Acalabrutinib alone or in combination with rituximab for follicular lymphoma: An open-label study

Br J Haematol. 2024 Dec;205(6):2248-2253. doi: 10.1111/bjh.19787. Epub 2024 Sep 22.

Abstract

Acalabrutinib is a selective, second-generation Bruton tyrosine kinase inhibitor. In this open-label, parallel-group study, patients with relapsed/refractory (R/R) follicular lymphoma (FL) were randomised to either acalabrutinib monotherapy or acalabrutinib plus rituximab. An additional cohort of patients with treatment-naive (TN) FL received only the acalabrutinib-rituximab combination. Acalabrutinib-rituximab was well tolerated and active in R/R and TN FL; in the TN cohort the overall response rate was 92.3% with most remissions lasting over 4 years. Acalabrutinib monotherapy was also well tolerated and active in R/R FL. These results support further study of acalabrutinib alone and in combination with rituximab in FL.

Keywords: Bruton tyrosine kinase; B‐cell lymphoma; non‐Hodgkin lymphoma.

Publication types

  • Clinical Trial, Phase I
  • Clinical Trial, Phase II
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Combined Chemotherapy Protocols* / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols* / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols* / therapeutic use
  • Benzamides* / administration & dosage
  • Benzamides* / adverse effects
  • Benzamides* / therapeutic use
  • Female
  • Humans
  • Lymphoma, Follicular* / drug therapy
  • Male
  • Middle Aged
  • Pyrazines* / administration & dosage
  • Pyrazines* / adverse effects
  • Pyrazines* / therapeutic use
  • Rituximab* / administration & dosage
  • Rituximab* / adverse effects
  • Rituximab* / therapeutic use
  • Treatment Outcome

Substances

  • acalabrutinib
  • Benzamides
  • Pyrazines
  • Rituximab

Grants and funding