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A Phase 2, Open-Label, Randomized Study Evaluating the Efficacy and Safety of 3 Doses of Pirtobrutinib in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma Who Previously Received Treatment With a Covalent Bruton Tyrosine Kinase Inhibitor


Description

The main purpose of this study is to assess the efficacy and safety of 3 dose levels of Pirtobrutinib in participants with relapsed or refractory 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 study is expected to last approximately 3 years.

Trial Eligibility

Inclusion Criteria: * Have confirmed diagnosis of CLL/SLL as defined by these iwCLL 2018 criteria. * 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 * Have a requirement for therapy consistent with iwCLL 2018 criteria for initiation of therapy * Capable of swallowing oral study medication. * Have an Eastern Cooperative Oncology Group Performance Status (ECOG) score of 0 to 2. Exclusion Criteria: * Have received prior treatment with a BTK degrader and 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 * Previous or concurrent cancer distinct from CLL/SLL within 3 years before randomization. Exceptions may occur with documented sponsor approval. Examples include: * nonmelanoma skin cancer or lentigo maligna melanoma * cervical carcinoma in situ * localized prostate cancer undergoing active surveillance, and * localized (for example, lymph node negative) breast cancer with no evidence of active disease present for more than 3 years. Individual may be receiving adjuvant hormonal therapy

Study Info

Organization

Eli Lilly and Company


Primary Outcome

Overall Response Rate


Outcome Timeframe Baseline up to 3 years

NCTID NCT06588478

Phases PHASE2

Primary Purpose TREATMENT

Start Date 2025-01-03

Completion Date 2028-06

Enrollment Target 249

Interventions

DRUG Pirtobrutinib

Locations Recruiting

Ironwood Cancer & Research Centers

United States, Arizona, Chandler


City of Hope National Medical Center

United States, California, Duarte


City of Hope National Medical Center

United States, California, Irvine


Palo Alto Medical Foundation Research Institute (PAMFRI)

United States, California, Palo Alto


Stanford Cancer Center

United States, California, Palo Alto


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