Clinical trial • Phase III • Oncology
PIRTOBRUTINIB for Chronic lymphocytic leukemia | Small lymphocytic lymphoma
Phase III trial of PIRTOBRUTINIB for Chronic lymphocytic leukemia | Small lymphocytic lymphoma.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Chronic lymphocytic leukemia | Small lymphocytic lymphoma
- Trial Stage
- Phase III
- Drug Modality
- Small molecule | Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 10-05-2024
- First CTIS Authorization Date
- 04-07-2024
Trial design
Randomised, open-label, investigator's choice (arm b) of: 1) idelalisib plus rituximab; 2) bendamustine plus rituximab. (product entries list idelalisib tablets and rituximab infusion and bendamustine iv; specific dosing schedules not specified in the provided text.)-controlled Phase III trial in Belgium, Hungary, Croatia and others.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Investigator's choice (Arm B) of: 1) Idelalisib plus Rituximab; 2) Bendamustine plus Rituximab. (Product entries list Idelalisib tablets and Rituximab infusion and Bendamustine IV; specific dosing schedules not specified in the provided text.)
- Target Sample Size
- 130
Eligibility
Recruits 130 isVulnerablePopulationSelected = true. Subjects must be "Willing and capable of giving signed informed consent" as required by Section 10.1.2 Appendix 1; ICFs and subject information are provided (multiple ICF versions: Main ICF, Crossover ICF, Pregnant Partner ICF, Optional sample collection ICF, Treatment Beyond PD ICF, etc.). ICF documents are available in multiple languages (examples in the document list include English, French, German, Dutch, Hungarian, Croatian, Polish, Italian, Spanish). No specific assent procedures for minors are described (trial includes adults ≥18)..
- Vulnerable Population
- isVulnerablePopulationSelected = true. Subjects must be "Willing and capable of giving signed informed consent" as required by Section 10.1.2 Appendix 1; ICFs and subject information are provided (multiple ICF versions: Main ICF, Crossover ICF, Pregnant Partner ICF, Optional sample collection ICF, Treatment Beyond PD ICF, etc.). ICF documents are available in multiple languages (examples in the document list include English, French, German, Dutch, Hungarian, Croatian, Polish, Italian, Spanish). No specific assent procedures for minors are described (trial includes adults ≥18).
Inclusion criteria
- {"criterion_text":"- Age 18 or older per local regulations at time of enrollment.\n- Confirmed diagnosis of CLL/SLL requiring therapy as defined by iwCLL 2018 criteria\n- Previously treated with a covalent BTK inhibitor\n- Eastern Cooperative Oncology Group (ECOG) 0 2\n- Absolute neutrophil count ≥ 0.75 × 10^9/L without granulocyte colony stimulating factor support, or ≥ 0.50 × 10^9/L in patients with documented bone marrow involvement considered to impair hematopoiesis. Granulocyte colony stimulating factor support is permitted in patients with documented bone marrow involvement\n- Hemoglobin ≥ 8 g/dL or ≥ 6 g/dL in patients with documented bone marrow involvement considered to impair hematopoiesis. Transfusion support is permitted in patients with bone marrow involvement\n- Platelets ≥ 50 × 10^9/L. If an investigator has chosen bendamustine/rituximab as the Arm B treatment, platelets must be ≥ 75 × 10^9/L. Patients may enroll below these thresholds if the Investigator determines the cytopenia is related to bone marrow involvement considered to impair hematopoiesis. Patients with a platelet count < 30 x 10^9/L are excluded\n- AST and ALT ≤ 3.0 x upper limit of normal (ULN)\n- Total bilirubin ≤ 1.5 x ULN\n- Estimated creatinine clearance of ≥ 30 mL/min\n- Willing and capable of giving signed informed consent as described in Section 10.1.2 Appendix 1 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol."}
Exclusion criteria
