmsZanubrutinib, Bendamustine, Rituximab, Venetoclax
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Fitness in CLL.Cancers · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Song MuClinical Pharmacology, BeiGene USA, 2955 Campus Drive, Suite 300, San Mateo, CA, 94403, USA.
Zhiyu TangClinical Pharmacology, BeiGene USA, 2955 Campus Drive, Suite 300, San Mateo, CA, 94403, USA.
William NovotnyClinical Development, BeiGene USA, San Mateo, CA, USA.
Manal TawashiClinical Operations, BeiGene USA, San Mateo, CA, USA.
Ta-Kai LiDrug Safety and Pharmacovigilance, BeiGene USA, San Mateo, CA, USA.
Ying OuClinical Pharmacology, BeiGene USA, 2955 Campus Drive, Suite 300, San Mateo, CA, 94403, USA.
Srikumar SahasranamanClinical Pharmacology, BeiGene USA, 2955 Campus Drive, Suite 300, San Mateo, CA, 94403, USA. sri.sahasranaman@beigene.com.ORCID http://orcid.org/0000-0002-0762-2967
BeiGene (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeZanubrutinib (BGB-3111) is a potent Bruton's tyrosine kinase inhibitor with promising clinical activity in B-cell malignancies. Zanubrutinib was shown to be mainly metabolized through cytochrome P450 3A (CYP3A) in vitro. We evaluated the effect of steady-state rifampin (a strong CYP3A inducer) and steady-state itraconazole (a strong CYP3A inhibitor) on the pharmacokinetics (PK), safety, and tolerability of zanubrutinib in healthy Asian and non-Asian subjects.

methodsIn this open-label, two-part clinical study, 20 participants received a single oral dose of zanubrutinib (320 mg) and oral rifampin (600 mg) in Part A, and 18 participants received a single oral dose of zanubrutinib (20 mg) and oral itraconazole (200 mg) in Part B. Serial blood samples were collected after administration of zanubrutinib alone and zanubrutinib in combination with rifampin or itraconazole for the measurement of PK parameters.

resultsCoadministration with rifampin decreased AUC

conclusionsThese results confirm that zanubrutinib is primarily metabolized by CYP3A in humans. The PK of zanubrutinib was comparable between Asian and non-Asian subjects and, therefore, no dose modifications are necessary for zanubrutinib in these ethnic populations.

Indexed as

AdolescentAdultAgedArea Under CurveCytochrome P-450 CYP3ACytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsDrug InteractionsFemaleHealthy VolunteersHumansItraconazoleMaleMiddle AgedPiperidinesProtein Kinase InhibitorsCytochrome P-450 CYP3ACytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsItraconazolePiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesRifampinzanubrutinibClinical pharmacologyClinical trialsDrug–drug interactionsOncologyPharmacokinetics and drug metabolism

Identifiers

PMID31875923
PMCPMC7015960
OpenAlexW2997469873

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.