Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID06588478

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 or Small Lymphocytic Lymphoma Who Previously Received Treatment With a Covalent Bruton Tyrosine Kinase Inhibitor

Led by Loxo Oncology, Inc. · Updated on 2026-05-19

249

Participants Needed

131

Research Sites

26 weeks

Total Duration

On this page

Sponsors

L

Loxo Oncology, Inc.

Lead Sponsor

E

Eli Lilly and Company

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying pirtobrutinib, an oral drug, to understand how well it works and how safe it is for people with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL). The study focuses on participants who have previously received 1 to 3 treatments, including a covalent Bruton tyrosine kinase (BTK) inhibitor, as well as those with treatment-nafve CLL/SLL who have a specific genetic change called 17p deletion. This is a Phase 2 open-label trial sponsored by Loxo Oncology, Inc. The study has two parts. Part 1 tests three different dose levels of pirtobrutinib in participants with relapsed or refractory CLL/SLL who have prior treatment experience, lasting about 3 years. Part 2 evaluates pirtobrutinib alone in participants who have not received prior treatment but have the 17p deletion, with participation lasting up to 2 years. All doses are given orally. Participants will take the study drug orally and attend visits for up to 3 years in Part 1 or up to 2 years in Part 2. Researchers will monitor how well the disease responds to treatment using overall response rate and how long the response lasts. Safety will be tracked throughout. Participants' ability to swallow oral medication and their overall health status will be assessed before and during the study to ensure suitability and safety.

CONDITIONS

Brief Title

A Study Evaluating the Efficacy and Safety of Pirtobrutinib in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Have confirmed diagnosis of chronic lymphocytic leukemia or small lymphocytic lymphoma as defined by iwCLL 2018 criteria
  • For Part 1: Have received prior treatment for CLL/SLL
  • Have received at least 1, but not more than 3 lines of prior treatment for CLL/SLL
  • Have received a covalent Bruton tyrosine kinase (BTK) inhibitor
  • For Part 2: Have received no prior treatment for CLL/SLL
  • For Part 1: Known 17p deletion status (positive or negative)
  • For Part 2: Must have 17p deletion (positive)
  • 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
Not Eligible

You will not qualify if you...

  • Have received prior treatment with a BTK degrader or a noncovalent BTK inhibitor
  • Have a history of Grade 3 or higher 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
  • Have had previous or concurrent cancer distinct from CLL/SLL within 3 years before randomization, except for certain skin cancers, cervical carcinoma in situ, localized prostate cancer under surveillance, or localized breast cancer with no active disease for more than 3 years and possibly receiving hormonal therapy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to 3 years

Participants receive oral doses of pirtobrutinib to treat relapsed or refractory chronic lymphocytic leukemia or small lymphocytic lymphoma.

Trial Site Locations

Total: 131 locations

1

Ironwood Cancer & Research Centers

Chandler, Arizona, United States, 85224

Actively Recruiting

2

City of Hope National Medical Center

Duarte, California, United States, 91010

Actively Recruiting

3

City of Hope National Medical Center

Irvine, California, United States, 92618

Actively Recruiting

4

Palo Alto Medical Foundation Research Institute (PAMFRI)

