Chronic Lymphocytic LeukemiaPhase 3BRUIN-CLL-314NCT05254743
A Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)
A Phase 3 study testing Pirtobrutinib and Ibrutinib in people with Chronic Lymphocytic Leukemia and Leukemia, Lymphocytic, run by Loxo Oncology, Inc. at 143 sites in 23 countries.
Trial summary
The purpose of Part 1 of this study is to compare the efficacy and safety of pirtobruitinib (LOXO-305) to ibrutinib in participants with CLL/SLL; participants may or may not have already had treatment for their cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Lymphocytic Leukemia, Leukemia, Lymphocytic, Leukemia, B-cell
- What is being tested?
- Pirtobrutinib and Ibrutinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 737 participants
- Where
- 143 sitesin 23 countries
- Study dates
- 22 Jul 2022to Jan 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Confirmed diagnosis of CLL/SLL requiring therapy per iwCLL 2018 criteria
- Part 1 - Known 17p deletion status (wildtype or deleted). Part 2 - Must have deletion of 17p as determined by FISH testing
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2
- Adequate organ function
- Platelets greater than or equal to ≥ 50 x 10⁹/liter (L) or ≥30 x 10⁹/L in participants with documented bone marrow involvement considered to impair hematopoiesis,
- Hemoglobin ≥8 grams/deciliter (g/dL) or ≥6 g/dL in participants with documented bone marrow involvement considered to impair hematopoiesis
- Absolute neutrophil count ≥0.75 x 10⁹/L or ≥0.50 × 10⁹/L in participants with documented bone marrow involvement considered to impair hematopoiesis
- Kidney function: Estimated creatinine clearance ≥30 milliliters per minute (mL/min)
Who cannot join
- Known or suspected Richter's transformation to diffuse large B-cell lymphoma (DLBCL), prolymphocytic leukemia, or Hodgkin's lymphoma at any time preceding enrollment
- Known or suspected central nervous system (CNS) involvement
- A significant history of renal, neurologic, psychiatric, endocrine, metabolic or immunologic disease
- Active uncontrolled auto-immune cytopenia (e.g., autoimmune hemolytic anemia [AIHA], idiopathic thrombocytopenic purpura [ITP])
- Significant cardiovascular disease including ejection fraction < 40% and any grade ongoing atrial fibrillation or atrial flutter
- Hepatitis B or hepatitis C testing indicating active/ongoing infection, based on Screening laboratory tests
Show all 19Show fewer
- Active cytomegalovirus (CMV) infection
- Active uncontrolled systemic bacterial, viral, or fungal infection
- Known human immunodeficiency virus (HIV) infection, regardless of cluster of differentiation 4 (CD4) count
- Clinically significant active malabsorption syndrome or other condition likely to affect GI absorption of the oral-administered study treatments
- Ongoing inflammatory bowel disease
- Previous treatment for CLL/SLL - Part 1: Treatment-naïve and previously treated, except prior exposure to BTK inhibitor (covalent or noncovalent).
- Part 2: participants must be treatment naïve
- Concurrent use of investigational agent or anticancer therapy except hormonal therapy
- Participants requiring therapeutic anticoagulation with warfarin or another Vitamin K antagonist
- Use of > 20 mg prednisone daily or equivalent dose of steroid at the time of first dose of study drug
- Vaccination with a live vaccine within 28 days prior to randomization
- Participants receiving chronic therapy with a strong cytochrome P450 (CYP)3A inhibitor (except posaconazole and voriconazole) which cannot be stopped within 3-5 half lives of the CYP3A inhibitor therapy prior to start of study drug treatment
- Participants with known hypersensitivity, including anaphylaxis, to any component or excipient of pirtobrutinib or ibrutinib
Trial locations and contacts
143 sites in 23 countries. Contact the study team or a site near you to ask about taking part.
Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or contact
Physicians interested in becoming principal investigators please contact contact
143 sites in 23 countries
United States19 sites, 12 recruiting
- Recruiting
Pacific Cancer Medical Center, Inc
Anaheim, California, 92801
714-999-1465
Veena Charu
- Active, not recruiting
Hematology Oncology Clinic
Baton Rouge, Louisiana, 70809
- Recruiting
American Oncology Partners of Maryland, PA
Bethesda, Maryland, 20817
301-571-0019
Victor Priego
- Recruiting
St. Vincent Frontier Cancer Center
Billings, Montana, 59102
406-238-6685
Patrick Cobb
- Recruiting
TOI Clinical Research
Cerritos, California, 90703
562-693-4477
MICHAEL DEL ROSARIO
- Recruiting
Florida Cancer Specialists
Fort Myers, Florida, 33916-2233
727-216-1143
Jennifer Cultrera
- Active, not recruiting
Prisma Health Cancer Institute
Greenville, South Carolina, 29605
- Active, not recruiting
Kelsey Research Foundation
Houston, Texas, 77025
- Recruiting
Lumi Research
Kingwood, Texas, 77339
(832) 553-3661 ext. 122
David Nguyen
- Recruiting
Sarah Cannon Research Institute SCRI
Nashville, Tennessee, 37203
423-622-6212
Bertrand Anz III
- Active, not recruiting
Tulane Cancer Center Office of Clinical Research
New Orleans, Louisiana, 70112
- Recruiting
Stanford School of Medicine-Cancer Clinical Trials Office
Palo Alto, California, 94305
650-498-6000
Bita Fakhri
- Recruiting
Virginia Cancer Institute
Richmond, Virginia, 23230
804-287-3000
Yuvraj Choudhary
- Recruiting
Cancer Specialists of North Florida -St Augustine
Saint Augustine, Florida, 32086
904-538-4488
Ayed Ayed
- Active, not recruiting
California Cancer Associates for Research and Excellence
San Marcos, California, 92069
- Recruiting
Medical Oncology Associates, PS
Spokane, Washington, 99208
509-462-2273
Arvind Chaudhry
- Active, not recruiting
MultiCare Health System Institute for Research and Innovation
Spokane, Washington, 99218
- Recruiting
Florida Cancer Specialists East
West Palm Beach, Florida, 33401
561-366-4100
Shachar Peles
- Active, not recruiting
Cancer Care Associates Of York
York, Pennsylvania, 17403
China18 sites, 7 recruiting
- Active, not recruiting
The Second Xiangya Hospital of Central South University
Changsha, 410011
- Active, not recruiting
Hunan Cancer Hospital
Changsha, 410013
- Recruiting
Sun Yat-sen University Cancer Center
Guangzhou, 510060
+86 13798032244
He Huang
- Recruiting
Southern Medical University Nanfang Hospital
Guangzhou, 510515
+8613802426709
Xutao Guo
- Active, not recruiting
Hainan General Hospital
Haikou, 570311
- Recruiting
First Affiliated Hosp of College of Med, Zhejiang University
Hangzhou, 310003
86 13505716779
Jie Jin
- Active, not recruiting
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, 310009
- Recruiting
Anhui Provincial Hospital
Hefei, 230001
8613856007984
Xingbing Wang
- Recruiting
The Second Hospital of Anhui Medical University
Hefei, 231200
+86 13855147434
Zhai Zhimin
- Active, not recruiting
Jiangxi Provincial Cancer Hospital
Nanchang, 330029
- Recruiting
Guangxi Medical University Affiliated Tumor Hospital
Nanning, 530021
+86 13507711671
Hong Cen
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, 200032
13651680209
Junning Cao
- Active, not recruiting
Blood Institute of the Chinese Academy of Medical science
Tianjin, 300020
- Active, not recruiting
Tianjin Medical University General Hospital
Tianjin, 300052
- Active, not recruiting
Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi, 830000
- Active, not recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430022
- Active, not recruiting
Wu Han Tongji Hospital
Wuhan, 430030
- Active, not recruiting
The Fourth Affiliated Hospital Zhejiang University School of Medicine
Yiwu, 322000
Brazil14 sites, 13 recruiting
- Recruiting
Fundação Pio XII - Hospital de Câncer de Barretos
Barretos, 14784400
Nelson Siqueira de Castro
- Recruiting
Upeclin - Unidade de Pesquisa Clínica da Faculdade de Medicina de Botucatu - UNESP
Botucatu, 18618-687
+55 14 3880-1663
Rafael Dezen Gaiolla
- Recruiting
Hemocentro Unicamp
Campinas, 13083-878
55 19 3521-8630
Fernando Vieira Pericole de Souza
- Recruiting
Hospital Uopeccan - Centro de Pesquisa Clinica
