A Study to Evaluate the Safety and Efficacy of Tacabrutideg (BGB-16673) Compared to Pirtobrutinib in Adults With Relapsed/Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

Purpose

The purpose of this study is to evaluate the efficacy and safety of tacabrutideg alone compared with pirtobrutinib in patients with relapsed or refractory (R/R) chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) who had been previously treated with a covalent Bruton tyrosine kinase inhibitor (cBTKi).

Conditions

  • Chronic Lymphocytic Leukemia
  • Small Lymphocytic Lymphoma

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Confirmed diagnosis of CLL or SLL, requiring treatment, based on 2018 iwCLL criteria - Previously received treatment for CLL/SLL with a covalent Bruton tyrosine kinase inhibitor (cBTKi). Patients should have disease relapsed after or refractory to at least 1 line of therapy including a cBTKi. - Participants with SLL must have measurable disease by computed tomography/magnetic resonance imaging, defined as ≥ 1 lymph node > 1.5 cm in longest diameter and measurable in 2 perpendicular diameters.

Exclusion Criteria

  • Known prolymphocytic leukemia or history of, or currently suspected, Richter's transformation. - History of known bleeding disorder such as hemophilia A, hemophilia B, von Willebrand disease, or history of spontaneous bleeding requiring blood transfusion or other medical intervention - History of ischemic stroke or intracranial hemorrhage within 6 months before first dose of study drug - Prior exposure to any Bruton tyrosine kinase (BTK) protein degraders or noncovalent Bruton tyrosine kinase inhibitor (ncBTKi). - Current or history of central nervous system involvement including the brain, spinal cord, leptomeninges, and cerebrospinal fluid (as documented by imaging, cytology, or biopsy) by CLL/SLL NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Arm A: Tacabrutideg
Participants will receive tacabrutideg orally.
  • Drug: Tacabrutideg
    Tacabrutideg will be administered orally
    Other names:
    • BGB-16673
Active Comparator
Arm B: Pirtobrutinib
Participants will receive pirtobrutinib orally.
  • Drug: Pirtobrutinib
    Pirtobrutinib will be administered orally
    Other names:
    • Jaypirca

Recruiting Locations

University of Alabama At Birmingham Hospital
Birmingham, Alabama 35294-0004

Mayo Clinic Phoenix
Phoenix, Arizona 85054-4502

Kaiser Permanente Southern California
Irvine, California 92618-3734

University of California San Diego (Ucsd) Moores Cancer Center
La Jolla, California 92093-1503

Cancer and Blood Specialty Clinic
Los Alamitos, California 90720-3302

UCLA Department of Medicine Hematologyoncology
Los Angeles, California 90095-3075

Kaiser Permanente Oakland Medical Center
Oakland, California 94611

Stanford Cancer Institute
Palo Alto, California 94304-2205

Kaiser Permanente Roseville Medical Center
Roseville, California 95661

Kaiser Permanente San Francisco Medical Center Oncology
San Francisco, California 94115

Kaiser Permanente Santa Clara Medical Center Oncologyhematology
Santa Clara, California 95051

Kaiser Permanente Northern California
Vallejo, California 94589-2441

Kaiser Permanente Walnut Creek Medical Center
Walnut Creek, California 94596

Christiana Care
Newark, Delaware 19713-2055

Medstar Georgetown University Hospital
Washington D.C., District of Columbia 20007-2113

Mayo Clinic Jacksonville
Jacksonville, Florida 32224-1865

Cancer Specialists of North Florida
Jacksonville, Florida 32256

Mount Sinai Medical Center Braman Comprehensive Cancer Center
Miami, Florida 33140

University of Chicago Medical Center
Chicago, Illinois 60637-1443

Mission Cancer and Blood
Waukee, Iowa 50263

The University of Kansas Cancer Center
Westwood, Kansas 66205-2003

Our Lady of the Lake Hospital
Baton Rouge, Louisiana 70808-4365

Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana 70809-3738

Ochsner Clinic Foundation
New Orleans, Louisiana 70121-2429

Dana Farber Cancer Institute
Boston, Massachusetts 02215-5418

Karmanos Cancer Institute
Detroit, Michigan 48201-2013

Mayo Clinic Rochester
Rochester, Minnesota 55905-0001

Washington University School of Medicine
St Louis, Missouri 63110-1010

Titan Health Partners Llc Dba Astera Cancer Care
East Brunswick, New Jersey 08816-4096

John Theurer Cancer Center Hackensack University Medical Center
Hackensack, New Jersey 07601

Columbia University Medical Center
New York, New York 10032

Weill Cornell Medical College Newyork Presbyterian Hospital
New York, New York 10065-4870

Memorial Sloan Kettering Cancer Center Mskcc
New York, New York 10065-6800

University of Rochester
Rochester, New York 14642-0001

University of North Carolina At Chapel Hill
Chapel Hill, North Carolina 27514-4220

Atrium Health Levine Cancer Institute (Lci)
Charlotte, North Carolina 28204-2990

Duke University Medical Center
Durham, North Carolina 27705-3976

Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina 27157

Dayton Physician Network
Dayton, Ohio 45415

Fox Chase Cancer Center
Philadelphia, Pennsylvania 19111-2434

Tennessee Oncology, Pllc Nashville
Nashville, Tennessee 37203

Md Anderson Cancer Center
Houston, Texas 77030-3907

Blue Ridge Cancer Care (Oncology and Hematology Associates of Southwest Virginia)
Roanake, Virginia 24014

Fred Hutchinson Cancer Research Center
Seattle, Washington 98109-4433

Summit Cancer Centers
Spokane, Washington 99208-1129

Northwest Medical Specialties
Tacoma, Washington 98405

Gunderson Health System
La Crosse, Wisconsin 54601-5467

Auxilio Mutuo Cancer Center
San Juan, Puerto Rico 00917

More Details

Status
Recruiting
Sponsor
BeOne Medicines

Study Contact

Study Director
1-877-828-5568
clinicaltrials@beonemed.com

Detailed Description

Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.