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Lilly to present data from two positive Phase 3 studies of Jaypirca (pirtobrutinib) in chronic lymphocytic leukemia at the 2025 American Society of Hematology (ASH) Annual Meeting

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Eli Lilly (NYSE: LLY) will present multiple clinical results for Jaypirca (pirtobrutinib) at the 67th ASH Annual Meeting, Dec 6-9, 2025 in Orlando.

Key highlights: BRUIN CLL-314 (head-to-head vs ibrutinib) is reported to have met its primary endpoint of response-rate non-inferiority, favoring pirtobrutinib with a nominal P-value < 0.05 and will be an oral presentation on Dec 7. BRUIN CLL-313 (vs chemoimmunotherapy in treatment‑naïve CLL/SLL without del(17p)) met its primary endpoint with a highly statistically significant and clinically meaningful PFS benefit and is a late‑breaking oral presentation on Dec 8.

Additional oral and poster presentations include ~5‑year follow-up Phase 1/2 BRUIN data and investigator-led combination and disease‑specific studies.

Eli Lilly (NYSE: LLY) presenterà diversi risultati clinici per Jaypirca (pirtobrutinib) al 67° ASH Annual Meeting, dal 6 al 9 dicembre 2025 a Orlando.

Punti chiave: BRUIN CLL-314 (test di confronto diretto contro l'ibrutinib) risulta aver raggiunto l'endpoint primario di non inferiorità del tasso di risposta, favorendo il pirtobrutinib con un valore P-value < 0,05 nominale e sarà una presentazione orale il 7 dicembre. BRUIN CLL-313 (contro chemioterapia-immunoterapia in pazienti CLL/SLL naïve senza del(17p)) ha raggiunto l'endpoint primario con un beneficio di PFS altamente statisticamente significativo e clinicamente rilevante e sarà una presentazione orale in giornata tardiva il 8 dicembre.

Ulteriori presentazioni orali e poster includono dati di follow-up di ~5 anni della fase 1/2 BRUIN e studi combinati guidati dall'investigatore e specifici per malattia.

Eli Lilly (NYSE: LLY) presentará varios resultados clínicos para Jaypirca (pirtobrutinib) en la 67ª Reunión Anual ASH, del 6 al 9 de diciembre de 2025 en Orlando.

Puntos clave: BRUIN CLL-314 (comparación directa vs ibrutinib) se informa que cumplió su objetivo primario de no inferioridad en la tasa de respuesta, favoreciendo al pirtobrutinib con un valor nominal de P < 0,05 y será una presentación oral el 7 de diciembre. BRUIN CLL-313 (vs quimioinmunoterapia en CLL/SLL naïve sin del(17p)) cumplió su objetivo primario con un beneficio de PFS altamente estadísticamente significativo y clínicamente relevante y es una presentación oral de última hora el 8 de diciembre.

Presentaciones orales y póster adicionales incluyen datos de seguimiento de ~5 años de la fase 1/2 BRUIN y estudios de combinación y específicos de la enfermedad liderados por investigadores.

일라이 릴리(Eli Lilly) (NYSE: LLY)Jaypirca (pirtobrutinib)에 대한 여러 임상 결과를 2025년 12월 6일부터 9일까지 올랜도에서 열리는 제67회 ASH 연례학회에서 발표할 예정입니다.

주요 하이라이트: BRUIN CLL-314 (ibrutinib와의 직접 비교)가 반응률 비열등성의 1차 목표를 달성한 것으로 밝혀졌으며, pirtobrutinib이 명목상 P-value < 0.05를 상회하는 결과를 보였고 12월 7일 구두 발표가 예정되어 있습니다. BRUIN CLL-313 (del(17p) 음성이 없는 치료 첫 환자에서의 화학요법-면역요법 대비)도 1차 목표를 달성했고, 고도로 통계적으로 유의하고 임상적으로 의미 있는 PFS 이득을 보였으며 12월 8일 늦은 시간대에 구두 발표가 예정되어 있습니다.

추가 구두 발표 및 포스터 발표로는 약 5년 추적 BRUIN 데이터의 1/2상 및 연구자 주도형의 조합 및 질병별 연구가 포함됩니다.

Eli Lilly (NYSE: LLY) présentera plusieurs résultats cliniques pour Jaypirca (pirtobrutinib) à la 67e Assemblée annuelle ASH, du 6 au 9 décembre 2025 à Orlando.