- {"criterion_text":"- Known or suspected Richter's transformation at any time preceding enrollment\n- Known Human Immunodeficiency Virus (HIV) infection, regardless of CD4 count\n- Clinically significant active malabsorption syndrome or inflammatory bowel disease\n- Prior exposure to non covalent (reversible) BTK inhibitor\n- Patients requiring therapeutic anticoagulation with warfarin or another Vitamin K antagonist\n- Current treatment with strong cytochrome P450 (CYP) 3A4 (CYP3A4) inhibitors or inducers\n- Vaccination with a live vaccine within 28 days prior to randomization\n- Patients with the following hypersensitivity: 1.\tKnown hypersensitivity, including anaphylaxis, to any component or excipient of pirtobrutinib. For patients planned to receive idelalisib, known hypersensitivity, including anaphylaxis, to any component or excipient of idelalisib. For patients planned to receive bendamustine, known hypersensitivity, including anaphylaxis, to any component or excipient of bendamustine. Prior significant hypersensitivity to rituximab\n- Known or suspected history of central nervous system (CNS) involvement by CLL/SLL\n- Ongoing drug induced liver injury\n- Active uncontrolled auto immune cytopenia\n- Significant cardiovascular disease\n- History of allogeneic or stem cell transplantation (SCT) or chimeric antigen receptor modified T cells (CAR T) therapy within the past 60 days\n- Active hepatitis B or hepatitis C\n- Known active cytomegalovirus (CMV) infection\n- Active uncontrolled systemic bacterial, viral, fungal or parasitic infection"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Assessed by Independent Review Committee (IRC): • PFS per iwCLL 2018","definition_or_measurement_approach":"Assessed by Independent Review Committee (IRC); progression-free survival (PFS) according to iwCLL 2018 criteria"}
Recruitment
- Registry Or Advocacy Recruitment
- True - advocacy letter(s) referenced in recruitment documents; specific advocacy organisation names are not provided in the available documents.
- Digital Remote Recruitment
- True - ePRO/eCOA digital methods are used (ePRO Patient Information Guide, ePRO training modules, reminder icons, eCOA handheld materials, digital participant materials such as Happify digital wellbeing content).
- Planned Sample Size
- 130
- Recruitment Window Months
- 71
- Consent Approach
- Informed consent must be signed by the participant; inclusion criterion: "Willing and capable of giving signed informed consent as described in Section 10.1.2. Appendix 1". Multiple ICF versions are provided (Main ICF, Crossover ICF, Pregnant Partner ICF, Optional sample collection ICF, Treatment Beyond PD ICF, etc.) and are available in multiple languages (examples include English, French, German, Dutch, Hungarian, Croatian, Polish, Italian, Spanish). No separate assent process for minors is described (trial enrolment restricted to ≥18).
Methods
- Physician referral letters / Physician referral (documents: e.g. "L2_Physician Referral Letter_V02HRV01_san"). Target audience: treating physicians to identify eligible patients.
- Advocacy engagement / Advocacy letters (documents: e.g. "K1_Advocacy Letter_V02HRV01__san"). Target audience: patient advocacy groups/communities (advocacy organisation names not specified in documents).
- Patient-facing brochures, participant study guides and patient ID cards (multiple country-specific Patient Brochures and Participant Study Guide documents). Channels: printed materials given at sites; target audience: potential participants and caregivers.
- ePRO / digital methods: ePRO Patient Information Guide, ePRO reminder icons, eCOA handheld materials and digital training modules (documents: ePRO Patient Information Guide, eCOA Handheld reports, ePRO Patient Guide). Target audience: enrolled participants for remote data capture and reminders.
- Travel and reimbursement support materials (prepaid Visa / travel-expense cards) and related FAQs (documents include travel-expense cardholder FAQ and travel-expense patient brochure). Target audience: participants requiring travel assistance.
- Happify wellbeing materials and related flyers/FAQs (documents: Happify Card, Happify Flyer, Happify FAQ). Target audience: participants (support materials).
- Site-specific recruitment materials and recruitment placeholders exist for multiple countries (country-specific K1_Recruitment Arrangements documents).
