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The Lymphoma & CLL Hub is an independent medical education platform, sponsored by Beigene and Roche, and supported through educational grants from Bristol Myers Squibb, Ipsen Biopharmaceuticals, Lilly, Pfizer, and Pharmacyclics LLC, an AbbVie Company and Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC View funders.

2023-12-05T15:53:24.000Z

FDA approves pirtobrutinib for patients with relapsed/refractory CLL/SLL

Dec 5, 2023
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Learning objective: After reading this article, learners will be able to cite a new clinical development in CLL/ SLL.

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On December 1, 2023, it was announced that the U.S. Food and Drug Administration (FDA) had approved pirtobrutinib, a selective non-covalent Bruton’s tyrosine kinase inhibitor (BTKi), for the treatment of adult patients with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL) or small lymphocytic leukemia (SLL) after ≥2 lines of therapy, including a B-cell lymphoma 2 inhibitor and BTKi. This decision is based on promising overall response and duration of response rates from the phase I/II BRUIN (NCT03740529).1

BRUIN trial

BRUIN is a phase I/II open-label study evaluating pirtobrutinib in patients with R/R CLL/SLL.1 The Lymphoma Hub previously reported the trial design and promising results (Figure 1).

Figure 1. BRUIN trial outcomes in patients with R/R CLL/SLL (n = 108)* 

ORR, overall response rate.
*Adapted from PR Newswire.1

Conclusion

The approval of pirtobrutinib provides patients with R/R CLL/SLL another treatment option that could potentially benefit their patient journey.

  1. PR Newswire. Jaypirca® (pirtobrutinib) now approved by U.S. FDA for the treatment of adult patients with chronic lymphocytic leukemia or small lymphocytic lymphoma who have rreceived at least two lines of therapy, including a BTK inhibitor and a BCL-2 inhibitor. https://www.prnewswire.com/news-releases/jaypirca-pirtobrutinib-now-approved-by-us-fda-for-the-treatment-of-adult-patients-with-chronic-lymphocytic-leukemia-or-small-lymphocytic-lymphoma-who-have-received-at-least-two-lines-of-therapy-including-a-btk-inhibitor-and--302003695.html. Published Dec 1, 2023. Accessed Dec 4, 2023.

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