Research progress in overcoming ibrutinib drug resistance

Drugs Today (Barc). 2022 Feb;58(2):85-94. doi: 10.1358/dot.2022.58.2.3360405.

Abstract

Ibrutinib, an oral small-molecule targeted drug, has been the first Bruton tyrosine kinase (BTK) inhibitor in the world to be approved for the market. It works by regulating cell proliferation, apoptosis and migration, and has been proven to exhibit high efficacy and good safety in the treatment of B-cell lymphomas, including chronic lymphocytic leukemia or small lymphocytic lymphoma and mantle cell lymphoma. However, some patients inevitably have drug resistance and disease recurrence, resulting in a poor prognosis. This article serves as a clinical reference by summarizing the related literature on ibrutinib resistance inhibitors.

Keywords: Anticancer therapy; B-cell malignancies; Bruton tyrosine kinase (BTK) inhibitors; Drug resistance; Ibrutinib; Small-molecule inhibitors.

MeSH terms

  • Adenine / analogs & derivatives
  • Adult
  • Antineoplastic Agents* / therapeutic use
  • Drug Resistance
  • Drug Resistance, Neoplasm
  • Humans
  • Leukemia, Lymphocytic, Chronic, B-Cell* / drug therapy
  • Piperidines / therapeutic use
  • Protein Kinase Inhibitors / adverse effects
  • Pyrimidines / adverse effects

Substances

  • Antineoplastic Agents
  • Piperidines
  • Protein Kinase Inhibitors
  • Pyrimidines
  • ibrutinib
  • Adenine