Cascavel, 85806-300
+55 (45) 9 9135 1056
Gabriela Almeida Garcia
- Active, not recruiting
Centro Integrado de Oncologia de Curitiba
Curitiba, 80810050
- Recruiting
Hospital Erasto Gaertner - Liga Paranaense de Combate ao Câncer
Curitiba, 81520060
(41) 9998-46033
João Samuel de Holanda Farias
- Recruiting
Instituto do Câncer - Hospital São Vicente de Paulo
Passo Fundo, 99010090
555421034130
Moema Nene Santos
- Recruiting
Centro Gaucho Integrado - Mae de Deus Center
Porto Alegre, 90110270
+55 51 33072943
Marcelo Capra
- Recruiting
Hospital de Clínicas de Ribeirão Preto
Ribeirão Preto, 14051-140
16 98112-6986
Diego Villa Clé
- Recruiting
CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
Santo André, 09060-650
+55.11.4993-5491
Debora Rodrigues Bonito
- Recruiting
Centro Integrado de Pesquisa Clinica
São José do Rio Preto, 15090-000
+55 (17)3201-5000
Carlos Eduardo Miguel
- Recruiting
Hospital BP
São Paulo, 01321-001
551135056675
Danielle Leão Cordeiro de Farias
- Recruiting
Hospital da Clinicas da Faculdade de Medicina da USP
São Paulo, 05403-000
+55 11 4573-7631
Raphael Costa Bandeira de Melo
- Recruiting
Hospital Santa Marcelina
São Paulo, 08270-120
55 11 22173766
Patricia de Paulo Giacon
Spain13 sites, 11 recruiting
- Recruiting
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025
+34 93 556 5647
Miguel Arguello de Tomas
- Active, not recruiting
Hospital Clinic de Barcelona
Barcelona, 08036
- Recruiting
Hospital Universitari Vall d'Hebron
Barcelona, 8035
+34 932746000
Francesc Bosch Albareda
- Active, not recruiting
Hospital Duran i Reynals
L'Hospitalet de Llobregat, 08908
- Recruiting
Hospital Universitario Infanta Leonor-INTERNAL MED
Madrid, 28031
+34619249275
Jose Hernandez Rivas
- Recruiting
Hospital Universitario Ramón y Cajal
Madrid, 28034
+34 91 3368637
Javier Lopez Jimenez
- Recruiting
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, 28222
+34 91 191 68 80
Garcia Vela Jose Antonio
- Recruiting
Hospital Costa Del Sol
Marbella, 29600
+34 (951) 976-957
Angeles Medina Perez
- Recruiting
Clinica Universitaria De Navarra
Pamplona, 31008
913531920 ext. 7511
Rocio Figueroa Mora
- Recruiting
Hospital De Navarra
Pamplona, 31008
+34848428428
Jose Maria Arguiñano Perez
- Recruiting
Hospital Universitario Marqués de Valdecilla
Santander, 39008
942 31 52 75
Lucrecia Yañez San Segundo
- Recruiting
Hospital Universitario Virgen Macarena
Seville, 41009
+34619848594
Alicia Rodriguez Fernandez
- Recruiting
Hospital Universitario Virgen Del Rocio
Seville, 41013
+34955013277
Fatima de la Cruz Vicente
France10 sites, 10 recruiting
- Recruiting
CHD Vendee
La Roche-sur-Yon, 85000
+33251446173
Jessie Bourcier
- Recruiting
Centre Hospitalier du Mans
Le Mans, 72000
+33 2.43.43.29.59
Kamel Laribi
- Recruiting
Centre Hospitalier Universitaire (Limoges) (CHU DUPUYTREN 1)
Limoges, 87042
+33(0)555 05 88 22
Nataliya Dmutruk
- Recruiting
CHU de Nantes - Hotel Dieu
Nantes, 44093
Anne Lok
- Recruiting
Centre Antoine Lacassagne
Nice, 06189
33 (0)4 92 03 10 35
Luca INCHIAPPA
- Recruiting
Hopital de la Pitie Salpetriere
Paris, 75651
+33 1 42 16 15 96
Damien Roos-Weil
- Recruiting
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
+33 4 78 86 43 07
Emmanuelle Ferrant
- Recruiting
Hôpital de Pontchaillou
Rennes, 35033
+33 299 28 4291
Sophie De Guibert
- Recruiting
Centre de Lutte Contre le Cancer - Centre Henri Becquerel Normandie Rouen
Rouen, 76038
+ 33 2 32 08 22 23
Stephane Lepretre
- Recruiting
CHRU De Tours
Tours, 37044
+33 2 47 47 37 12
Caroline Dartigeas
Poland8 sites, 6 recruiting
- Active, not recruiting
KO-MED Centra Kliniczne
Biała Podlaska, 21500
- Recruiting
Szpital Uniwersytecki nr 1 im. Antoniego Jurasza
Bydgoszcz, 85-168
+48696476575
Marta Sobas
- Recruiting
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952
48585844357
Monika Szarejko
- Recruiting
Pratia Onkologia Katowice
Katowice, 40519
+48 600 388 282
Sabastian Grosicki
- Recruiting
Pratia MCM Krakow
Krakow, 30-510
+48451077231
Wojciech Jurczak
- Active, not recruiting
Klinika Hematoonkologii i Transplantacji Szpiku,Samodzielny Publiczny Szpital Kliniczny Nr 1
Lublin, 20-081
- Recruiting
AIDPORT Sp. z o.o.
