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NCT02180711

Study of Acalabrutinib Alone or in Combination Therapy in Subjects With B-cell Non-Hodgkin Lymphoma

Active, enrolled Phase 1, PHASE2 Results posted Last updated 15 October 2025
What this trial tests

Phase 1, PHASE2 trial testing acalabrutinib in Non Hodgkin Lymphoma in 113 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
29 December 2014
Primary endpoint
25 August 2023
29 December 2028

Quick facts

Lead sponsorAcerta Pharma BV
PhasePhase 1, PHASE2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designparallel
Maskingnone
Primary purposetreatment
Enrollment113
Start date29 December 2014
Primary completion25 August 2023
Estimated completion29 December 2028
Sites32 locations across Italy, Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Acerta Pharma BV — full company profile →

Who can join

18 and older, any sex, with Non Hodgkin Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 1: Incidence of Treatment-emergent Adverse Events. Primary · From the first dose of study drug until study discontinuation, 30 days after the last dose of study drug or one day before the first subsequent anticancer therapy, whichever was earlier, up to 80.7 months (the maximum participant's time on this study).

Treatment-emergent adverse events were used to characterize the safety profile of acalabrutinib alone or in combination with rituximab in participants with relapsed/refractory follicular lymphoma (R/R FL).

GroupValue95% CI
Part 1: Acalabrutinib 100 mg BID12
Part 1: Acalabrutinib 100 mg BID + Rituximab13
Part 1: Relapsed or Refractory Acalabrutinib 200 mg QD2
Part 1: Acalabrutinib 100 mg Rituximab13
Part 2: Investigator Assessed Objective Response Rate (ORR) According to the Lugano Classification for Non-Hodgkin Lymphoma (NHL). Primary · Based on all response assessments since the first dose of study drug until study discontinuation or the initiation of subsequent anticancer therapy, whichever was earlier, up to 65.1 months (the maximum participant's time on this study).

The objective response rate (ORR) is used to characterize the activity of acalabrutinib alone or in combination with rituximab in participants with relapsed/refractory marginal zone lymphoma (R/R MZL).

GroupValue95% CI
Part 2: Acalabrutinib60.544.4 – 75.0
Part 2: Acalabrutinib + Rituximab00 – 97.5
Part 3: Incidence of Treatment-emergent Adverse Events. Primary · From the first dose of study drug until study discontinuation, 30 days after the last dose of study drug or one day before the first subsequent anticancer therapy, whichever was earlier, up to 54.3 months (the maximum participant's time on this study).

Treatment-emergent adverse events were used to characterize the safety of acalabrutinib in combination with rituximab and lenalidomide in participants with relapsed/refractory follicular lymphoma (R/R FL).

GroupValue95% CI
Part 3: Acalabrutinib + Rituximab + Lenalidomide 15 mg8
Part3: Acalabrutinib + Rituximab + Lenalidomide+20mg21

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent period, i.e. from the first dose of study drug until study discontinuation, 30 days after the last dose of study drug, or one day before the initiation of the subsequent anticancer therapy, whichever occurred earlier, up to 80.7 months for part 1, up to 65.1 months for part 2, and up to 54.3 months for part 3.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

P1: RR Acalabrutinib 100 mg BID
Serious: 2/12 (17%)
Deaths: 0/12
P1: RR Acalabrutinib 100 mg BID + Rituximab
Serious: 5/13 (38%)
Deaths: 1/13
P1: RR Acalabrutinib 200 mg QD
Serious: 0/2 (0%)
Deaths: 0/2
P1: TN Acalabrutinib 100 mg BID + Rituximab
Serious: 3/13 (23%)
Deaths: 0/13
P2: Acalabrutinib
Serious: 9/43 (21%)
Deaths: 7/43
P2: Acalabrutinib + Rituximab
Serious: 1/1 (100%)
Deaths: 0/1
P3: Acalabrutinib + Rituximab + Lenalidomide 15 mg
Serious: 4/8 (50%)
Deaths: 1/8
P3: Acalabrutinib + Rituximab + Lenalidomide 20 mg
Serious: 11/21 (52%)
Deaths: 3/21

Serious adverse events (46 terms)

