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ICML 2023 | Long-term safety analysis of pirtobrutinib in R/R B-cell malignancies

Toby Eyre, MBChB (Hons), DipMedEd, MRCP (UK), FRCPath (UK), MD, Oxford University Hospitals NHS Foundation Trust, Oxford, UK, discusses an analysis of the long-term (≥12 months) safety of pirtobrutinib in patients with relapsed/refractory (R/R) B-cell malignancies. Pirtobrutinib is a non-covalent Bruton’s tyrosine kinase inhibitor (BTKi), which is being investigated in the BRUIN trial (NCT03740529). Dr Eyre shares the positive results of the analysis, commenting that pirtobrutinib continues to be well tolerated over time. This interview took place at the 17th International Conference on Malignant Lymphoma (ICML), held in Lugano, Switzerland.

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Transcript (edited for clarity)

Pirtobrutinib is a non-covalent reversible BTK inhibitor in development in relapsed/refractory B-cell malignancies. And the BRUIN clinical trial has enrolled nearly 800 patients over the last few years. And the median follow-up across the studies is generally relatively short, and so the purpose of this abstract really is to look at longer term toxicity. We know that BTK inhibitors in general tend to accumulate toxicity as time goes by...

Pirtobrutinib is a non-covalent reversible BTK inhibitor in development in relapsed/refractory B-cell malignancies. And the BRUIN clinical trial has enrolled nearly 800 patients over the last few years. And the median follow-up across the studies is generally relatively short, and so the purpose of this abstract really is to look at longer term toxicity. We know that BTK inhibitors in general tend to accumulate toxicity as time goes by. And one of the really important things with this agent, certainly early on, is the toxicity profile looks very favorable, very minimal grade three and above toxicities and low discontinuation rates. And so the purpose here is to look at a cohort within the trial that have been on drug for more than or equivalent to a year. And essentially this is over 300 patients in this cohort. And it shows reassuringly that those patients who’ve been on the drug for that period of time actually don’t seem to be developing new or concerning toxicity, so really demonstrating that pirtobrutinib is a very well tolerated non-covalent BTK inhibitor.

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Disclosures

Roche: Education Honorarium, Advisory Board Honorarium, Travel to scientific conferences; Gilead: Honorarium; Research support; Travel to scientific conferences; KITE: Education Honorarium, Advisory Board Honorarium; Janssen: Honorarium; Abbvie: Honorarium; Travel to scientific conferences; AstraZeneca: Honorarium, Research funding, Travel to scientific conferences; Loxo Oncology: Advisory Board Honorarium, Trial steering committee; Beigene: Advisory Board Honorarium, Research funding; Incyte: Advisory Board Honorarium; Secura Bio: Advisory Board Honorarium; Autolus: Advisory Board Honorarium