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Bruton's Tyrosine Kinase (BTK) Inhibitor

Pirtobrutinib vs Ibrutinib for Chronic Lymphocytic Leukemia (BRUIN-CLL-314 Trial)

Phase 3
Waitlist Available
Research Sponsored by Loxo Oncology, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Must not have
Active uncontrolled systemic bacterial, viral, or fungal infection
Clinically significant active malabsorption syndrome or other condition likely to affect GI absorption of the oral-administered study treatments
Timeline
Screening 3 weeks
Treatment Varies
Follow Up time from the date of the first documented response of cr, cri, npr or pr to the earlier of documentation of definitive pd (per iwcll 2018 criteria) or death from any cause (approximately 2 years)
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

This trial is testing a new drug to see if it is better than the standard treatment for people with CLL/SLL. It will last up to 6 years.

Who is the study for?
This trial is for people with CLL/SLL who may need treatment. They should have a certain level of platelets, hemoglobin, and neutrophils; adequate kidney function; and be in fair to good physical condition (ECOG 0-2). It's not for those with uncontrolled autoimmune issues, history of certain lymphomas or leukemia transformations, significant other diseases, active infections like hepatitis B/C or HIV, ongoing inflammatory bowel disease, prior BTK inhibitor use, on strong blood thinners or immune-suppressing drugs.
What is being tested?
The study compares Pirtobrutinib (LOXO-305) against Ibrutinib in treating CLL/SLL. Participants will either receive the new drug Pirtobrutinib or the established drug Ibrutinib to see which one works better and is safer. The trial could involve participants for up to six years.
What are the potential side effects?
Possible side effects include reactions related to the immune system such as allergies or anaphylaxis especially if there's known hypersensitivity to components of either drug. Other risks might involve changes in blood counts leading to increased infection risk and potential impacts on organ functions.

Eligibility Criteria

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not have any ongoing serious infections.
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I have a condition that affects how my body absorbs medicine taken by mouth.
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I have an active inflammatory bowel disease.
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My heart's pumping ability is strong and I don't have irregular heartbeats.
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My cancer has spread to my brain or spinal cord.
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I do not have an active, uncontrolled autoimmune blood disorder.
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My condition has transformed into a more aggressive form of cancer.
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I am HIV positive.
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I have previously been treated with a BTK inhibitor.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~time from the date of the first documented response of cr, cri, npr or pr to the earlier of documentation of definitive pd (per iwcll 2018 criteria) or death from any cause (approximately 2 years)
This trial's timeline: 3 weeks for screening, Varies for treatment, and time from the date of the first documented response of cr, cri, npr or pr to the earlier of documentation of definitive pd (per iwcll 2018 criteria) or death from any cause (approximately 2 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
Percentage of Participants Achieving Complete Response (CR), Complete Remission with Incomplete Hematologic Recovery (Cri), Nodular Partial Remission (nPR) or Partial Response (PR): Overall Response Rate (ORR)
Secondary study objectives
Duration of Response (DOR)
Event-Free Survival (EFS)
Overall Survival (OS)
+3 more

Side effects data

From 2022 Phase 1 trial • 32 Patients • NCT05176314
9%
Petechiae
3%
Headache
100%
80%
60%
40%
20%
0%
Study treatment Arm
200 mg Pirtobrutinib QD (Days 7-12)
20 mg Rosuvastatin (Day 1)
200 mg Pirtobrutinib QD (Days 14-17)
20 mg Rosuvastatin + 200 mg Pirtobrutinib (Day 13)
20 mg Rosuvastatin + 200 mg Pirtobrutinib (Day 6)

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: PirtobrutinibExperimental Treatment1 Intervention
Administered orally.
Group II: IbrutinibActive Control1 Intervention
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?

Loxo Oncology, Inc.Lead Sponsor
71 Previous Clinical Trials
10,410 Total Patients Enrolled
Eli Lilly and CompanyIndustry Sponsor
2,671 Previous Clinical Trials
3,228,372 Total Patients Enrolled
Study DirectorEli Lilly and Company
1,386 Previous Clinical Trials
425,997 Total Patients Enrolled

Media Library

Ibrutinib (Bruton's Tyrosine Kinase (BTK) Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT05254743 — Phase 3
Chronic Lymphocytic Leukemia Research Study Groups: Pirtobrutinib, Ibrutinib
Chronic Lymphocytic Leukemia Clinical Trial 2023: Ibrutinib Highlights & Side Effects. Trial Name: NCT05254743 — Phase 3
Ibrutinib (Bruton's Tyrosine Kinase (BTK) Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05254743 — Phase 3
~43 spots leftby Feb 2025