Skórzewo, 60-185
Michal Kwiatek
- Recruiting
Uniwersytecki Szpital Kliniczny Klinika
Wroclaw, 50-367
+48 784 25 76
Tomasz Wrobel
Turkey (Türkiye)7 sites, 3 recruiting
- Active, not recruiting
Gazi University Faculty of Medicine
Ankara, 6500
- Active, not recruiting
9 Eylul University Hospital
Balçova, 35100
- Active, not recruiting
Ege Üniversitesi
Bornova, 35040
- Recruiting
Istanbul University Istanbul Medicine Faculty
Faith, 34732
+90 533 575 90 96
Mustafa Nuri Yenerel
- Recruiting
American Hospital
Istanbul, 34365
+90 532 256 6160
Burhan Ferhanoglu
- Completed
Acıbadem Maslak Hastanesi
Istanbul, 34457
- Recruiting
Ankara University Medicine Hospital
Mamak, 06590
90 505 502 50 50
Muhit Özcan
Czechia6 sites, 6 recruiting
- Recruiting
Fakultni nemocnice Brno
Brno, 62500
(+420) 532 233 642
Anna Panovska
- Recruiting
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
+420 777 846 836
Martin Simkovic
- Recruiting
Fakultni Nemocnice Ostrava
Ostrava, 708 52
(+420) 597 372 749
Jana Mihalyova
- Recruiting
Fakultni Nemocnice Plzen
Pilsen, 305 99
(+420) 377 103 722
Daniel Lysak
- Recruiting
Fakultni nemocnice Kralovske Vinohrady
Prague, 10034
(+420) 267 163 530
Jan Novak
- Recruiting
Vseobecna fakultni nemocnice v Praze
Prague, 12808
(+420)224962527
Marek Trneny
Italy6 sites, 4 recruiting
- Recruiting
Azienda Ospedaliera Nazionale Santi Antonio e Biagio e Cesare Arrigo
Alessandria, 15100
39 0131 206440
Gioacchino Catania
- Active, not recruiting
Policlinico Sant'Orsola Malpighi
Bologna, 40138
- Recruiting
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, 47014
+390543739100
Gerardo Musuraca
- Recruiting
IRCCS Ospedale San Raffaele
Milan, 20132
39.02.26434797
Paolo Ghia
- Recruiting
Istituto Europeo di Oncologia
Milan, 20141
+39 02 57489403
Enrico Derenzini
- Active, not recruiting
Azienda Unita Sanitaria Locale di Reggio Emilia
Reggio Emilia, 42122
Chile4 sites, 1 recruiting
- Active, not recruiting
Inmunocel
Santiago, 7580206
- Active, not recruiting
CeCim Biocinetic
Santiago, 8320000
- Recruiting
Sociedad de Investigaciones Médicas Limitada
Temuco, 4780000
+56974316500
Eduardo Yañez
- Active, not recruiting
Centro de Investigaciones Clínicas Viña del Mar (CIC)
Viña del Mar, 2520000
Germany4 sites, 1 recruiting
- Active, not recruiting
Gemeinschaftspraxis für Hämatologie und Onkologie (Gefos)
Dortmund, 44309
- Recruiting
Onkologische Gemeinschaftspraxis / BAG
Dresden, 01307
+4935144950701
Lutz Jacobasch
- Active, not recruiting
Universitaetsklinikum Carl Gustav Carus an der TU Dresden, Medizinische Klinik und Poliklinik 1
Dresden, 01307
- Active, not recruiting
Universitätsklinikum Ulm
Ulm, 89075
New Zealand4 sites, 2 recruiting
- Active, not recruiting
Dunedin Hospital
Dunedin, 9016
- Active, not recruiting
Waikato Hospital
Hamilton, 3204
- Recruiting
Momentum Clinical Research
Newtown, 6242
Robert Weinkove
- Recruiting
Middlemore Clinical Trials
Papatoetoe, 2025
+ 64 212 618 734
James Liang
South Korea4 sites, 3 recruiting
- Recruiting
Inje Univ Busan Paik Hospital
Busan, 47392
+82-51-890-6407
Won Lee
- Recruiting
The Catholic University of Korea-Seoul St. Mary's Hospital
Seocho-Gu, 06591
02-2228-6056
Ki-Seong Eom
- Recruiting
Seoul National University Hospital
Seoul, 03080
82 2 2072 3079
Ja Min Byun
- Active, not recruiting
Samsung Medical Center
Seoul, 06351
Taiwan4 sites, 3 recruiting
- Recruiting
Chang Bing Show Chwan Memorial Hospital
Changhua, 710
+886-4-7813-888#70290
Cheng-Shyong Chang
- Recruiting
Chang Gung Memorial Hospital - Chiayi
Chiayi County, 61363
+886-5-3621000 ext:2106
Yu-Ying Wu
- Active, not recruiting
National Cheng-Kung Uni. Hosp.
