What's Happening?
Deciphera Pharmaceuticals, a part of Ono Pharmaceutical Co., Ltd., has announced that the U.S. Food and Drug Administration (FDA) has accepted the New Drug Application (NDA) for tirabrutinib, a Bruton tyrosine kinase inhibitor, under the accelerated approval pathway. This application is for the treatment of relapsed or refractory primary central nervous system lymphoma (R/R PCNSL). The FDA has set a Prescription Drug User Fee Act (PDUFA) action date of December 18, 2026. The NDA is supported by positive results from the Phase 2 PROSPECT study, which showed a 67% overall response rate and a 44% complete response rate. If approved, tirabrutinib will be the first BTK inhibitor therapy available in the U.S. for R/R PCNSL.
Why It's Important?
The acceptance of the NDA
for tirabrutinib is a critical step towards providing a new treatment option for patients with R/R PCNSL, a rare and aggressive form of non-Hodgkin lymphoma. This development is significant as it addresses a high unmet medical need for effective therapies with favorable safety profiles. The potential approval of tirabrutinib could improve clinical outcomes for patients who have limited treatment options and face poor prognoses. Additionally, this milestone reflects Deciphera Pharmaceuticals' commitment to expanding its commercial pipeline and enhancing its presence in the global pharmaceutical market, potentially influencing future research and development strategies in oncology.
What's Next?
With the FDA's acceptance of the NDA, Deciphera Pharmaceuticals will focus on the upcoming PDUFA date in December 2026, which will determine the approval status of tirabrutinib. The company is also conducting a global Phase 3 randomized trial to serve as a confirmatory study for this indication. The outcome of these regulatory and clinical processes will be crucial in determining the commercial availability of tirabrutinib in the U.S. and its impact on the treatment landscape for R/R PCNSL. Stakeholders, including healthcare providers and patients, will be closely monitoring these developments.









