Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT05536349

Time-limited Triplet Combination of Pirtobrutinib, Venetoclax, and Obinutuzumab for Patients With Treatment-naïve Chronic Lymphocytic Leukemia (CLL) or Richter Transformation (RT)

Led by M.D. Anderson Cancer Center · Updated on 2026-04-30

60

Participants Needed

1

Research Sites

279 weeks

Total Duration

On this page

Sponsors

M

M.D. Anderson Cancer Center

Lead Sponsor

L

Loxo Oncology, Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

To learn if the combination of pirtobrutinib (also called LOXO-305), venetoclax, and obinutuzumab is safe and effective when given to patients with chronic lymphocytic leukemia (CLL) or Richter transformation (RT) who have not previously received treatment.

CONDITIONS

Official Title

Time-limited Triplet Combination of Pirtobrutinib, Venetoclax, and Obinutuzumab for Patients With Treatment-naïve Chronic Lymphocytic Leukemia (CLL) or Richter Transformation (RT)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of previously untreated CLL/SLL needing treatment or untreated/relapsed Richter transformation (RT) if previously treated for CLL
  • Age 18 years or older
  • ECOG performance status of 0 to 2
  • Adequate liver function with specific bilirubin, ALT, and AST limits
  • Adequate kidney function with creatinine clearance ≥ 50 ml/min
  • Adequate blood counts: platelets ≥ 50 x10^9/L, hemoglobin ≥ 8 g/dL, neutrophils ≥ 0.75 x10^9/L
  • Ability to swallow tablets and comply with outpatient treatment and monitoring
  • Women of childbearing potential must have a negative pregnancy test and agree to effective contraception during and 6 months after treatment
  • Men with partners of childbearing potential must agree to use effective contraception during and 6 months after treatment
Not Eligible

You will not qualify if you...

  • Major surgery within 4 weeks before starting study drugs
  • Uncontrolled active systemic infection
  • Known positive HIV infection
  • Active hepatitis B or hepatitis C infection
  • Known active cytomegalovirus infection
  • Active uncontrolled autoimmune conditions needing high-dose steroids or recent therapy changes
  • Significant uncontrolled heart disease or recent serious cardiovascular events
  • Prolonged QT interval above 470 msec without cardiology clearance
  • Pregnancy, breastfeeding, or planning pregnancy during study or within 6 months after treatment
  • Use of warfarin or vitamin K antagonists
  • Current treatment with strong CYP3A4 inhibitors or inducers without appropriate washout
  • Current treatment with certain P-glycoprotein inhibitors without appropriate washout
  • Known CNS involvement by CLL/SLL/RT
  • Active second cancer unless in remission with life expectancy over 2 years, except certain skin or cervical cancers
  • Prior treatment restrictions including recent therapies, transplant, or CAR-T therapy with ongoing complications
  • Known allergy to study drugs or excipients
  • Conditions affecting absorption of study drugs
  • Live-virus vaccine within 4 weeks before starting study drugs
  • History of bleeding disorders

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

M D Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

N

Nitin Jain, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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