ReactionSystemP1: RR Acalabrutinib 100 m…P1: RR Acalabrutinib 100 m…P1: RR Acalabrutinib 200 m…P1: TN Acalabrutinib 100 m…P2: AcalabrutinibP2: Acalabrutinib + Rituxi…P3: Acalabrutinib + Rituxi…P3: Acalabrutinib + Rituxi…
Covid-19 pneumoniaInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Covid-19Infections and infestations
Atrial flutterCardiac disorders
Pneumonia influenzalInfections and infestations
BradycardiaCardiac disorders
Septic shockInfections and infestations
Upper respiratory tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Sinus bradycardiaCardiac disorders
DehydrationMetabolism and nutrition disorders
Diabetes mellitus inadequate controlMetabolism and nutrition disorders
Failure to thriveMetabolism and nutrition disorders
Tumour lysis syndromeMetabolism and nutrition disorders
Cardiac valve fibroelastomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AphasiaNervous system disorders
Cerebrovascular accidentNervous system disorders
DysarthriaNervous system disorders
SyncopeNervous system disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Other adverse events (246 terms — click to expand)

ReactionSystemP1: RR Acalabrutinib 100 m…P1: RR Acalabrutinib 100 m…P1: RR Acalabrutinib 200 m…P1: TN Acalabrutinib 100 m…P2: AcalabrutinibP2: Acalabrutinib + Rituxi…P3: Acalabrutinib + Rituxi…P3: Acalabrutinib + Rituxi…
HeadacheNervous system disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
Infusion related reactionInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Covid-19Infections and infestations
Neutrophil count decreasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
ContusionInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
SinusitisInfections and infestations
Urinary tract infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
Weight decreasedInvestigations
RashSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
HypertensionVascular disorders
DyspepsiaGastrointestinal disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
Upper respiratory tract infectionInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
Muscular weaknessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Covid-19 pneumonia, Pneumonia, Sepsis, Covid-19, Atrial flutter, Pneumonia influenzal, Bradycardia, Septic shock.

Data from ClinicalTrials.gov NCT02180711 adverse events section.

Sponsor's own description

Part 1: To characterize the safety profile of acalabrutinib alone or in combination with rituximab in subjects with R/R FL. Part 2: To characterize the activity of acalabrutinib alone or in combination with rituximab in subjects with R/R MZL, as measured by ORR. Part 3: To characterize the safety of acalabrutinib in combination with rituximab and lenalidomide in subjects with R/R FL

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Acalabrutinib (ACP-196): a selective second-generation BTK inhibitor.
    Wu J, Zhang M, Liu D. · · 2016 · cited 168× · PMID 26957112 · DOI 10.1186/s13045-016-0250-9
  2. Single-agent ibrutinib in relapsed or refractory follicular lymphoma: a phase 2 consortium trial.
    Bartlett NL, Costello BA, LaPlant BR, Ansell SM, et al · · 2018 · cited 123× · PMID 29074501 · DOI 10.1182/blood-2017-09-804641
  3. NF-κB signaling pathway and its potential as a target for therapy in lymphoid neoplasms.
    Yu L, Li L, Medeiros LJ, Young KH. · · 2017 · cited 84× · PMID 27773462 · DOI 10.1016/j.blre.2016.10.001
  4. Acalabrutinib: A Selective Bruton Tyrosine Kinase Inhibitor for the Treatment of B-Cell Malignancies.
    Abbas HA, Wierda WG. · · 2021 · cited 30× · PMID 34055635 · DOI 10.3389/fonc.2021.668162
  5. A phase 2, multicentre, open-label trial (ACE-LY-003) of acalabrutinib in patients with relapsed or refractory marginal zone lymphoma.
    Strati P, Coleman M, Champion R, Ma S, et al · · 2022 · cited 29× · PMID 35861370 · DOI 10.1111/bjh.18368
  6. Targeting pathogenic mechanisms in marginal zone lymphoma: from concepts and beyond.
    Lue JK, O'Connor OA, Bertoni F. · · 2020 · cited 14× · PMID 34667996 · DOI 10.21037/aol-20-20
  7. New Means and Challenges in the Targeting of BTK.
    Nawaratne V, Sondhi AK, Abdel-Wahab O, Taylor J. · · 2024 · cited 12× · PMID 38578606 · DOI 10.1158/1078-0432.ccr-23-0409
  8. Exposure-response analysis of acalabrutinib and its active metabolite, ACP-5862, in patients with B-cell malignancies.
    Edlund H, Buil-Bruna N, Vishwanathan K, Wei H, et al · · 2022 · cited 12× · PMID 34532877 · DOI 10.1111/bcp.15087

Verify or expand the search:

Other trials of acalabrutinib

Trials testing the same drug.

Other recruiting trials for Non Hodgkin Lymphoma

Currently open trials in the same condition.

Other Acerta Pharma BV trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02180711.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing