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December 8, 2025BloodOpen Access

Pirtobrutinib vs ibrutinib in treatment-naïve and relapsed/refractory CLL/SLL: Results from the first randomized phase III study comparing a non-covalent and covalent BTK inhibitor

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Authors

JWJennifer A. WoyachMCMarcelo CapraWJWojciech Jurczak

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Overview

Randomized trial shows non-inferiority of overall response rate in treatment-naïve CLL, indicating potential advantages for pirtobrutinib over ibrutinib.

Key Points

  • Ibrutinib treatment produced an overall response rate of 78.6% vs 87.0% for pirtobrutinib in chronic lymphocytic leukemia.
  • In the ITT cohort, median age was 67, with pirtobrutinib showing a statistically significant improvement over ibrutinib in both TN and R/R populations.
  • Randomized phase III study comparing treatment-naïve patients receiving either pirtobrutinib or ibrutinib until progression or adverse events occurred.
  • Findings highlight a need for careful monitoring of adverse events, with distinct differences observed between treatment arms.

Cite This Study

Woyach et al. (2025) studied this question.

synapsesocial.com/papers/69362f4b4fa91c937236d750https://doi.org/10.1182/blood-2025-683
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