A Phase 3 Open-Label, Randomized Study of LOXO-305 Versus Investigator's Choice of Idelalisib Plus Rituximab or Bendamustine Plus Rituximab in BTK Inhibitor Pretreated Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (BRUIN CLL-321)

Who is this study for? Adult patients with Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
What treatments are being studied? Pirtobrutinib
Status: Active_not_recruiting
Location: See all (229) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

This is a study for patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) who have previously received treatment with at least a BTK inhibitor. The main purpose is to compare LOXO-305 to idelalisib plus rituximab or bendamustine plus rituximab. Participation could last up to four years, and possibly longer, if the disease does not progress.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Confirmed diagnosis of CLL/SLL requiring therapy as defined by iwCLL 2018 criteria.

• Previously treated with a covalent BTK inhibitor.

• Eastern Cooperative Oncology Group (ECOG) 0-2.

• Absolute neutrophil count ≥ 0.75 × 10\^9/L without granulocyte-colony-stimulating factor support, or ≥ 0.50 × 10\^9/L in patients with documented bone marrow involvement considered to impair hematopoiesis. Granulocyte-colony-stimulating factor support is permitted in patients with documented bone marrow involvement.

• Hemoglobin ≥ 8 g/dL or ≥ 6 g/dL in patients with documented bone marrow involvement considered to impair hematopoiesis. Transfusion support is permitted in patients with bone marrow involvement.

• Platelets ≥ 50 × 10\^9/L. If an investigator has chosen bendamustine/rituximab as the Arm B treatment, platelets must be ≥ 75 × 10\^9/L. Patients may enroll below these thresholds if the Investigator determines the cytopenia is related to bone marrow involvement considered to impair hematopoiesis. Patients with a platelet count \< 30 x 10\^9/L are excluded.

• AST and ALT ≤ 3.0 x upper limit of normal (ULN).

• Total bilirubin ≤ 1.5 x ULN.

• Estimated creatinine clearance of ≥ 30 mL/min.

