Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT05254743

A Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

Led by Loxo Oncology, Inc. · Updated on 2026-04-20

662

Participants Needed

144

Research Sites

284 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of Part 1 of this study is to compare the efficacy and safety of pirtobruitinib (LOXO-305) to ibrutinib in participants with CLL/SLL; participants may or may not have already had treatment for their cancer. The purpose of Part 2 of this study evaluates pirtobrutinib monotherapy in treatment-naïve participants with CLL/SLL with 17p deletions. Participation could last up to six years for Part 1. Participation could last up to 2 years for Part 2.

CONDITIONS

Official Title

A Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of chronic lymphocytic leukemia or small lymphocytic lymphoma requiring therapy
  • Known 17p deletion status for Part 1; must have 17p deletion for Part 2
  • Eastern Cooperative Oncology Group (ECOG) performance status between 0 and 2
  • Adequate organ function including platelets  50 x 10�/L or  30 x 10�/L with marrow involvement
  • Hemoglobin  8 g/dL or  6 g/dL with marrow involvement
  • Absolute neutrophil count  0.75 x 10�/L or  0.50 x 10�/L with marrow involvement
  • Estimated creatinine clearance  30 mL/min
Not Eligible

You will not qualify if you...

  • Known or suspected Richter's transformation or other aggressive lymphoma
  • Known or suspected central nervous system involvement
  • Significant history of renal, neurologic, psychiatric, endocrine, metabolic, or immune disease
  • Active uncontrolled autoimmune blood disorders
  • Significant cardiovascular disease including ejection fraction below 40% or ongoing atrial fibrillation/flutter
  • Active hepatitis B or C infection
  • Active cytomegalovirus infection
  • Active uncontrolled systemic bacterial, viral, or fungal infection
  • Known HIV infection
  • Significant malabsorption syndrome or conditions affecting oral drug absorption
  • Ongoing inflammatory bowel disease
  • Previous treatment for CLL/SLL (for Part 2 participants must be treatment-nave)
  • Concurrent investigational or anticancer therapy except hormonal therapy
  • Need for therapeutic anticoagulation with warfarin or vitamin K antagonists
  • Use of more than 20 mg prednisone daily or equivalent steroid dose at first study drug dose
  • Vaccination with live vaccine within 28 days before randomization
  • Chronic therapy with strong CYP3A inhibitors that cannot be stopped before study drug
  • Known allergy or anaphylaxis to study drugs or their components

