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Acalabrutinib

Phase 1

Chronic Lymphocytic Leukemia | Small molecule | Oncology |Incyte Corporation|Last Updated: Nov 6, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment27
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05943496Tafasitamab, Acalabrutinib, and Obinutuzumab for the Treatment of Previously Untreated Chronic Lymphocytic Leukemia and Small Lymphocytic LymphomaPHASE1 RECRUITING 27Oct 2, 2023Jan 1, 2028Nov 6, 20251 United States
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Study Endpoints
Primary Endpoints
Incidence of dose limiting toxicities (DLTs)
From first dose of tafasitamab (cycle 2, day 1) to end of cycle 6 (C6D28) up to 2 years. (cycle length = 28 days)

Incidences of DLTs, serious AEs, and AEs of special interest experienced during cycle 2-6 evaluated. The severity of the AE assessed using National Cancer Institute Common Terminology Criteria for Adverse Events version 5. The international working chronic lymphocytic leukemia (iwCLL) grading system for hematological toxicities also utilized. Incidence and type of DLT reported.

Proportion of patients that achieve minimal residual disease (MRD) negativity in peripheral blood
From first dose of study drug (cycle 1, day 1) to 3, 6, 9, 12 months and 1-3 months after last dose of acalabrutinib up to 2 years.(cycle length = 28 days)

MRD negativity in patients reported using the efficacy set. Point estimate, along with exact two-sided 95% confidence interval (CI) reported.

Secondary Endpoints
Objective response rate (ORR)
From cycle 1, day 1 to any complete response (CR) or partial response (PR) through cycle 12 up to 2 years.(cycle length = 28 days)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (tafasitamab, obinutuzumab, acalabrutinib)EXPERIMENTALSee Detailed DescriptionPatients receive obinutuzumab IV over a rate titrated up to 400 mg/hour on days 1, 2, 8, and 15 for cycle 1 then on day 1 for cycles 2-6 and tafasitamab IV over 1.5-2 hours on days 1, 4, 8, 15, and 22 for cycle 2, on days 1, 8, 15, and 22 for cycles 3-4, and on days 1 and 15 for cycles 5-7. Patients also receive acalabrutinib PO BID in each cycle. Treatment repeats every 28 days for up to 12 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo blood sample collection and CT throughout the trial. Patients may undergo an ECHO at baseline as clinically indicated and may also undergo bone marrow biopsy and/or aspiration at baseline and/or follow-up.
Interventions
NameTypeDescription
AcalabrutinibDRUGGiven PO
Biospecimen CollectionPROCEDUREUndergo blood sample collection
Bone Marrow AspirationPROCEDUREUndergo bone marrow biopsy and/or aspiration
Bone Marrow BiopsyPROCEDUREUndergo bone marrow biopsy and/or aspiration
Computed TomographyPROCEDUREUndergo CT scan
EchocardiographyPROCEDUREUndergo ECHO
ObinutuzumabBIOLOGICALGiven IV
Questionnaire AdministrationOTHERAncillary studies
TafasitamabBIOLOGICALGiven IV
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Participant Inclusion Criteria * Written informed consent. Participant or legally authorized representative (LAR) must provide written informed consent prior to any study-specific procedures or interventions * Age \>= 18 years. All genders, races, and ethnic groups will be included * Ability to swa...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05943496primaryCompletionDate: changed
LOWMay 24, 2026NCT05943496studyFirstPostDate: changed