Locations
United States
Alabama
Southern Cancer Center, P.C.
Daphne
Mitchell Cancer Institute -University of South Alabama
Mobile
Arizona
Palo Verde Hematology Oncology
Glendale
Arizona Oncology Associates, P.C. - HOPE
Tucson
California
Orange Coast Memorial Medical Center
Fountain Valley
California Research Institute
Los Angeles
Colorado
Rocky Mountain Cancer Center
Aurora
Delaware
Medical Oncology Hematology Consultants, PA
Newark
Florida
Boca Raton Regional Hospital
Boca Raton
Cancer Specialists of North Florida -St Augustine
Jacksonville
Oncology-Hematology Associates of West Broward
Tamarac
Georgia
WellStar Health System
Marietta
Illinois
Rush University Medical Center
Chicago
Illinois Cancer Specialists-Niles
Niles
Indiana
Community Health Network
Indianapolis
Arnett Cancer Center
Lafayette
Kentucky
University of Kentucky Markey Cancer Center
Lexington
Norton Cancer Institute
Louisville
Mercy Health-Paducah Medical Oncology and Hematology
Paducah
Louisiana
Cancer Center Office of Clinical Research
New Orleans
Maryland
Greenebaum Comprehensive Cancer Center
Baltimore
Michigan
Saint Joseph Mercy Hospital
Ann Arbor
Ascension St. John Hospital
Grosse Pointe Woods
Minnesota
Minnesota Oncology/Hematology PA
Saint Paul
Montana
St. Vincent Frontier Cancer Center
Billings
Nebraska
Nebraska Hematology-Oncology
Lincoln
New Jersey
New Jersey Center for Cancer Research
Brick
New York
Memorial Sloan Kettering Cancer Center
New York
University of Rochester
Rochester
Clinical Research Alliance, Inc.
Westbury
Ohio
Oncology Hematology Care Inc
Cincinnati
Oregon
Willamette Valley Cancer Institute and Research Center
Eugene
South Carolina
Carolina Blood and Cancer Care Associates
Rock Hill
Texas
Texas Oncology - Amarillo
Amarillo
Texas Oncology Cancer Center
Austin
Texas Oncology - Dallas Presbyterian Hospital
Dallas
Texas Oncology - Medical City Dallas
Dallas
Brooke Army Medical Center
Fort Sam Houston
Texas Oncology Fort Worth
Fort Worth
The Center for Cancer and Blood Disorders
Fort Worth
Texas Oncology - McAllen
Mcallen
Texas Oncology - San Antonio Medical Center
San Antonio
Virginia
Virginia Cancer Specialists, PC
Gainesville
Oncology and Hematology Associates of Southwest Virginia Inc
Roanoke
Washington
Northwest Medical Specialties, PLLC
Tacoma
Wisconsin
University of Wisconsin Carbone Cancer Center
Madison
Other Locations
Australia
St Vincent's Hospital
Darlinghurst
Canberra Hospital
Garran
The St. George Hospital
Kogarah
Ingham Institute of Medical Research
Liverpool
The Alfred Hospital
Melbourne
Royal Perth Hospital
Perth
Westmead Hospital
Wentworthville
Austria
Ordensklinikum Linz GmbH Elisabethinen
Linz
Uniklinikum Salzburg
Salzburg
Medizinische Universität Wien
Wien
Belgium
Universitair Ziekenhuis Gent
Gent
Groupe Jolimont
Haine-saint-paul
AZ St-Elisabeth
Herentals
Clinique Saint Pierre Ottignies
Ottignies
AZ Delta
Roeselare
VITAZ
Sint-niklaas
CHR Verviers-Onco
Verviers
Canada
Queen Elizabeth II Health Sciences Center
Halifax
Southlake Regional Health Centre
Newmarket
Princess Margaret Hospital (Ontario)
Toronto
Cancer Care Manitoba
Winnipeg
China
Beijing Hospital
Beijing
Peking University First Hospital
Beijing
Peking University Third Hospital
Beijing
Hunan Cancer Hospital
Changsha
Southern Medical University Nanfang Hospital
Guangzhou
Sun Yat-sen University Cancer Center
Guangzhou
Hainan Province People's Hospital
Haikou
Zhejiang Cancer Hospital
Hangzhou
Gansu Province Cancer Hospital
Lanzhou
Zhejiang Provincial Taizhou Hospital
Linhai
The First Affiliated Hospital of Nanchang University
Nanchang
The Second Affiliated Hospital of Nanchang University
