FDA Gives Conditional Approval For Eli Lilly's Drug For Rare Blood Cancer

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  • The FDA approved Eli Lilly And Co's LLY Jaypirca (pirtobrutinib) for adult patients with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy.
  • Jaypirca is the first BTK inhibitor of any kind specifically approved for patients with mantle cell lymphoma previously treated with a covalent BTK inhibitor.
  • Also Read: FDA Rejects Eli Lilly's Donanemab For Alzheimer's Disease, Needs More Data.
  • Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.
  • The labeling for Jaypirca contains warnings and precautions for infections, hemorrhage, cytopenias, atrial fibrillation and flutter, second primary malignancies, and embryo-fetal toxicity.
  • Jaypirca was approved under the FDA's Accelerated Approval pathway based on data from a subset of patients in the BRUIN Phase 1/2 trial. 
  • The efficacy was based on 120 patients with MCL treated with Jaypirca 200 mg once daily until disease progression or unacceptable toxicity. 
  • The study showed an overall response rate of 50% (60 patients), with 13% achieving a complete response.
  • Jaypirca will be available in the U.S. in the coming weeks.
  • The confirmatory Phase 3 trial, BRUIN MCL-321) is currently enrolling patients.
  • Price Action: LLY shares were up 1.73% at $348.01 premarket on the last check Monday.
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