Drugs / Acalabrutinib
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Acalabrutinib

Small molecule targets BTK via inhibition

Developed for
chronic lymphocytic leukemia/small lymphocytic lymphoma · mantle cell lymphoma · B-cell chronic lymphocytic leukemia · diffuse large B-cell lymphoma · COVID-19 · Richter transformation · B-cell non-Hodgkin lymphoma · marginal zone lymphoma
+39 more · Waldenstrom macroglobulinemia · central nervous system non-hodgkin lymphoma · hematopoietic and lymphoid cell neoplasm · high grade B-cell lymphoma · plasma cell myeloma · primary mediastinal large B-cell lymphoma · chronic graft versus host disease · follicular lymphoma · indolent B-cell non-Hodgkin lymphoma · large B-cell lymphoma · malignant pancreatic neoplasm · non-Hodgkin lymphoma · primary central nervous system lymphoma · prolymphocytic leukemia · anti-HLA hyperimmunization · autoimmune hemolytic anemia, warm type · Burkitt lymphoma · diffuse large B-cell lymphoma activated B-cell type · food allergy · glioblastoma · hairy cell leukemia · head and neck squamous cell carcinoma · high-grade B-cell lymphoma double-hit/triple-hit · Hodgkins lymphoma · lymphoplasmacytic lymphoma · lymphoproliferative syndrome · monoclonal gammopathy of uncertain significance · neoplasm of mature B-cells · nodal marginal zone B-cell lymphoma · non-small cell lung carcinoma · ovarian cancer · peripheral neuropathy · platelet disorder, undefined · post-transplant lymphoproliferative disease · rheumatoid arthritis · splenic marginal zone lymphoma · T-cell/histiocyte rich large B cell lymphoma · urothelial carcinoma · refractory hematologic cancer
Investigated by
AstraZeneca · Acerta Pharma BV · National Cancer Institute (NCI) · M.D. Anderson Cancer Center · City of Hope Medical Center · Merck Sharp & Dohme LLC
+81 more · Genentech, Inc. · German CLL Study Group · Parexel · AbbVie · Dana-Farber Cancer Institute · Fred Hutchinson Cancer Center · HOVON Foundation · Mayo Clinic · National Institutes of Health (NIH) · University Hospital Southampton NHS Foundation Trust · Washington University School of Medicine · Weill Medical College of Cornell University · ADC Therapeutics S.A. · Academic Medical Center - University of Amsterdam · Academic and Community Cancer Research United · Apices Soluciones S.L. · Aprea Therapeutics · Ascentage Pharma Group Inc. · Austin I Kim · BioInvent International AB · Bloodwise · Celgene Corporation · Chang Gung Memorial Hospital · China Medical University Hospital · Deepa Jagadeesh · ECOG-ACRIN Cancer Research Group · Eli Lilly and Company · Emory University · French Innovative Leukemia Organisation · Incyte Corporation · International Extranodal Lymphoma Study Group (IELSG) · Jennifer R. Brown, MD, PhD · Johns Hopkins University · Jonsson Comprehensive Cancer Center · Karolinska Institutet · Kartos Therapeutics, Inc. · Kite, A Gilead Company · Massachusetts General Hospital · Memorial Sloan Kettering Cancer Center · Milton S. Hershey Medical Center · MingSight Pharmaceuticals, Inc · Narendranath Epperla · National Cheng-Kung University Hospital · National Health Research Institutes, Taiwan · National Taiwan University Hospital · Nordic Lymphoma Group · OHSU Knight Cancer Institute · Oregon Health and Science University · PETHEMA Foundation · Patrick C. Johnson, MD · Polish Lymphoma Research Group · Rigshospitalet, Denmark · Roche-Genentech · Ruijin Hospital · SCRI Development Innovations, LLC · Saarland University · Saarland University Medical Center · Seema Bhat · Seoul National University Hospital · Shayna Sarosiek, MD · Shin Mineishi · Sun Yat-sen University · Sunnybrook Health Sciences Centre · Swedish Medical Center · Swiss Cancer Institute · TG Therapeutics, Inc. · The First Affiliated Hospital of Soochow University · The First Affiliated Hospital with Nanjing Medical University · UNC Lineberger Comprehensive Cancer Center · University College, London · University Health Network, Toronto · University Hospital Giessen and Marburg · University Hospital Regensburg · University of Alabama at Birmingham · all 87 on the full record

