Clinical Trials

Numerous clinical trials evaluate pirtobrutinib across Phase 1 through Phase 4 development, primarily targeting B-cell malignancies—including chronic lymphocytic leukemia, mantle cell lymphoma, and marginal zone lymphoma—alongside exploratory studies in relapsing multiple sclerosis and healthy subjects. Sponsored by industry leaders like Loxo Oncology and Eli Lilly alongside academic networks such as the Dana-Farber Cancer Institute, these protocols encompass varying recruitment statuses, ranging from active Phase 3 comparisons against chemoimmunotherapy in untreated leukemia to completed or withdrawn studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07220187 NOT_YET_RECRUITING
Richter Syndrome; Transformed Chronic Lymphocytic Leukemia to Diffuse Large B-Cell Lymphoma; Transformed Small Lymphocytic Lymphoma to Diffuse Large B-Cell Lymphoma
SWOG Cancer Research Network
2026-08-31 PHASE3
NCT07548450 NOT_YET_RECRUITING
Waldenstrom Macroglobulinemia
University of Utah
2026-06 PHASE2
NCT07285590 RECRUITING
Mantle Cell Lymphoma (MCL)
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea
2025-09-30 PHASE2
NCT07784101 NOT_YET_RECRUITING
Relapsed or Refractory Mantle Cell Lymphoma (MCL)
Beijing InnoCare Pharma Tech Co., Ltd.
2026-10 PHASE3
NCT05833763 RECRUITING
Mantle Cell Lymphoma; Mantle Cell Lymphoma Refractory
Australasian Leukaemia and Lymphoma Group
2023-10-12 PHASE2
NCT06390956 RECRUITING
Marginal Zone Lymphoma
University of Utah
2025-02-20 PHASE2
NCT06948786 RECRUITING
Grade 1 Follicular Lymphoma; Grade 2 Follicular Lymphoma; Grade 3a Follicular Lymphoma; Recurrent Follicular Lymphoma; Refractory Follicular Lymphoma
University of Washington
2025-11-17 PHASE2
NCT06967610 RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Leukemia (SLL)
M.D. Anderson Cancer Center
2025-07-15 PHASE2
NCT07796373 NOT_YET_RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Leukemia
National Heart, Lung, and Blood Institute (NHLBI)
2026-09-09 PHASE2
NCT07218341 RECRUITING
Chronic Lymphocytic Leukemia; Lymphoma, Small Lymphocytic
Eli Lilly and Company
2026-03-09 PHASE4
NCT07162181 ACTIVE_NOT_RECRUITING
Lymphoma, Non-Hodgkin; Leukemia, Lymphocytic, Chronic, B-Cell; B-cell Lymphoma
Eli Lilly and Company
2025-08-07 PHASE2
NCT06876662 RECRUITING
Chronic Lymphocytic Leukemia; Non-Hodgkin Lymphoma
Eli Lilly and Company
2025-05-20 PHASE4
NCT06876649 RECRUITING
Chronic Lymphocytic Leukemia; Non-Hodgkin Lymphoma
Eli Lilly and Company
2025-05-20 PHASE4
NCT07428707 RECRUITING
Chronic Lymphocytic Leukemia (CLL); Small Lymphocytic Lymphoma (SLL)
National Heart, Lung, and Blood Institute (NHLBI)
2026-03-11 EARLY_PHASE1
NCT07342478 RECRUITING
CLL / SLL; CLL (Chronic Lymphocytic Leukemia); CLL, Refractory; CLL, Relapsed; SLL (Small Lymphocytic Lymphoma); SLL; CLL; CLL Progression
Newave Pharmaceutical Inc
2026-04-23 PHASE3
NCT07516093 RECRUITING
B-cell Lymphoma; Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Nurix Therapeutics, Inc.
