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Acalabrutinib

Phase 2

Mantle Cell Lymphoma | Small molecule | Oncology |United Therapeutics Corporation|Last Updated: Mar 12, 2024

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
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment45
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04626791Modified VR-CAP and Acalabrutinib as First Line Therapy for the Treatment of Transplant-Eligible Patients With Mantle Cell LymphomaPHASE2 RECRUITING 45Aug 3, 2021Aug 3, 2028Mar 12, 20247 United States
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Study Endpoints
Primary Endpoints
Proportion of complete responses to therapy (complete metabolic response [CMR])
At completion of study treatment

Measured according to Lugano criteria. A success is defined as a CMR as the objective status at the end of treatment. The proportion of successes will be estimated by the number of successes divided by the total number of evaluable patients. 9% confidence intervals for the true success proportion will be calculated according to the approach of Duffy and Santner.

Secondary Endpoints
Minimal residual disease (MRD) rate
Up to completion of study treatment
MRD rate
Up to completion of study treatment
Incidence of adverse events
Up to 30 days post-treatment
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (modified VR-CAP, acalabrutinib)EXPERIMENTALCYCLES 1, 3, AND 5: Patients receive acalabrutinib PO BID on days 1-21. Patients also receive bortezomib SC on days 1, 8, and 15, rituximab (or rituximab and hyaluronidase human) IV, cyclophosphamide IV, and doxorubicin hydrochloride IV on day 1, and prednisone PO on days 1-5. CYCLES 2, 4, AND 6: Patients receive acalabrutinib PO BID on days 1-21. Patients also receive rituximab (or rituximab and hyaluronidase human) IV on day 1 and cytarabine IV on days 1-2. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity.
Interventions
NameTypeDescription
AcalabrutinibDRUGGiven PO
BortezomibDRUGGiven SC
CyclophosphamideDRUGGiven IV
CytarabineDRUGGiven IV
Doxorubicin HydrochlorideDRUGGiven IV
PrednisoneDRUGGiven PO
RituximabBIOLOGICALGiven IV
Rituximab and Hyaluronidase HumanBIOLOGICALGiven IV
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Age 18-75 years * No prior therapy for mantle cell lymphoma (MCL) * MCL in need of systemic therapy, and potentially eligible for ASCT as assessed by the treating physician * Documented histological confirmation of MCL by local institutional review * Documented, fludeoxyglucos...

Countries:United States
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