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) CALQUENCE 2019-11-21 – 2026-02-19 fda.gov
Approved EU (EMA) Calquence 2020-11-05 europa.eu
Approved US (FDA) CALQUENCE 2017-10-31 fda.gov

Trials 140 · started per year

today
US approved 2017
EU approved 2020
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26
24
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201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT05495464 Nov 2022 → Mar 2027 expected mantle cell lymphoma M.D. Anderson Cancer Center Active not recruiting No outcome recorded
Phase 128 trials
Phase 1 NCT06675123 Jun 2026 → Mar 2028 expected mantle cell lymphoma City of Hope Medical Center Recruiting No outcome recorded
Phase 1 NCT05971251 Dec 2023 → Dec 2026 expected chronic lymphocytic leukemia/small lymphocytic lymphoma University of Alabama at Birmingham Active not recruiting No outcome recorded
Phase 1 NCT05943496 Oct 2023 → Jan 2027 expected B-cell chronic lymphocytic leukemia OHSU Knight Cancer Institute Recruiting No outcome recorded
Phase 1 NCT04836832 Jul 2022 → Dec 2023 follicular lymphoma, nodal marginal zone B-cell lymphoma, splenic marginal zone lymphoma Narendranath Epperla Withdrawn No outcome recorded
Phase 1 NCT04462328 Apr 2021 → Aug 2026 overdue primary central nervous system lymphoma Washington University School of Medicine Active not recruiting No outcome recorded
Phase 1 NCT04688151 Feb 2021 → Dec 2025 overdue primary central nervous system lymphoma National Health Research Institutes, Taiwan Active not recruiting No outcome recorded
Phase 1 NCT04564040 Oct → Dec 2020 COVID-19, mantle cell lymphoma AstraZeneca Completed No outcome recorded
Phase 1 NCT04497948 Sep → Nov 2020 COVID-19 Acerta Pharma BV Terminated No outcome recorded
Phase 1 NCT04489797 Jul → Aug 2020 infectious disease AstraZeneca Completed No outcome recorded
Phase 1 NCT04488016 Jun 2020 → Jan 2021 B-cell neoplasm AstraZeneca Completed No outcome recorded
Phase 1/219 trials
Phase 1/2 NCT06564038 Jan 2025 → Jun 2029 expected chronic lymphocytic leukemia/small lymphocytic lymphoma, large B-cell lymphoma, mantle cell lymphoma AstraZeneca Recruiting No outcome recorded
Phase 1/2 NCT05256641 Jan 2023 → Jan 2027 expected central nervous system non-hodgkin lymphoma, high grade B-cell lymphoma Jonsson Comprehensive Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT04961801 Mar 2022 → Jan 2026 leukemia, lymphoma Shin Mineishi Withdrawn No outcome recorded
Phase 1/2 NCT04906902 Aug 2021 → Nov 2025 overdue central nervous system non-hodgkin lymphoma Dana-Farber Cancer Institute Active not recruiting No outcome recorded
Phase 1/2 NCT04855695 Jul 2021 → Jun 2027 expected mantle cell lymphoma Austin I Kim Recruiting No outcome recorded
Phase 1/2 NCT04419389 Mar → Aug 2021 chronic lymphocytic leukemia/small lymphocytic lymphoma, mantle cell lymphoma Aprea Therapeutics Terminated No outcome recorded
Phase 1/2 NCT04502394 Feb 2021 → Oct 2022 B-cell chronic lymphocytic leukemia, diffuse large B-cell lymphoma Kartos Therapeutics, Inc. Unknown No outcome recorded