Points forts : BRUIN CLL-314 (comparaison directe avec l’ibrutinib) aurait atteint l’objectif primaire de non-infériorité du taux de réponse, favorisant le pirtobrutinib avec une valeur-p nominale P < 0,05 et fera l’objet d’une présentation orale le 7 décembre. BRUIN CLL-313 (par rapport à la chimiothérapie-immunothérapie chez les CLL/SLL naïfs sans del(17p)) a atteint l’objectif primaire avec un bénéfice de PFS hautement statistiquement significatif et cliniquement pertinent et fera l’objet d’une présentation orale en séance tardive le 8 décembre.

Des présentations orales et posters supplémentaires incluent des données BRUIN de suivi d’environ 5 ans de la phase 1/2 et des études combinées et spécifiques à la maladie menées par les investigateurs.

Eli Lilly (NYSE: LLY) wird mehrere klinische Ergebnisse zu Jaypirca (pirtobrutinib) auf der 67. ASH-Jahrestagung, vom 6. bis 9. Dezember 2025 in Orlando, vorstellen.

Wichtige Highlights: BRUIN CLL-314 (Head-to-Head gegen Ibrutinib) soll den primären Endpunkt der Reaktionsraten-Nicht-Unterlegenheit erreicht haben, was dem Pirtobrutinib zugutekommt, mit nominalem P-Wert < 0,05 und wird am 7. Dezember eine mündliche Präsentation geben. BRUIN CLL-313 (gegen Chemoimmuntherapie bei behandlungsnaiven CLL/SLL ohne del(17p)) hat den primären Endpunkt mit einem hoch statistisch signifikanten und klinisch bedeutsamen PFS-Vorteil erreicht und ist eine späte mündliche Präsentation am 8. Dezember.

Weitere mündliche und Poster-Präsentationen umfassen ca. 5-Jahres-Folgedaten der BRUIN-Phase-1/2 sowie investigator-gesteuerte Kombinationen und krankheitsspezifische Studien.

إيلي ليلي (NYSE: LLY) ستعرض عدة نتائج سريرية لـ Jaypirca (pirtobrutinib) في الاجتماع السنوي الـ67 لـ ASH، من 6 إلى 9 ديسمبر 2025 في أورلاندو.

النقاط الرئيسية: BRUIN CLL-314 (مقارنة مباشرة مع ibrutinib) يُقال إنه حقق الهدف الأساسي لعدم تفوق معدل الاستجابة، مما يفيد pirtobrutinib بقيمة-P اسمية < 0.05 وسيكون عرضاً شفهياً في 7 ديسمبر. BRUIN CLL-313 (مقارنة مع العلاج الكيميائي-المناعة في CLL/SLL لدى مرضى لم يتلقوا del(17p)) حقق الهدف الأساسي بفائدة في PFS عالية الإحصائية وذات معنى سريري، وسيكون عرضاً شفهياً في جلسة متأخرة في 8 ديسمبر.

وتشمل العروض الشفهية والملصقات الإضافية بيانات BRUIN لمدة تقارب 5 سنوات من المرحلة 1/2 ودراسات تجمعية ودرَاسية خاصة بالمرض يقودها الباحثون.

Positive
  • BRUIN CLL-314 met response-rate non-inferiority with nominal P-value < 0.05
  • BRUIN CLL-313 showed a highly statistically significant, clinically meaningful PFS improvement vs chemoimmunotherapy
  • Phase 1/2 BRUIN long-term data include approximately 5 years of follow-up
Negative
  • None.

Insights

Positive Phase 3 results for Jaypirca and multiple ASH presentations strengthen its clinical positioning across CLL/SLL.

Lilly will present Phase 3 data showing Jaypirca met a response-rate non-inferiority endpoint versus ibrutinib and demonstrated a highly statistically significant improvement in progression-free survival versus chemoimmunotherapy. These are head-to-head and frontline data from BRUIN CLL-314 and BRUIN CLL-313 respectively, and both abstracts were selected for the ASH press program on Dec. 7 and Dec. 8.

The business mechanism is straightforward: clear Phase 3 efficacy readouts versus an approved covalent BTK inhibitor and versus chemoimmunotherapy support broader label utility and clinical uptake. Dependencies include peer-reviewed disclosure of full data, safety details in the oral sessions, and how clinicians interpret superiority signals in real-world practice. Risks arise if full safety or subgroup data weaken the topline efficacy claims.