Tainan, 704
- Recruiting
Koo Foundation Sun Yan-Sen Cancer Center
Taipei, 112
+886-2-28970011
Tran-Der Tan
United Kingdom4 sites, 2 recruiting
- Recruiting
Bristol Haematology and Oncology Centre
Bristol, BS2 8ED
0117 3421121
Sanne Lugthart
- Active, not recruiting
HOPE Centre
Leicester, LE1 5WW
- Active, not recruiting
St Bartholomew's Hospital
London, EC1A 7BE
- Recruiting
Singleton Hospital
Swansea, SA2 8QA
01792 285301
Unmesh Mohite
Argentina3 sites, 2 recruiting
- Recruiting
Alexander Fleming
Ciudad Autónoma de Buenos Aire, C1426ANZ
+54 9 11 4051-0781
María Del Rosario Custidiano
- Active, not recruiting
Hospital Privado De Comunidad
Mar del Plata, 7600
- Recruiting
Clínica de Nefrología, Urología y Enfermedades Cardiovasculares
Santa Fe, 3000
+54 (342) 4055449
Manuela Moreira Rodriguez
Australia3 sites, 1 recruiting
- Active, not recruiting
One Clinical Research
Nedlands, 6009
- Active, not recruiting
Western Health, Sunshine Hospital
St Albans, 3021
- Recruiting
The Perth Blood Institute
West Perth, 6005
Ross Baker
Canada3 sites, 1 recruiting
- Terminated
Royal Victoria Hospital-Montreal
Montreal, H3A 1A1
- Recruiting
Hopital de L'Enfant Jesus
Québec, G1J 1Z4
418-525-4444 ext. 0
Robert Delage
- Active, not recruiting
Cancer Care Manitoba
Winnipeg, R3E 0V9
Belgium2 sites, 2 recruiting
- Recruiting
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven, 3000
+3216346880
Ann Janssens
- Recruiting
VITAZ
Sint-Niklaas, B-9100
+32 3 760 2985
Vanessa Van Hende
Hungary2 sites, 1 recruiting
- Recruiting
Debreceni Egyetem Orvos-es Egészsegtudomanyi Centrum
Debrecen, 4004
3652255196
Arpad Illes
- Active, not recruiting
Markusovszky Egyetemi Oktatokorhaz
Szombathely, 9700
Israel2 sites, 1 recruiting
- Recruiting
Hadassah Medical Center
Jerusalem, 9112001
050-8573679
Neta Goldschmidt
- Active, not recruiting
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Japan2 sites, 1 recruiting
- Active, not recruiting
Kumamoto University Hospital
Kumamoto, 860-8556
- Recruiting
Yamagata University Hospital
Yamagata, 990-9585
81120023812
Hisayuki Yokoyama
About this study
Official title: A Phase 3 Open-Label, Randomized Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (BRUIN-CLL-314)
The purpose of Part 1 of this study is to compare the efficacy and safety of pirtobruitinib (LOXO-305) to ibrutinib in participants with CLL/SLL; participants may or may not have already had treatment for their cancer. The purpose of Part 2 of this study evaluates pirtobrutinib monotherapy in treatment-naïve participants with CLL/SLL with 17p deletions. Participation could last up to six years for Part 1. Participation could last up to 2 years for Part 2.