Phase 1/2 NCT04630756 Feb 2021 → Sep 2023 hematopoietic and lymphoid cell neoplasm AstraZeneca Completed No outcome recorded
Phase 1/2 NCT04257578 Dec 2020 → Aug 2025 overdue high grade B-cell lymphoma, primary mediastinal large B-cell lymphoma University of Washington Active not recruiting No outcome recorded
Phase 1/2 NCT03932331 Apr 2020 → Dec 2022 overdue B-cell chronic lymphocytic leukemia AstraZeneca Active not recruiting No outcome recorded
Phase 272 trials
Phase 2 NCT07582159 Dec 2026 → Apr 2029 expected chronic lymphocytic leukemia/small lymphocytic lymphoma City of Hope Medical Center Not yet recruiting No outcome recorded
Phase 2 NCT07024706 Jun 2026 → May 2029 expected chronic lymphocytic leukemia/small lymphocytic lymphoma AstraZeneca Recruiting No outcome recorded
Phase 2 NCT07257055 Apr 2026 → Nov 2028 expected M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT07029737 Sep 2025 → Jun 2027 expected mantle cell lymphoma AstraZeneca Recruiting No outcome recorded
Phase 2 NCT06839872 Jun 2025 → Jul 2028 chronic lymphocytic leukemia/small lymphocytic lymphoma AstraZeneca Withdrawn No outcome recorded
Phase 2 NCT06757647 May 2025 → Dec 2026 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Seema Bhat Recruiting No outcome recorded
Phase 2 NCT06846489 Apr 2025 → Feb 2033 expected mantle cell lymphoma Sun Yat-sen University Recruiting No outcome recorded
Phase 2 NCT06441097 Dec 2024 → Dec 2027 expected diffuse large B-cell lymphoma Ruijin Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06054776 Dec 2024 → Oct 2026 expected mantle cell lymphoma City of Hope Medical Center Recruiting No outcome recorded
Phase 2 NCT05952024 Jul 2024 → Apr 2029 expected diffuse large B-cell lymphoma AstraZeneca Recruiting No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT03868722 Oct 2019 → Jul 2029 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Rigshospitalet, Denmark Recruiting No outcome recorded
Phase 316 trials
Phase 3 NCT07635511 Jun 2026 → Jan 2029 expected anti-HLA hyperimmunization, hematopoietic and lymphoid cell neoplasm, platelet disorder, undefined The First Affiliated Hospital of Soochow University Not yet recruiting No outcome recorded
Phase 3 NCT06428019 Aug 2024 → Mar 2028 expected B-cell chronic lymphocytic leukemia AbbVie Recruiting No outcome recorded
Phase 3 NCT06319456 Apr 2024 → Aug 2027 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Ascentage Pharma Group Inc. Recruiting No outcome recorded
Phase 3 NCT05820841 Jun 2023 → Feb 2029 expected diffuse large B-cell lymphoma, large B-cell lymphoma Saarland University Recruiting No outcome recorded
Phase 3 NCT05057494 Sep 2022 → Jul 2027 expected chronic lymphocytic leukemia/small lymphocytic lymphoma AstraZeneca Active not recruiting No outcome recorded
Phase 3 NCT05197192 Apr 2022 → May 2028 expected B-cell chronic lymphocytic leukemia German CLL Study Group Recruiting No outcome recorded
Phase 3 NCT04529772 Oct 2020 → Feb 2027 expected diffuse large B-cell lymphoma Acerta Pharma BV Active not recruiting No outcome recorded
