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NCT02362035: KEYNOTE145

ACP-196 (Acalabrutinib) in Combination With Pembrolizumab, for Treatment of Hematologic Malignancies

Completed Phase 1, PHASE2 Results posted Last updated 11 December 2025
What this trial tests

Phase 1, PHASE2 trial testing Acalabrutinib in Follicular Lymphoma (FL) in 161 participants. Completed in 27 October 2025.

Timeline
20 February 2015
Primary endpoint
14 July 2020
27 October 2025

Quick facts

Lead sponsorAcerta Pharma BV
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment161
Start date20 February 2015
Primary completion14 July 2020
Estimated completion27 October 2025
Sites19 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Acerta Pharma BV — full company profile →

Who can join

18 and older, any sex, with Follicular Lymphoma (FL) or CLL. 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.

Number of Participants With Treatment Emergent Adverse Events (AEs) Primary · 104 weeks

Treatment-emergent AEs were defined as those events that occurred on or after the first dose of study drug, through the treatment phase, and within 30 days following the last dose of study drug.

GroupValue95% CI
Acalabrutinib + Pembrolizumab160
Number of Participants With Grade 3-4 Adverse Events Primary · 104 weeks

Severity of AEs was graded using the Common Terminology Criteria for Adverse Events (CTCAE), version 4.03

GroupValue95% CI
Acalabrutinib + Pembrolizumab105
Number of Participants With Grade 5 Adverse Events Primary · 104 weeks

Number of participants with CTCAE Grade 5 (fatal) adverse events

GroupValue95% CI
Acalabrutinib + Pembrolizumab9
Number of Participants With Any Study-Drug Related AE Primary · 104 weeks

Study drug-related AEs were those assessed by investigator as related to study treatment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab142
Number of Participants With Grade 3-4 Study-Drug Related AE Primary · 104 weeks

The severity of the AEs was assessed by NCI CTCAE Version 4.03 or higher. Drug-related AEs were those assessed by investigator as related to study treatment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab66
Number of Participants With Grade 5 Study-Drug Related AE Primary · 104 weeks

Grade 5 (fatal) AEs assessed by investigator as related to study treatment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab3
Number of Participants With Any SAE Primary · 104 weeks

Serious AEs were those that resulted in death, were life-threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the investigational product, or were considered a significant medical event by the investigator based on medical judgment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab75
Number of Participants With Grade 3-4 Any SAE Primary · 104 weeks

Serious AEs were those that resulted in death, were life-threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the investigational product, or were considered a significant medical event by the investigator based on medical judgment. The severity of the AEs was assessed by NCI CTCAE Version 4.03 or higher.

GroupValue95% CI
Acalabrutinib + Pembrolizumab64
Number of Participants With Grade 5 Any SAE Primary · 104 weeks

Grade 5 events were fatal events. Serious AEs were those that resulted in death, were life-threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the investigational product, or were considered a significant medical event by the investigator based on medical judgment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab9
Number of Participants With Any Study Drug-Related SAE Primary · 104 weeks

Serious AEs were those that resulted in death, were life-threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the investigational product, or were considered a significant medical event by the investigator based on medical judgment. Drug-related AEs were those assessed by investigator as related to study treatment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab34
Number of Participants With Any Grade 3-4 Study Drug-Related SAE Primary · 104 weeks

Serious AEs were those that resulted in death, were life-threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the investigational product, or were considered a significant medical event by the investigator based on medical judgment. The severity of the AEs was assessed by NCI CTCAE Version 4.03 or higher. Drug-related AEs were those assessed by investigator as related to study treatment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab30
Number of Participants With Any Grade 5 Study Drug-Related SAE Primary · 104 weeks

Grade 5 AEs were fatal events. Serious AEs were those that resulted in death, were life-threatening, required or prolonged in-patient hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the investigational product, or were considered a significant medical event by the investigator based on medical judgment. Drug-related AEs were those assessed by investigator as related to study treatment.