Geography
- Total Number Of Sites
- 47
- Total Number Of Participants
- 130
Belgium
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 11-02-2026
- Processing Time Days
- 628
- Number Of Sites
- 1
- Number Of Participants
- 1
Sites
- Site Name
- Algemeen Ziekenhuis Delta
- Department Name
- Hematology
- Contact Person Name
- Lien Deleu
- Contact Person Email
- lien.deleu@azdelta.be
Hungary
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 13-02-2026
- Processing Time Days
- 630
- Number Of Sites
- 2
- Number Of Participants
- 4
Sites
- Site Name
- Del-Pesti Centrumkorhaz Orszagos Hematologiai Es Infektologiai Intezet
- Department Name
- Hematológiai és Őssejt-transzplantációs Osztály
- Contact Person Name
- Zoltán Mátrai
- Contact Person Email
- matraiz1@gmail.com
- Site Name
- University Of Debrecen
- Department Name
- Belgyógyászati Klinika. B épület. Hematológia
- Contact Person Name
- Árpád Illés
- Contact Person Email
- illesarpaddr@gmail.com
Croatia
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 13-02-2026
- Processing Time Days
- 630
- Number Of Sites
- 1
- Number Of Participants
- 1
Sites
- Site Name
- KBC Zagreb
- Department Name
- Hematology
- Contact Person Name
- Igor Aurer
- Contact Person Email
- igor.aurer@kbc-zagreb.hr
Germany
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 11-02-2026
- Processing Time Days
- 628
- Number Of Sites
- 4
- Number Of Participants
- 6
Sites
- Site Name
- Universitaetsklinikum Heidelberg AöR
- Department Name
- Hämatologie, Onkologie und Rheumatologie
- Contact Person Name
- Peter Dreger
- Contact Person Email
- peter.dreger@med.uni-heidelberg.de
- Site Name
- Universitaetsklinikum Schleswig-Holstein AöR
- Department Name
- Klinik für Innere Medizin II, Hämatologie und Onkologie, Im Karl-Lennert-Krebscentrum
- Contact Person Name
- Matthias Ritgen
- Contact Person Email
- matthias.ritgen@uksh.de
- Site Name
- Universitaetsklinikum Ulm AöR
- Department Name
- Klinik für Innere Medizin III
- Contact Person Name
- Eugen Tausch
- Contact Person Email
- eugen.tausch@uniklinik-ulm.de
- Site Name
- Luebecker Onkologische Schwerpunktpraxis
- Department Name
- Dres. med. Uthgenannt, Kisro, Weber
- Contact Person Name
- Jens Kisro
- Contact Person Email
- jens.kisro@t-online.de
Spain
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 11-02-2026
- Processing Time Days
- 628
- Number Of Sites
- 4
- Number Of Participants
- 6
Sites
- Site Name
- Hospital Universitario Quironsalud Madrid
- Department Name
- pediatria
- Contact Person Name
- María del Carmen Martinez Chamorro
- Contact Person Email
- carmenmartinezchamorro@hotmail.com
- Site Name
- University Hospital Virgen Del Rocio S.L.
- Department Name
- Unidad de ensayos clinicos
- Contact Person Name
- Fatima de la Cruz Vicente
- Contact Person Email
- fatimadelacruzv@gmail.com
- Site Name
- Hospital Universitario Marques De Valdecilla
- Department Name
- Alergia
- Contact Person Name
- Lucrecia Yañez San Segundo
- Contact Person Email
- lucrecia@humv.es
- Site Name
- Hospital Universitario Infanta Leonor
- Department Name
- Farmacia
- Contact Person Name
- JOSE ANGEL HERNANDEZ RIVAS
- Contact Person Email
- jahernandezr@salud.madrid.org
Austria
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 16-02-2026
- Processing Time Days
- 633
- Number Of Sites
- 2
- Number Of Participants
- 2
Sites
- Site Name
- SCRI CCCIT Ges.m.b.H.
- Department Name
- Universitätsklinik für Innere Medizin III der PMU
- Contact Person Name
- Alexander Egle
- Contact Person Email
- a.egle@salk.at
- Site Name
- Ordensklinikum Linz GmbH
- Department Name
- Interne 1 - Hämatologie mit Stammzelltransplantation, Hämostaseologie und medizinische Onkologie
- Contact Person Name
- Michael Girschikofsky
- Contact Person Email
- Michael.Girschikofsky@ordensklinikum.at
Poland
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 16-02-2026
- Processing Time Days
- 633
- Number Of Sites
- 9
- Number Of Participants
- 40
Sites
- Site Name
- Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
- Department Name
- Klinika Hematologii
- Contact Person Name
- Marta Sobas
- Contact Person Email
- marta.sobas@gmail.com
- Site Name
- Centrum Onkologii Ziemi Lubelskiej Im. Sw. Jana Z Dukli
- Department Name
- Oddział Hematologiczny
- Contact Person Name
- Adam Walter-Croneck
- Contact Person Email
- awalter@cozl.pl
- Site Name
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M.Kopernika W Lodzi
- Department Name
- Oddział Hematologii z Pododdziałem Chemioterapii
- Contact Person Name
- Tadeusz Robak
- Contact Person Email
- robaktad@csk.umed.lodz.pl
- Site Name
- Pratia Hematologia Sp. z o.o.