Phase 3 NCT04075292 Jan 2020 → Jan 2024 overdue chronic lymphocytic leukemia/small lymphocytic lymphoma AstraZeneca Active not recruiting No outcome recorded
Phase 3 NCT04178798 Dec 2019 → Dec 2024 B-cell chronic lymphocytic leukemia PETHEMA Foundation Completed No outcome recorded
Phase 3 NCT04008706 Sep 2019 → Nov 2025 B-cell chronic lymphocytic leukemia AstraZeneca Completed No outcome recorded
Phase 41 trial
Phase 4 NCT04930536 Jul 2021 → May 2023 B-cell non-Hodgkin lymphoma AstraZeneca Completed No outcome recorded
Phase not applicable2 trials
NCT05950997 Apr 2024 → May 2026 overdue chronic lymphocytic leukemia/small lymphocytic lymphoma The First Affiliated Hospital with Nanjing Medical University Recruiting No outcome recorded
NCT05024006 Apr 2020 → Apr 2021 COVID-19 University of the Philippines Completed No outcome recorded
Also used as a comparator or background therapy in 16 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 1/22 trials
Phase 1/2 NCT07052695 Background Nov 2025 → Dec 2028 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Inhye Ahn Recruiting No outcome recorded
Phase 1/2 NCT05205252 Comparator Dec 2021 → Jul 2023 refractory hematologic cancer Epizyme, Inc. Withdrawn No outcome recorded
Phase 28 trials
Phase 2 NCT07014917 Background Dec 2025 → Jun 2028 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Zulfa Omer Recruiting No outcome recorded
Phase 2 NCT06958705 Background Dec 2025 → Dec 2027 expected chronic lymphocytic leukemia/small lymphocytic lymphoma The First Affiliated Hospital with Nanjing Medical University Recruiting No outcome recorded
Phase 2 NCT06520098 Background Oct 2025 → Jun 2030 expected chronic lymphocytic leukemia/small lymphocytic lymphoma VA Office of Research and Development Recruiting No outcome recorded
Phase 2 NCT06524375 Background Aug 2024 → Oct 2026 expected B-cell chronic lymphocytic leukemia Genentech, Inc. Active not recruiting No outcome recorded
Phase 2 NCT05336812 Background Sep 2022 → Oct 2026 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Ohio State University Comprehensive Cancer Center Recruiting No outcome recorded
Phase 35 trials
Phase 3 NCT07377578 Comparator Feb 2026 → May 2031 expected mantle cell lymphoma Guangzhou Lupeng Pharmaceutical Company LTD. Recruiting No outcome recorded
Phase 3 NCT07277231 Comparator Jan 2026 → Feb 2031 expected chronic lymphocytic leukemia/small lymphocytic lymphoma BeOne Medicines Recruiting No outcome recorded
Phase 3 NCT06136559 Comparator Dec 2023 → Sep 2032 expected chronic lymphocytic leukemia/small lymphocytic lymphoma Merck Sharp & Dohme LLC Recruiting No outcome recorded
Phase 3 NCT04647669 Comparator Jun → Nov 2021 COVID-19 The University of The West Indies Unknown No outcome recorded
Phase 3 NCT04662255 Comparator Apr 2021 → Jan 2027 expected mantle cell lymphoma Loxo Oncology, Inc. Active not recruiting No outcome recorded
Phase 41 trial
Phase 4 NCT06651970 Comparator Feb 2025 → Aug 2030 expected chronic lymphocytic leukemia/small lymphocytic lymphoma, heart failure AstraZeneca Recruiting No outcome recorded