2026-08-03 PHASE3
NCT06553872 RECRUITING
Mantle Cell Lymphoma
H. Lee Moffitt Cancer Center and Research Institute
2024-08-23 PHASE2
NCT06812715 RECRUITING
Chronic Lymphocytic Leukemia
Peter MacCallum Cancer Centre, Australia
2025-05-05 PHASE2
NCT05734495 ACTIVE_NOT_RECRUITING
Waldenstrom Macroglobulinemia
Dana-Farber Cancer Institute
2023-05-02 PHASE2
NCT07052695 RECRUITING
Leukemia; Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma; Lymphoma
Inhye Ahn
2025-11-24 PHASE1; PHASE2
NCT07350850 RECRUITING
PCNSL; Primary Central Nervous System Lymphoma
Tongji Hospital
2025-12-25 PHASE2
NCT07684950 NOT_YET_RECRUITING
Mantle Cell Lymphoma (MCL)
Henan Cancer Hospital
2026-06-30 PHASE2
NCT07255963 RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma
The First Affiliated Hospital of Soochow University
2025-11-30 PHASE2
NCT07624799 NOT_YET_RECRUITING
CLL (Chronic Lymphocytic Leukemia)
French Innovative Leukemia Organisation
2026-09-01 PHASE2
NCT07774299 NOT_YET_RECRUITING
DLBCL
Ruijin Hospital
2026-08-25 PHASE2
NCT07416890 RECRUITING
Pirtobrutinib; Sintilimab; Central Nervous System Lymphoma
Zhejiang Cancer Hospital
2026-02-10 PHASE2
NCT06252675 RECRUITING
Mantle Cell Lymphoma
University of California, San Francisco
2024-06-11 PHASE2
NCT07744724 NOT_YET_RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma; Pirtobrutinib
Changzhou No.2 People's Hospital
2026-07-31 PHASE2
NCT06839872 WITHDRAWN
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
AstraZeneca
2025-06-30 PHASE2
NCT05990465 RECRUITING
Non Hodgkin Lymphoma; Diffuse Large B Cell Lymphoma; Follicular Lymphoma; Marginal Zone Lymphoma; Mantle Cell Lymphoma; Burkitt Lymphoma
Medical College of Wisconsin
2025-02-06 PHASE1
NCT06588478 RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2025-01-03 PHASE2
NCT07622784 NOT_YET_RECRUITING
Relapsed or Refractory B-cell Lymphoma
Sun Yat-sen University
2026-06 PHASE2
NCT07604987 RECRUITING
Primary Central Nervous System (CNS) Lymphoma
Zou Dehui
2026-05-20 PHASE2
NCT06721013 RECRUITING
Immune Thrombocytopenia (ITP)
Eli Lilly and Company
2025-07-30 PHASE1; PHASE2
NCT05536349 RECRUITING
Leukemia
M.D. Anderson Cancer Center
2022-12-20 PHASE2
NCT06973187 RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
BeOne Medicines
2025-09-04 PHASE3
NCT07231952 RECRUITING
Waldenstrom Macroglobulinemia; Lymphoplasmacytic Lymphoma
Memorial Sloan Kettering Cancer Center
2025-11-11 PHASE2
NCT07207785 NOT_YET_RECRUITING
Mantle Cell Lymphoma
Fondazione Italiana Linfomi - ETS
2026-02-01 PHASE2
NCT06043674 RECRUITING
Chronic Lymphocytic Leukemia; Richter's Transformation
Christine Ryan
2024-01-22 PHASE2
NCT07685717 RECRUITING
Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Jennifer Woyach
2026-08-01 PHASE2
NCT04623541 ACTIVE_NOT_RECRUITING
Relapsed/Refractory Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma; Richter's Syndrome; Treatment-naïve High Risk Chronic Lymphocytic Leukemia
Genmab
2020-11-25 PHASE1; PHASE2
NCT05254743 RECRUITING
Chronic Lymphocytic Leukemia; Leukemia, Lymphocytic; Leukemia, B-cell; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2022-07-22 PHASE3
NCT07744750 NOT_YET_RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma; Richter Transformation; CLL / SLL; MZL
Changzhou No.2 People's Hospital
2026-08-30 PHASE2
NCT07744737 NOT_YET_RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma; R-CHOP Chemotherapy; Pirtobrutinib
Changzhou No.2 People's Hospital
2026-07-30 PHASE2
NCT06333262 RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Inhye Ahn
2024-04-22 PHASE2
NCT05529069 RECRUITING
Mantle Cell Lymphoma; Non Hodgkin Lymphoma; Hematologic Malignancy
M.D. Anderson Cancer Center
2023-01-25 PHASE2
NCT06522386 ACTIVE_NOT_RECRUITING
Mantle Cell Lymphoma
M.D. Anderson Cancer Center
2025-01-30 PHASE2
NCT04662255 ACTIVE_NOT_RECRUITING
Lymphoma, Mantle-Cell
Loxo Oncology, Inc.
2021-04-08 PHASE3
NCT06466122 RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Kerry Rogers
2024-11-07 PHASE2
NCT05677919 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Mayo Clinic
2023-01-31 PHASE2
NCT06263491 RECRUITING
Mantle Cell Lymphoma
M.D. Anderson Cancer Center
2024-05-29 PHASE2
NCT04965493 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2021-09-20 PHASE3
NCT07122609 NOT_YET_RECRUITING
Relapsed and Refractory DLBCL
Ruijin Hospital
2025-08-05 PHASE2
NCT06104683 WITHDRAWN
Relapsing Multiple Sclerosis; Multiple Sclerosis
Loxo Oncology, Inc.