Watch the full presentations at ASH during Dec. 6-9, especially the oral sessions on Dec. 7 and Dec. 8, for complete efficacy, safety, and subgroup analyses. These details will determine near-term clinical adoption and regulatory or guideline discussions over the following quarters.

Results from the BRUIN CLL-314 study comparing Jaypirca (pirtobrutinib) to Imbruvica (ibrutinib) – the first-ever head-to-head Phase 3 study versus a covalent BTK inhibitor to include treatment-naïve CLL/SLL patients – will be presented as an oral presentation

Results from the Phase 3 BRUIN CLL-313 study of pirtobrutinib in patients with treatment-naïve CLL/SLL will be featured as a late-breaking oral presentation

Both BRUIN CLL-314 and BRUIN CLL-313 were selected to be part of the official ASH press program

INDIANAPOLIS, Nov. 24, 2025 /PRNewswire/ -- Eli Lilly and Company (NYSE: LLY) today announced that data from studies of Jaypirca (pirtobrutinib), the first and only approved non-covalent (reversible) Bruton tyrosine kinase (BTK) inhibitor, will be presented at the 67th American Society of Hematology (ASH) Annual Meeting and Exposition, taking place Dec. 6-9 in Orlando, Florida.

Key data presentations for Jaypirca include:

  • In an oral presentation, Lilly will share results from the BRUIN CLL-314 study, comparing pirtobrutinib to Imbruvica (ibrutinib), a covalent BTK inhibitor, in patients with chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL). Lilly previously announced that pirtobrutinib met the primary endpoint of response rate non-inferiority, favoring pirtobrutinib with a nominal P-value for superiority < 0.05. BRUIN CLL-314 is the first-ever head-to-head Phase 3 study versus a covalent BTK inhibitor to include treatment-naïve patients. These results were also selected to be highlighted in the ASH Annual Meeting press program session on Dec. 7.
  • In a late-breaking oral presentation, Lilly will share results from the Phase 3 BRUIN CLL-313 study of pirtobrutinib versus chemoimmunotherapy in patients with treatment-naïve CLL/SLL without del(17p). Lilly previously announced the study met its primary endpoint, demonstrating a highly statistically significant and clinically meaningful improvement in progression-free survival with pirtobrutinib compared to chemoimmunotherapy. These results were also selected to be highlighted in the ASH Annual Meeting press program session on Dec. 8.
  • In other oral and poster presentations, Lilly will share additional data from the Phase 1/2 BRUIN study in patients with relapsed or refractory CLL, mantle cell lymphoma (MCL) and Waldenström macroglobulinemia (WM). These long-term data include efficacy and safety results with approximately five years of follow-up.
  • In an oral presentation, results will be shared from an investigator-initiated Phase 2 study of time-limited treatment with a combination of pirtobrutinib, venetoclax, and obinutuzumab in treatment-naïve CLL.

"Building on our previous announcements of positive topline results for the Phase 3 BRUIN CLL-313 and CLL-314 studies, we are excited to share the full results at ASH," said Jacob Van Naarden, executive vice president and president of Lilly Oncology. "Collectively, data from across the pirtobrutinib development program and investigator-led studies reinforce the medicine's unique clinical profile and its potential role across treatment settings and B-cell malignancies."

A full list of abstract titles and viewing details are listed below:

Abstract Title

Author

Presentation
Type/#

Session Title

Session
Date/Time
(EST)

Pirtobrutinib in relapsed/refractory (R/R)
Waldenström macroglobulinemia (WM): Up
to 5 years of follow-up from the Phase 1/2
BRUIN study

Chan Cheah

Oral

 

Abstract
#226

 

623. Mantle Cell,
Follicular,
Waldenstrom's,
and Other
Indolent B Cell
Lymphomas:
Clinical and
Epidemiological:
FL and WM

Saturday,
Dec. 6

 

2:45-3
p.m. EST

 

Real-world treatment patterns, patient
characteristics, and outcomes of cBTKi-based
therapies amongst a contemporary cohort of
patients with R/R MCL in the United States

Kami
Maddocks

Poster

 

Abstract
#2725

 

906. Outcomes
Research:
Lymphoid
Malignancies
Excluding Plasma
Cell Disorders:
Poster I

Saturday,
Dec. 6

 

5:30-7:30
p.m. EST

 

