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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05023980
Registration number
NCT05023980
Ethics application status
Date submitted
24/08/2021
Date registered
27/08/2021
Titles & IDs
Public title
A Study of Pirtobrutinib (LOXO-305) Versus Bendamustine Plus Rituximab (BR) in Untreated Patients With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
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Scientific title
A Phase 3 Open-Label, Randomized Study of Pirtobrutinib (LOXO-305) Versus Bendamustine Plus Rituximab in Untreated Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
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Secondary ID [1]
0
0
J2N-OX-JZNP
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Secondary ID [2]
0
0
LOXO-BTK-20023
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Universal Trial Number (UTN)
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Trial acronym
BRUIN CLL-313
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Lymphocytic Leukemia
0
0
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Small Lymphocytic Lymphoma
0
0
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Condition category
Condition code
Cancer
0
0
0
0
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
0
0
0
0
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Cancer
0
0
0
0
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Leukaemia - Acute leukaemia
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Cancer
0
0
0
0
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Leukaemia - Chronic leukaemia
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Cancer
0
0
0
0
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Pirtobrutinib
Treatment: Drugs - Bendamustine
Treatment: Drugs - Rituximab
Experimental: Arm A (Pirtobrutinib) - Pirtobrutinib administered orally
Active comparator: Arm B (BR) - Bendamustine plus rituximab administered intravenously (IV)
Treatment: Drugs: Pirtobrutinib
Oral
Treatment: Drugs: Bendamustine
IV
Treatment: Drugs: Rituximab
IV
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Intervention code [1]
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0
Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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To evaluate progression-free survival (PFS) of pirtobrutinib (Arm A) compared to bendamustine and rituximab (Arm B)
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Assessment method [1]
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0
Assessed by blinded independent review committee (IRC) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 Response Criteria
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Timepoint [1]
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0
Up to approximately 5 years
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Secondary outcome [1]
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0
To evaluate the effectiveness of Arm A compared to Arm B: Progression-free survival (PFS)
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Assessment method [1]
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0
Assessments of effectiveness include PFS, assessed by investigator
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Timepoint [1]
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Up to approximately 5 years
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Secondary outcome [2]
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0
To evaluate the effectiveness of Arm A compared to Arm B: Overall survival (OS)
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Assessment method [2]
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Assessments of effectiveness include OS, assessed by investigator
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Timepoint [2]
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Up to approximately 5 years
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Secondary outcome [3]
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0
To evaluate the effectiveness of Arm A compared to Arm B: Time to next treatment (TTNT)
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Assessment method [3]
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0
Assessments of effectiveness include TTNT, assessed by investigator
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Timepoint [3]
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Up to approximately 5 years
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Secondary outcome [4]
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0
To evaluate the effectiveness of Arm A compared to Arm B: Overall response rate (ORR)
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Assessment method [4]
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0
Assessments of effectiveness include ORR, assessed by investigator and IRC
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Timepoint [4]
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Up to approximately 5 years
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Secondary outcome [5]
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To evaluate the effectiveness of Arm A compared to Arm B: Duration of Response (DOR)
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Assessment method [5]
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0
Assessments of effectiveness include DOR, assessed by investigator and IRC
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Timepoint [5]
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Up to approximately 5 years
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Secondary outcome [6]
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To evaluate the effectiveness of Arm A compared to Arm B in patient-reported disease-related symptoms
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Assessment method [6]
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Based on time to worsening of CLL/SLL-related symptoms
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Timepoint [6]
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Up to approximately 5 years
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Secondary outcome [7]
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To evaluate the effectiveness of Arm A compared to Arm B in patient-reported physical functioning
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Assessment method [7]
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Based on time to worsening of physical functioning
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Timepoint [7]
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Up to approximately 5 years
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Eligibility
Key inclusion criteria
* Confirmed diagnosis of CLL/SLL requiring therapy, per iwCLL 2018 criteria
* Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2
* Adequate organ function
* Platelets greater than or equal to (=)75 x 10?/liter (L) (=50 × 10?/L for patients with evidence of bone marrow infiltrate), hemoglobin =8 grams/deciliter (g/dL), and absolute neutrophil count =0.75 x 10?/L
* Kidney function: Estimated creatinine clearance =40 milliliters per minute (mL/min)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Known or suspected Richter's transformation at any time preceding enrollment
* Prior systemic therapy for CLL/SLL
* Presence of 17p deletion
* Central nervous system (CNS) involvement
* Active uncontrolled auto-immune cytopenia (e.g., autoimmune hemolytic anemia [AIHA], idiopathic thrombocytopenic purpura [ITP])
* Significant cardiovascular disease
* Active hepatitis B or hepatitis C
* Active cytomegalovirus (CMV) infection
* Active uncontrolled systemic bacterial, viral, fungal, or parasitic infection
* Known human immunodeficiency virus (HIV) infection, regardless of cluster of differentiation 4 (CD4) count
* Concurrent use of investigational agent or anticancer therapy except hormonal therapy
* Patients requiring therapeutic anticoagulation with warfarin or another Vitamin K antagonist
* Vaccination with a live vaccine within 28 days prior to randomization
* Patients with the following hypersensitivity:
* Known hypersensitivity, including anaphylaxis, to any component or excipient of pirtobrutinib or bendamustine
* Prior significant hypersensitivity to rituximab
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
23/09/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/05/2026
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Actual
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Sample size
Target
250
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Westmead Hospital - Wentworthville
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Peninsula Private Hospital - Frankston
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2170 - Liverpool
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Recruitment postcode(s) [2]
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2145 - Wentworthville
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Recruitment postcode(s) [3]
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3199 - Frankston
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Recruitment outside Australia
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California
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Asturias
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Madrid, Comunidad De
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Spain
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Barcelona
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Sevilla
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Taoyuan City
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United Kingdom
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England
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Loxo Oncology, Inc.
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Eli Lilly and Company
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to compare the efficacy and safety of pirtobrutinib (LOXO-305; Arm A) compared to BR (Arm B) in patients with CLL/SLL who have not been treated. Participation could last up to five years.
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Trial website
https://clinicaltrials.gov/study/NCT05023980
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Alex Levy, MD
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Address
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Loxo Oncology
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05023980