CClinicalTrials.gg
RecruitingNCT06973187Updated Sep 28, 2026

A Study to Evaluate the Safety and Efficacy of Tacabrutideg (BGB-16673) Compared to Pirtobrutinib in Adults With Relapsed/Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

A Phase 3 interventional study of Tacabrutideg and Pirtobrutinib in Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, sponsored by BeOne Medicines. Recruiting at 217 sites in 24 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by BeOne Medicines · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of tacabrutideg alone compared with pirtobrutinib in patients with relapsed or refractory (R/R) chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) who had been previously treated with a covalent Bruton tyrosine kinase inhibitor (cBTKi).

Read the detailed description

Our company, previously known as BeiGene, is now officially BeOne Medicines. Because some of our older studies were sponsored under the name BeiGene, you may see both names used for this study on this website.

02

Conditions studied

  • Chronic Lymphocytic Leukemia
  • Small Lymphocytic Lymphoma

Keywords

  • Noncovalent Bruton tyrosine kinase inhibitor
  • Bruton tyrosine kinase-targeted protein degrader
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Confirmed diagnosis of CLL or SLL, requiring treatment, based on 2018 iwCLL criteria
  • Previously received treatment for CLL/SLL with a covalent Bruton tyrosine kinase inhibitor (cBTKi). Patients should have disease relapsed after or refractory to at least 1 line of therapy including a cBTKi.
  • Participants with SLL must have measurable disease by computed tomography/magnetic resonance imaging, defined as ≥ 1 lymph node > 1.5 cm in longest diameter and measurable in 2 perpendicular diameters.

Exclusion criteria

Exclusion Criteria:

  • Known prolymphocytic leukemia or history of, or currently suspected, Richter's transformation.
  • History of known bleeding disorder such as hemophilia A, hemophilia B, von Willebrand disease, or history of spontaneous bleeding requiring blood transfusion or other medical intervention
  • History of ischemic stroke or intracranial hemorrhage within 6 months before first dose of study drug
  • Prior exposure to any Bruton tyrosine kinase (BTK) protein degraders or noncovalent Bruton tyrosine kinase inhibitor (ncBTKi).
  • Current or history of central nervous system involvement including the brain, spinal cord, leptomeninges, and cerebrospinal fluid (as documented by imaging, cytology, or biopsy) by CLL/SLL

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Arm A: Tacabrutideg

    Participants will receive tacabrutideg orally.

    Drug: Tacabrutideg

  • Active comparator
    Arm B: Pirtobrutinib

    Participants will receive pirtobrutinib orally.

    Drug: Pirtobrutinib

Interventions

  • DrugTacabrutideg

    Tacabrutideg will be administered orally

    Also known as: BGB-16673

  • DrugPirtobrutinib

    Pirtobrutinib will be administered orally

    Also known as: Jaypirca

05

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS) per Independent Review Committee (IRC)

    PFS is defined as time from the date of randomization to the date of first disease progression or death, whichever occurs first, as determined by IRC using modified 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with chronic lymphocytic leukemia (CLL) and Lugano classification for participants with small lymphocytic lymphoma (SLL).

    Time frame: Up to approximately 3 years

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as the time from the date of randomization to the date of death due to any cause.

    Time frame: Up to approximately 3 years

  2. PFS per Investigator (INV)

    PFS per INV is defined as time from the date of randomization to the date of first disease progression or death, whichever occurs first, as determined by investigator using modified 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria for participants with CLL and Lugano classification for participants with SLL.

    Time frame: Up to approximately 3 years

  3. Overall Response Rate (ORR) per IRC and INV

    ORR is defined as the percentage of participants with a best overall response of complete response, complete response with incomplete bone marrow recovery, nodular partial remission, or partial response, as assessed by the investigator and IRC using modified 2018 iwCLL criteria for patients with CLL and Lugano classification for patients with SLL.

    Time frame: Up to approximately 3 years

  4. Rate of Partial Response with Lymphocytosis (PR-L) or Higher per IRC and INV

    The rate of PR-L or higher is defined as the percentage of participants with a best overall response of complete response, complete response with incomplete bone marrow recovery, nodular partial remission, partial response, or PR-L.

