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Pirtobrutinib granted conditional marketing authorization by the UK MHRA for patients with R/R MCL or CLL

By Dylan Barrett

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Sep 2, 2025

Learning objective: After reading this article, learners will be able to cite a new clinical development in the treatment of mantle cell lymphoma and chronic lymphocytic leukemia


On September 1, 2025, the UK Medicines and Healthcare products Regulatory Agency granted conditional market authorization to pirtobrutinib, a non-covalent Bruton’s tyrosine kinase inhibitor (BTKi), for the treatment of patients with relapsed/refractory (R/R) mantle cell lymphoma (MCL) or chronic lymphocytic leukemia (CLL) who were previously treated with a BTKi.1 

This decision was based on results from the phase III BRUIN CLL-321 trial (NCT04666038) and the phase I/II BRUIN trial (NCT03740529).1 The authorization remains subject to ongoing regulatory review of clinical data.1 

Pirtobrutinib previously received a positive opinion and recommendation for approval by the European Medicines Agency’s Committee for Medicinal Products for Human Use for the treatment of patients with R/R CLL or MCL with prior BTKi exposure.2 Pirtobrutinib is also approved by the U.S. Food and Drug Administration (FDA) for the treatment of patients with R/R CLL after ≥2 lines of therapy, including a B-cell lymphoma 2 inhibitor and a BTKi, and those with R/R MCL after ≥2 prior lines of therapy, including a previous BTKi.3 

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