- Conditions
- Chronic Lymphocytic Leukemia, Leukemia, Lymphocytic, Leukemia, B-cell, Small Lymphocytic Lymphoma
- Being tested
- Pirtobrutinib, Ibrutinib
- Keywords
- BTKi, Hematologic Disease, Lymphoma, non-Hodgkin's, Lymphoma, B-cell
- Medical subject headings
- Leukemia, Lymphocytic, Chronic, B-Cell, Leukemia, Lymphoid, Leukemia, B-Cell, Hematologic Diseases, Lymphoma, Non-Hodgkin, Lymphoma, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PirtobrutinibDrug
Also called LOXO-305, LY3527727
Administered orally.
IbrutinibDrug
Administered orally.
| Study group | Role | What they receive |
|---|---|---|
| Pirtobrutinib Part 1 | Experimental | Participants will receive pirtobrutinib orally. Receives: Drug: Pirtobrutinib |
| Ibrutinib Part 1 | Active comparator | Participants will receive ibrutinib orally. Receives: Drug: Ibrutinib |
| Pirtobrutinib Part 2 | Experimental | Participants will receive pirtobrutinib orally. Receives: Drug: Pirtobrutinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Complete Response (CR), Complete Remission with Incomplete Hematologic Recovery (Cri), Nodular Partial Remission (nPR) or Partial Response (PR): Overall Response Rate (ORR) Part 1
ORR as assessed by independent review committee (IRC) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 criteria
Measured: Baseline to best overall response the best response recorded from Cycle 1 Day 1 until data cutoff date, PD, or start of new anticancer treatment, whichever is the earliest] (approximately 3 years and 5 months)
Percentage of Participants Achieving Complete Response (CR), Complete Remission with Incomplete Hematologic Recovery (CRi), Nodular Partial Remission (nPR) or Partial Response (PR): Overall Response Rate (ORR) Part 2
ORR as assessed by independent review committee (IRC) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 criteria
Measured: Baseline to best overall response the best response recorded from Cycle 1 Day 1 until data cutoff date, PD, or start of new anticancer treatment, whichever is the earliest (Approximately 2 years and 3 months)
Secondary outcomes (9)
IRC-assessed Progression-Free Survival (PFS)
PFS by IRC per iwCLL 2018 criteria
Measured: Randomization to PD (per iwCLL 2018 criteria) or death from any cause (approximately 5 years 8 months)
Investigator assessed Progression-Free Survival (PFS)
PFS by Investigator per iwCLL 2018 criteria
Measured: Randomization to PD (per iwCLL 2018 criteria) or death from any cause (approximately 5 years 8 months)
Event-Free Survival (EFS)
EFS by IRC per iwCLL 2018 criteria
Measured: Randomization to first occurrence of treatment discontinuation due to adverse event/toxicity, treatment-emergent atrial fibrillation or atrial flutter of any grade, progressive disease (PD) or death (approximately 4 years)
Duration of Response (DOR)
DOR by IRC and Investigator by iwCLL 2018 Criteria.
Measured: Time from the date of the first documented response of CR, CRi, nPR or PR to the earlier of documentation of definitive PD (per iwCLL 2018 criteria) or death from any cause (approximately 2 years)
Overall Survival (OS)
OS
Measured: Randomization to death from any cause (approximately 6 years)
Time to Next Treatment (TTNT)
TTNT
Measured: Randomization to initiation of the next systemic anticancer therapy for CLL/SLL or death from any cause, whichever occurs first (approximately 6 years)
Time to Worsening (TTW) of CLL/SLL Related Symptoms
Using symptom questions identified from the EORTC item library. The range of raw scores for these items could be from 0 to 52 with highest score being worse symptoms.
Measured: Randomization to time to worsening symptoms (approximately 4 years)
Comparative Tolerability
Comparative Tolerability measured by proportion of time with high side-effect burden
Measured: From Baseline to Treatment Discontinuation for Any Reason (approximately 4 years)
Percentage of Participants Achieving DOR Part 2
DOR as assessed by IRC and Investigator defined as the time from the date of the first documented response of CR, CRi, nPR, or PR to the earlier of the documentation of definitive PD per iwCLL 2018 criteria or death from any cause.
