Diagnosis of primary immune thrombocytopenia (ITP), defined as isolated thrombocytopenia not associated with another known disease process
Documented history of response, defined as 2 or more platelet counts greater than or equal to 50,000/μL, to ≥1 prior line of therapy. Splenectomy is considered a line of therapy
Relapsed or treatment-resistant primary ITP, with no available therapies known to provide clinical benefit
Platelet count <30,000/μL on 2 occasions more than 5 days apart in the 15 days before randomization
Adequate liver, renal, and hematologic function
Willing to follow contraception requirements
Key Exclusion Criteria
History of any thrombotic or embolic event within 12 months before screening
Transfusion with blood or blood products or plasmapheresis within 14 days (Phase 1) or within 28 days (Phase 2) of randomization
Significant cardiovascular disease
Diagnosis or history of hematologic malignancy
Hepatitis B virus (HBV) defined as positive for hepatitis B surface antigen (HBsAg) or polymerase chain reaction (PCR) positive for HBV DNA
Hepatitis C virus (HCV) defined as positive for anti-HCV antibodies and PCR positive for HCV RNA
a
Approximately 9-18 participants will be assigned to sequential dose levels (3-6 per dose level), starting at the lowest dose level of oral pirtobrutinib, given once daily for 12 weeks.
b
Approximately 10 patients per treatment group will be equally randomized to evaluate at least two pirtobrutinib dose levels versus placebo.
c
Stable platelet response rate is defined as the proportion of patients who achieve platelet count ≥50 k/µL on ≥4 of 6 consecutive biweekly visits between weeks 14-24, without rescue therapy and prohibited concomitant medications affecting efficacy.
For information on trial enrollment, locations, and more, call
1-800-545-5979.