Real-world characteristics, treatment
patterns and outcomes of patients with
mantle cell lymphoma (MCL) after receiving
covalent Bruton tyrosine kinase inhibitors
(cBTKi) in China 

Yuqin Song

Poster

 

Abstract
#2704

 

906. Outcomes
Research:
Lymphoid
Malignancies
Excluding Plasma
Cell Disorders:
Poster I

Saturday,
Dec. 6

 

5:30-7:30
p.m. EST

 

Pirtobrutinib in post-cBTKi CLL/SLL: Final
update from the Phase 1/2 BRUIN study with
more than 5 years follow-up 

William
Wierda

Poster

 

Abstract
#2115

 

642. Chronic
Lymphocytic
Leukemia: Clinical
and
Epidemiological:
Poster I

Saturday,
Dec. 6

 

5:30-7:30
p.m. EST

Pirtobrutinib in relapsed/refractory (R/R)
mantle cell lymphoma (MCL): final update
from the Phase 1/2 BRUIN study

Michael
Wang

Oral

 

Abstract
#665

 

623. Mantle Cell,
Follicular,
Waldenstrom's,
and Other
Indolent B Cell
Lymphomas:
Clinical and
Epidemiological -
Novel Treatments
for and Insights
into Mantle Cell
Lymphoma

Sunday,
Dec. 7

 

5:30-5:45
p.m. EST

 

Pirtobrutinib vs ibrutinib in treatment-naïve
and relapsed/refractory CLL/SLL: Results
from the first randomized Phase 3
study comparing a non-covalent and
covalent BTK inhibitor

Jennifer
Woyach

Oral

 

Abstract
#683

 

642. Chronic
Lymphocytic
Leukemia: Clinical
and
Epidemiological:
Frontline
Treatment
Strategies for CLL

Sunday,
Dec. 7

 

5:30-5:45
p.m. EST

 

Efficacy of pirtobrutinib monotherapy in
treatment-naïve chronic lymphocytic
leukemia: A Bayesian network meta-analysis
of randomized controlled trials

Toby Eyre

Poster

 

Abstract
#5684

 

 

642. Chronic
Lymphocytic
Leukemia: Clinical
and
Epidemiological:
Poster III

Monday,
Dec. 8

 

6-8
p.m. EST

 

Pirtobrutinib outcomes in second-line (2L)
chronic lymphocytic leukemia/small
lymphocytic lymphoma (CLL/SLL) after first-
line (1L) cBTKi therapy: A pooled analysis
from the BRUIN LOXO-BTK-18001 and BRUIN
CLL-321 studies

Toby Eyre

Poster

 

Abstract
#5670

 

642. Chronic
Lymphocytic
Leukemia: Clinical
and
Epidemiological:
Poster III

Monday,
Dec. 8

 

6-8
p.m. EST

Pirtobrutinib vs bendamustine plus rituximab
(BR) in patients with CLL/SLL: First results
from a randomized Phase 3 study examining
a non-covalent BTK inhibitor in untreated
patients

Wojciech
Jurczak

Oral

 

Abstract
#LBA-3

Late-Breaking
Abstracts Session

Tuesday,
Dec. 9

 

8-8:15
a.m. EST

Investigator-Initiated

Pirtobrutinib, venetoclax, and obinutuzumab
for patients with Richter transformation: A
Phase 2 trial

Nitin Jain

Oral

 

Abstract
#89

642. Chronic
Lymphocytic
Leukemia: Clinical
and
Epidemiological:
Treatment of CLL
in Relapse and in
Richter
Transformation

Saturday,
Dec. 6

 

10:30-10:45
a.m. EST

High VGPR/CR rates with pirtobrutinib plus
venetoclax in previously treated
Waldenström macroglobulinemia: Results
from a multicenter Phase 2 study

Jorge Castillo

Oral

 

Abstract
#225

623. Mantle Cell,
Follicular,
Waldenstrom's,
and Other
Indolent B Cell
Lymphomas:
Clinical and
Epidemiological:
FL and WM

Saturday,
Dec. 6

 

2:30-2:45
p.m. EST

Time-limited pirtobrutinib, venetoclax, and
obinutuzumab combination in first-line
chronic lymphocytic leukemia

Nitin Jain

Oral

 

Abstract
#680

642. Chronic
Lymphocytic
Leukemia: Clinical and
Epidemiological:
Frontline
Treatment
Strategies for CLL

Sunday,
Dec. 7

 

4:45-5
p.m. EST

Pirtobrutinib, a non-covalent BTK inhibitor,
enhances T-cell anti-tumor immunity in
chronic lymphocytic leukemia (CLL)

Sonia
Rodriguez-
Rodriguez

Poster

 

Abstract
#3878

641. Chronic
Lymphocytic
Leukemia: Basic
and
Translational:
Poster II

Sunday,
Dec. 7

 

6-8
p.m. EST

Pirtobrutinib versus usual care for patients
with Richter transformation of chronic
lymphocytic leukemia: Inverse probability of
treatment weighting-based analysis of BRUIN
trial and mayo observational cohort

Yucai Wang

Poster

 

Abstract
#5673

642. Chronic
Lymphocytic
Leukemia: Clinical
and
Epidemiological:
Poster III

Monday,
Dec. 8

 

6-8
p.m. EST

About Jaypirca (pirtobrutinib)
Jaypirca (pirtobrutinib, formerly known as LOXO-305) (pronounced jay-pihr-kaa) is a highly selective (300 times more selective for BTK versus 98% of other kinases tested in preclinical studies), non-covalent (reversible) inhibitor of the enzyme BTK.1 BTK is a validated molecular target found across numerous B-cell leukemias and lymphomas including mantle cell lymphoma (MCL) and chronic lymphocytic leukemia (CLL).2,3 Jaypirca is a U.S. FDA-approved oral prescription medicine, 100 mg or 50 mg tablets taken as a once-daily 200 mg dose with or without food until disease progression or unacceptable toxicity.

INDICATIONS FOR JAYPIRCA (pirtobrutinib)
Jaypirca is a kinase inhibitor indicated for the treatment of 

  • Adult patients with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy, including a BTK inhibitor.
  • Adult patients with chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL) who have received at least two prior lines of therapy, including a BTK inhibitor and a BCL-2 inhibitor. 

These indications are approved under accelerated approval based on response rate. Continued approval for these indications may be contingent upon verification and description of clinical benefit in a confirmatory trial. 

IMPORTANT SAFETY INFORMATION FOR JAYPIRCA (pirtobrutinib) 

Infections: Fatal and serious infections (including bacterial, viral, fungal) and opportunistic infections occurred in Jaypirca-treated patients. In a clinical trial, Grade ≥3 infections occurred in 24% of patients with hematologic malignancies, most commonly pneumonia (14%); fatal infections occurred (4.4%). Sepsis (6%) and febrile neutropenia (4%) occurred. In patients with CLL/SLL, Grade ≥3 infections occurred (32%), with fatal infections occurring in 8%. Opportunistic infections included Pneumocystis jirovecii pneumonia and fungal infection. Consider prophylaxis, including vaccinations and antimicrobial prophylaxis, in patients at increased risk for infection, including opportunistic infections. Monitor patients for signs and symptoms, evaluate promptly, and treat appropriately. Based on severity, reduce dose, temporarily withhold, or permanently discontinue Jaypirca. 

Hemorrhage: Fatal and serious hemorrhage has occurred with Jaypirca. Major hemorrhage (Grade ≥3 bleeding or any central nervous system bleeding) occurred in 3% of patients, including gastrointestinal hemorrhage; fatal hemorrhage occurred (0.3%). Bleeding of any grade, excluding bruising and petechiae, occurred (17%). Major hemorrhage occurred in patients taking Jaypirca with (0.7%) and without (2.3%) antithrombotic agents. Consider risks/benefits of co-administering antithrombotic agents with Jaypirca. Monitor patients for signs of bleeding. Based on severity, reduce dose, temporarily withhold, or permanently discontinue Jaypirca. Consider benefit/risk of withholding Jaypirca 3-7 days pre- and post-surgery depending on type of surgery and bleeding risk. 

Cytopenias: Jaypirca can cause cytopenias, including neutropenia, thrombocytopenia, and anemia. In a clinical trial, Grade 3 or 4 cytopenias, including decreased neutrophils (26%), decreased platelets (12%), and decreased hemoglobin (12%), developed in Jaypirca-treated patients. Grade 4 decreased neutrophils (14%) and Grade 4 decreased platelets (6%) developed. Monitor complete blood counts regularly during treatment. Based on severity, reduce dose, temporarily withhold, or permanently discontinue Jaypirca. 

