Remibrutinib
Medication used to treat chronic spontaneous urticaria
From Wikipedia, the free encyclopedia
Remibrutinib, sold under the brand name Rhapsido, is a medication used for the treatment of chronic spontaneous urticaria.[1] Remibrutinib is an oral, small molecule kinase inhibitor that inhibits Bruton's tyrosine kinase (BTK).[1] It is taken by mouth.[1]
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| Trade names | Rhapsido |
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| Routes of administration | By mouth |
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| Formula | C27H27F2N5O3 |
| Molar mass | 507.542 g·mol−1 |
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Medical uses
Remibrutinib is indicated for the treatment of chronic spontaneous urticaria in adults who remain symptomatic despite H1 antihistamine treatment[1]
Side effects
Remibrutinib is generally well-tolerated in patients with chronic spontaneous urticaria, but common side effects include upper respiratory tract infections, headache, nasopharyngitis, and mild gastrointestinal symptoms such as diarrhea and nausea. Most adverse events are classified as mild to moderate, with serious side effects being rare; elevations in liver enzymes and transient neutropenia have also been reported but typically do not require treatment discontinuation.[2][3]
Mechanism of action
Remibrutinib is a selective inhibitor of Bruton's tyrosine kinase (BTK), a key signaling protein found in mast cells and basophils that regulates their activation and degranulation via pathways involving the FcεRI and B-cell receptor. By irreversibly binding to BTK, remibrutinib blocks intracellular signaling required for the release of histamine and other inflammatory mediators, thereby reducing the immune cell-driven processes underlying chronic spontaneous urticaria. This mechanism enables suppression of urticaria symptoms upstream from antihistamines, and may also modulate autoimmune activity in some patients.[3]
Society and culture
Legal status
Remibrutinib was approved for medical use in the United States in September 2025.[4]
Names
Remibrutinib is the international nonproprietary name.[5]
Remibrutinib is sold under the brand name Rhapsido.[4]
