This study focuses on treating patients with Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, which are types of blood cancers affecting white blood cells. The study will test a combination of three medications: pirtobrutinib, venetoclax, and rituximab. The purpose is to determine if adding pirtobrutinib to the combination of venetoclax and rituximab improves outcomes for patients who have already received previous treatment for their disease.
The medications will be given in different ways: pirtobrutinib and venetoclax are taken as tablets by mouth, while rituximab is given through an intravenous infusion (through a vein). The study compares two groups of patients – one group receives all three medications (pirtobrutinib, venetoclax, and rituximab), while the other group receives only venetoclax and rituximab.
During the study, patients will receive treatment for up to two years. Throughout this time, doctors will monitor how well the treatment is working and track any changes in the disease. The main focus will be on how long patients remain without their disease getting worse after starting treatment.



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