Palo Alto, California, United States, 94304

Actively Recruiting

5

Stanford Cancer Center

Palo Alto, California, United States, 94304

Actively Recruiting

6

Rocky Mountain Cancer Center

Aurora, Colorado, United States, 80012

Actively Recruiting

7

University of Miami Hospital and Clinics, Sylvester Cancer Center

Miami, Florida, United States, 33136

Actively Recruiting

8

City of Hope National Medical Center, Atlanta Cancer Center

Newnan, Georgia, United States, 30265

Actively Recruiting

9

Mission Cancer + Blood

Waukee, Iowa, United States, 50263

Actively Recruiting

10

Saint Elizabeth Medical Center Edgewood

Edgewood, Kentucky, United States, 41017

Actively Recruiting

11

American Oncology Partners, PA

Bethesda, Maryland, United States, 20817

Actively Recruiting

12

Boston Medical Center

Boston, Massachusetts, United States, 02118

Actively Recruiting

13

Gulfport Memorial Hospital

Gulfport, Mississippi, United States, 39501

Actively Recruiting

14

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, United States, 89074

Actively Recruiting

15

East Carolina University

Greenville, North Carolina, United States, 27834

Actively Recruiting

16

Williamette Valley Cancer Institute & Research Center

Eugene, Oregon, United States, 97401

Actively Recruiting

17

Cancer Care Associates Of York

York, Pennsylvania, United States, 17403

Actively Recruiting

18

The West Clinic, PLLC dba West Cancer Center

Germantown, Tennessee, United States, 38138

Actively Recruiting

19

USO-Texas Oncology-Central/South Texas

Austin, Texas, United States, 78705

Actively Recruiting

20

Sarah Cannon Research Institute/SCRI

The Woodlands, Texas, United States, 77380

Actively Recruiting

21

USO-Virginia Oncology Associates

Hampton, Virginia, United States, 23666

Actively Recruiting

22

Flinders Medical Centre

Adelaide, Australia, 5042

Actively Recruiting

23

Bankstown-Lidcombe Hospital

Bankstown, Australia, 2200

Actively Recruiting

24

Box Hill Hospital

Box Hill, Australia, 3128

Actively Recruiting

25

Coffs Harbour Health Campus

Coffs Harbour, Australia, 2450

Actively Recruiting

26

Royal Hobart Hospital

Hobart, Australia, 7000

Actively Recruiting

27

ICON Cancer Centre - Kurralta Park

Kurralta Park, Australia, 5037

Actively Recruiting

28

Latrobe Regional Health

Traralgon, Australia, 3844

Actively Recruiting

29

Calvary Mater Newcastle

Waratah, Australia, 2298

Actively Recruiting

30

The Perth Blood Institute - West Perth

West Perth, Australia, 6005

Actively Recruiting

31

Princess Alexandra Hospital

Woolloongabba, Australia, 4102

Actively Recruiting

32

Institut Jules Bordet

Anderlecht, Belgium, 1070

Actively Recruiting

33

AZ Sint-Jan Brugge-Oostende AV

Bruges, Belgium, 8000

Actively Recruiting

34

UZ Gent

Ghent, Belgium, 9000

Actively Recruiting

35

Groupe Jolimont

La Louvière, Belgium, 7100

Actively Recruiting

36

UZ Leuven

Leuven, Belgium, 3000

Actively Recruiting

37

Clinique Saint Pierre

Ottignies, Belgium, 1340

Actively Recruiting

38

AZ Delta vzw

Roeselare, Belgium, 8800

Actively Recruiting

39

AZ Nikolaas

Sint-Niklaas, Belgium, B-9100

Actively Recruiting

40

CHR Verviers - La Tourelle

Verviers, Belgium, 4800

Actively Recruiting

41

Royal Victoria Regional Health Centre

Barrie, Canada, L4M 6M2

Actively Recruiting

42

Saskatoon Cancer Centre

Saskatoon, Canada, S7N4H4

Actively Recruiting

43

