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Lilly's Jaypirca Shows Promise in BTK Inhibitor-Pretreated CLL/SLL

a year ago2 min read

Key Insights

  • Eli Lilly's Jaypirca (pirtobrutinib) demonstrates efficacy in chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) patients pretreated with BTK inhibitors.

  • Phase 3 BRUIN CLL-321 study evaluates pirtobrutinib versus idelalisib plus rituximab or bendamustine plus rituximab in BTK inhibitor-pretreated CLL/SLL.

  • Lilly will present real-world data analyses on overall survival associated with treatment sequences in CLL/SLL patients at ASH 2024.

Eli Lilly and Company will present data from studies of Jaypirca (pirtobrutinib), a non-covalent (reversible) Bruton's tyrosine kinase (BTK) inhibitor, at the 66th American Society of Hematology (ASH) Annual Meeting and Exposition in San Diego, December 7-10. The presentations will include Phase 3 results, real-world data analyses, and pre-clinical findings.

BRUIN CLL-321 Phase 3 Trial Results

Lilly will report results from the Phase 3 BRUIN CLL-321 study in an oral presentation. This study evaluates pirtobrutinib versus idelalisib plus rituximab (IdelaR) or bendamustine plus rituximab (BR) in BTK inhibitor-pretreated patients with chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL). The BRUIN CLL-321 study met its primary endpoint and is the first randomized Phase 3 study to evaluate an exclusively BTK inhibitor-pretreated CLL population. The presentation will utilize an August 2024 data cut-off date.

Real-World Data and Pre-Clinical Studies

Poster presentations will share analyses of real-world data, including overall survival associated with treatment sequences in patients with CLL/SLL, and pre-clinical data for a first-in-class B-cell activating factor receptor (BAFF)-RxCD3 bispecific antibody for the treatment of certain B-cell malignancies.

About Jaypirca (pirtobrutinib)

Jaypirca (pirtobrutinib) is a highly selective, non-covalent (reversible) inhibitor of the enzyme BTK. BTK is a validated molecular target found across numerous B-cell leukemias and lymphomas including mantle cell lymphoma (MCL) and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). Jaypirca is a U.S. FDA-approved oral prescription medicine, administered as a 200 mg dose once daily until disease progression or unacceptable toxicity.

Jaypirca Indications

Jaypirca is indicated for the treatment of:
  • Adult patients with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy, including a BTK inhibitor.
  • Adult patients with chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL) who have received at least two prior lines of therapy, including a BTK inhibitor and a BCL-2 inhibitor.
These indications are approved under accelerated approval based on response rate. Continued approval for these indications may be contingent upon verification and description of clinical benefit in a confirmatory trial.

Safety Information

Jaypirca carries warnings and precautions for infections, hemorrhage, cytopenias, cardiac arrhythmias, second primary malignancies, hepatotoxicity, including drug-induced liver injury (DILI), and embryo-fetal toxicity.
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