A Study Evaluating the Efficacy and Safety of Pirtobrutinib in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorLoxo Oncology, Inc.

About this trial

The main purpose of Part 1 of this study is to assess the efficacy and safety of 3 dose levels of Pirtobrutinib in participants with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL), who have received 1-3 lines of treatment including a covalent Bruton tyrosine kinase (BTK) inhibitor. The purpose of Part 2 of this study is to evaluate pirtobrutinib monotherapy in participants with treatment-naïve CLL/SLL with 17p deletions. Participation in Part 1 is expected to last approximately 3 years. Participation in Part 2 is expected to last up to 2 years.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have confirmed diagnosis of CLL/SLL as defined by iwCLL 2018 criteria.

Part 1: Have received prior CLL/SLL treatment

Have received at least 1, but not more than 3 lines of prior treatment for CLL/SLL

Have received a covalent BTK inhibitor

Disqualifiers

Have received prior treatment with a BTK degrader or a noncovalent BTK inhibitor

Have a history of greater than or equal to (>=) Grade 3 bleeding due to treatment with a BTK inhibitor

Have known or suspected Richter's transformation

Have known or suspected history of central nervous system involvement by CLL/SLL

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pirtobrutinib

    Drug

    Administered Orally.

Treatment groups

249 Participants
are divided into 4 treatment groups
Group A: Pirtobrutinib Standard Dose (Dose 1)-Part 1Active comparator 1 intervention
Group B: Pirtobrutinib Dose 2-Part 1Experimental treatment 1 intervention
Group C: Pirtobrutinib Dose 3-Part 1Experimental treatment 1 intervention
Group D: Pirtobrutinib Standard Dose-Part 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Overall Response Rate

Overall response rate is defined as the proportion of participants who achieve the best overall response at or before the initiation of subsequent anticancer therapy of CR, CRi, nPR, or PR. ORR will be assessed using International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 response criteria.

Time frame
Baseline up to 3 years

Secondary outcomes

1

Duration of Response

Duration of response is defined as the time from the date of the first documented CR, CRi, nPR, or PR to disease progression (per iwCLL 2018) or death from any cause.

Time frame
Baseline up to 3 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Loxo Oncology, Inc.

Lead sponsor

Eli Lilly and Company

Collaborator