Press releases naming this drug 13 releases

DateIssuerRelease
2026-02-20 AstraZeneca Calquence plus venetoclax approved in the US as first all-oral, fixed-duration combination for patients with chronic lymphocytic leukaemia in the 1st-line setting astrazeneca.com
2026-02-20 AbbVie U.S. Food and Drug Administration (FDA) Approves Combination Treatment of VENCLEXTA® (venetoclax) and Acalabrutinib for Previously Untreated Patients With Chronic Lymphocytic Leukemia (CLL) abbvie.com
2025-07-29 AbbVie AbbVie Submits for U.S. FDA Approval of Combination Treatment of VENCLEXTA® (venetoclax) and Acalabrutinib for Previously Untreated Patients with Chronic Lymphocytic Leukemia (CLL) abbvie.com
2025-06-06 AstraZeneca Fixed-duration Calquence-based regimens approved in EU for patients with chronic lymphocytic leukaemia in the 1st-line setting astrazeneca.com
2025-05-06 AstraZeneca Calquence plus chemoimmunotherapy approved in the EU as first and only BTK inhibitor for 1st-line mantle cell lymphoma astrazeneca.com
2025-04-29 AstraZeneca Fixed-duration Calquence-based regimens recommended for approval in the EU by CHMP for 1st-line chronic lymphocytic leukaemia astrazeneca.com
2025-03-31 AstraZeneca Calquence plus chemoimmunotherapy recommended for approval in the EU by CHMP as first and only BTK inhibitor for 1st-line mantle cell lymphoma astrazeneca.com
2025-01-17 AstraZeneca Calquence plus chemoimmunotherapy approved in the US for patients with previously untreated mantle cell lymphoma astrazeneca.com
2024-12-08 AstraZeneca Fixed-duration Calquence plus venetoclax demonstrated superior progression-free survival vs. standard of care in previously untreated chronic lymphocytic leukaemia, with 77% of patients progression free at three years in AMPLIFY Phase III trial astrazeneca.com
2024-10-03 AstraZeneca Calquence granted Priority Review in the US for patients with untreated mantle cell lymphoma astrazeneca.com
2024-07-29 AstraZeneca Fixed-duration Calquence plus venetoclax, with or without obinutuzumab, significantly improved progression-free survival in 1st-line chronic lymphocytic leukaemia in AMPLIFY Phase III trial astrazeneca.com
2024-06-16 AstraZeneca Calquence plus chemoimmunotherapy reduced the risk of disease progression or death by 27% vs. standard of care in patients with untreated mantle cell lymphoma in ECHO Phase III trial astrazeneca.com

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 160 sources stand behind the page.

FieldValueCited text
Known as acalabrutinib “This study will be a 2-part, open-label, single-center relative bioavailability, PPI effect, food-effect and particle size effect randomized crossover study of acalabrutinib...” NCT04488016
145

“The irreversible Bruton's Tyrosine Kinase (BTK) inhibitor acalabrutinib (ACA) has potent clinical activity as a single agent in patients with treatment naive and...” NCT04963946

“Dose level 1 Rituximab 375mg/m2 infusion once every 4 weeks for 8 cycles Acalabrutinib 100mg PO once every day Durvalumab 1500mg infusion once every 4 weeks” NCT04688151

“Commercially available cBTKi (ibrutinib or acalabrutinib, or zanubrutinib) will be administered in accordance with its prescribing label.” NCT06524375

Acalabrutinib (ACP-196) is a highly selective, potent Bruton tyrosine kinase inhibitor developed to minimise off-target activity.” PMID 29241979 Dec 2017

“a covalent BTK inhibitor (e.g., ibrutinib, acalabrutinib, zanubrutinib)” NCT06675123

