A Phase 1/2 Study of Oral LOXO-305 in Patients With Previously Treated Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL) or Non-Hodgkin Lymphoma (NHL)

Who is this study for? Adult patients with Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
What treatments are being studied? LOXO-305
Status: Active_not_recruiting
Location: See all (56) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is an open-label, multi-center Phase 1/2 study of oral LOXO-305 (pirtobrutinib) in patients with CLL/SLL and NHL who have failed or are intolerant to standard of care.

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

• Histologically confirmed CLL/SLL, WM, or NHL intolerant to either ≥ 2 prior standard of care regimens given in combination or sequentially OR have received 1 prior BTK inhibitor-containing regimen when a BTK inhibitor is approved as first line therapy (Phase 1) OR with prior treatment defined by phase 2 cohort (Phase 2 Patients only).

• Adequate hematologic function (Phase 1 and 1b Patients only).

• Responsive to transfusion support if given for thrombocytopenia or anemia (Phase 1 and 1b Patients only).

• Histologically confirmed relapsed/recurrent CLL in whom venetoclax is appropriate standard salvage treatment; no prior venetoclax is permitted (Phase 1b Arm A Patients only).

• Histologically confirmed relapsed/refractory CLL in whom venetoclax + rituximab is appropriate standard salvage treatment; no prior venetoclax is permitted (Phase 1b Arm B Patients only).

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

• Adequate hepatic and renal function.

• Ability to receive study drug therapy orally.

• Willingness of men and women of reproductive potential (defined as following menarche and not postmenopausal \[and 2 years of non-therapy-induced amenorrhea\] or surgically sterile) to observe conventional and effective birth control.

Locations
United States
Arizona
Mayo Clinic of Scottsdale
Scottsdale
California
Scripps Coastal Medical Center
San Diego
University of California San Francisco, Medical Center at Paranassus
San Francisco
Connecticut
Smilow Cancer Hospital at Yale-New Haven
New Haven
Florida
Mayo Clinic-Jacksonville
Jacksonville
Florida Cancer Specialists ORLANDO/DDU
Lake Mary
Sylvester Comprehensive Cancer Center
Miami
Florida Cancer Specialists
Sarasota
Georgia
Emory Clinic
Atlanta
Illinois
Northwestern University
Chicago
Kansas
University of Kansas Medical Center
Kansas City
Massachusetts
Dana-Farber Cancer Institute
Boston
Minnesota
Mayo Clinic
Rochester
North Carolina
University of North Carolina at Chapel Hill
Chapel Hill
Duke University Medical Center
Durham
Durham VA Medical Center
Durham
Nebraska
University of Nebraska Medical Center
Omaha
New York
Roswell Park Cancer Institute
Buffalo
Northwell Health
New Hyde Park
Columbia University Medical Center
New York
Memorial Sloan Kettering Cancer Center
New York
Ohio
Cleveland Clinic Foundation
Cleveland
Ohio State University Hospital
Columbus
Pennsylvania
University of Pennsylvania Hospital
Philadelphia
Tennessee
Sarah Cannon Research Institute SCRI
Nashville
Texas
Mary Crowley Cancer Research Center
Dallas
University of Texas MD Anderson Cancer Center
Houston
Utah
Utah Cancer Specialists
Salt Lake City
Washington
Seattle Cancer Care Alliance
Seattle
Swedish Medical Center
Seattle
Wisconsin
Medical College of Wisconsin
Milwaukee
Other Locations
Australia
Flinders Medical Centre
Bedford Park
Peter MacCallum Cancer Centre
Melbourne
Linear Clinical Research
Nedlands
France
Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu
Nantes Cedex 1
Italy
IRCCS - AOU di Bologna
Bologna
IRCCS Ospedale San Raffaele
Milano
Japan
National Cancer Center Hospital
Chuo Ku
National Hospital Organization Kyushu Cancer Center
Fukuoka
Tokai University Hospital- Isehara Campus
Isehara
Kyoto Furitsu Medical University Hospital
Kyoto
Nagoya Medical Center
Nagoya
Kochi Medical School Hospital
Nankoku
Okayama University Hospital
Okayama
Kindai University Hospital
Osakasayama-shi
Hokkaido University Hospital
Sapporo
Tohoku University Hospital
Sendai
Poland
Pratia MCM Krakow
Krakow
Instytut Hermatologii I Transfuzjologii
Warszawa
Republic of Korea
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Sweden
Karolinska Institutet
Solna
Switzerland
Ospedale Regionale Bellinzona e Valli
Bellinzona
United Kingdom
St James's University Hospital
Leeds
Churchill Hospital
Oxford
Derriford Hospital
Plymouth
Time Frame
Start Date: 2018-11-16
Completion Date: 2028-01
Participants
Target number of participants: 860
Treatments
Experimental: Phase I Dose Escalation (Pirtobrutinib Monotherapy)
Dose Escalation and determination of MTD; multiple dose levels of pirtobrutinib to be evaluated
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 3
CLL/SLL patients with no prior therapy.
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 1
Non-blastoid MCL patients treated with a prior BTK-inhibitor containing regimen.
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 4
CLL/SLL patients treated with prior therapy, BTK inhibitor naïve.
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 2
CLL/SLL patients treated with 2 or more prior regimens, including a BTK inhibitor-containing regimen.
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 5
WM patients treated with a prior BTK inhibitor-containing regimen.
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 6
MZL patients treated with a prior BTK inhibitor-containing regimen.
Experimental: Phase 2 (Pirtobrutinib Monotherapy) Cohort 7
Defined as CLL/SLL or NHL not otherwise specified in Cohorts 1 through 6, inclusive of CLL/SLL, Richter's transformation, or low grade NHL with transformation, blastoid MCL, and patients with history of CNS involvement or primary CNS lymphoma. In the event the Sponsor electively closes Cohorts 2-4 prior to completion, patients with CLL/SLL who are ineligible to participate in or unable to access late phase studies of pirtobrutinib may be eligible to enroll in this cohort Diffuse large B-cell lymphoma (DLBCL) is excluded. MCL without prior BTK inhibitor treatment is excluded. Patients enrolling to Cohort 7 must have received one or more prior therapies or have no available approved therapy with demonstrated clinical benefit with the exception of untreated Richter's transformation, which is allowed.
Experimental: Phase 1b Dose Expansion (Pirtobrutinib Combination Therapy) Arm A
Relapsed/Refractory CLL will receive the recommended Phase 2 dose of pirtobrutinib in combination with venetoclax
Experimental: Phase 1b Dose Expansion (Pirtobrutinib Combination Therapy) Arm B
Relapsed/Refractory CLL will receive the recommended Phase 2 dose of pirtobrutinib in combination with venetoclax and rituximab
Experimental: Phase 1 Dose Expansion (Pirtobrutinib Monotherapy)
Patients to receive the recommended Phase 2 dose of pirtobrutinib
Sponsors
Collaborators: Eli Lilly and Company
Leads: Loxo Oncology, Inc.

This content was sourced from clinicaltrials.gov