Actively Recruiting
Acalabrutinib Plus Rituximab for the Treatment of Elderly or Low- to Intermediate-Risk Younger Untreated Mantle Cell Lymphoma
Led by Sun Yat-sen University · Updated on 2025-06-03
50
Participants Needed
1
Research Sites
409 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This is a single- arm, open-label, multicenter, phase II study to evaluate Acalabrutinib plus Rituximab for the treatment of elderly or low- to intermediate-risk younger untreated mantle cell lymphoma
CONDITIONS
Official Title
Acalabrutinib Plus Rituximab for the Treatment of Elderly or Low- to Intermediate-Risk Younger Untreated Mantle Cell Lymphoma
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older
- Histologically confirmed CD20 positive mantle cell lymphoma
- No prior anti-lymphoma treatment
- Ann Arbor stage II to IV
- ECOG performance status 0 to 2 with no decline greater than 2 weeks before baseline or first dose
- For younger subjects under 65 years: low to intermediate risk sMIPI (0-5), Ki67 less than 50%, no TP53 mutation by NGS, lesion diameter 5 cm or less, non-blastoid polymorphic disease
- At least one assessable lesion according to Lugano 2014 criteria
- Adequate organ and bone marrow function at screening
- Female participants must use contraception according to local regulations
- Male participants must agree to avoid sperm donation during the study and for 12 months after rituximab
- Willingness to undergo all required assessments and procedures including swallowing capsules or tablets
- Ability to understand the study purpose and risks and provide signed informed consent including authorization for use of personal health information
You will not qualify if you...
- Tumor burden reduction prior to stem cell transplantation
- History of active central nervous system lymphoma, leptomeningeal disease, or spinal cord compression
- Any disease or condition judged by the investigator to interfere with participation or protocol adherence, including severe or uncontrolled systemic disease such as uncontrolled hypertension or kidney transplant
- History or current diagnosis of progressive multifocal leukoencephalopathy (PML)
- Use of investigational drugs within 30 days or 5 half-lives before first dose
- Major surgery within 30 days before first dose unless fully recovered from surgery-related toxicity or complications
- History of malignancy affecting protocol adherence, except certain skin or cervical carcinomas treated curatively at any time or cancers treated surgically or with radiation with no disease for 3 or more years
- Significant cardiovascular disease including symptomatic arrhythmias, congestive heart failure, myocardial infarction within 6 months, or NYHA Class 3 or 4 heart disease
- Refractory nausea, vomiting, swallowing difficulties, malabsorption syndrome, chronic gastrointestinal disease, gastric bypass or weight-loss surgery, bowel obstruction, or prior major intestinal surgery affecting drug absorption or metabolism
- Receipt of live-virus vaccine within 28 days prior to first dose
- Known HIV infection
- Any active major infection including positive CMV DNA PCR
- Serologic evidence of active hepatitis B or C infection
- Stroke or intracranial hemorrhage within 6 months before first dose
- History of bleeding disorders such as hemophilia or Von Willebrand disease
- Requirement for anticoagulation therapy with warfarin or equivalent
- Use of strong CYP3A inhibitors within 1 week or inducers within 3 weeks before first dose
- Pregnancy or breastfeeding
- Participation in another therapeutic clinical trial
- Requirement for proton pump inhibitor therapy
- Life-threatening disease or organ dysfunction compromising safety or study risk as judged by the investigator
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Sun yat-sen university cancer center, Sun yat-sen university
Guangzhou, Guangdong, China, 51000
Actively Recruiting
Research Team
Q
Qingqing Cai
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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