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Not recruitingRare disease

Study of Acalabrutinib, Venetoclax, and Rituximab for Patients with Newly Diagnosed Mantle Cell Lymphoma

Verified siteRegistered drugNo placebo
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What is this trial about?

A plain-language summary of the goals, design and what participants do

This clinical trial is focused on studying a type of cancer called Mantle Cell Lymphoma, which is a rare form of non-Hodgkin's lymphoma. The study is specifically for patients who have not received any previous treatment for this condition. The trial will test the effectiveness of a combination of three medications: Acalabrutinib, Venetoclax, and Rituximab. Acalabrutinib and Venetoclax are taken as tablets, while Rituximab is given as an infusion, which means it is administered directly into the bloodstream through a vein.

The purpose of the study is to evaluate how well this combination of medications works in treating Mantle Cell Lymphoma. Participants in the study will receive these medications over a period of time, and their health will be monitored closely by the research team. The study will involve several cycles of treatment, and the participants will have regular check-ups to assess their response to the treatment. The goal is to see if the combination can help achieve a state where no cancer cells are detectable, known as MRD-negative complete response.

Throughout the study, participants will be observed for any side effects or changes in their condition. The research team will collect data on how the disease responds to the treatment and how long the response lasts. This information will help determine the potential benefits and risks of using Acalabrutinib, Venetoclax, and Rituximab together for treating Mantle Cell Lymphoma. The study aims to provide valuable insights into improving treatment options for patients with this type of cancer.

The research process

The trial runs in 6 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Joining the study

    Upon joining the study, you will be required to sign an informed consent form. This document confirms your understanding of the study and your agreement to participate.

    You will undergo initial assessments to confirm eligibility, including medical history review and physical examination.

  2. Step 2

    Treatment initiation

    The treatment phase begins with the administration of medications. You will take acalabrutinib 100 mg tablets orally. The frequency and duration will be specified by the study team.

    You will also take venetoclax tablets, starting with a lower dose and gradually increasing as directed by the study team. The specific dosage and schedule will be provided to you.

  3. Step 3

    Rituximab administration

    You will receive rituximab through an infusion. The schedule for these infusions will be communicated to you by the study team.

    Infusions will be conducted in a clinical setting under the supervision of healthcare professionals.

  4. Step 4

    Monitoring and assessments

    Throughout the study, regular monitoring and assessments will be conducted to evaluate your response to the treatment.

    These assessments may include blood tests, imaging studies, and other evaluations as necessary.

  5. Step 5

    Completion of treatment cycle

    The treatment cycle will continue for a specified duration, typically until the completion of Cycle 13.

    At the end of the treatment cycle, further assessments will be conducted to determine the efficacy of the treatment.

  6. Step 6

    Follow-up

    After completing the treatment cycle, follow-up visits will be scheduled to monitor your health and any long-term effects of the treatment.

    These visits will help ensure your well-being and gather additional data for the study.

Who can join the trial?

9 criteria

  • Participant must be at least 18 years old or the legal age of consent in their area, whichever is older, at the time of signing the consent form.
  • Participant must have a confirmed diagnosis of **Mantle Cell Lymphoma (MCL)**, a type of blood cancer, based on specific medical criteria.
  • Participant must be in **Clinical Stage II, III, or IV** of the disease, which means the disease has progressed to a certain extent and requires treatment.
  • Participant must have at least one measurable site of disease, which means a tumor or affected area that can be measured using medical imaging like a CT or MRI scan. Alternatively, if the disease is present in the blood and not in the lymph nodes, the participant must have an enlarged spleen and bone marrow involvement.
  • Participant must have an **Eastern Cooperative Oncology Group (ECOG) Performance Status** of 0, 1, or 2, which indicates how well they can perform daily activities. A status of 3 is acceptable if it is due to lymphoma.
  • Participant must have available tumor samples for genetic testing, which helps in understanding the disease better. If the disease is present in the blood and not in the lymph nodes, bone marrow samples may be used instead.
  • Participant must have adequate organ and bone marrow function, meaning their organs and bone marrow are working well enough to participate in the study.
  • Participants must agree to use **contraception** to prevent pregnancy during the study and for a specified time after the study drugs are stopped. This applies to both male and female participants.
  • Participant must be able to give informed consent, which means they understand the study and agree to follow its requirements.