Measured: Time from the date of the first documented response of CR, CRi, nPR, or PR to the earlier of the documentation of definitive PD or death from any cause] (Approximately 2 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2022
- Study start22 Jul 2022
- Primary completionOct 2027 (estimated)
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chronic Lymphocytic LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 737 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Loxo Oncology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05254743
- Sponsor's protocol ID
- 18281
- Other IDs
- J2N-OX-JZNU, LOXO-BTK-20030, 2023-507699-38-00, 2023
- Acronym
- BRUIN-CLL-314
- Status last verified
- Aug 2026
- First submitted
- 15 Feb 2022
- Last updated
- 17 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
- Expanded access
- Available
Publications
Eyre TA, Hess LM, Masoudi E, Jen MH, Abhyankar S, Graham-Clarke PL, Bhandari NR, Maguire P, Winfree KB, Tracey M, Taipale KL, Davids MS. Efficacy of Pirtobrutinib Monotherapy in Treatment-Naive Chronic Lymphocytic Leukemia: A Bayesian Network Meta-Analysis of Randomized Controlled Trials. Cancers (Basel). 2026 Feb 18;18(4):660. doi: 10.3390/cancers18040660.
PubMed 41749915Woyach JA, Qiu L, Grosicki S, Wrobel T, Capra M, Czyz J, Yi S, Eom KS, Panovska A, Jurczak W, Laribi K, Jacobasch L, Baker R, Agajanian R, Berkovits A, Ozcan M, Lepretre S, Coombs CC, Cramer P, Lewis KL, Hill M, Bao K, Bian Y, De Batista Ribeiro SR, Bhandari NR, Ruppert AS, Leow CC, Wierda WG. Pirtobrutinib Versus Ibrutinib in Treatment-Naive and Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma. J Clin Oncol. 2026 Feb 20;44(6):476-485. doi: 10.1200/JCO-25-02477. Epub 2025 Dec 7.
PubMed 41353787
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Open-Label, Randomized Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (BRUIN-CLL-314)
- ClinicalTrials.gov ID
- NCT05254743
- Acronym / sponsor ID
- BRUIN-CLL-314 / 18281
- Conditions
- Chronic Lymphocytic Leukemia, Leukemia, Lymphocytic, Leukemia, B-cell, Small Lymphocytic Lymphoma
- Keywords
- BTKi, Hematologic Disease, Lymphoma, non-Hodgkin's, Lymphoma, B-cell
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 737 participants (estimated)
- Lead sponsor
- Loxo Oncology, Inc.Industry (pharma, biotech, devices)
- Study start
- 22 Jul 2022 (actual)
- Primary completion
- Oct 2027 (estimated)
- Study completion
- Jan 2028 (estimated)
- First posted
- 24 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of Part 1 of this study is to compare the efficacy and safety of pirtobruitinib (LOXO-305) to ibrutinib in participants with CLL/SLL; participants may or may not have already had treatment for their cancer. The purpose of Part 2 of this study evaluates pirtobrutinib monotherapy in treatment-naïve participants with CLL/SLL with 17p deletions. Participation could last up to six years for Part 1. Participation could last up to 2 years for Part 2.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Pirtobrutinib Part 1 | Experimental | Drug: PirtobrutinibParticipants will receive pirtobrutinib orally. |
| Ibrutinib Part 1 | Active comparator | Drug: IbrutinibParticipants will receive ibrutinib orally. |
| Pirtobrutinib Part 2 | Experimental | Drug: PirtobrutinibParticipants will receive pirtobrutinib orally. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Confirmed diagnosis of CLL/SLL requiring therapy per iwCLL 2018 criteria
- Part 1 - Known 17p deletion status (wildtype or deleted). Part 2 - Must have deletion of 17p as determined by FISH testing
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2
- Adequate organ function
Key exclusion criteria (19 listed)
- Known or suspected Richter's transformation to diffuse large B-cell lymphoma (DLBCL), prolymphocytic leukemia, or Hodgkin's lymphoma at any time preceding enrollment
- Known or suspected central nervous system (CNS) involvement
- A significant history of renal, neurologic, psychiatric, endocrine, metabolic or immunologic disease
- Active uncontrolled auto-immune cytopenia (e.g., autoimmune hemolytic anemia [AIHA], idiopathic thrombocytopenic purpura [ITP])
- Significant cardiovascular disease including ejection fraction < 40% and any grade ongoing atrial fibrillation or atrial flutter
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PirtobrutinibAlso: LOXO-305, LY3527727Administered orally. | Drug | Pirtobrutinib Part 1, Pirtobrutinib Part 2 |
| IbrutinibAdministered orally. | Drug | Ibrutinib Part 1 |
Primary outcome
Percentage of Participants Achieving Complete Response (CR), Complete Remission with Incomplete Hematologic Recovery (Cri), Nodular Partial Remission (nPR) or Partial Response (PR): Overall Response Rate (ORR) Part 1
