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Molecule

Remibrutinib

Kinase Inhibitor
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Remibrutinib is a kinase inhibitor indicated for adult patients who remain symptomatic despite use of H1 antihistamine for the treatment of chronic spontaneous urticaria. It is available as tablets for oral use. MedsAcross supplies Remibrutinib for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Kinase Inhibitor, Bruton's Tyrosine Kinase Inhibitors, P-Glycoprotein Inhibitors
ATC classification
L04AA60 Remibrutinib · Immunosuppressive drug, subgroup L04AA
US FDA first approval
30 September 2025
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII I7MVZ8HDNUCAS 1787294-07-8DrugBank DB16852Q123499462

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

RHAPSIDO ® is indicated for adult patients who remain symptomatic despite use of H1 antihistamine for the treatment of: chronic spontaneous urticaria. symptomatic dermographism. RHAPSIDO ® is a kinase inhibitor indicated for adult patients who remain symptomatic despite use of H1 antihistamine for the treatment of: chronic spontaneous urticaria. symptomatic dermographism.

Source: US FDA prescribing information

How it works

Remibrutinib is an oral, small molecule kinase inhibitor that inhibits Bruton’s tyrosine kinase (BTK). BTK is an intracellular protein expressed in mast cells, basophils, B cells, macrophages, and thrombocytes. BTK is involved in intracellular signaling via Fc epsilon receptor-1 (FcεR1), Fc gamma receptors (FcγR), and the B cell antigen receptor (BCR). Remibrutinib also inhibits the BTK-related kinases tec protein tyrosine kinase (TEC) and BMX non-receptor tyrosine kinase (BMX). Remibrutinib inhibits mast cell and basophil degranulation, including release of histamine and other proinflammatory mediators, mediated by pathogenic IgE or IgG directed against the FcεR1 or IgE.

Source: US FDA prescribing information

Dosing overview

Recommended dosage is 25 mg orally twice daily with or without food. Swallow tablets whole. Do not split, crush, or chew RHAPSIDO. Interrupt RHAPSIDO for 3 to 7 days pre- and post-surgery.

Source: US FDA prescribing information

Warnings and precautions

Risk of Bleeding: Monitor for signs and symptoms of bleeding. Interrupt treatment with RHAPSIDO if bleeding is observed or pre- and post-surgery. Concomitant use of antithrombotic agents with RHAPSIDO may further increase risk of bleeding. Live Attenuated Vaccines: Avoid live or live-attenuated vaccines in patients receiving RHAPSIDO.

Source: US FDA prescribing information

Side effects

The most common adverse reactions (incidence ≥3%) were nasopharyngitis, bleeding, headache, nausea and abdominal pain.

Source: US FDA prescribing information

Interactions

Strong or Moderate CYP3A4 Inhibitors: Avoid concomitant use with RHAPSIDO. Strong or Moderate CYP3A4 Inducers: Avoid concomitant use with RHAPSIDO. P-gp Substrates: Exposure increases where minimal concentration changes may lead to serious adverse reactions: Monitor more frequently for adverse reactions when used concomitantly with RHAPSIDO. Antithrombotic Agents: Consider the risks and benefits of concomitant use of antithrombotic agents with RHAPSIDO.

Source: US FDA prescribing information

Storage

Storage Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C to 30°C (59°F to 86°F). Dispense and store in the original container in order to protect from moisture.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Remibrutinib, sorted by availability.

MedicineManufacturerRegisterAvailability
Rhapsido 25 mg tabletOralNovartis PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 30 September 2025Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Remibrutinib available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Remibrutinib and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Remibrutinib have?

The catalogue lists 1 brand names for Remibrutinib, including Rhapsido.

Is Remibrutinib approved by the US FDA?

Yes. The US FDA first approved Remibrutinib on 30 September 2025, according to Drugs@FDA.

Is Remibrutinib authorised in the European Union?

Yes. Remibrutinib has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Remibrutinib need cold chain shipping?

No listed presentation of Remibrutinib is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Remibrutinib in?

Remibrutinib is classified under ATC code L04AA60 (Remibrutinib).

References

  1. RHAPSIDO prescribing information (Novartis Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 6 October 2026
  2. Rhapsido: European public assessment report (EPAR). European Medicines Agency. Retrieved 5 May 2026

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