Who cannot join the trial?

6 criteria

  • Patients who have received any previous treatment for **Mantle Cell Lymphoma** cannot participate. This means if you have already been treated for this condition, you are not eligible.
  • Patients who are not within the specified age range for the study cannot participate. The study is open to certain age groups only.
  • Patients who are not able to follow the study procedures or comply with the study requirements cannot participate.
  • Patients with other medical conditions that might interfere with the study results cannot participate. This means if you have other health issues that could affect the study, you may not be eligible.
  • Patients who are pregnant or breastfeeding cannot participate. This is to ensure the safety of both the mother and the child.
  • Patients who are part of a vulnerable population, such as those who cannot give informed consent, cannot participate. This means if you are unable to understand the study and agree to participate, you are not eligible.
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Investigated drugs

  • Acalabrutinib

    is a medication used in this clinical trial to help treat mantle cell lymphoma, a type of cancer. It works by blocking a specific protein in the body that helps cancer cells grow. By stopping this protein, acalabrutinib can help slow down or stop the growth of cancer cells.

  • Venetoclax

    is another medication in the trial that helps treat mantle cell lymphoma. It works by targeting and blocking a protein that prevents cancer cells from dying. By blocking this protein, venetoclax helps to kill the cancer cells and reduce the size of the tumor.

  • Rituximab

    is a therapy used in the trial that helps the immune system find and destroy cancer cells. It is a type of antibody that attaches to a specific protein on the surface of cancer cells. Once attached, it helps the body's immune system recognize and attack the cancer cells, helping to reduce the number of cancer cells in the body.

What is already known about the treatment

  • Acalabrutinib

    Acalabrutinib is taken orally in the form of capsules and is currently being studied in combination with other drugs for its effectiveness in treating mantle cell lymphoma, a type of blood cancer. It works by blocking a specific protein in cancer cells, which helps to stop their growth and spread. Acalabrutinib is classified as a Bruton tyrosine kinase (BTK) inhibitor, which is a type of targeted cancer therapy.

  • Venetoclax

    Venetoclax is administered orally as tablets and is being evaluated in combination with other medications for its role in treating mantle cell lymphoma. It targets and inhibits a protein that helps cancer cells survive, leading to their death. Venetoclax is classified as a BCL-2 inhibitor, which is a type of targeted therapy used in cancer treatment.

  • Rituximab

    Rituximab is given through an intravenous infusion and is being tested in combination with other drugs for its effectiveness in treating mantle cell lymphoma. It works by attaching to a specific protein on the surface of cancer cells, marking them for destruction by the immune system. Rituximab is classified as a monoclonal antibody, which is a type of immunotherapy used to treat certain types of cancer.

Investigated diseases

Mantle Cell Lymphoma – Mantle Cell Lymphoma is a type of non-Hodgkin's lymphoma, which is a cancer that originates in the lymphatic system. It specifically affects B-cells, a type of white blood cell that plays a crucial role in the immune response. The disease typically begins in the outer edge of a lymph node called the mantle zone. As it progresses, it can spread to other lymph nodes, bone marrow, and sometimes the spleen and gastrointestinal tract. The progression of Mantle Cell Lymphoma can vary, with some cases advancing slowly while others may progress more rapidly. Symptoms often include swollen lymph nodes, fever, night sweats, and unexplained weight loss.
Trial detailsLast updated 7 Oct 2026
Age18+ yearsPhasePhase IITrial ID2023-505205-16-00Protocol codeD822GC00001Estimated enrolment100 patientsSponsorAstraZeneca AB

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