Nanchang
Fudan University Shanghai Cancer Center
Shanghai
Shanghai Jiaotong University School of Medicine Ruijin Hospital
Shanghai
Blood Institute of the Chinese Academy of Medical science
Tianjin
Tianjin Medical University Cancer Institute and Hospital
Tianjin
Affiliated Tumor Hospital of Xinjiang Medical University
Ürümqi
Xuanwu Hospital Capital Medical University
Xicheng District
The Affiliated Hospital of Xuzhou Medical College
Xuzhou
Henan Cancer Hospital
Zhengzhou
Croatia
University Hospital Split
Split
Division of Hematology, Dept. of Internal Medicine, University Hospital Centre Zagreb
Zagreb
France
Centre Hospitalier de la Côte Basque
Bayonne
Hospital AVICENNE
Bobigny
Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest
Bordeaux
CHRU de Brest - Hôpital Morvan
Brest Cedex
CHU De Grenoble Hopital Albert Michallon
Grenoble
CHD Vendee
La Roche-sur-yon
Centre Hospitalier du Mans
Le Mans
Hopital Saint Vincent De Paul
Lille Cedex
Chu Nimes/Institut De Cancerologie Du Gard
Nîmes
Ch Perpignan
Perpignan
Centre Hospitalier Lyon Sud
Pierre Benite
Pole Regionalde Cancérologie(CHU de Poitiers)
Politiers
Centre de Lutte Contre le Cancer - Centre Henri Becquerel Normandie Rouen
Rouen
CHRU De Tours
Tours
Germany
Charité Campus Virchow-Klinikum
Berlin
Universitätsklinikum Heidelberg
Heidelberg
Uniklinik Köln
Kerpener
Universitätsklinikum Schleswig-Holstein
Kiel
München Klinik Schwabing
Koelner Platz 1
Universitätsmedizin Mainz III. Medizinische Klinik und Poliklinik
Langenbeckstraße 1
Lübecker Onkologische Schwerpunktpraxis
Lübeck
Universitätsklinikum Ulm
Ulm
Hungary
Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai Intezet
Budapest
Debreceni Egyetem Klinikai Kozpont
Debrecen
SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz
Nyiregyhaza
University of Pecs 1st. Internalmedicin Clinic Dept
Pecs
Ireland
Beaumont Hospital, Dublin
Dublin
Mater Misericordiae Hospital
Dublin 7
St James's Hosptial
Dublin 8
Israel
Soroka Medical Center
Beer Sheva
Carmel Hospital
Haifa
Laniado Medical Center
Netanya
Rabin Medical Center
Petah Tikva
Tel Aviv Sourasky Medical Center
Tel Aviv
Italy
Azienda Ospedaliera Nazionale Santi Antonio e Biagio e Cesare Arrigo
Alessandria
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
Bergamo
ASST Spedali Civili - Università degli Studi
Brescia
A.O.U. Policlinico G.Rodolico - S. Marco
Catania
Azienda Ospedaliera Pugliese Ciaccio
Catanzaro
Azienda Ospedaliera Universitaria Careggi
Firenze
IRCCS Ospedale Policlinico San Martino
Genova
Ospedale Papardo
Messina
ASST Grande Ospedale Metropolitano Niguarda Comitato Etico Milano Area C
Milano
IRCCS Ospedale San Raffaele
Milano
A.O.U. di Modena
Modena
ASST-Monza -U.O Ematologia Adulti
Monza (mb) -settore E
Fondazione IRCCS Policlinico San Matteo
Pavia
Istituto di Ematologia-C.R.E.O. (Centro di Ricerche Emato-Oncologich)
Perugia
Azienda Ospedaliero Universitaria Pisana
Pisa
Ospedale Santa Maria delle Croci
Ravenna
Irccs Crob
Rionero In Vulture
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore
Roma
Azienda Ospedaliera Santa Maria Terni
Terni
A.O.U. Citta' della Salute e della Scienza di Torino
Torino
Az. Osp. Card G Panico
Tricase
Azienda Sanitaria Universitaria Giuliano Isontina
Trieste
Ospedale Policlinico Giambattista Rossi, Borgo Roma
Verona
Irccs Istituto Tumori Giovanni Paolo Ii
Viale Orazio Flacco
AULSS8 Berica-Ospedale S.Bortolo
Vicenza
Japan
JCHO Kyushu Hospital
Fukoka-ken
Tokai University Hospital- Isehara Campus
Isehara
Saitama Medical Center
Kawagoe
Kobe City Medical Center General Hospital
Kobe
Japanese Foundation for Cancer Research
Koto
Kumamoto University Hospital
Kumamoto
Aichi Cancer Center Hospital
Nagoya
Nagoya City University Hospital
Nagoya
Nagoya Medical Center
Nagoya
Kochi Medical School Hospital
Nankoku
Ogaki Municipal Hospital
Ogaki-shi
Okayama University Hospital
Okayama
Osaka University Hospital
Osaka
Kindai University Hospital
Osaka Sayama-shi
Hokkaido University Hospital
Sapporo
NHO Sendai Medical Center
Sendai-shi
Tohoku University Hospital
Sendai-shi
NTT Medical Center Tokyo
Shinagawa-ku
Poland
Szpital Specjalistyczny w Brzozowie Podkarpacki Ośrodek Onkologiczny im.ks.B.Markiewicza
Brzozów
Szpital Uniwersytecki nr 2 im. dr Jana Biziela w BydgoszczyKlinika Hematologii
Bydgoszcz
Uniwersyteckie Centrum Kliniczne
Gdansk
Szpitale Pomorskie Sp. z o. o.
Gdynia
Wojewodzki Szpital Specjalistyczny
Iwaszkiewicza 5
Pratia Onkologia Katowice
Katowice
Pratia MCM Krakow
Krakow
Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii
Łódź
Centrum Onkologii Ziemi Lubelskiej
Lublin
Oddzial Hematologiczny, Specjalistyczny Szpital im. dra Sokołowskiego w Wałbrzychu
Walbrzych
Instytut Hematologii i Transfuzjologii
Warszawa
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Warszawa
Uniwersytecki Szpital Kliniczny Klinika
Wrocław
Republic of Korea
Inje Univ Busan Paik Hospital
Busan
Pusan National University Hospital
Busan
Gachon University Gil Hospital
Namdong-gu
The Catholic University of Korea-Seoul St. Mary's Hospital
Seocho-gu
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University Health System
Seoul
Russian Federation
Budgetary Healthcare Institution of Omsk Region Clinical Oncology Dispensary
Omsk
Academician I.P. Pavlov First St-Petersburg State Medical University
Saint Petersburg
Federal State Budgetary Institution Russian Scientific and Research Institute of Hematology and Transfusiology of Federal Medico-Biological Agency
Saint Petersburg
Oncology Dispensary #2 of Krasnodar Region
Sochi
Singapore
Gleneagles Medical Centre
Singapore
Spain
Hospital General de Albacete
Albacete
Hospital Clinic de Barcelona
Barcelona
Hospital Universitari Vall d'Hebron
Barcelona
Hospital San Pedro de Alcántara
Caceres
Hospital Duran I Reynals
Hospitalet De Llobregat
Hospital General Universitario Gregorio Marañón
Madrid
Hospital Universitario Infanta Leonor-INTERNAL MED
Madrid
Hospital Universitario La Paz
Madrid
Hospital Universitario Ramon y Cajal
Madrid
Hospital Universitario Quironsalud Madrid
Pozuelo De Alarcón
Hospital Universitario Marques De Valdecilla
Santander
Complejo Hospitalario Universitario de Santiago de Compostel
Santiago De Compostela
Hospital Universitario Virgen del Rocío
Sevilla
Hospital Universitario de Toledo
Toledo
Hospital Universitario de Alava
Vitoria
Switzerland
Clinica di Ematologia IOSI, Ospedale Bellinzona e Valli, Ente Ospedaliero Cantonale
Bellinzona
Taiwan
China Medical University Hospital
Taichung City
Taipei Veterans General Hospital
Taipei City
Tri-Service General Hospital
Taipei City
Chang Gung Memorial Hospital - Linkou
Taoyuan, (r.o.c.)
Turkey
Gazi University Faculty of Medicine
Ankara
Istanbul University Istanbul Medicine Faculty
Faith
Dokuz Eylul University Faculty of Medicine
Izmir
Ege University Medical Faculty
Izmir
Erciyes University Faculty of Medicine
Kayseri
Ankara University Medicine Hospital
Mamak
United Kingdom
Aberdeen Royal Infirmary
Aberdeen
Castle Hill Hospital
Cottingham
Western General Hospital
Edinburgh
St James's University Hospital
Leeds
St Johns Hospital at Howden
Livingston
University College London Hospitals
London
Milton Keynes University Hospital
Milton Keynes
GenesisCare Cambridge
Newmarket
Norfolk and Norwich Hospital
Norwich
Derriford Hospital
Plymouth