NCT03868722

NCT04002947

NCT06136559

NCT03788291

NCT06757647

NCT07052695

NCT04198922

NCT05197192

NCT02211014

NCT04898101

NCT04402138

NCT03736616

NCT03527147

NCT04497948

NCT04404088

NCT05495464

NCT03205046

NCT03128879

NCT02475681

NCT04647669

NCT03836261

NCT04604067

NCT04941716

NCT07635511

NCT07277231

NCT02362035

NCT02337829

NCT06441097

NCT04906902

NCT04380688

NCT06428019

NCT04783415

NCT05038904

NCT04484012

NCT03516617

NCT04624633

NCT02180711

NCT02180724

NCT02112526

NCT05214183

NCT02972840

NCT04462328

NCT05057494

NCT04716075

NCT02454179

NCT02296918

NCT04624906

NCT04523428

NCT06319456

NCT05004064

NCT04548648

NCT06520098

NCT04630756

NCT03899337

NCT05820841

NCT04546620

NCT06054776

NCT02537444

NCT05952024

NCT05951959

NCT03623373

NCT04505254

NCT02970318

NCT05950997

NCT05256641

NCT07024706

NCT03968848

NCT04419389

NCT06651970

NCT02735876

NCT05336812

NCT05583149

NCT07257055

NCT04008706

NCT04662255

NCT02448303

NCT05065554

NCT03932331

NCT04722172

NCT07582159

NCT05971251

NCT04978584

NCT04905043

NCT04094142

NCT04564040

NCT04337827

NCT02157324

NCT04346199

NCT02029443

NCT04855695

NCT07014917

NCT07377578

NCT04189952

NCT04016805

NCT04566887

NCT03492125

NCT04961801

NCT07029737

NCT04115631

NCT03946878

NCT06958705

NCT04169737

NCT05205252

NCT04657094

NCT04257578

NCT05140096

NCT06846489

NCT03328273

NCT04178798

NCT06564038

NCT04626791

NCT04529772

NCT03863184

NCT02717624

NCT02328014

NCT06839872

NCT04883749

NCT04435483

NCT04660045

NCT04765111

NCT02477696

NCT05943496

NCT03787264

NCT04560322

NCT04075292

NCT04685915

NCT04646395

NCT03580928

NCT04930536

NCT04189757

NCT02387762

NCT04836832

NCT03571308

NCT05388006

NCT03571568

NCT05024006

NCT04502394

NCT04883437

NCT04489797

NCT03198650

Known as [14C]Acp-196 “Participants in Cohort 2 will receive a single 100 mL dose of acalabrutinib 1 mg/mL oral solution containing a microtracer dose (\<10 μg; ≤1 μCi) of \[14C\]ACP-196 on Day 1.” NCT04898101
Known as ACA “The irreversible Bruton's Tyrosine Kinase (BTK) inhibitor acalabrutinib (ACA) has potent clinical activity as a single agent in patients with treatment naive and...” NCT04963946
Known as ACALABRUTINIB MALEATE ChEMBL registry synonym — accepted as the source's own label CHEMBL3707348
Known as Acalabrutinib maleate anhydrous ChEMBL registry synonym — accepted as the source's own label CHEMBL3707348
Known as Acalabrutinib maleate monohydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL3707348
Known as ACP-196 “A Randomized, Multicenter, Open Label, Phase 3 Study of Acalabrutinib (ACP-196) in Combination With Rituximab Versus Ibrutinib Versus Acalabrutinib Alone in Subjects With...” NCT02735876
17

“Study of Acalabrutinib (ACP-196) in Combination With Venetoclax (ABT-199), With and Without Obinutuzumab (GA101) Versus Chemoimmunotherapy for Previously Untreated CLL” NCT03836261

“The names of the study drugs involved in this study are/is: * Acalabrutinib (CALQUENCE®, ACP-196)” NCT04624633

“100 mg Acalabrutinib (ACP-196) oral capsules twice daily for 1 year” NCT04624906

“Acalabrutinib, or ACP-196, is a next generation BTK inhibitor” NCT05214183

“Acalabrutinib (ACP-196) Monotherapy” NCT02970318

“Acalabrutinib (ACP-196)” NCT02180724

NCT02362048

NCT02586857

NCT02213926

NCT04914936

NCT04901923

NCT02717611

NCT02351739

NCT04867980

NCT04876807

NCT02570711

NCT04867941

Known as CALQUENCE “The names of the study drugs involved in this study are/is: * Acalabrutinib (CALQUENCE®, ACP-196)” NCT04624633
1

“Acalabrutinib (CALQUENCE®) is a covalent BTK inhibitor” NCT04497948

Known as Calquence (acalabrutinib) Calquence (acalabrutinib)NCT03836261
Known as Calquence maleate ChEMBL registry synonym — accepted as the source's own label CHEMBL3707348
Action Inhibit “Acalabrutinib is an oral, highly selective BTK inhibitor” PMID 31876911 Apr 2020
Modality Small molecule “an oral, small-molecule BTK inhibitor” NCT02180724
Route Oral “Patients received 100 mg oral acalabrutinib twice per day” PMID 31866281 Dec 2019
Target BTK “Acalabrutinib is an oral, highly selective BTK inhibitor” PMID 31876911 Apr 2020