Fakultní nemocnice Brno Bohunice

Brno, Czechia, 625 00

Actively Recruiting

44

Fakultni nemocnice Hradec Kralove

Hradec Králové, Czechia, 500 05

Actively Recruiting

45

Fakultni nemocnice Kralovske Vinohrady

Prague, Czechia, 100 34

Actively Recruiting

46

Vseobecna fakultni nemocnice v Praze

Prague, Czechia, 12808

Actively Recruiting

47

Aarhus Universitetshospital, Skejby

Aarhus, Denmark, 8200

Actively Recruiting

48

Odense Universitetshospital

Odense, Denmark, 5000

Actively Recruiting

49

Centre Hospitalier d'Argenteuil Victor Dupouy

Argenteuil, France, 95107

Actively Recruiting

50

Centre Hospitalier Universitaire de Caen - Hôpital Côte de Nacre

Caen, France, 14033

Actively Recruiting

51

Centre Hospitalier du Mans

Le Mans, France, 72000

Actively Recruiting

52

Groupe Hospitalier de la Région de Mulhouse et Sud Alsace - Hôpital Emile Muller

Mulhouse, France, 68100

Actively Recruiting

53

Centre Antoine-Lacassagne

Nice, France, 06189

Actively Recruiting

54

Centre Hospitalier Régional Universitaire de Tours - Hôpital Bretonneau

Tours, France, 37044 Cedex 9

Actively Recruiting

55

MV-Zentrum für Onkologie und Hämatologie

Cologne, Germany, 50677

Actively Recruiting

56

Centrum für Hämatologie und Onkologie Bethanien

Frankfurt, Germany, 60389

Actively Recruiting

57

OSP Göttingen

Göttingen, Germany, 37073

Actively Recruiting

58

Onkologisches Ambulanzzentrum Hannover

Hanover, Germany, 30171

Actively Recruiting

59

Klinikum Aschaffenburg-Alzenau

Hösbach, Germany, 63768

Actively Recruiting

60

InVO Institut für Versorgungsforschung in der Onkologie

Koblenz, Germany, 56068

Actively Recruiting

61

Evangelismos General Hospital of Athens

Athens, Greece, 106 76

Actively Recruiting

62

Attikon General University Hospital

Chaïdári, Greece, 12462

Actively Recruiting

63

G. Papanikolaou General Hospital

Thessaloniki, Greece, 570 10

Actively Recruiting

64

General Hospital of Athens "Laiko"

Αthens, Greece, 11526

Actively Recruiting

65

Semmelweis Egyetem

Budapest, Hungary, 1088

Actively Recruiting

66

Dél-Pesti Centrumkórház

Budapest, Hungary, 1097

Actively Recruiting

67

Pécsi Tudományegyetem Klinikai Központ

Pécs, Hungary, 7624

Actively Recruiting

68

Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ

Szeged, Hungary, 6725

Actively Recruiting

69

A.O.U.C. Policlinico di Bari

Bari, Italy, 70124

Actively Recruiting

70

Azienda Ospedaliero Universitaria S.Anna

Cona, Italy, 44124

Actively Recruiting

71

Azienda Ospedaliera Universitaria Careggi

Florence, Italy, 50134

Actively Recruiting

72

ASST Grande Ospedale Metropolitano Niguarda

Milan, Italy, 20162

Actively Recruiting

73

Azienda Ospedaliero Universitaria Maggiore della Carità

Novara, Italy, 28100

Actively Recruiting

74

Azienda Ospedale - Università Padova

Padova, Italy, 35128

Actively Recruiting

75

Az. Osp. Ospedali Riuniti VILLA SOFIA-CERVELLO

Palermo, Italy, 90146

Actively Recruiting

76

AO Santa Maria della Misericordia

Perugia, Italy, 06132

Actively Recruiting

77

AOU Policlinico Umberto I

Roma, Italy, 00161

Actively Recruiting

78

Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore

Roma, Italy, 00168

Actively Recruiting

79

IN VIVO

Bydgoszcz, Poland, 85-048

Actively Recruiting

80

Pratia Onkologia Katowice

Katowice, Poland, 40-519

Actively Recruiting

81

Pratia MCM Krakow

Krakow, Poland, 30-727

Actively Recruiting

82

AIDPORT Sp. z o.o.

