Chronic Lymphocytic Leukemia Clinical Trial

Fixed Duration Pirtobrutinib and Obinutuzumab in Chronic Lymphocytic Leukemia

Summary

This study will evaluate fixed-duration therapy with pirtobrutinib and obinutuzumab given over 12 cycles (approximately 1 year) as first-line treatment of leukemia-cll/" >chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL or SLL).

View Full Description

Full Description

This is an open-label, multicenter, single-arm phase 2 study of pirtobrutinib with obinutuzumab for participants with CLL or SLL. Eligible participants will receive 6 cycles of pirtobrutinib alone followed by an additional 6 cycles of pirtobrutinib-obinutuzumab combination therapy. All participants will stop treatment after 12 cycles in total (approximately 1 year).

If CLL progresses and requires treatment after 1-year of therapy, participants will receive retreatment with pirtobrutinib only. Participants will be followed for up to a total of 10 years. Up to 60 participants will take part in this study.

The U.S. Food and Drug Administration (FDA) has approved pirtobrutinib for continuous treatment of CLL that has relapsed or become refractory to other treatments. Pirtobrutinib is not approved for the first-line treatment of CLL/SLL nor for fixed-duration therapy. The FDA has approved obinutuzumab for the treatment of CLL.

The research study procedures include screening for eligibility, study treatment visits, electrocardiograms, imaging (e.g. computerized tomography or CT scans), blood tests, saliva tests, bone marrow biopsies, and/or lymph node biopsies (if feasible).

Loxo Oncology at Eli Lilly and Company is supporting this study by providing pirtobrutinib and research funding.

View Eligibility Criteria

Eligibility Criteria

Key Inclusion Criteria:

Meet 2018 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) guidelines for the diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).
Presence of measurable disease (absolute lymphocyte count > 5,000/µL, palpable or measurable lymph nodes ≥1.5cm on imaging, or bone marrow involvement of CLL ≥ 30%).
No prior systemic therapy for CLL or SLL.
Currently have an indication for treatment as defined by the following 2018 IWCLL guidelines
Age ≥ 18 years
Eastern Cooperative Oncology Group performance status ≤ 2
Adequate organ and bone marrow function as defined by the study protocol
Ability to take oral medications.
Ability to understand and the willingness to sign a written informed consent document.

Key Exclusion Criteria:

Known or suspected Richter's transformation or known central nervous system involvement.
History of bleeding disorders
History of stroke or intracranial hemorrhage within 6 months of starting study therapy.
Significant cardiovascular disease such as uncontrolled arrhythmia, Class 3 or 4 congestive heart failure as defined by the New York Heart Association Functional Classification, or left ventricular ejection fraction < 40% by any methods in the 12 months prior to study therapy.
History of other malignancies with life expectancy of < 2 years.
Receiving any other investigational agents.
Concurrent systemic immunosuppression < 28 days of study therapy or administration of > 20 mg of prednisone or equivalent daily < 7 days of study therapy.
Vaccinated with live vaccine within 4 weeks of starting study therapy.
Major surgery within 4 weeks of starting study therapy.
Ongoing or recent infection requiring intravenous antimicrobials at time of screening. Prophylactic antibiotics are allowed if there is no evidence of active infection and the antibiotics is not included on the list of the prohibited medications.
Patients who have tested positive for HIV are excluded due to potential drug-drug interactions between anti-retroviral medications and pirtobrutinib and risk of opportunistic infections with both HIV and irreversible BTK inhibitors. For patients with unknown HIV status, HIV testing will be performed at Screening and result should be negative for enrollment.
Active human T cell leukemia virus infection or active hepatitis B or C virus infection
Known active cytomegalovirus infection
Pregnancy, lactation or plan to breastfeed during the study or within 6 months of the last dose of study treatment.
Clinically significant active malabsorption syndrome or other condition likely to affect gastrointestinal absorption of the study drug
Active uncontrolled auto-immune cytopenia.
Significant co-morbid condition or disease.

Study is for people with:

Chronic Lymphocytic Leukemia

Phase:

Phase 2

Estimated Enrollment:

60

Study ID:

NCT06333262

Recruitment Status:

Not yet recruiting

Sponsor:

Inhye Ahn

Check Your Eligibility

Let’s see if you might be eligible for this study.

What is your age and gender ?

Submit

There is 1 Location for this study

See Locations Near You

Beth Israel Deaconess Medical Center
Boston Massachusetts, 02215, United States More Info
Jon Arnason, MD
Contact
Jon Arnason, MD
Principal Investigator
Brigham & Women's Hospital
Boston Massachusetts, 02215, United States More Info
Inhye Ahn
Contact
Inhye Ahn, MD
Principal Investigator
Dana-Farber Cancer Institute
Boston Massachusetts, 02215, United States More Info
Megan Forsyth
Contact
857-215-1405
[email protected]
Inhye Ahn, MD
Principal Investigator

How clear is this clinincal trial information?

Study is for people with:

Chronic Lymphocytic Leukemia

Phase:

Phase 2

Estimated Enrollment:

60

Study ID:

NCT06333262

Recruitment Status:

Not yet recruiting

Sponsor:


Inhye Ahn

How clear is this clinincal trial information?

×

Introducing, the Journey Bar

Use this bar to access information about the steps in your cancer journey.