2024-05-01 PHASE2
NCT05317936 TERMINATED
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
M.D. Anderson Cancer Center
2022-11-16 PHASE1; PHASE2
NCT05023980 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2021-09-23 PHASE3
NCT03740529 COMPLETED
Chronic Lymphocytic Leukemia; Waldenstrom Macroglobulinemia; Mantle Cell Lymphoma; Marginal Zone Lymphoma; B-cell Lymphoma; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2019-03-15 PHASE1; PHASE2
NCT06104683 Withdrawn
Relapsing Multiple Sclerosis|Multiple Sclerosis
Loxo Oncology Inc.|Eli Lilly and Company
2024-05-01 Phase 2
NCT05990465 Not yet recruiting
Non Hodgkin Lymphoma|Diffuse Large B Cell Lymphoma|Follicular Lymphoma|Marginal Zone Lymphoma|Mantle Cell Lymphoma|Burkitt Lymphoma
Medical College of Wisconsin
2024-04 Phase 1
NCT06333262 Recruiting
Chronic Lymphocytic Leukemia|Small Lymphocytic Lymphoma
Inhye Ahn|Loxo Oncology Inc.|Dana-Farber Cancer Institute
2024-04-22 Phase 2
NCT04666038 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia; Small Lymphocytic Lymphoma
Loxo Oncology, Inc.
2021-03-09 PHASE3
NCT05024045 COMPLETED
Leukemia, Lymphocytic, Chronic, B-Cell; Lymphoma, B-cell Marginal Zone; Lymphoma, Non-Hodgkin; Multiple Myeloma; B-cell Lymphoma; Waldenstrom Macroglobulinemia; Lymphoma, Mantle-Cell
Eli Lilly and Company
2021-09-30 PHASE1
NCT04849416 COMPLETED
Leukemia, Lymphoid; Lymphoma, Non-Hodgkin; Lymphoma, Mantle-Cell; Lymphoma, Large B-Cell, Diffuse; Lymphoma, B-Cell; Lymphoma, B-Cell, Marginal Zone; Leukemia, Lymphocytic, Chronic, B-Cell
Eli Lilly and Company
2021-05-14 PHASE2
NCT05176314 COMPLETED
Healthy
Loxo Oncology, Inc.
2022-01-11 PHASE1
NCT06190691 COMPLETED
Healthy; Hepatic Insufficiency
Eli Lilly and Company
2020-12-18 PHASE1
NCT06258174 COMPLETED
Healthy
Eli Lilly and Company
2021-09-28 PHASE1
NCT06258174 Completed
Healthy
Eli Lilly and Company|Loxo Oncology Inc.
2021-09-28 Phase 1
NCT05023980 Active not recruiting
Chronic Lymphocytic Leukemia|Small Lymphocytic Lymphoma
Loxo Oncology Inc.|Eli Lilly and Company
2021-09-23 Phase 3
NCT06194214 COMPLETED
Healthy
Eli Lilly and Company
2021-03-11 PHASE1
NCT06190678 COMPLETED
Healthy; Renal Insufficiency
Eli Lilly and Company
2021-02-01 PHASE1
NCT06215430 COMPLETED
Healthy
Eli Lilly and Company
2021-01-11 PHASE1
NCT06215521 COMPLETED
Healthy
Eli Lilly and Company
2020-12-15 PHASE1
NCT06180980 COMPLETED
Healthy
Eli Lilly and Company
2021-01-04 PHASE1
NCT06165146 COMPLETED
Healthy
Eli Lilly and Company
2020-11-10 PHASE1
NCT06181006 COMPLETED
Healthy
Eli Lilly and Company
2020-08-14 PHASE1
NCT06180954 COMPLETED
Healthy
Eli Lilly and Company
2020-09-23 PHASE1
NCT05134337 COMPLETED
Healthy Volunteers
Loxo Oncology, Inc.
2020-02-12 PHASE1
NCT06180967 COMPLETED
Healthy
Eli Lilly and Company
2020-09-03 PHASE1
NCT05134350 COMPLETED
Healthy Volunteers
Loxo Oncology, Inc.
2020-02-06 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-06-11)

Check the Pirtobrutinib (LOXO-305) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Pirtobrutinib is a highly selective, non-covalent inhibitor of Bruton's tyrosine kinase (BTK) that reversibly binds the enzyme to block downstream B-cell receptor signal transduction, thereby suppressing leukemic B-cell proliferation and survival. This targeted pathway inhibition disrupts tumor cell viability, mediating therapeutic response in clinical trial populations with chronic lymphocytic leukemia and other B-cell lymphoproliferative disorders.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.