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 144 locations

1

Pacific Cancer Medical Center, Inc

Anaheim, California, United States, 92801

Actively Recruiting

2

TOI Clinical Research

Cerritos, California, United States, 90703

Actively Recruiting

3

Stanford School of Medicine-Cancer Clinical Trials Office

Palo Alto, California, United States, 94305

Actively Recruiting

4

California Cancer Associates for Research and Excellence

San Marcos, California, United States, 92069

Active, Not Recruiting

5

Florida Cancer Specialists

Fort Myers, Florida, United States, 33916-2233

Actively Recruiting

6

Cancer Specialists of North Florida -St Augustine

Saint Augustine, Florida, United States, 32086

Actively Recruiting

7

Florida Cancer Specialists East

West Palm Beach, Florida, United States, 33401

Actively Recruiting

8

Hematology Oncology Clinic

Baton Rouge, Louisiana, United States, 70809

Active, Not Recruiting

9

Tulane Cancer Center Office of Clinical Research

New Orleans, Louisiana, United States, 70112

Active, Not Recruiting

10

American Oncology Partners of Maryland, PA

Bethesda, Maryland, United States, 20817

Actively Recruiting

11

St. Vincent Frontier Cancer Center

Billings, Montana, United States, 59102

Actively Recruiting

12

Cancer Care Associates of York

York, Pennsylvania, United States, 17403

Active, Not Recruiting

13

Prisma Health Cancer Institute

Greenville, South Carolina, United States, 29605

Active, Not Recruiting

14

Sarah Cannon Research Institute SCRI

Nashville, Tennessee, United States, 37203

Actively Recruiting

15

Kelsey Research Foundation

Houston, Texas, United States, 77025

Active, Not Recruiting

16

Lumi Research

Kingwood, Texas, United States, 77339

Actively Recruiting

17

Virginia Cancer Institute

Richmond, Virginia, United States, 23230

Actively Recruiting

18

Medical Oncology Associates, PS

Spokane, Washington, United States, 99208

Actively Recruiting

19

MultiCare Health System Institute for Research and Innovation

Spokane, Washington, United States, 99218

Active, Not Recruiting

20

Alexander Fleming

Ciudad Autónoma de Buenos Aire, Argentina, C1426ANZ

Actively Recruiting

21

Hospital Privado De Comunidad

Mar del Plata, Argentina, 7600

Active, Not Recruiting

22

Clínica de Nefrología, Urología y Enfermedades Cardiovasculares

Santa Fe, Argentina, 3000

Actively Recruiting

23

One Clinical Research

Nedlands, Australia, 6009

Active, Not Recruiting

24

Western Health, Sunshine Hospital

St Albans, Australia, 3021

Active, Not Recruiting

25

The Perth Blood Institute

West Perth, Australia, 6005

Actively Recruiting

26

Hanusch Krankenhaus

Vienna, Austria, 1140

Active, Not Recruiting

27

Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg

Leuven, Belgium, 3000

Actively Recruiting

28

VITAZ

Sint-Niklaas, Belgium, B-9100

Actively Recruiting

29

Fundação Pio XII - Hospital de Câncer de Barretos

Barretos, Brazil, 14784400

Actively Recruiting

30

Upeclin - Unidade de Pesquisa Clínica da Faculdade de Medicina de Botucatu - UNESP

Botucatu, Brazil, 18618-687

Actively Recruiting

31

Hemocentro Unicamp

Campinas, Brazil, 13083-878

Actively Recruiting

32

Hospital Uopeccan - Centro de Pesquisa Clinica

Cascavel, Brazil, 85806-300

Active, Not Recruiting

33

Centro Integrado de Oncologia de Curitiba

Curitiba, Brazil, 80810050

Active, Not Recruiting

34

Hospital Erasto Gaertner - Liga Paranaense de Combate ao Câncer

Curitiba, Brazil, 81520060

Actively Recruiting

35

Instituto do Câncer - Hospital São Vicente de Paulo

Passo Fundo, Brazil, 99010090

Actively Recruiting

36

Centro Gaucho Integrado - Mae de Deus Center

Porto Alegre, Brazil, 90110270

Actively Recruiting

37

Hospital de Clínicas de Ribeirão Preto

Ribeirão Preto, Brazil, 14051-140

Actively Recruiting

38

CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia

Santo André, Brazil, 09060-650

Actively Recruiting

39

Centro Integrado de Pesquisa Clinica

São José do Rio Preto, Brazil, 15090-000

Actively Recruiting

40

Hospital BP

São Paulo, Brazil, 01321-001

Actively Recruiting

41

Hospital da Clinicas da Faculdade de Medicina da USP

São Paulo, Brazil, 05403-000

Actively Recruiting

42

Hospital Santa Marcelina

São Paulo, Brazil, 08270-120

Actively Recruiting

43

Royal Victoria Hospital-Montreal

Montreal, Canada, H3A 1A1

Terminated

44

Hopital de L'Enfant Jesus

Québec, Canada, G1J 1Z4

Actively Recruiting

45

Cancer Care Manitoba

Winnipeg, Canada, R3E 0V9

Active, Not Recruiting

46

Inmunocel

Santiago, Chile, 7580206

Active, Not Recruiting

47

CeCim Biocinetic

Santiago, Chile, 8320000

Active, Not Recruiting

48

Sociedad de Investigaciones Médicas Limitada

Temuco, Chile, 4780000

Actively Recruiting

49

Centro de Investigaciones Clínicas Viña del Mar (CIC)