Cardiac Arrhythmias: Cardiac arrhythmias occurred in patients who received Jaypirca. In a clinical trial of patients with hematologic malignancies, atrial fibrillation or flutter were reported in 3.2% of Jaypirca-treated patients, with Grade 3 or 4 atrial fibrillation or flutter in 1.5%. Other serious cardiac arrhythmias such as supraventricular tachycardia and cardiac arrest occurred (0.5%). Patients with cardiac risk factors such as hypertension or previous arrhythmias may be at increased risk. Monitor for signs and symptoms of arrhythmias (e.g., palpitations, dizziness, syncope, dyspnea) and manage appropriately. Based on severity, reduce dose, temporarily withhold, or permanently discontinue Jaypirca. 

Second Primary Malignancies: Second primary malignancies, including non-skin carcinomas, developed in 9% of Jaypirca-treated patients. The most frequent malignancy was non-melanoma skin cancer (4.6%). Other second primary malignancies included solid tumors (including genitourinary and breast cancers) and melanoma. Advise patients to use sun protection and monitor for development of second primary malignancies. 

Hepatotoxicity, Including Drug-Induced Liver Injury (DILI): Hepatotoxicity, including severe, life-threatening, and potentially fatal cases of DILI, has occurred in patients treated with BTK inhibitors, including Jaypirca. Evaluate bilirubin and transaminases at baseline and throughout Jaypirca treatment. For patients who develop abnormal liver tests after Jaypirca, monitor more frequently for liver test abnormalities and clinical signs and symptoms of hepatic toxicity. If DILI is suspected, withhold Jaypirca. Upon confirmation of DILI, discontinue Jaypirca. 

Embryo-Fetal Toxicity: Jaypirca can cause fetal harm in pregnant women. Administration of pirtobrutinib to pregnant rats caused embryo-fetal toxicity, including embryo-fetal mortality and malformations at maternal exposures (AUC) approximately 3-times the recommended 200 mg/day dose. Advise pregnant women of potential fetal risk and females of reproductive potential to use effective contraception during treatment and for one week after last dose. 

Adverse Reactions (ARs) in Patients Who Received Jaypirca 

The most common (≥20%) ARs in the BRUIN pooled safety population of patients with hematologic malignancies (n=593) were decreased neutrophil count (46%), decreased hemoglobin (39%), fatigue (32%), decreased lymphocyte count (31%), musculoskeletal pain (30%), decreased platelet count (29%), diarrhea (24%), COVID-19 (22%), bruising (21%), cough (20%). 

Mantle Cell Lymphoma 

Serious ARs occurred in 38% of patients. Serious ARs occurring in ≥2% of patients were pneumonia (14%), COVID-19 (4.7%), musculoskeletal pain (3.9%), hemorrhage (2.3%), pleural effusion (2.3%), and sepsis (2.3%). Fatal ARs within 28 days of last Jaypirca dose occurred in 7% of patients, most commonly due to infections (4.7%), including COVID-19 (3.1% of all patients). 

Dose Modifications and Discontinuations: ARs led to dose reductions in 4.7%, treatment interruption in 32%, and permanent discontinuation of Jaypirca in 9% of patients. ARs resulting in dosage modification in >5% of patients included pneumonia and neutropenia. ARs resulting in permanent discontinuation in >1% of patients included pneumonia. 

Most common ARs (15%), excluding laboratory terms (all Grades %; Grade 3-4 %): fatigue (29; 1.6), musculoskeletal pain (27; 3.9), diarrhea (19; -), edema (18; 0.8), dyspnea (17; 2.3), pneumonia (16; 14), bruising (16; -). 

Select Laboratory Abnormalities (all Grades %; Grade 3 or 4 %) that Worsened from Baseline in 10% of Patients: hemoglobin decreased (42; 9), platelet count decreased (39; 14), neutrophil count decreased (36; 16), lymphocyte count decreased (32; 15), creatinine increased (30; 1.6), calcium decreased (19; 1.6), AST increased (17; 1.6), potassium decreased (13; 1.6), sodium decreased (13; -), lipase increased (12; 4.4), alkaline phosphatase increased (11; -), ALT increased (11; 1.6), potassium increased (11; 0.8). Grade 4 laboratory abnormalities in >5% of patients included neutrophils decreased (10), platelets decreased (7), lymphocytes decreased (6). 

Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma 

Serious ARs occurred in 56% of patients. Serious ARs occurring in ≥5% of patients were pneumonia (18%), COVID-19 (9%), sepsis (7%), and febrile neutropenia (7%). Fatal ARs within 28 days of last Jaypirca dose occurred in 11% of patients, most commonly due to infections (10%), including sepsis (5%) and COVID-19 (2.7%). 

Dose Modifications and Discontinuations: ARs led to dose reductions in 3.6%, treatment interruption in 42%, and permanent discontinuation of Jaypirca in 9% of patients. ARs resulting in dose reductions in >1% included neutropenia; treatment interruptions in >5% of patients included pneumonia, neutropenia, febrile neutropenia, and COVID-19; permanent discontinuation in >1% of patients included second primary malignancy, COVID-19, and sepsis. 

Most common ARs (20%), excluding laboratory terms (all Grades %; Grade 3-4 %): fatigue (36; 2.7), bruising (36; -), cough (33; -), musculoskeletal pain (32; 0.9), COVID-19 (28; 7), pneumonia (27; 16), diarrhea (26; -), abdominal pain (25; 2.7), dyspnea (22; 2.7), hemorrhage (22; 2.7), edema (21; -), nausea (21; -), pyrexia (20; 2.7), headache (20; 0.9). 

Select Laboratory Abnormalities (all Grades %; Grade 3 or 4 %) that Worsened from Baseline in 20% of Patients: neutrophil count decreased (63; 45), hemoglobin decreased (48; 19), calcium decreased (40; 2.8), platelet count decreased (30; 15), sodium decreased (30; -), lymphocyte count decreased (23; 8), ALT increased (23; 2.8), AST increased (23; 1.9), creatinine increased (23; -), lipase increased (21; 7), alkaline phosphatase increased (21; -). Grade 4 laboratory abnormalities in >5% of patients included neutrophils decreased (23). 

Drug Interactions 

Strong CYP3A Inhibitors: Concomitant use with Jaypirca increased pirtobrutinib systemic exposure, which may increase risk of Jaypirca ARs. Avoid use of strong CYP3A inhibitors with Jaypirca. If concomitant use is unavoidable, reduce Jaypirca dosage according to approved labeling. 

Strong or Moderate CYP3A Inducers: Concomitant use with Jaypirca decreased pirtobrutinib systemic exposure, which may reduce Jaypirca efficacy. Avoid concomitant use of Jaypirca with strong or moderate CYP3A inducers. If concomitant use with moderate CYP3A inducers is unavoidable, increase Jaypirca dosage according to approved labeling. 

Sensitive CYP2C8, CYP2C19, CYP3A, P-gp, or BCRP Substrates: Concomitant use with Jaypirca increased their plasma concentrations, which may increase risk of adverse reactions related to these substrates for drugs that are sensitive to minimal concentration changes. Follow recommendations for these sensitive substrates in their approved labeling. 

Use in Special Populations 

Pregnancy and Lactation: Due to potential for Jaypirca to cause fetal harm, verify pregnancy status in females of reproductive potential prior to starting Jaypirca and advise use of effective contraception during treatment and for one week after last dose. Presence of pirtobrutinib in human milk is unknown. Advise women not to breastfeed while taking Jaypirca and for one week after last dose. 

Geriatric Use: In the pooled safety population of patients with hematologic malignancies, patients aged ≥65 years experienced higher rates of Grade ≥3 ARs and serious ARs compared to patients <65 years of age. 

Renal Impairment: Severe renal impairment increases pirtobrutinib exposure. Reduce Jaypirca dosage in patients with severe renal impairment according to approved labeling. 

PT HCP ISI MCL_CLL AA JUN2024

Please see Prescribing Information and Patient Information for Jaypirca. 

About Lilly
Lilly is a medicine company turning science into healing to make life better for people around the world. We've been pioneering life-changing discoveries for nearly 150 years, and today our medicines help tens of millions of people across the globe. Harnessing the power of biotechnology, chemistry and genetic medicine, our scientists are urgently advancing new discoveries to solve some of the world's most significant health challenges: redefining diabetes care; treating obesity and curtailing its most devastating long-term effects; advancing the fight against Alzheimer's disease; providing solutions to some of the most debilitating immune system disorders; and transforming the most difficult-to-treat cancers into manageable diseases. With each step toward a healthier world, we're motivated by one thing: making life better for millions more people. That includes delivering innovative clinical trials that reflect the diversity of our world and working to ensure our medicines are accessible and affordable. To learn more, visit Lilly.com and Lilly.com/news, or follow us on Facebook, Instagram, and LinkedIn. P-LLY 

© Lilly USA, LLC 2025. ALL RIGHTS RESERVED. 

