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Bruton's Tyrosine Kinase (BTK) Inhibitor

Acalabrutinib + Lenalidomide + Rituximab for Mantle Cell Lymphoma

Phase 2
Waitlist Available
Led By Jia Ruan, M.D., Ph.D.
Research Sponsored by Weill Medical College of Cornell University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
All subjects must be registered into the mandatory Revlimid REMS® program, and be willing and able to comply with the requirements of Revlimid REMS®
ECOG performance status ≤ 2
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 4 years
Awards & highlights

Study Summary

This trial is testing a new combination therapy for mantle cell lymphoma, which is a cancer of the lymph nodes. The treatment consists of 12 cycles of three drugs, after which responding patients can enter a maintenance phase. The goal is to see if the treatment is effective and safe.

Who is the study for?
This trial is for adults with untreated mantle cell lymphoma who need treatment, have good liver and kidney function, can follow the study schedule, and agree to use birth control. People with certain heart conditions, active infections like HIV or hepatitis B/C, recent major surgery, other cancers within 5 years (except some skin or localized cancers), or those on specific medications are excluded.Check my eligibility
What is being tested?
The trial tests a combination of acalabrutinib, lenalidomide and rituximab (ALR) in patients with untreated mantle cell lymphoma over an induction phase of 12 cycles followed by maintenance therapy until disease progression or unacceptable side effects occur. The effectiveness and safety of this regimen will be monitored throughout the study.See study design
What are the potential side effects?
Possible side effects include reactions to infusions such as fever or chills; blood disorders like low white cells increasing infection risk; digestive issues; fatigue; allergic reactions; potential bleeding problems due to aspirin required for anticoagulation; and risks associated with long-term use of lenalidomide.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am registered and can follow the Revlimid REMS program.
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I can take care of myself and do some daily activities.
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I have not had any drug treatments for lymphoma.
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I am 18 years old or older.
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My tumor is larger than 1.5 cm or my spleen is affected.
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My diagnosis is mantle cell lymphoma confirmed by tissue analysis.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~4 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 4 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Peripheral blood minimum residual disease (MRD)-negative complete response (CR) rate of the combination of acalabrutinib + lenalidomide + rituximab at the conclusion of 12 cycles of induction therapy
Secondary outcome measures
Complete response rate
Overall response rate
Overall survival
+3 more

Side effects data

From 2020 Phase 2 trial • 177 Patients • NCT04346199
2%
Headache
1%
Chronic obstructive pulmonary disease
1%
Septic shock
1%
Ischaemic stroke
100%
80%
60%
40%
20%
0%
Study treatment Arm
BSC Alone
Acalabrutinib + BSC

Trial Design

1Treatment groups
Experimental Treatment
Group I: ALR in CombinationExperimental Treatment3 Interventions
Acalabrutinib, lenalidomide, and rituximab in combination
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Lenalidomide
2005
Completed Phase 3
~1480
Rituximab
1999
Completed Phase 4
~1880
Acalabrutinib
2020
Completed Phase 2
~2050

Find a Location

Who is running the clinical trial?

Celgene CorporationIndustry Sponsor
444 Previous Clinical Trials
58,201 Total Patients Enrolled
AstraZenecaIndustry Sponsor
4,260 Previous Clinical Trials
288,594,117 Total Patients Enrolled
Weill Medical College of Cornell UniversityLead Sponsor
1,054 Previous Clinical Trials
1,316,493 Total Patients Enrolled

Media Library

Acalabrutinib (Bruton's Tyrosine Kinase (BTK) Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03863184 — Phase 2
Mantle Cell Lymphoma Research Study Groups: ALR in Combination
Mantle Cell Lymphoma Clinical Trial 2023: Acalabrutinib Highlights & Side Effects. Trial Name: NCT03863184 — Phase 2
Acalabrutinib (Bruton's Tyrosine Kinase (BTK) Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03863184 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has Acalabrutinib been given the green light from the Food and Drug Administration?

"Acalabrutinib's safety is assessed as a 2 on our scale because though there are some studies that attest to its security, there are none yet confirming its effectiveness."

Answered by AI

What symptoms does Acalabrutinib typically alleviate?

"Acalabrutinib is a commonly used pharmaceutical for treating diffuse large b-cell lymphoma (DLBCL), though it can also be effective in managing other ailments such as patients who have had at least two previous systemic chemotherapy treatments, B-Cell Lymphomas and Polyangium."

Answered by AI

How large is the cohort participating in this research project?

"Correct. According to clinicaltrials.gov, this medical study which was originally advertised on October 11th 2019 is still actively recruiting patients. 24 participants must be recruited from a single trial site."

Answered by AI

Are there still opportunities for participants in this research trial?

"According to the clinicaltrials.gov data, this research trial is currently open for recruitment with a posting date of October 11th 2019 and an edit on October 17th 2022."

Answered by AI
~6 spots leftby Apr 2025