Royal Marsden Hospital
Sutton
Singleton Hospital
Swansea
The Royal Cornwall Hospital
Truro
Time Frame
Start Date: 2021-03-09
Completion Date: 2027-05
Participants
Target number of participants: 238
Treatments
Experimental: Arm A - Pirtobrutinib
Participants received 200 milligrams (mg) of pirtobrutinib administered orally once daily (QD) on Days 1 through 28 of a 28-day cycle. The treatment was continued until progressive disease, a discontinuation criterion, or unacceptable toxicity.
Active_comparator: Arm B - Idelalisib plus Rituximab or Bendamustine plus Rituximab
Participants received either 150 mg of idelalisib administered twice-daily (BID) orally on Days 1 through 28 of a 28-day cycle in combination with 375 milligram per square meter (mg/m\^2) of rituximab by intravenous (IV) infusion on day 1 of cycle 1, then 4 IV infusions of rituximab 500 mg/m\^2 every 2 weeks (Q2W) and 3 IV infusions of rituximab 500 mg/m\^2 every 4 weeks (Q4W) or 70 mg/m\^2 of bendamustine administered IV on day 1 and 2 of each 28-day cycle from cycles 1 to 6 in combination with 375 mg/m\^2 of rituximab IV on day 1 of cycle 1, then 500 mg/m\^2 of rituximab on day 1 of each 28-day cycle from cycles 2 to 6.
Authors
Vu Minh hua, Sumit Sawhney, Sudhir Manda, Harris Naina, Meir Preis, Swathi Namburi, Pablo Bedano, Guillermo Lazo-Diaz, Vijaya Kakani, Seung Lee, Michael Meshad, Mitul Gandhi, Praveen Tumula, Omar Alkharabsheh, Ayed Ayed, Wederson Claudino, Seo-Hyun Kim, Michael Osswald, Leonard Klein, Paul Barr, Venu Thirukonda, Tareq Al Baghdadi, Kailash Mosalpuria, Morton Coleman, Gilad Itchaki, Jay Courtright, John Burke, Kristi McIntyre, Patrick Cobb, Timothy Larson, Daniel Lebovic, Ghassan Al-Jazayrly, Spencer Bachow, Amol Rao, Ray Page, David Friedman, Nakhle Saba, Amanda Gillespie-Twardy, Sylvain Carras, Fontanet Bijou, Peter Dreger, Fritz Offner, Cecile Tomowiak, Florence Cymbalista, Matthias Ritgen, Emmanuelle Ferrant, Paula Cramer, Claire Hutchinson, Bruno Villemagne, George Follows, Moez Dungarwalla, Kamel Laribi, Stephane Lepretre, Caroline Dartigeas, Angus Broom, Hussam Saad, Laurence Sanhes, Shlomo Bulvik, Amol Rakkar, Joseph Maly, Jamal Misleh, Reinhold Munker, Miguel Islas-Ohlmayer, Lindsey Roeker, Jadwiga Holojda, Anne Fortune, Daniela Pietrasanta, Wanda Knopińska-Posłuszny, Gaurav Sutrave, Jai Jayakar, Sue Robinson, Elisabeth Vandenberghe, Wuhan Hui, Hiroshi Kosugi, JAE-HOON LEE, Yao-Chung Liu, Igor Aurer, Yujun Dong, Orly Lavee, Mikhail Dvorkin, Annalisa Chiarenza, Kensuke Usuki, Martin Simkovic, Greet Bries, Anna Maria Frustaci, Marina Motta, Francesco Zaja, Hsuan-Jen Shih, Won Seog Kim, Anna Marina Liberati, Noriko Fukuhara, Roberto Marasca, Jin Seok Kim, Yi-Ying Wu, Jan Walewski, Kiyoshi Ando, Giuseppe Pietrantuono, Haiyan Yang, Daisuke Ennishi, Davide Rossi, Krzysztof Giannopoulos, Fatima de la Cruz, Alessandro Sanna, Dima El-Sharkawi, Philip Murphy, Donato Mannina, Paolo Ghia, Hirokazu Nagai, Wojciech Jurczak, Luca Laurenti, Gavin Preston, Richard Greil, Monica Tani, Marek Trneny, Tadeusz Robak, Sara Galimberti, David Allsup, Roberto Lemoli, Marta Coscia, Dai Maruyama, Jaroslaw Czyz, Paolo Sportoletti, Daigo Hashimoto, Jiri Mayer, Ru Feng, Lihua Qiu, Masahiro Kizaki, Ki-Seong Eom, Javier Lopez Jimenez, Jiang Cao, Shigeru Kusumoto, Marzia Varettoni, Jiro Fujita, Kazuhito Yamamoto, Michael Girschikofsky, Takahiro Kumode, Luciano Levato, Xiaoyan Ke, Davor Galusic, Su-Peng Yeh, Ryusuke Yamamoto
Sponsors
Collaborators: Eli Lilly and Company
Leads: Loxo Oncology, Inc.

This content was sourced from clinicaltrials.gov

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