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NCT06333262 | RECRUITING | Chronic Lymphocytic Leukemia

Fixed Duration Pirtobrutinib and Obinutuzumab in Chronic Lymphocytic Leukemia
Sponsor:

Inhye Ahn

Information provided by (Responsible Party):

Inhye Ahn

Brief Summary:

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

Condition or disease

Chronic Lymphocytic Leukemia

Small Lymphocytic Lymphoma

Intervention/treatment

Pirtobrutinib

Obinutuzumab

Phase

PHASE2

Detailed 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.

Study Type : INTERVENTIONAL
Estimated Enrollment : 60 participants
Masking : NONE
Primary Purpose : TREATMENT
Official Title : A Phase 2 Study of Fixed Duration Therapy With Pirtobrutinib and Obinutuzumab in Previously Untreated Chronic Lymphocytic Leukemia (POP)
Actual Study Start Date : 2024-04-22
Estimated Primary Completion Date : 2027-02-01
Estimated Study Completion Date : 2029-02-01

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
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.
Fixed Duration Pirtobrutinib and Obinutuzumab in Chronic Lymphocytic Leukemia

Location Details

NCT06333262

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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations

RECRUITING

United States, Maine

New England Cancer Specialists

Scarborough, Maine, United States, 04074

RECRUITING

United States, Massachusetts

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215

RECRUITING

United States, Massachusetts

Brigham & Women's Hospital

Boston, Massachusetts, United States, 02215

RECRUITING

United States, Massachusetts

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215