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Bruton's Tyrosine Kinase Inhibitor

Pirtobrutinib for Immune Thrombocytopenic Purpura

Phase 1 & 2
Waitlist Available
Research Sponsored by Eli Lilly and Company
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Have documented history of response, defined as 2 or more platelet counts greater than or equal to 50,000/microliter (μL), to at least 1 prior line of therapy. Splenectomy is considered a line of therapy
Have relapsed or treatment-resistant primary ITP, with no available therapies known to provide clinical benefit
Must not have
Have a diagnosis or history of hematologic malignancy
Have hepatitis B virus (HBV) defined as positive for antigen of hepatitis B (HBsAg) or polymerase chain reaction (PCR) positive for HBV deoxyribonucleic acid (DNA)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up week 16 up to week 40

Summary

"This trial aims to see how well pirtobrutinib is tolerated and what side effects may occur in patients with Primary Immune Thrombocytopenia. It will also investigate the

Who is the study for?
This trial is for individuals with Primary Immune Thrombocytopenia (ITP), a condition where the immune system destroys platelets. Participants must meet specific health criteria, which are not detailed here.
What is being tested?
The study tests pirtobrutinib's tolerability and side effects in phase 1, then compares its effectiveness and safety at various doses to a placebo in phase 2. It involves oral administration of the drug and regular blood tests over up to 16 weeks for phase 1 and an additional 28 weeks for phase 2.
What are the potential side effects?
Specific side effects of pirtobrutinib are not listed but will be monitored throughout phases 1 and 2 of the trial as participants take the medication orally.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My platelet counts improved to 50,000 or more after treatment.
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My ITP has not improved with treatment and no other treatments are likely to help.
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I have been diagnosed with ITP, a condition where my platelet count is low without any other known disease causing it.
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My liver, kidneys, and blood counts are within normal ranges.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have or had blood cancer.
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I have tested positive for hepatitis B.
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I have a serious heart condition.
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I have hepatitis C confirmed by positive tests.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~week 16 up to week 40
This trial's timeline: 3 weeks for screening, Varies for treatment, and week 16 up to week 40 for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Phase 1-Dose Limiting Toxicity (DLT) of Pirtobrutinib
Phase 1-Number of Participants with One or More Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
Phase 1-Number of Participants with Treatment-Related Adverse Events as Assessed by Clinical Lab Tests: Hematology, Clinical Chemistry, Urinalysis, Pregnancy, Hepatitis Serology and Cytomegalovirus (CMV), Human Immunodeficiency Virus (HIV)
+3 more
Secondary study objectives
Phase 1-Evaluate the Extent of Disease Control
Phase 1-Preliminary Efficacy of Pirtobrutinib
Phase 1: Pharmacokinetics (PK) of Pirtobrutinib
+4 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)

Trial Design

3Treatment groups
Experimental Treatment
Placebo Group
Group I: Pirtobrutinib Phase 2Experimental Treatment1 Intervention
Pirtobrutinib administered orally
Group II: Pirtobrutinib Phase 1Experimental Treatment1 Intervention
Pirtobrutinib administered orally
Group III: Placebo Phase 2Placebo Group1 Intervention
Placebo administered orally
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?

Eli Lilly and CompanyLead Sponsor
2,680 Previous Clinical Trials
3,466,326 Total Patients Enrolled
Contact Lilly at 1-800-LillyRx (1-800-545-5979)Study DirectorEli Lilly and Company
11 Previous Clinical Trials
361 Total Patients Enrolled
~39 spots leftby Feb 2027