- Department Name
- Pratia Onkologia Katowice
- Contact Person Name
- Sebastian Grosicki
- Contact Person Email
- sgrosicki@wp.pl
- Site Name
- Wojewodzki Szpital Specjalistyczny W Legnicy
- Department Name
- Oddział Hematologiczny
- Contact Person Name
- Jadwiga Holojda
- Contact Person Email
- sekretariat@szpital.legnica.pl
- Site Name
- Szpital Specjalistyczny W Brzozowie Podkarpacki Osrodek Onkologiczny Im.Ks.B.Markiewicza
- Department Name
- Oddział Hematologii Onkologicznej z Pododdziałem Transplantologii Klinicznej
- Contact Person Name
- Jacek Krzyzanowski
- Contact Person Email
- jacek.krzanowski@gmail.com
- Site Name
- Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
- Department Name
- Klinika Hematologii, Terapii Komórkowych i Chorób Wewnętrznych
- Contact Person Name
- Tomasz Wrobel
- Contact Person Email
- tomasz_wrobel@wp.pl
- Site Name
- Instytut Hematologii I Transfuzjologii
- Department Name
- Klinika Hematologii
- Contact Person Name
- Ewa Lech-Maranda
- Contact Person Email
- emaranda@ihit.waw.pl
- Site Name
- Pratia S.A.
- Department Name
- Pratia MCM Krakow
- Contact Person Name
- Wojciech Jurczak
- Contact Person Email
- wojciech.jurczak@pratia.com
France
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 09-02-2026
- Processing Time Days
- 626
- Number Of Sites
- 6
- Number Of Participants
- 20
Sites
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Service d'Hématologie Biologique
- Contact Person Name
- Vincent LEVY
- Contact Person Email
- vincent.levy@aphp.fr
- Site Name
- Centre Hospitalier Regional Universitaire De Tours
- Department Name
- Service d'Hématologie et Thérapie Cellulaire
- Contact Person Name
- Caroline DARTIGEAS
- Contact Person Email
- c.dartigeas@chu-tours.fr
- Site Name
- Centre Hospitalier Universitaire De Poitiers
- Department Name
- Service d’Hématologie et Thérapie Cellulaire
- Contact Person Name
- Cécile GRUCHET
- Contact Person Email
- cecile.gruchet@chu-poitiers.fr
- Site Name
- Hospices Civils De Lyon
- Department Name
- Service d’Hématologie Clinique
- Contact Person Name
- Emmanuelle FERRANT
- Contact Person Email
- emmanuelle.ferrant2@chu-lyon.fr
- Site Name
- Centre Hospitalier Departemental Vendee
- Department Name
- Service d’Onco-Hématologie
- Contact Person Name
- Bruno VILLEMAGNE
- Contact Person Email
- bruno.villemagne@chd-vendee.fr
- Site Name
- Centre Henri Becquerel
- Department Name
- Service d’Hématologie Clinique
- Contact Person Name
- Stéphane LEPRETRE
- Contact Person Email
- stephane.lepretre@chb.unicancer.fr
Czechia
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 12-02-2026
- Processing Time Days
- 629
- Number Of Sites
- 2
- Number Of Participants
- 3
Sites
- Site Name
- Fakultni Nemocnice Hradec Kralove
- Department Name
- The 4th Department of Internal Medicine – Hematology
- Contact Person Name
- Martin Šimkovič
- Contact Person Email
- martin.simkovic@fnhk.cz
- Site Name
- Vseobecna Fakultni Nemocnice V Praze
- Department Name
- 1st Dep. of Medicine - Dep. of Hematology
- Contact Person Name
- Marek Trněný
- Contact Person Email
- trneny@cesnet.cz
Ireland
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 10-02-2026
- Processing Time Days
- 627
- Number Of Sites
- 2
- Number Of Participants
- 3
Sites
- Site Name
- St James's Hospital
- Department Name
- Haematology
- Contact Person Name
- Carmel Waldron
- Contact Person Email
- cwaldron@stjames.ie
- Site Name
- Beaumont Hospital
- Department Name
- Haematology
- Contact Person Name
- Philip Murphy
- Contact Person Email
- philipmurphy@beaumont.ie
Italy
- Earliest CTIS Part Ii Submission Date
- 24-05-2024
- Latest Decision Or Authorization Date
- 12-02-2026
- Processing Time Days
- 629
- Number Of Sites
- 13
- Number Of Participants
- 42
Sites
- Site Name
- Azienda Ospedaliero-Universitaria Ss Antonio E Biagio E Cesare Arrigo
- Department Name
- Hematology
- Contact Person Name
- Danila Pietrasanta
- Contact Person Email
- dpietrasanta@ospedale.al.it
- Site Name