Trademarks and Trade Names 
All trademarks or trade names referred to in this press release are the property of the company, or, to the extent trademarks or trade names belonging to other companies are referenced in this press release, the property of their respective owners. Solely for convenience, the trademarks and trade names in this press release are referred to without the ® and ™ symbols, but such references should not be construed as any indicator that the company or, to the extent applicable, their respective owners will not assert, to the fullest extent under applicable law, the company's or their rights thereto. We do not intend the use or display of other companies' trademarks and trade names to imply a relationship with, or endorsement or sponsorship of us by, any other companies. 

Cautionary Statement Regarding Forward-Looking Statements 
This press release contains forward-looking statements (as that term is defined in the Private Securities Litigation Reform Act of 1995) about Jaypirca as a potential treatment for adults with chronic lymphocytic leukemia or small lymphocytic lymphoma (CLL/SLL), mantle cell lymphoma (MCL) and Waldenström macroglobulinemia (WM), and reflects Lilly's current beliefs and expectations. However, as with any pharmaceutical product, there are substantial risks and uncertainties in the process of drug research, development, and commercialization. Among other things, there is no guarantee that planned or ongoing studies will be completed as planned, that future study results will be consistent with study results to date, or that Jaypirca will receive additional regulatory approvals. For further discussion of these and other risks and uncertainties that could cause actual results to differ from Lilly's expectations, see Lilly's Form 10-K and Form 10-Q filings with the United States Securities and Exchange Commission. Except as required by law, Lilly undertakes no duty to update forward-looking statements to reflect events after the date of this release.

Endnotes & References 

  1. Mato AR, Shah NN, Jurczak W, et al. Pirtobrutinib in relapsed or refractory B-cell malignancies (BRUIN): a Phase 1/2 study. Lancet. 2021;397(10277):892-901. doi:10.1016/S0140-6736(21)00224-5 
  2. Hanel W, Epperla N. Emerging therapies in mantle cell lymphoma. J Hematol Oncol. 2020;13(1):79. Published 2020 Jun 17. doi:10.1186/s13045-020-00914-1 
  3. Gu D, Tang H, Wu J, Li J, Miao Y. Targeting Bruton tyrosine kinase using non-covalent inhibitors in B cell malignancies. J Hematol Oncol. 2021;14(1):40. Published 2021 Mar 6. doi:10.1186/s13045-021-01049-7 

Refer to:

Kyle Owens; Owens_Kyle@lilly.com; (332) 259-3932 (Media)


Michael Czapar; czapar_michael_c@lilly.com; 317-617-0983 (Investors)

 

Eli Lilly and Company logo. (PRNewsFoto, Eli Lilly and Company)

 

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SOURCE Eli Lilly and Company

FAQ

When will Eli Lilly (LLY) present Jaypirca BRUIN CLL-314 results at ASH 2025?

BRUIN CLL-314 oral presentation is scheduled for Dec 7, 2025 as part of the ASH press program.

What did Lilly report about BRUIN CLL-313 (pirtobrutinib) results at ASH 2025?

Lilly reported BRUIN CLL-313 met its primary endpoint with a highly statistically significant, clinically meaningful PFS improvement versus chemoimmunotherapy; results presented as a late-breaking oral on Dec 8, 2025.

How did BRUIN CLL-314 compare pirtobrutinib to ibrutinib in the Phase 3 trial?

BRUIN CLL-314 was a randomized head-to-head Phase 3 comparing pirtobrutinib to ibrutinib and met the primary endpoint of response-rate non-inferiority with a nominal P < 0.05.

Will Lilly present long-term safety and efficacy data for pirtobrutinib at ASH 2025?

Yes; Lilly will present Phase 1/2 BRUIN long-term efficacy and safety results with about five years of follow-up in oral and poster sessions.

Where and when can investors view the Jaypirca presentations at ASH 2025?

Key presentations are scheduled during ASH Dec 6–9, 2025 in Orlando; BRUIN CLL-314 is on Dec 7 and BRUIN CLL-313 on Dec 8, and abstracts were selected for the official ASH press program.
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