A Study of Pirtobrutinib (LOXO-305) Versus Bendamustine Plus Rituximab (BR) in Untreated Patients With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL) (BRUIN CLL-313)
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
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Patient Advocacy
- Phone Number: 1-855-LOXO-305
- Email: clinicaltrials@loxooncology.com
Study Locations
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New South Wales
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Liverpool, New South Wales, Australia, 2170
- Liverpool Hospital
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Wentworthville, New South Wales, Australia, 2145
- Westmead Hospital
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Victoria
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Frankston, Victoria, Australia, 3199
- Peninsula Private Hospital
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Salzburg, Austria, 5020
- Uniklinikum Salzburg
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Vienna, Austria, 1160
- Klinik Ottakring
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
- Hospital de Clínicas de Porto Alegre
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Porto Alegre, Rio Grande do Sul, Brazil, 90050-170
- Irmandade da Santa Casa de Misericordia de Porto Alegre
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Porto Alegre, Rio Grande do Sul, Brazil, 90110270
- Centro Gaucho Integrado - Mae de Deus Center
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São Paulo
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Campinas, São Paulo, Brazil, 13083-878
- Hemocentro UNICAMP
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Jaú, São Paulo, Brazil, 17210120
- Fundacao Doutor Amaral Carvalho
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Plovdiv, Bulgaria, 4000
- UMHAT "Sveti Georgi" EAD
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Sofia, Bulgaria, 1431
- UMHAT 'Sv. Ivan Rilski', EAD
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Sofia, Bulgaria, 1797
- "SHATHD" EAD, Sofia
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Stara Zagora, Bulgaria, 6003
- UMHAT - Prof. Dr. Stoyan Kirkovich" AD
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Beijing, China, 100730
- Beijing Hospital
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Chongqing, China, 400030
- Chongqing Cancer Hospital
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Zhengzhou, China, 450008
- Henan Cancer Hospital
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Anhui
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Hefei, Anhui, China, 233004
- Anhui Provincial Cancer Hospital
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100191
- Peking University Third Hospital
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Beijing, Beijing Municipality, China, 100034
- Peking University First Hospital
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Guangdong
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Guangzhou, Guangdong, China, 510120
- The First Affiliated Hospital of Guangzhou Medical University
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Hubei
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Wuhan, Hubei, China, 430022
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Hunan
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Changsha, Hunan, China, 410013
- Hunan Cancer Hospital
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Changsha, Hunan, China, 410008
- Xiangya Hospital Central South University
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Inner Mongolia
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Hohhot, Inner Mongolia, China, 010050
- The Affiliated Hospital of Inner Mongolia Medical University
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Jiangxi
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Nanchang, Jiangxi, China, 330006
- The First Affiliated Hospital of NanChang University
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Liaoning
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Shenyany, Liaoning, China, 110022
- Shengjing Hospital Of China Medical University
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Nanjing
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Nanjing, Nanjing, China, 210029
- Jiangsu Province Hospital
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Shanghai Municipality
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Changning District, Shanghai Municipality, China, 200050
- Shanghai Tongren Hospital
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Sichuan
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Chengdu, Sichuan, China, 610041
- West China Hospital of Sichuan University
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Tianjin Municipality
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Tianjin, Tianjin Municipality, China, 300060
- Tianjin Medical University Cancer Institute and Hospital
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Tianjin, Tianjin Municipality, China, 300020
- Institute of hematology&blood disease hospital
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Zhejiang
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Hangzhou, Zhejiang, China, 311100
- The First People's Hospital of Hangzhou Linping District
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Brno, Czechia, 62500
- Fakultni nemocnice Brno
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Hradec Králové, Czechia, 500 05
- Fakultni nemocnice Hradec Kralove
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Le Mans, France, 72000
- Hospitalier Le Mans
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Debrecen, Hungary, 4032
- Debreceni Egyetem Orvos-es Egészsegtudomanyi Centrum
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Nyíregyháza, Hungary, 4400
- SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz
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Székesfehérvár, Hungary, 8000
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
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Bergamo, Italy, 24127
- Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
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Brescia, Italy, 25123
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
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Meldola, Italy, 47014
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
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Milan, Italy, 20122
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
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Milan, Italy, 20162
- ASST Grande Ospedale Metropolitano Niguarda Comitato Etico Milano Area C
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Monza, Italy, 20900
- Azienda Socio Sanitaria Territoriale Di Monza (Presidio San Gerardo)
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Novara, Italy, 28100
- Azienda Ospedale Maggiore Della Carita
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Perugia, Italy, 06132
- Istituto di Ematologia-C.R.E.O. (Centro di Ricerche Emato-Oncologich)
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Ravenna, Italy, 48020
- Ospedale Santa Maria delle Croci
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Terni, Italy, 05100
- Azienda Ospedaliera Santa Maria Terni
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Trieste, Italy, 34125
- Azienda sanitaria integrata università di Trieste
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Potenza
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Rionero in Vulture, Potenza, Italy, 85028
- Irccs Crob
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Aomori, Japan, 030-8553
- Aomori Prefectural Centeral Hospital
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Fukoka-ken, Japan, 806 8501
- JCHO Kyushu Hospital
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Aichi-ken
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Nagoya, Aichi-ken, Japan, 467-8602
- Nagoya City University Hospital
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Chiba
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Chiba, Chiba, Japan, 260-8717
- Chiba Cancer Center