- IRCCS Ospedale Policlinico San Martino
- Department Name
- Hematology
- Contact Person Name
- Roberto Massimo Lemoli
- Contact Person Email
- roberto.lemoli@unige.it
- Site Name
- Careggi University Hospital
- Department Name
- Hematology
- Contact Person Name
- Alessandro Sanna
- Contact Person Email
- sannaa@aou-careggi.toscana.it
- Site Name
- Azienda Ospedaliera Papardo
- Department Name
- Hematology
- Contact Person Name
- Donato Mannina
- Contact Person Email
- donamanni@gmail.com
- Site Name
- Fondazione IRCCS Policlinico San Matteo
- Department Name
- Hematology
- Contact Person Name
- Marzia Varettoni
- Contact Person Email
- m.varettoni@smatteo.pv.it
- Site Name
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Department Name
- Hematology
- Contact Person Name
- Luca Laurenti
- Contact Person Email
- luca.laurenti@unicatt.it
- Site Name
- Fondazione IRCCS San Gerardo Dei Tintori
- Department Name
- Hematology
- Contact Person Name
- Carlo Gambacorti-Passerini
- Contact Person Email
- carlo.gambacorti@unimib.it
- Site Name
- ASST Grande Ospedale Metropolitano Niguarda
- Department Name
- Hematology
- Contact Person Name
- Anna Maria Frustaci
- Contact Person Email
- annamaria.frustaci@ospedaleniguarda.it
- Site Name
- Azienda Ospedaliera S Maria Di Terni
- Department Name
- Onco-Hematology
- Contact Person Name
- Gaetano Vaudo
- Contact Person Email
- vaudogaetano@gmail.com
- Site Name
- Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
- Department Name
- Hematology
- Contact Person Name
- Marina Motta
- Contact Person Email
- marina.motta@asst-spedalicivili.it
- Site Name
- Azienda Ospedaliera Universitaria Integrata Verona
- Department Name
- Hematology
- Contact Person Name
- Isacco Ferrarini
- Contact Person Email
- isakfer@gmail.com
- Site Name
- Hospital Santa Maria Della Misericordia
- Department Name
- Hematology
- Contact Person Name
- Paolo Sportoletti
- Contact Person Email
- paolo.sportoletti@unipg.it
- Site Name
- Istituto Tumori Bari Giovanni Paolo II
- Department Name
- Hematology
- Contact Person Name
- Carla Minoia
- Contact Person Email
- carla.minoia1@gmail.com
Sponsor
Primary sponsor
- Full Name
- Loxo Oncology Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- IQVIA Limited
- Responsibilities
- IVRS - treatment randomisation; other operational trial support (multiple sponsorDuties codes listed)
- Name
- Iqvia Laboratories Limited
- Responsibilities
- clinical haematology
Third parties
- {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited","duties_or_roles":"clinical haematology","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Unisphere Travel Ltd. Inc.","duties_or_roles":"Patient travel assistance","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"IVRS - treatment randomisation; multiple operational roles (codes present)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Eli Lilly & Co.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Neogenomics Laboratories Inc.","duties_or_roles":"Correlative studies (17p FISH, Bone Marrow Aspirate for complex karyotype, IGHV)","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Infinity Biologix LLC","duties_or_roles":"Correlative studies (bone marrow biopsy and aspirate, optional saliva DNA, MRD, cfDNA, PBMC)","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"Storage for all correlative studies (IGHV, bone marrow biopsy and aspirate, optional saliva DNA, MRD)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Alturas Analytics Inc.","duties_or_roles":"Pharmacokinetics testing and storage","organisation_type":"Pharmaceutical company"}
- {"country":"Canada","full_name":"Cellcarta Biosciences Inc.","duties_or_roles":"Lab kit creation","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- PIRTOBRUTINIB
- Active Substance
- PIRTOBRUTINIB
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Maximum Dose
- 200 mg (max daily dose amount listed as 200 mg)
- Combination Treatment
- Yes
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