Viña del Mar, Chile, 2520000

Active, Not Recruiting

50

The Second Xiangya Hospital of Central South University

Changsha, China, 410011

Active, Not Recruiting

51

Hunan Cancer Hospital

Changsha, China, 410013

Active, Not Recruiting

52

Sun Yat-sen University Cancer Center

Guangzhou, China, 510060

Actively Recruiting

53

Southern Medical University Nanfang Hospital

Guangzhou, China, 510515

Active, Not Recruiting

54

Hainan General Hospital

Haikou, China, 570311

Active, Not Recruiting

55

First Affiliated Hosp of College of Med, Zhejiang University

Hangzhou, China, 310003

Actively Recruiting

56

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, China, 310009

Active, Not Recruiting

57

Anhui Provincial Hospital

Hefei, China, 230001

Actively Recruiting

58

The Second Hospital of Anhui Medical University

Hefei, China, 231200

Actively Recruiting

59

Jiangxi Provincial Cancer Hospital

Nanchang, China, 330029

Active, Not Recruiting

60

Guangxi Medical University Affiliated Tumor Hospital

Nanning, China, 530021

Active, Not Recruiting

61

Fudan University Shanghai Cancer Center

Shanghai, China, 200032

Actively Recruiting

62

Blood Institute of the Chinese Academy of Medical science

Tianjin, China, 300020

Active, Not Recruiting

63

Tianjin Medical University General Hospital

Tianjin, China, 300052

Active, Not Recruiting

64

Affiliated Cancer Hospital of Xinjiang Medical University

Ürümqi, China, 830000

Active, Not Recruiting

65

Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, China, 430022

Active, Not Recruiting

66

Wu Han Tongji Hospital

Wuhan, China, 430030

Active, Not Recruiting

67

The Fourth Affiliated Hospital Zhejiang University School of Medicine

Yiwu, China, 322000

Active, Not Recruiting

68

Fakultni nemocnice Brno

Brno, Czechia, 62500

Actively Recruiting

69

Fakultni nemocnice Hradec Kralove

Hradec Králové, Czechia, 500 05

Actively Recruiting

70

Fakultni Nemocnice Ostrava

Ostrava, Czechia, 708 52

Actively Recruiting

71

Fakultni Nemocnice Plzen

Pilsen, Czechia, 305 99

Actively Recruiting

72

Fakultni nemocnice Kralovske Vinohrady

Prague, Czechia, 10034

Actively Recruiting

73

Vseobecna fakultni nemocnice v Praze

Prague, Czechia, 12808

Active, Not Recruiting

74

CHD Vendee

La Roche-sur-Yon, France, 85000

Actively Recruiting

75

Centre Hospitalier du Mans

Le Mans, France, 72000

Actively Recruiting

76

Centre Hospitalier Universitaire (Limoges) (CHU DUPUYTREN 1)

Limoges, France, 87042

Actively Recruiting

77

CHU de Nantes - Hotel Dieu

Nantes, France, 44093

Actively Recruiting

78

Centre Antoine Lacassagne

Nice, France, 06189

Actively Recruiting

79

Hopital de la Pitie Salpetriere

Paris, France, 75651

Actively Recruiting

80

Centre Hospitalier Lyon Sud

Pierre-Bénite, France, 69495

Actively Recruiting

81

Hôpital de Pontchaillou

Rennes, France, 35033

Actively Recruiting

82

Centre de Lutte Contre le Cancer - Centre Henri Becquerel Normandie Rouen

Rouen, France, 76038

Actively Recruiting

83

CHRU De Tours

Tours, France, 37044

Actively Recruiting

84

Gemeinschaftspraxis für Hämatologie und Onkologie (Gefos)

Dortmund, Germany, 44309

Active, Not Recruiting

85

Onkologische Gemeinschaftspraxis / BAG

Dresden, Germany, 01307

Actively Recruiting

86

Universitaetsklinikum Carl Gustav Carus an der TU Dresden, Medizinische Klinik und Poliklinik 1