GroupValue95% CI
Acalabrutinib + Pembrolizumab3

Adverse events — posted to ClinicalTrials.gov

Time frame: For each subject, adverse event data were collected from first dose of study drug until 30 days after the last dose, until the end of the study (data cutoff date of 14 July 2020).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Acalabrutinib + Pembrolizumab
Serious: 75/161 (47%)
Deaths: 69/161

Serious adverse events (86 terms)

ReactionSystemAcalabrutinib + Pembrolizu…
PneumoniaInfections and infestations
SepsisInfections and infestations
Aspartate aminotransferase increasedInvestigations
Acute kidney injuryRenal and urinary disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
DehydrationMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
Mental status changesPsychiatric disorders
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Systemic inflammatory response syndromeGeneral disorders
InfluenzaInfections and infestations
Septic shockInfections and infestations
Hip fractureInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other adverse events (457 terms — click to expand)

ReactionSystemAcalabrutinib + Pembrolizu…
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
DizzinessNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Upper respiratory tract infectionInfections and infestations
RashSkin and subcutaneous tissue disorders
Alanine aminotransferase increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
HypotensionVascular disorders
ConstipationGastrointestinal disorders
Oedema peripheralGeneral disorders
InsomniaPsychiatric disorders
ArthralgiaMusculoskeletal and connective tissue disorders
ContusionInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
NeutropeniaBlood and lymphatic system disorders
HypokalaemiaMetabolism and nutrition disorders
PruritusSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
ChillsGeneral disorders
DehydrationMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Night sweatsSkin and subcutaneous tissue disorders
AstheniaGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Abdominal distensionGastrointestinal disorders
SinusitisInfections and infestations
Abdominal pain upperGastrointestinal disorders
Urinary tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
HypomagnesaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders

Most-reported serious reactions: Pneumonia, Sepsis, Aspartate aminotransferase increased, Acute kidney injury, Pleural effusion, Gastrointestinal haemorrhage, Alanine aminotransferase increased, Dehydration.

Data from ClinicalTrials.gov NCT02362035 adverse events section.

Sponsor's own description

This study is evaluating the safety, pharmacodynamics (PD), and efficacy of acalabrutinib and pembrolizumab in hematologic malignancies.

Publications & conference data

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

  1. Microenvironment interactions and B-cell receptor signaling in Chronic Lymphocytic Leukemia: Implications for disease pathogenesis and treatment.
    Ten Hacken E, Burger JA. · · 2016 · cited 170× · PMID 26193078 · DOI 10.1016/j.bbamcr.2015.07.009
  2. 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
  3. New agents and regimens for diffuse large B cell lymphoma.
    Wang L, Li LR, Young KH. · · 2020 · cited 109× · PMID 33317571 · DOI 10.1186/s13045-020-01011-z
  4. T-cells in chronic lymphocytic leukemia: Guardians or drivers of disease?
    Roessner PM, Seiffert M. · · 2020 · cited 93× · PMID 32457353 · DOI 10.1038/s41375-020-0873-2
  5. Advances in targeted therapy for malignant lymphoma.
    Wang L, Qin W, Huo YJ, Li X, et al · · 2020 · cited 88× · PMID 32296035 · DOI 10.1038/s41392-020-0113-2
  6. Checkpoint blockade in Hodgkin and non-Hodgkin lymphoma.
    Merryman RW, Armand P, Wright KT, Rodig SJ. · · 2017 · cited 87× · PMID 29296917 · DOI 10.1182/bloodadvances.2017012534
  7. Update on PD-1/PD-L1 Inhibitors in Multiple Myeloma.
    Jelinek T, Paiva B, Hajek R. · · 2018 · cited 82× · PMID 30505301 · DOI 10.3389/fimmu.2018.02431
  8. Cancer Immunotherapy in Diffuse Large B-Cell Lymphoma.
    Zhang J, Zhang J, Medeiros LJ, Young KH. · · 2018 · cited 65× · PMID 30250823 · DOI 10.3389/fonc.2018.00351

Verify or expand the search:

Other trials of Acalabrutinib

Trials testing the same drug.

Other recruiting trials for Follicular Lymphoma (FL)

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/NCT02362035.

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