    Time frame: Up to approximately 3 years

  5. Duration of Response (DOR) per IRC and INV

    DOR is defined as the time from initial response to disease progression or death, whichever occurs first.

    Time frame: Up to approximately 3 years

  6. Time to Next Anti-CLL/SLL Treatment (TTNT)

    TTNT is defined as the time from the date of randomization to the date of next anti-CLL/SLL treatment.

    Time frame: Up to approximately 3 years

  7. Number of Participants with Adverse Events (AEs)

    Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory abnormalities.

    Time frame: Up to approximately 3 years

  8. Change from Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire EORTC IL409

    EORTC IL409 consists of a set of 19 questions derived from the EORTC quality of life questionnaire core 30 (QLQ-C30) and its CLL module CLL17. The EORTC IL409 includes questions on global health status (GHS)/quality of life, physical functioning, role functioning, physical condition/fatigue, and symptom burden.Higher scores in GHS and functional scales and lower scores in symptom scales indicate better health-related quality of life.

    Time frame: Baseline and up to approximately 3 years

06

Study locations

217 of 217 sites recruiting
  • University of Alabama At Birmingham Hospital
    Birmingham, Alabama 35294-0004, United States
    Recruiting
  • Mayo Clinic Phoenix
    Phoenix, Arizona 85054-4502, United States
    Recruiting
  • Kaiser Permanente Southern California
    Irvine, California 92618-3734, United States
    Recruiting
  • University of California San Diego (Ucsd) Moores Cancer Center
    La Jolla, California 92093-1503, United States
    Recruiting
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California 90720-3302, United States
    Recruiting
  • UCLA Department of Medicine Hematologyoncology
    Los Angeles, California 90095-3075, United States
    Recruiting
  • Kaiser Permanente Oakland Medical Center
    Oakland, California 94611, United States
    Recruiting
  • Stanford Cancer Institute
    Palo Alto, California 94304-2205, United States
    Recruiting
  • Kaiser Permanente Roseville Medical Center
    Roseville, California 95661, United States
    Recruiting
  • Kaiser Permanente San Francisco Medical Center Oncology
    San Francisco, California 94115, United States
    Recruiting
  • Kaiser Permanente Santa Clara Medical Center Oncologyhematology
    Santa Clara, California 95051, United States
    Recruiting
  • Kaiser Permanente Northern California
    Vallejo, California 94589-2441, United States
    Recruiting
  • Kaiser Permanente Walnut Creek Medical Center
    Walnut Creek, California 94596, United States
    Recruiting
  • Christiana Care
    Newark, Delaware 19713-2055, United States
    Recruiting
  • Medstar Georgetown University Hospital
    Washington D.C., District of Columbia 20007-2113, United States
    Recruiting
  • Mayo Clinic Jacksonville
    Jacksonville, Florida 32224-1865, United States
    Recruiting
  • Cancer Specialists of North Florida
    Jacksonville, Florida 32256, United States
    Recruiting
  • Mount Sinai Medical Center Braman Comprehensive Cancer Center
    Miami, Florida 33140, United States
    Recruiting
  • University of Chicago Medical Center
    Chicago, Illinois 60637-1443, United States
    Recruiting
  • Mission Cancer and Blood
    Waukee, Iowa 50263, United States
    Recruiting
  • The University of Kansas Cancer Center
    Westwood, Kansas 66205-2003, United States
    Recruiting
  • Our Lady of the Lake Hospital
    Baton Rouge, Louisiana 70808-4365, United States
    Recruiting
  • Mary Bird Perkins Cancer Center
    Baton Rouge, Louisiana 70809-3738, United States
    Recruiting
  • Ochsner Clinic Foundation
    New Orleans, Louisiana 70121-2429, United States
    Recruiting
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215-5418, United States
    Recruiting
  • Karmanos Cancer Institute
    Detroit, Michigan 48201-2013, United States
    Recruiting
  • Mayo Clinic Rochester
    Rochester, Minnesota 55905-0001, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri 63110-1010, United States
    Recruiting
  • Titan Health Partners Llc Dba Astera Cancer Care
    East Brunswick, New Jersey 08816-4096, United States
    Recruiting
  • John Theurer Cancer Center Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
    Recruiting
  • Columbia University Medical Center
    New York, New York 10032, United States
    Recruiting
  • Weill Cornell Medical College Newyork Presbyterian Hospital
    New York, New York 10065-4870, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center Mskcc
    New York, New York 10065-6800, United States
    Recruiting
  • University of Rochester
    Rochester, New York 14642-0001, United States
    Recruiting
  • University of North Carolina At Chapel Hill
    Chapel Hill, North Carolina 27514-4220, United States
    Recruiting
  • Atrium Health Levine Cancer Institute (Lci)
    Charlotte, North Carolina 28204-2990, United States
    Recruiting
  • Duke University Medical Center
    Durham, North Carolina 27705-3976, United States
    Recruiting
  • Atrium Health Wake Forest Baptist
    Winston-Salem, North Carolina 27157, United States
    Recruiting
  • Dayton Physician Network
    Dayton, Ohio 45415, United States
    Recruiting
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111-2434, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina 29402-0955, United States
    Recruiting
  • Tennessee Oncology, Pllc Nashville
    Nashville, Tennessee 37203, United States
    Recruiting
  • Md Anderson Cancer Center
    Houston, Texas 77030-3907, United States
    Recruiting
  • Texas Oncology Palestine Cancer Center
    Palestine, Texas 75801-6981, United States
    Recruiting
  • Blue Ridge Cancer Care (Oncology and Hematology Associates of Southwest Virginia)
    Roanake, Virginia 24014, United States
    Recruiting
  • Fred Hutchinson Cancer Research Center
    Seattle, Washington 98109-4433, United States
    Recruiting
  • Summit Cancer Centers
    Spokane, Washington 99208-1129, United States
    Recruiting
  • Northwest Medical Specialties
    Tacoma, Washington 98405, United States
    Recruiting
  • Gunderson Health System
    La Crosse, Wisconsin 54601-5467, United States
    Recruiting
  • FUNDALEU
    Caba, CP1114, Argentina
    Recruiting
  • Sanatorio Allende
    Córdoba, X5000BFB, Argentina
    Recruiting
  • Centro Oncologico de Integracion Regional (Coir)
    Mendoza, M5500, Argentina
    Recruiting
  • Hospital Privado de Rosario
    Rosario, 60430-277, Argentina
    Recruiting
  • Concord Repatriation General Hospital
    Concord, New South Wales NSW 2139, Australia
    Recruiting
  • St George Private Hospital
    Kogarah, New South Wales 2217, Australia
    Recruiting
  • Westmead Private Hospital
    Westmead, New South Wales 2145, Australia
    Recruiting
  • Pindara Private Hospital
    Benowa, Queensland QLD 4217, Australia
    Recruiting
  • Sunshine Coast Hospital and Health Service
    Birtinya, Queensland QLD 4575, Australia
    Recruiting
  • John Flynn Private Hospital
    Tugun, Queensland QLD 4224, Australia
    Recruiting
  • Flinders Medical Centre
    Bedford PK, South Australia SA 5042, Australia
    Recruiting
  • St Vincents Hospital Melbourne
    Fitzroy, Victoria VIC 3065, Australia
    Recruiting
  • Peninsula Private Hospital
    Frankston, Victoria VIC 3199, Australia
    Recruiting
  • Austin Health
    Heidelberg, Victoria VIC 3084, Australia
    Recruiting
  • Cabrini Hospital Malvern
    Malvern, Victoria VIC 3144, Australia
    Recruiting
  • Peter Maccallum Cancer Centre
    Melbourne, Victoria VIC 3000, Australia
    Recruiting
  • The Alfred Hospital
    Melbourne, Victoria VIC 3004, Australia
    Recruiting
  • Linear Clinical Research
    Nedlands, Western Australia WA 6009, Australia
    Recruiting
  • Medical University Graz
    Graz, 8036, Austria
    Recruiting
  • Medizinische Universitatsklinik Innsbruck
    Innsbruck, 6020, Austria
    Recruiting
  • Ordensklinikum Linz Gmbh Elisabethinen
    Linz, 4020, Austria
    Recruiting
  • Universitatsklinik Fur Innere Medizin Iii Universitatsklinikum Der Pmu Landeskrankenhaus Salzburg
    Salzburg, 5020, Austria
    Recruiting
  • Uk St Poelten
    Sankt Pölten, 3100, Austria
    Recruiting
  • Institut Jules Bordet
    Anderlecht, 1070, Belgium
    Recruiting
  • UZ GENT
    Ghent, 9000, Belgium
    Recruiting
  • Az Groeninge Campus Loofstraat
    Kortrijk, 8500, Belgium
    Recruiting
  • Chc Montlegia
    Liège, 4000, Belgium
    Recruiting
  • Chu de Liege
    Liège, 4000, Belgium
    Recruiting
  • Az Sint Maarten
    Mechelen, 2800, Belgium
    Recruiting
  • Chu Ucl Namur
    Yvoir, 5530, Belgium
    Recruiting
  • Centro de Pesquisa Clinica Dom Bosco Ltda
    Araçatuba, 16015-150, Brazil
    Recruiting
  • Hospital Felicio Rocho
    Belo Horizonte, 30110-068, Brazil
    Recruiting
  • Ictr Instituto Do Cancer E Transplante de Curitiba
    Curitiba, 80510-130, Brazil
    Recruiting
  • Hospital de Clinicas de Goiania Ufg
    Goiânia, 74605-020, Brazil
    Recruiting
  • Inca Instituto Nacional de Cancer
    Rio de Janeiro, 20231-050, Brazil
    Recruiting
  • Ensino E Terapia de Inovacao Clinica Amo Etica
    Salvador, 41950-640, Brazil
    Recruiting
  • Hospital Nove de Julho Dasa
    São Paulo, 01409-001, Brazil
    Recruiting
  • Hcfmusp Hospital Das Clinicas Da Faculdade de Medicina Da Universidade de Sao Paulo
    São Paulo, 05403-010, Brazil
    Recruiting
  • Peking Union Medical College Hospital
    Beijing, Beijing Municipality 100730, China
    Recruiting
  • Fujian Medical University Union Hospital
    Fuzhou, Fujian 350001, China
    Recruiting
  • The First Hospital of Lanzhou University
    Lanzhou, Gansu 730000, China
    Recruiting
  • Sun Yat Sen University Cancer Center
    Guangzhou, Guangdong 510060, China
    Recruiting
  • Jiangmen Central Hospital
    Jiangmen, Guangdong 529030, China
    Recruiting
  • The First Affiliated Hospital of Guangxi Medical University
    Nanning, Guangxi 530021, China
    Recruiting
  • Guizhou Provincial Peoples Hospital
    Guiyang, Guizhou 550002, China
    Recruiting
  • The Fourth Hospital of Hebei Medical University East Branch
    Shijiazhuang, Hebei 050035, China
    Recruiting
  • The First Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang 150007, China
    Recruiting
  • Xuchang Central Hospitalluminghu Branch
    Xuchang, Henan 461000, China
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan 450000, China
    Recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technologychegu Branch
    Wuhan, Hubei 430056, China
    Recruiting
  • Hunan Cancer Hospital
    Changsha, Hunan 410013, China
    Recruiting

Showing the first 100 of 217 sites across 24 countries.

07

References and documents

Individual participant data

Plan to share: Yes — BeOne shares data on completed studies responsibly and provides qualified scientific and medical researchers access to data and supporting documentation for clinical trials in dossiers for medicines and indications after submission and approval in the United States, China, and Europe. Clinical trials supporting subsequent local approvals, new indications, or combination products are eligible for sharing once corresponding regulatory approvals are achieved. BeOne shares data only when permitted by applicable data privacy and security laws and regulations, when it is feasible to do so without compromising the privacy of study participants, and other considerations. Qualified researchers with appropriate competencies who are engaged in novel scientific research may submit a request for participant-level data with a research proposal for BeOne review. Research teams must include a biostatistician and sign a Data Sharing Agreement prior to receiving access to clinical trial data.

Supporting information: Study protocol, Sap, Csr

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06973187
Lead sponsor
BeOne Medicines
Responsible party
Sponsor
First posted
May 15, 2025
Start date
Sep 4, 2025
Primary completion
Apr 17, 2028 (estimated)
Completion
Apr 17, 2028 (estimated)
Last update
Sep 28, 2026

Study contacts

Study Director
Contact
clinicaltrials@beonemed.com
1-877-828-5568
Study Director
study director · BeOne Medicines

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
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