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OncoMatch/Clinical Trials/NCT06263491

Phase II Study of Pirtobrutinib, Rituximab (PR) in Previously Untreated Low and Intermediate Risk MCL (Mantle Cell Lymphoma) Patients

Is NCT06263491 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Rituximab and Pirtobrutinib for mantle cell lymphoma.

Phase 2RecruitingM.D. Anderson Cancer CenterNCT06263491Data as of May 2026

Treatment: Rituximab · PirtobrutinibTo learn if the chemotherapy-free combination of pirtobrutinib (also called LOXO-305) and rituximab can help provide long term remission in low and intermediate risk MCL.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: CD20 positivity

CD20 positivity is needed

Excluded: TP53 mutation

TP53 mutated or del17p by FISH

Excluded: TP53 deletion (del17p)

TP53 mutated or del17p by FISH

Excluded: MYC rearrangement

Presence of MYC rearrangement positive by FISH

Excluded: BCL2 amplification

Bcl2 amplification

Allowed: CCND1 negative

Cyclin D1 negative MCL are allowed after confirming the diagnosis of MCL from hem-path at MDACC

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Lab requirements

Blood counts

platelet count ≥75,000/mm3; ANC ≥ 1000/mm3 unless cytopenia is clearly due to marrow involvement from MCL; total hemoglobin ≥ 8 g/dL (without transfusion support within 2 weeks of screening); cytopenias due to significant BM involvement (≥30% BM involvement by MCL) may be allowed after discussion with PI/Co-PI

Kidney function

Creatinine clearance ≥30 mL/min (by Cockcroft-Gault method)

Liver function

Total bilirubin ≤ 1.5 × ULN or ≤ 3 × ULN with documented liver involvement and/or Gilbert's Disease or controlled immune hemolysis or considered an effect of regular blood transfusions. ALT and AST <3 x ULN, or < 5 x ULN if hepatic metastases are present.

Cardiac function

Ejection fraction ≥50% and cardiology evaluation may be needed. Prothrombin time (or INR) and partial thromboplastin time not to exceed 1.2 times the institutional upper limit of normal range (participants with an elevated prothrombin time and known lupus anticoagulant may be eligible after consulting the study PI).

Adequate BM function independent of growth factor or PRBC or platelet transfusion support... Adequate organ function as defined by the following laboratory values: Creatinine clearance. ≥30 mL/min... Total bilirubin ≤ 1.5 × ULN or ≤ 3 × ULN with documented liver involvement and/or Gilbert's Disease or controlled immune hemolysis or considered an effect of regular blood transfusions. ALT and AST <3 x ULN, or < 5 x ULN if hepatic metastases are present. Prothrombin time (or international normalized ratio) and partial thromboplastin time not to exceed 1.2 times the institutional upper limit of normal range...

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • MD Anderson Cancer Center · Houston, Texas

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