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Fukui
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Yoshida-Gun, Fukui, Japan, 910-1193
- Fukui Medical University Hospital
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Hokkaido
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Sapporo, Hokkaido, Japan, 0030006
- Hokuyukai Sapporo Hokuyu Hospital
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Kochi
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Nankoku, Kochi, Japan, 783-8505
- Kochi Medical School Hospital
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Miyagi
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Sendai, Miyagi, Japan, 980-8574
- Tohoku University Hospital
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Sendai, Miyagi, Japan, 9838520
- NHO Sendai Medical Center
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Saitama
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Koshigaya, Saitama, Japan, 343 8555
- Dokkyo Medical University - Koshigaya Hospital
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Yamanshi
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Chūō, Yamanshi, Japan, 409-3821
- University of Yamanashi Hospital
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Christchurch, New Zealand, 8011
- Christchurch Hospital
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Papatoetoe, New Zealand, 2025
- Middlemore Clinical Trials
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Auckland
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Takapuna, Auckland, New Zealand, 0622
- North Shore Hospital, Haematology Research
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Bay of Plenty
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Tauranga, Bay of Plenty, New Zealand, 3112
- Tauranga Hospital
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Biała Podlaska, Poland, 21500
- KO-MED Centra Kliniczne
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Bydgoszcz, Poland, 85-168
- Szpital Uniwersytecki nr 1 im. Antoniego Jurasza
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Katowice, Poland, 40519
- Pratia Onkologia Katowice
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Krakow, Poland, 30727
- Pratia MCM Krakow
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Lublin, Poland, 20-090
- Centrum Onkologii Ziemi Lubelskiej
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Torun, Poland, 87-100
- Nasz Lekarz Osrodek Badan Klinicznych
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Warsaw, Poland, 02781
- Narodowy Instytut Onkologii im. Marii Skłodowskiej-Cuire - Państwowy Instytut Badawczy
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Wroclaw, Poland, 50-367
- Uniwersytecki Szpital Kliniczny Klinika
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Legnica
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Iwaszkiewicza 5, Legnica, Poland, 59-220
- Wojewodzki Szpital Specjalistyczny
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Lubelskie V
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Lublin, Lubelskie V, Poland, 20081
- Klinika Hematoonkologii i Transplantacji Szpiku SPSK1 Lublin
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Poland, 80214
- Uniwersyteckie Centrum Kliniczne
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Poznan
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Skorzewo, Poznan, Poland, 60 185
- Centrum Medyczne Pratia Poznan
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Braga, Portugal, 4710-243
- Centro Clínico Académico - Braga (2CA-Braga) (Hospital de Braga)
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Lisbon, Portugal, 1649035
- Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria
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Porto, Portugal, 4200-072
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE
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Bucharest, Romania, 022328
- Institutul Clinic Fundeni - Centrul de Hematologie si Transplant Medular
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Cluj-Napoca, Romania, 400015
- Institutul Oncologic "Prof. Dr. Ion Chiricuta" Cluj-Napoca
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Iași, Romania, 700483
- Institutului Regional de Oncologie IASI
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Dolj
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Craiova, Dolj, Romania, 200143
- Spitalul Clinic Municipal Filantropia Craiova
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Saint Petersburg, Russia, 197022
- Academician I.P. Pavlov First St-Petersburg State Medical University
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Busan, South Korea, 47392
- Inje Univ Busan Paik Hospital
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Incheon-gwangyeoksi [Incheon]
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Namdong-gu, Incheon-gwangyeoksi [Incheon], South Korea, 21565
- Gachon University Gil Medical Center
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Seoul
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Seocho-Gu, Seoul, South Korea, 06591
- The Catholic University of Korea-Seoul St. Mary's Hospital
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Seoul, Korea
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Seoul, Seoul, Korea, South Korea, 03080
- Seoul National University Hospital
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Seoul-teukbyeolsi [Seoul]
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Seoul, Seoul-teukbyeolsi [Seoul], South Korea, 03722
- Severance Hospital, Yonsei University Health System
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Seoul, Seoul-teukbyeolsi [Seoul], South Korea, 06351
- Samsung Medical Center
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Barcelona, Spain, 08041
- Hospital De La Santa Creu I Sant Pau
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Madrid, Spain, 28040
- Hospital Universitario Fundacion Jimenez Díaz
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Seville, Spain, 41013
- Hospital Universitario Virgen del Rocio
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Seville, Spain, 41014
- Hospital Universitario Virgen de Valme
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Madrid, Comunidad de
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Madrid, Madrid, Comunidad de, Spain, 28050
- Hospital Universitario HM Sanchinarro
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Principality of Asturias
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Oviedo, Principality of Asturias, Spain, 33011
- Hospital Universitario Central de Asturias
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Changhua, Taiwan, 50544
- Chang Bing Show Chwan Memorial Hospital
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Taichung, Taiwan, 40447
- China Medical University Hospital
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Taipei, Taiwan, 10002
- National Taiwan University Hospital
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Taoyuan, Taiwan, 333
- Chang Gung Memorial Hospital - Linkou
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England
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Birmingham, England, United Kingdom, B9 5SS
- Birmingham Heartlands Hospital
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California
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Los Angeles, California, United States, 90027
- California Research Institute
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Whittier, California, United States, 90603
- Innovative Clinical Research Institute
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Florida
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Coral Springs, Florida, United States, 33065
- Oncology-Hematology Associates of West Broward
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New Jersey
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Brick, New Jersey, United States, 08724
- New Jersey Center for Cancer Research
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New York
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Westbury, New York, United States, 11590
- Clinical Research Alliance, Inc.
