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OncoMatch/Clinical Trials/NCT07029737

A Study to Evaluate Acalabrutinib, in Combination With the R-CHOP Standard of Care, for Previously Untreated Mantle Cell Lymphoma in Spain

Is NCT07029737 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Acalabrutinib + R-CHOP standard of care and Acalabrutinib combination with Rituximab for mantle-cell lymphoma.

Phase 2RecruitingAstraZenecaNCT07029737Data as of May 2026

Treatment: Acalabrutinib + R-CHOP standard of care · Acalabrutinib combination with Rituximab · Acalabrutinib monotherapyThis is a single-arm, open-label, multicenter, non-indication seeking phase II trial to describe the efficacy and safety of patients with mantle cell lymphoma (MCL) receiving acalabrutinib in combination with R-CHOP for the front-line treatment of MCL in Spain. Acalabrutinib will be administered until disease progression if medically appropriate, along with R-CHOP based on institutional standards. After 6 cycles of acalabrutinib in combination with R-CHOP, subjects who tolerate treatment and not progressing, will then receive monotherapy acalabrutinib. In addition, subjects who achieve a response (PR or greater) will receive maintenance rituximab every other 28-day cycle for a maximum of 12 additional doses. Thereafter, subjects receive monotherapy acalabrutinib until disease progression or treatment discontinuation.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: CCND1 overexpression

overexpression of cyclin D1 in association with other relevant markers

Required: IGH t(11;14)(q13;q32) translocation

chromosome translocation t(11;14)(q13;q32)

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Lab requirements

Blood counts

Absolute neutrophil count (ANC) <1.0 x 10^9/L or platelet count <75 x 10^9/L; for subjects with disease involvement in the bone marrow, ANC <0.75 x 10^9/L or platelet count <50 x 10^9/L. Subjects will only be considered eligible if peripheral blood counts can be maintained independent of growth factors or transfusions during the screening period.

Kidney function

Estimated creatinine clearance of <30 mL/min, calculated using the formula of Cockcroft and Gault.

Liver function

Total bilirubin >1.5 x upper limit normal (ULN) unless other reason known; or aspartate aminotransferase (AST) or alanine transaminase (ALT) >2.5 x ULN.

Cardiac function

Significant cardiovascular disease such as uncontrolled or untreated symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of first dose of study drug, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification at screening. Exception: Subjects with controlled, asymptomatic atrial fibrillation during screening are allowed to enroll on study.

Absolute neutrophil count (ANC) <1.0 x 10^9/L or platelet count <75 x 10^9/L; for subjects with disease involvement in the bone marrow, ANC <0.75 x 10^9/L or platelet count <50 x 10^9/L. Total bilirubin >1.5 x upper limit normal (ULN) unless other reason known; or aspartate aminotransferase (AST) or alanine transaminase (ALT) >2.5 x ULN. Estimated creatinine clearance of <30 mL/min. Significant cardiovascular disease such as uncontrolled or untreated symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of first dose of study drug, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification at screening.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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