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Acalabrutinib+ R-CHOP standard of care

Phase 2

Mantle-cell Lymphoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Sep 1, 2026

Target and mechanism

Molecular targetBTK
Target classInhibitor
ModalitySmall molecule

Also known as Acalabrutinib, acalabrutinib

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment55

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

Acalabrutinib+ R-CHOP standard of care · 1 trial · 1 indication

Phase 2 1
NCT07029737A Study to Evaluate Acalabrutinib, in Combination With the R-CHOP Standard of Care, for Previously Untreated Mantle Cell Lymphoma in SpainMantle-cell Lymphoma
RECRUITING55 Analytics
PHASE2RECRUITING
A Study to Evaluate Acalabrutinib, in Combination With the R-CHOP Standard of Care, for Previously Untreated Mantle Cell Lymphoma in Spain
Mantle-cell LymphomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Best Overall Response Rate (ORR)
From acalabrutinib start to approximately 1 year thereafter

Investigator-assessed best ORR (CR+PR) as per the Lugano Classification for NHL

Secondary Endpoints

Time To Response (TTR)
From acalabrutinib start to the first investigator assessed response; up to 30 months since the last subject in
Duration of Response (DoR)
From the time of the first documentation of response to disease progression or death; up to 30 months since the last subject in
Progression-Free Survival (PFS)
From acalabrutinib start to disease progression or death; up to 30 months since the last subject in
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Single ArmEXPERIMENTALAcalabrutinib + R-CHOP standard of care (Induction Phase) plus Acalabrutinib + Rituximab (Maintenance Phase) / Acalabrutinib Monotherapy (Maintenance Phase)

Interventions

NameTypeDescription
Acalabrutinib + R-CHOP standard of careDRUGAcalabrutinib will be administered 100 mg twice per day (BID) orally (PO) until disease progression if medically appropriate, along with R-CHOP standard of care up to six 21-day cycles of the induction phase.
Acalabrutinib combination with RituximabDRUGIf the subject achieves response during the induction phase, acalabrutinib will be administered 100 mg BID PO until disease progression and rituximab 375 mg/m2 on Day 1 of every other 28-day cycle for a maximum of 12 additional doses.
Acalabrutinib monotherapyDRUGIf the subject does not achive response during the induction phase, monotherapy acalabrutinib will be administered 100 mg BID PO until disease progression.
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Eligibility Criteria

Age Range18 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites22

INCLUSION CRITERIA: 1. Adult men or women. 2. Pathologically confirmed MCL, with documentation of chromosome translocation t(11;14)(q13;q32) and/or overexpression of cyclin D1 in association with other relevant markers. 3. MCL requiring treatment and for which no prior systemic anticancer therapies...

Countries:Spain
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Recent Changes (Last 90 Days)

LOWSep 1, 2026NCT07029737lastUpdatePostDate: changed
LOWSep 1, 2026NCT07029737lastUpdatePostDate: changed
MEDIUMAug 3, 2026NCT07029737primaryCompletionDate: changed
MEDIUMAug 3, 2026NCT07029737primaryCompletionDate: changed
LOWJul 10, 2026NCT07029737lastUpdatePostDate: changed
LOWJul 10, 2026NCT07029737lastUpdatePostDate: changed
LOWJun 11, 2026NCT07029737lastUpdatePostDate: changed
LOWJun 11, 2026NCT07029737lastUpdatePostDate: changed

Frequently asked questions about Acalabrutinib+ R-CHOP standard of care

What is Acalabrutinib used for?

Acalabrutinib is an investigational small molecule being studied for mantle-cell lymphoma, chronic lymphocytic leukemia, advanced B-cell malignancies, B-cell non-Hodgkin lymphoma, non-Hodgkin lymphoma, and infectious disease. It is also being evaluated in Richter syndrome and COVID-19. The drug is in clinical development and has not been approved for these uses.

How does Acalabrutinib work?

Acalabrutinib is a kinase inhibitor, belonging to the -tinib class of drugs. It targets and inhibits Bruton's tyrosine kinase (BTK), a protein involved in B-cell receptor signaling. By blocking this kinase, acalabrutinib is intended to disrupt the survival and proliferation of malignant B cells.

Who is developing Acalabrutinib?

Acalabrutinib is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. AstraZeneca is conducting clinical trials to evaluate the drug's safety and efficacy across multiple oncology and infectious disease indications.

What phase is Acalabrutinib in?

Acalabrutinib is in Phase 1 clinical development. It has received priority review designation from the FDA. The drug is investigational and has not been approved for any indication. Clinical trials are ongoing to assess its potential as a treatment for various B-cell malignancies and other conditions.

What clinical trials is Acalabrutinib in?

Acalabrutinib is being studied in several clinical trials. NCT02180711 is a Phase 1 study in B-cell non-Hodgkin lymphoma. NCT03899337 is a Phase 2 trial in Richter syndrome. NCT04346199 and NCT04380688 are Phase 2 studies in hospitalized COVID-19 patients. These trials are active or completed, with a total enrollment of over 1,500 participants.

Is Acalabrutinib the same as Acalabrutinib in combination with BR?

Acalabrutinib is the same drug as Acalabrutinib in combination with BR and Acalabrutinib + R-CHOP standard of care. These names refer to acalabrutinib when used alongside specific chemotherapy regimens, such as bendamustine and rituximab (BR) or R-CHOP, in clinical trial settings.