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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 10⁹/liter (L) (≥50 × 10⁹/L for patients with evidence of bone marrow infiltrate), hemoglobin ≥8 grams/deciliter (g/dL), and absolute neutrophil count ≥0.75 x 10⁹/L
- Kidney function: Estimated creatinine clearance ≥40 milliliters per minute (mL/min)
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Arm A (Pirtobrutinib)
Pirtobrutinib administered orally
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Oral
Other Names:
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Active Comparator: Arm B (BR)
Bendamustine plus rituximab administered intravenously (IV)
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IV
Other Names:
IV
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate progression-free survival (PFS) of pirtobrutinib (Arm A) compared to bendamustine and rituximab (Arm B)
Time Frame: Up to approximately 5 years
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Assessed by blinded independent review committee (IRC) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 Response Criteria
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Up to approximately 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the effectiveness of Arm A compared to Arm B in patient-reported disease-related symptoms
Time Frame: Up to approximately 5 years
|
Based on time to worsening of CLL/SLL-related symptoms
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Up to approximately 5 years
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To evaluate the effectiveness of Arm A compared to Arm B in patient-reported physical functioning
Time Frame: Up to approximately 5 years
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Based on time to worsening of physical functioning
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Up to approximately 5 years
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To evaluate the effectiveness of Arm A compared to Arm B: Progression-free survival (PFS)
Time Frame: Up to approximately 5 years
|
Assessments of effectiveness include PFS, assessed by investigator
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Up to approximately 5 years
|
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To evaluate the effectiveness of Arm A compared to Arm B: Overall survival (OS)
Time Frame: Up to approximately 5 years
|
Assessments of effectiveness include OS, assessed by investigator
|
Up to approximately 5 years
|
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To evaluate the effectiveness of Arm A compared to Arm B: Time to next treatment (TTNT)
Time Frame: Up to approximately 5 years
|
Assessments of effectiveness include TTNT, assessed by investigator
|
Up to approximately 5 years
|
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To evaluate the effectiveness of Arm A compared to Arm B: Overall response rate (ORR)
Time Frame: Up to approximately 5 years
|
Assessments of effectiveness include ORR, assessed by investigator and IRC
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Up to approximately 5 years
|
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To evaluate the effectiveness of Arm A compared to Arm B: Duration of Response (DOR)
Time Frame: Up to approximately 5 years
|
Assessments of effectiveness include DOR, assessed by investigator and IRC
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Up to approximately 5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Chronic Disease
- Disease Attributes
- Immune System Diseases
- Neoplasms by Histologic Type
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Leukemia, B-Cell
- Lymphoma
- Leukemia, Lymphoid
- Leukemia
- Pathological Conditions, Signs and Symptoms
- Hemic and Lymphatic Diseases
- Lymphoma, B-Cell
- Leukemia, Lymphocytic, Chronic, B-Cell
- Lymphoma, Non-Hodgkin
- Hematologic Diseases
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Heterocyclic Compounds
- Benzimidazoles
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Hydrocarbons
- Acids, Acyclic
- Carboxylic Acids
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Nitrogen Mustard Compounds
- Mustard Compounds
- Hydrocarbons, Halogenated
- Butyrates
- Antibodies, Monoclonal, Murine-Derived
- Bendamustine Hydrochloride
- Rituximab
- pirtobrutinib
Other Study ID Numbers
Other Study ID Numbers
- 18088
- LOXO-BTK-20023 (Other Identifier: Eli Lilly and Company)
- J2N-OX-JZNP (Other Identifier: Eli Lilly and Company)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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