International Multicentric Phase II Trial to Evaluate the Efficacy and Safety of Pirtobrutinib in Combination With Rituximab in Patients With Indolent Clinical Forms of Mantle Cell Lymphoma

Status: Recruiting
Location: See all (16) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a multicenter, international, open-label, single-arm phase II clinical trial designed to evaluate the activity and safety of a combination therapy with pirtobrutinib and rituximab (P-R) in treatment-naïve adult patients diagnosed with indolent clinical forms of Mantle Cell Lymphoma (MCL). The study applies a Simon's two-stage design, with an interim analysis after the first 16 patients to determine continuation based on complete remission rate (CRR) after 6 cycles.

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

• Adult patients (≥18 years of age).

• Written informed consent must be obtained before any study-specific assessment is performed.

• Subjects with confirmed diagnosis of Mantle Cell Lymphoma according to the International Consensus Classification, (ICC) 2022\] or World Health Organization (WHO) Classification 2022. Classical, small-cell variants and marginal-zone variants can be included.

• Naïve patients for MCL management (no prior therapies, excluding diagnostic splenectomy)

• Asymptomatic patients

• Eastern Cooperative Oncology Group (ECOG) performance status \<2 (0-1)

• Clinical stage I-IV according to the Ann Arbor classification with no symptoms attributable to MCL

• Patients with a leukemic non-nodal presentation with mainly bone marrow or peripheral blood involvement are eligible. Other asymptomatic clinical presentations are acceptable in case of low tumour burden, including MCL with lymph node enlargement ≤ 3 cm in the largest diameter and with low proliferation index (Ki67 \< 30%)

• The following laboratory values at screening:

‣ Neutrophil count ≥ 1×109/L, Haemoglobin level ≥ 100 g/L and platelet count ≥100×109/L

⁃ Transaminases (AST and ALT) ≤ 3 x ULN

⁃ Total bilirubin ≤1.5 x ULN unless bilirubin rise is due to Gilbert's disease

⁃ Calculated creatinine clearance ≥ 30 ml/min according to Cockcroft/Gault Formula (140 - age) × body weight (kg) × 0.85 (if female)/ serum creatinine (mg/dL) × 72

⁃ Adequate coagulation, defined as activated partial thromboplastin time (aPTT) or partial thromboplastin time (PTT) and prothrombin (PT) or (international normalized ratio (INR) not greater than 1.5 x ULN.

⁃ Stable disease without evidence of clinical progression for at least 3 months. Patients in prolonged observation may be included (over 3 months).

⁃ Female patients of child-bearing potential must have a negative serum pregnancy test at screening and agree to use highly effective contraception from the start of study treatment (See Appendix 4), during the treatment period and for at least 1 month following the last dose of pirtobrutinib and for 12 months following treatment with Rituximab.

⁃ Male patients must use highly effective contraception (if sexually active with a female of child-bearing potential) according to the recommendations provided by the Clinical Trial Facilitation and Coordination Group (CTFG), from start of study treatment, during the treatment period, and for at least 1 month following the last dose of pirtobrutinib and for 12 months following treatment with rituximab.

⁃ Willing and capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.

⁃ Not included in other clinical trial or treated with an experimental drug unrelated to MCL within the past 2 years

Locations
Other Locations
Portugal
Instituto Português de Oncologia de Lisboa Francisco Gentil
RECRUITING
Lisbon
Unidade Local De Saude De Santa Maria E.P.E.
NOT_YET_RECRUITING
Lisbon
Spain
INSTITUT CATALÀ D'ONCOLOGIA (ICO). Hospital Germans Trias I Pujol.
NOT_YET_RECRUITING
Badalona
Hospital Clinic de Barcelona
RECRUITING
Barcelona
Hospital Universitari Vall d'Hebron
RECRUITING
Barcelona
Hospital Clínico Universitario Virgen de la Arrixaca
RECRUITING
El Palmar
Institut Català d'oncologia de L'Hospitalet (ICO-L'Hospitalet)
NOT_YET_RECRUITING
L'hospitalet De Llobregat
Clínica Universidad Navarra
RECRUITING
Madrid
Hospital General Universitario Gregorio Marañón
RECRUITING
Madrid
Hospital Ramon y Cajal
RECRUITING
Madrid
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Hospital Costa del Sol
RECRUITING
Marbella
Clínica Universidad Navarra
RECRUITING
Pamplona
Hospital Universitario de Salamanca
RECRUITING
Salamanca
Hospital Clínico de Valencia
RECRUITING
Valencia
Hospital Universitario y Politécnico La Fe
NOT_YET_RECRUITING
Valencia
Contact Information
Primary
Auxi Moreno
amoreno@geltamo.com
+34 683 636 850
Backup
Ana María Méndez
administracion@geltamo.com
+34 942 203 450
Time Frame
Start Date: 2025-09-30
Estimated Completion Date: 2032-12
Participants
Target number of participants: 50
Treatments
Experimental: Pirtobrutinib with rituximab
Patients will receive a P-R combination for at least 24 cycles (C24). The first cycle of P-R will be administered at day 1 (baseline) . Pirtobrutinib discontinuation will be decided after C24, according to the MRD response and the TP53 mutational status. Rituximab treatment will end up at C23.
Sponsors
Collaborators: Eli Lilly and Company, Evidenze Health España (CRO)
Leads: Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea

This content was sourced from clinicaltrials.gov