Dresden, Germany, 01307

Active, Not Recruiting

87

Universitätsklinikum Ulm

Ulm, Germany, 89075

Active, Not Recruiting

88

Debreceni Egyetem Orvos-es Egészsegtudomanyi Centrum

Debrecen, Hungary, 4004

Actively Recruiting

89

Markusovszky Egyetemi Oktatokorhaz

Szombathely, Hungary, 9700

Active, Not Recruiting

90

Hadassah Medical Center

Jerusalem, Israel, 9112001

Active, Not Recruiting

91

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel, 6423906

Active, Not Recruiting

92

Azienda Ospedaliera Nazionale Santi Antonio e Biagio e Cesare Arrigo

Alessandria, Italy, 15100

Actively Recruiting

93

Policlinico Sant'Orsola Malpighi

Bologna, Italy, 40138

Active, Not Recruiting

94

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, Italy, 47014

Actively Recruiting

95

IRCCS Ospedale San Raffaele

Milan, Italy, 20132

Actively Recruiting

96

Istituto Europeo di Oncologia

Milan, Italy, 20141

Actively Recruiting

97

Azienda Unita Sanitaria Locale di Reggio Emilia

Reggio Emilia, Italy, 42122

Active, Not Recruiting

98

Kumamoto University Hospital

Kumamoto, Japan, 860-8556

Active, Not Recruiting

99

Yamagata University Hospital

Yamagata, Japan, 990-9585

Actively Recruiting

100

Dunedin Hospital

Dunedin, New Zealand, 9016

Active, Not Recruiting

101

Waikato Hospital

Hamilton, New Zealand, 3204

Active, Not Recruiting

102

Momentum Clinical Research

Newtown, New Zealand, 6242

Actively Recruiting

103

Middlemore Clinical Trials

Papatoetoe, New Zealand, 2025

Actively Recruiting

104

KO-MED Centra Kliniczne

Biała Podlaska, Poland, 21500

Active, Not Recruiting

105

Szpital Uniwersytecki nr 1 im. Antoniego Jurasza

Bydgoszcz, Poland, 85-168

Actively Recruiting

106

Uniwersyteckie Centrum Kliniczne

Gdansk, Poland, 80-952

Active, Not Recruiting

107

Pratia Onkologia Katowice

Katowice, Poland, 40519

Actively Recruiting

108

Pratia MCM Krakow

Krakow, Poland, 30-510

Actively Recruiting

109

Klinika Hematoonkologii i Transplantacji Szpiku,Samodzielny Publiczny Szpital Kliniczny Nr 1

Lublin, Poland, 20-081

Active, Not Recruiting

110

AIDPORT Sp. z o.o.

Skórzewo, Poland, 60-185

Actively Recruiting

111

Uniwersytecki Szpital Kliniczny Klinika

Wroclaw, Poland, 50-367

Actively Recruiting

112

Inje Univ Busan Paik Hospital

Busan, South Korea, 47392

Actively Recruiting

113

The Catholic University of Korea-Seoul St. Mary's Hospital

Seocho-Gu, South Korea, 06591

Active, Not Recruiting

114

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

115

Samsung Medical Center

Seoul, South Korea, 06351

Active, Not Recruiting

116

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain, 08025

Actively Recruiting

117

Hospital Clinic de Barcelona

Barcelona, Spain, 08036

Active, Not Recruiting

118

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 8035

Active, Not Recruiting

119

Hospital Duran i Reynals

L'Hospitalet de Llobregat, Spain, 08908

Active, Not Recruiting

120

Hospital Universitario Infanta Leonor-INTERNAL MED

Madrid, Spain, 28031

Active, Not Recruiting

121

Hospital Universitario Ramón y Cajal

Madrid, Spain, 28034

Actively Recruiting

122

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Spain, 28222

Active, Not Recruiting

123

Hospital Costa Del Sol

Marbella, Spain, 29600

Active, Not Recruiting

124

Clinica Universitaria De Navarra

Pamplona, Spain, 31008

Actively Recruiting

125

Hospital De Navarra

Pamplona, Spain, 31008

Active, Not Recruiting

126

Hospital Universitario Marqués de Valdecilla

Santander, Spain, 39008

Actively Recruiting

127

Hospital Universitario Virgen Macarena

Seville, Spain, 41009

Actively Recruiting

128

Hospital Universitario Virgen Del Rocio

Seville, Spain, 41013

Active, Not Recruiting

129

Chang Bing Show Chwan Memorial Hospital

Changhua, Taiwan, 710

Actively Recruiting

130

Chang Gung Memorial Hospital - Chiayi

Chiayi County, Taiwan, 61363

Active, Not Recruiting

131

National Cheng-Kung Uni. Hosp.

Tainan, Taiwan, 704

Active, Not Recruiting

132

Koo Foundation Sun Yan-Sen Cancer Center

Taipei, Taiwan, 112

Actively Recruiting

133

Gazi University Faculty of Medicine

Ankara, Turkey (Türkiye), 6500

Active, Not Recruiting

134

9 Eylul University Hospital

Balçova, Turkey (Türkiye), 35100

Active, Not Recruiting

135

Ege Üniversitesi

Bornova, Turkey (Türkiye), 35040

Active, Not Recruiting

136

Istanbul University Istanbul Medicine Faculty

Faith, Turkey (Türkiye), 34732

Active, Not Recruiting

137

American Hospital

Istanbul, Turkey (Türkiye), 34365

Active, Not Recruiting

138

Acıbadem Maslak Hastanesi

Istanbul, Turkey (Türkiye), 34457

Completed

139

Ankara University Medicine Hospital

Mamak, Turkey (Türkiye), 06590

Actively Recruiting

140

Bristol Haematology and Oncology Centre

Bristol, United Kingdom, BS2 8ED

Actively Recruiting

141

Castle Hill Hospital

Cottingham, United Kingdom, HU16 5JQ

Actively Recruiting

142

HOPE Centre

Leicester, United Kingdom, LE1 5WW

Active, Not Recruiting

143

St Bartholomew's Hospital

London, United Kingdom, EC1A 7BE

Active, Not Recruiting

144

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

CONTACT

P

Physicians interested in becoming principal investigators please contact

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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