Time frame: Baseline to best overall response the best response recorded from Cycle 1 Day 1 until data cutoff date, PD, or start of new anticancer treatment, whichever is the earliest] (approximately 3 years and 5 months)
ORR as assessed by independent review committee (IRC) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 criteria
Percentage of Participants Achieving Complete Response (CR), Complete Remission with Incomplete Hematologic Recovery (CRi), Nodular Partial Remission (nPR) or Partial Response (PR): Overall Response Rate (ORR) Part 2
Time frame: Baseline to best overall response the best response recorded from Cycle 1 Day 1 until data cutoff date, PD, or start of new anticancer treatment, whichever is the earliest (Approximately 2 years and 3 months)
ORR as assessed by independent review committee (IRC) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 criteria
9 secondary outcomes
IRC-assessed Progression-Free Survival (PFS)
Time frame: Randomization to PD (per iwCLL 2018 criteria) or death from any cause (approximately 5 years 8 months)
Investigator assessed Progression-Free Survival (PFS)
Time frame: Randomization to PD (per iwCLL 2018 criteria) or death from any cause (approximately 5 years 8 months)
Event-Free Survival (EFS)
Time frame: Randomization to first occurrence of treatment discontinuation due to adverse event/toxicity, treatment-emergent atrial fibrillation or atrial flutter of any grade, progressive disease (PD) or death (approximately 4 years)
Duration of Response (DOR)
Time frame: Time from the date of the first documented response of CR, CRi, nPR or PR to the earlier of documentation of definitive PD (per iwCLL 2018 criteria) or death from any cause (approximately 2 years)
Overall Survival (OS)
Time frame: Randomization to death from any cause (approximately 6 years)
Time to Next Treatment (TTNT)
Time frame: Randomization to initiation of the next systemic anticancer therapy for CLL/SLL or death from any cause, whichever occurs first (approximately 6 years)
Time to Worsening (TTW) of CLL/SLL Related Symptoms
Time frame: Randomization to time to worsening symptoms (approximately 4 years)
Comparative Tolerability
Time frame: From Baseline to Treatment Discontinuation for Any Reason (approximately 4 years)
Percentage of Participants Achieving DOR Part 2
Time frame: Time from the date of the first documented response of CR, CRi, nPR, or PR to the earlier of the documentation of definitive PD or death from any cause] (Approximately 2 years)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2026.
- Derived from this study: PubMed 41749915Eyre TA, Hess LM, Masoudi E, Jen MH, Abhyankar S, Graham-Clarke PL, Bhandari NR, Maguire P, Winfree KB, Tracey M, Taipale KL, Davids MS. Efficacy of Pirtobrutinib Monotherapy in Treatment-Naive Chronic Lymphocytic Leukemia: A Bayesian Network Meta-Analysis of Randomized Controlled Trials. Cancers (Basel). 2026 Feb 18;18(4):660. doi: 10.3390/cancers18040660.
- Derived from this study: PubMed 41353787Woyach JA, Qiu L, Grosicki S, Wrobel T, Capra M, Czyz J, Yi S, Eom KS, Panovska A, Jurczak W, Laribi K, Jacobasch L, Baker R, Agajanian R, Berkovits A, Ozcan M, Lepretre S, Coombs CC, Cramer P, Lewis KL, Hill M, Bao K, Bian Y, De Batista Ribeiro SR, Bhandari NR, Ruppert AS, Leow CC, Wierda WG. Pirtobrutinib Versus Ibrutinib in Treatment-Naive and Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma. J Clin Oncol. 2026 Feb 20;44(6):476-485. doi: 10.1200/JCO-25-02477. Epub 2025 Dec 7.
- A Study of Pirtobrutinib (LOXO-305) Versus Ibrutinib in Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL) (BRUIN-CLL-314)Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or contact
Physicians interested in becoming principal investigators please contact contact
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
143 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pirtobrutinib and Ibrutinib in people with Chronic Lymphocytic Leukemia and Leukemia, Lymphocytic, run by Loxo Oncology, Inc. at 143 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 17 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 143 sites in United States, China, Brazil, Spain, France and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or (1-317-615-4559, LillyTrials@Lilly.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Achieving Complete Response (CR), Complete Remission with Incomplete Hematologic Recovery (Cri), Nodular Partial Remission (nPR) or Partial Response (PR): Overall Response Rate (ORR) Part 1 (time frame: Baseline to best overall response the best response recorded from Cycle 1 Day 1 until data cutoff date, PD, or start of new anticancer treatment, whichever is the earliest] (approximately 3 years and 5 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05254743, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2026.