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BTK Inhibitor

Pirtobrutinib + Rituximab for Marginal Zone Lymphoma

Phase 2
Waitlist Available
Led By Narendranath Epperla, MD, MS
Research Sponsored by Narendranath Epperla
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Histologically documented marginal zone lymphoma, including splenic, nodal, and extranodal sub-types at the enrolling institution
Age ≥ 18 years
Must not have
Clinically significant active malabsorption syndrome or other condition affecting GI absorption
Major surgery within 4 weeks prior to enrollment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 7 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is testing a combination of pirtobrutinib and rituximab in treating patients with marginal zone lymphoma (MZL). Pirtobrutinib blocks a protein that

Who is the study for?
This trial is for patients newly diagnosed with marginal zone lymphoma, a type of cancer affecting white blood cells. Participants should be suitable for both biopsy and imaging tests like CT and PET scans to monitor the disease.
What is being tested?
The study is testing pirtobrutinib combined with rituximab as a treatment. Pirtobrutinib blocks proteins that help tumor cells grow, while rituximab targets certain immune cells potentially aiding in killing cancer cells.
What are the potential side effects?
Possible side effects include reactions at the infusion site, flu-like symptoms, low blood cell counts leading to increased infection risk or bleeding, fatigue, nausea, and potential liver issues.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My lymphoma type is confirmed as marginal zone lymphoma.
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I am 18 years old or older.
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I can take care of myself and am up and about more than 50% of my waking hours.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have a condition that affects how my body absorbs nutrients.
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I have not had major surgery in the last 4 weeks.
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I have a history of unusual bleeding.
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I do not have serious heart problems.
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My cancer has spread to my brain or spinal cord.
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I am positive for HIV, HBV, or HCV.
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I need blood thinners like warfarin for my condition.
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I haven't had any live-virus vaccines in the last 28 days and don't need any during the study.
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I have an active, uncontrolled immune system disorder affecting my blood cells.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~7 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 7 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Objective response rate (ORR) defined as the proportion of subjects achieving a partial response (PR) or complete response (CR) by Lugano Criteria at Cycle 7.
Secondary study objectives
Duration of response (DoR), defined as the interval of time from the date of initial documented response (PR or better per Lugano Criteria) to the time of progression from the best response, the start of a new therapy, or death from any cause.
Median and two year Progression-free survival (PFS). PFS will be as defined as the time from study drug initiation to the time of documented disease progression (as assessed by Lugano Criteria), or death from any cause.
Median and two year overall survival (OS). OS is defined as the time from registration until death from any cause.
+1 more

Side effects data

From 2022 Phase 1 trial • 32 Patients • NCT05176314
9%
Headache
100%
80%
60%
40%
20%
0%
Study treatment Arm
20 mg Rosuvastatin (Day 1)
20 mg Rosuvastatin + 200 mg Pirtobrutinib (Day 13)
20 mg Rosuvastatin + 200 mg Pirtobrutinib (Day 6)
200 mg Pirtobrutinib QD (Days 7-12)
200 mg Pirtobrutinib QD (Days 14-17)

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment: All PatientsExperimental Treatment1 Intervention
The study's goal is to investigate the efficacy of the combination of study drugs pirtobrutinib and rituximab.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pirtobrutinib
2020
Completed Phase 1
~240

Find a Location

Who is running the clinical trial?

Narendranath EpperlaLead Sponsor
2 Previous Clinical Trials
27 Total Patients Enrolled
Eli Lilly and CompanyIndustry Sponsor
2,680 Previous Clinical Trials
3,466,361 Total Patients Enrolled
University of UtahLead Sponsor
1,147 Previous Clinical Trials
1,699,598 Total Patients Enrolled
Narendranath Epperla, MD, MSPrincipal InvestigatorOhio State University Comprehensive Cancer Center
2 Previous Clinical Trials
47 Total Patients Enrolled
~15 spots leftby Dec 2031