Skórzewo, Poland, 60-185

Actively Recruiting

83

Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu

Wroclaw, Poland, 50-367

Actively Recruiting

84

Fundeni Clinical Institute

Bucharest, Romania, 022328

Actively Recruiting

85

Spitalul Clinic Colțea

Bucharest, Romania, 030171

Actively Recruiting

86

Institutul Oncologic Cluj

Cluj-Napoca, Romania, 400015

Actively Recruiting

87

Spitalul Clinic Municipal Filantropia Craiova

Craiova, Romania, 200143

Actively Recruiting

88

Institutul Regional de Oncologie

Iași, Romania, 700483

Actively Recruiting

89

Ovidius Clinical Hospital OCH

Ovidiu, Romania, 905900

Actively Recruiting

90

Fakultna nemocnica s poliklinikou F.D.Roosevelta Banska Bystrica

Banská Bystrica, Slovakia, 975 17

Actively Recruiting

91

Narodny onkologicky ustav

Bratislava, Slovakia, 833 10

Actively Recruiting

92

Univerzitna Nemocnica L. Pasteura Kosice

Košice, Slovakia, 040 11

Actively Recruiting

93

Univerzitna nemocnica Martin

Martin, Slovakia, 036 59

Actively Recruiting

94

Pusan National University Hospital

Busan, South Korea, 49241

Actively Recruiting

95

Chonnam National University Hwasun Hospital

Hwasun-gun, South Korea, 58128

Actively Recruiting

96

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

97

Samsung Medical Center

Seoul, South Korea, 06351

Actively Recruiting

98

The Catholic Univ. of Korea Seoul St. Mary's Hospital

Seoul, South Korea, 06591

Actively Recruiting

99

The Catholic University of Korea, Yeouido St. Mary's Hospital

Seoul, South Korea, 07345

Actively Recruiting

100

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035

Actively Recruiting

101

Hospital Clínic de Barcelona

Barcelona, Spain, 08036

Actively Recruiting

102

Institut Català d'Oncologia - L'Hospitalet

L'Hospitalet Del Llobregat, Spain, 08908

Actively Recruiting

103

Clinica Universidad de Navarra

Madrid, Spain, 28027

Actively Recruiting

104

Hospital Universitario Infanta Leonor

Madrid, Spain, 28031

Actively Recruiting

105

MD Anderson Cancer Center

Madrid, Spain, 28033

Actively Recruiting

106

Hospital Universitario Ramón y Cajal

Madrid, Spain, 28034

Actively Recruiting

107

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Spain, 28222

Actively Recruiting

108

Hospital Costa del Sol

Marbella, Spain, 29603

Actively Recruiting

109

Hospital Universitario Central de Asturias

Oviedo, Spain, 33011

Actively Recruiting

110

Hospital Universitario de Salamanca - Complejo Asistencial Universitario de Salamanca

Salamanca, Spain, 37007

Actively Recruiting

111

Hospital Universitario Marqués de Valdecilla

Santander, Spain, 39008

Actively Recruiting

112

Hospital Universitario Virgen Macarena

Seville, Spain, 41009

Actively Recruiting

113

Hospital Universitario Virgen Del Rocio

Seville, Spain, 41013

Actively Recruiting

114

Sakarya University School of Medicine

Adapazarı, Turkey (Türkiye), 54100

Actively Recruiting

115

Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastırma Hastanesi

Ankara, Turkey (Türkiye), 06200

Actively Recruiting

116

Ankara University Health Practice and Research Hospitals

Ankara, Turkey (Türkiye), 06620

Actively Recruiting

117

Memorial Antalya Hospital

Antalya, Turkey (Türkiye), 07090

Actively Recruiting

118

Yeditepe Üniversitesi Koşuyolu Hastanesi

Istanbul, Turkey (Türkiye), 34718

Actively Recruiting

119

Ege Universitesi Hastanesi

Izmir, Turkey (Türkiye), 35100

Actively Recruiting

120

Kocaeli Üniversitesi

İzmit, Turkey (Türkiye), 41380

Actively Recruiting

121

VM Medical Park Mersin Hastanesi

Mersin, Turkey (Türkiye), 33200

Actively Recruiting

122

Ondokuz Mayıs Universitesi

Samsun, Turkey (Türkiye), 55139

Actively Recruiting

123

Heartlands Hospital

Birmingham, United Kingdom, B9 5SS

Actively Recruiting

124

The Beatson West of Scotland Cancer Centre

Glasgow, United Kingdom, G12 0YN

Actively Recruiting

125

Northwick Park Hospital

Harrow, United Kingdom, HA1 3UJ

Actively Recruiting

126

St James's University Hospital

Leeds, United Kingdom, LS9 7TF

Actively Recruiting

127

Lincoln County Hospital

Lincoln, United Kingdom, LN2 5QY

Actively Recruiting

128

Clatterbridge Cancer Centre - Liverpool

Liverpool, United Kingdom, L7 8YA

Actively Recruiting

129

Hammersmith Hospital

London, United Kingdom, W12 0HS

Actively Recruiting

130

Maidstone Hospital

Maidstone, United Kingdom, ME16 9QQ

Actively Recruiting

131

Singleton Hospital

Swansea, United Kingdom, SA2 8QA

Actively Recruiting

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Research Team

T

Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or

P

Physicians interested in becoming principal investigators please contact

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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