An Open-label, Phase 2 Study of ACP-196 (Acalabrutinib) in Subjects With Mantle Cell Lymphoma

NCT ID: NCT02213926

Last Updated: 2025-11-25

Study Results

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-02

Study Completion Date

2026-09-06

Brief Summary

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The purpose of this study is to characterize the safety and efficacy profile of ACP-196 (acalabrutinib) in subjects with relapsed or refractory Mantle Cell Lymphoma (MCL).

Detailed Description

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This clinical trial is a Phase 2, multicenter, (approximately 70 global centers), open-label study in subjects with histologically documented MCL, who have relapsed after, or were refractory to, ≥ 1 (but not \> 5) prior treatment regimens. Subjects will be enrolled and will take 100 mg of acalabrutinib twice per day (BID) in repeated 28-day cycles.

Treatment with acalabrutinib may be continued until disease progression or an unacceptable drug-related toxicity occurs. Dose modification provisions are provided in the study protocol.

All subjects will have hematology, chemistry, and urinalysis safety panels done at screening. Once dosing commences (Day 1), all subjects will be evaluated for safety, including serum chemistry and hematology, once weekly for the first 4 weeks, every 2 weeks in Cycle 2, every 4 weeks in Cycles 3 to 12, and every 24 weeks thereafter. PK/PD testing will be done in Cycles 1 and 2. Tumor assessments will be completed at 8- to 24-week intervals during the trial.

Conditions

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Mantle Cell Lymphoma (MCL)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ACP-196 (acalabrutinib) Regimen 1

ACP-196 (acalabrutinib) Regimen 1

Group Type EXPERIMENTAL

ACP-196 (acalabrutinib)

Intervention Type DRUG

Interventions

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ACP-196 (acalabrutinib)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men and women ≥ 18 years of age.
* Pathologically confirmed MCL, with documentation of monoclonal B cells that have a chromosome translocation t(11;14)(q13;q32) and/or overexpress cyclin D1.
* Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2.
* Agreement to use contraception during the study and for 30 days after the last dose of study drugs if sexually active and able to bear or beget children.

Exclusion Criteria

* A life-threatening illness, medical condition or organ system dysfunction which, in the investigator's opinion, could compromise the subject's safety, interfere with the absorption or metabolism of ACP-196 (acalabrutinib), or put the study outcomes at undue risk
* Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification, or corrected QT interval (QTc) \> 480 msec.
* Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel or ulcerative colitis, symptomatic inflammatory bowel disease, or partial or complete bowel obstruction.
* Breast feeding or pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Acerta Pharma BV

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Acerta Pharma

Role: STUDY_DIRECTOR

1-888-292-9613

Locations

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Tampa, Florida, United States

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Chicago, Illinois, United States

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Niles, Illinois, United States

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Peoria, Illinois, United States

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Boston, Massachusetts, United States

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Hackensack, New Jersey, United States

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New York, New York, United States

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Houston, Texas, United States

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Seattle, Washington, United States

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Monash, , Australia

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Sydney, , Australia

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Wodonga, , Australia

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Bruges, , Belgium

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Brussels, , Belgium

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Brussels, , Belgium

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Liège, , Belgium

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Yvoir, , Belgium

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Prague, , Czechia

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Angers, , France

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Caen, , France

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Clermond Ferrand, , France

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Créteil, , France

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Dijon, , France

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Grenoble, , France

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La Roche - Sure-Yon, , France

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Lille, , France

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Montpellier, , France

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Nantes, , France

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Paris, , France

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Paris, , France

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Pessac, , France

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Pierre-Bénite, , France

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Rennes, , France

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Rouen, , France

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Saint-Priest-en-Jarez, , France

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Strasbourg, , France

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Toulouse, , France

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Tours, , France

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Vandœuvre-lès-Nancy, , France

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Bologna, , Italy

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Meldola, , Italy

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Milan, , Italy

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Novara, , Italy

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Amsterdam, , Netherlands

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Maastricht, , Netherlands

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Rotterdam, , Netherlands

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Krakow, , Poland

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Lodz, , Poland

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Olsztyn, , Poland

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Badalona, , Spain

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Pamplona, , Spain

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Cardiff, , United Kingdom

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Leeds, , United Kingdom

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Leicester, , United Kingdom

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Nottingham, , United Kingdom

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Oxford, , United Kingdom

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Plymouth, , United Kingdom

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Southampton, , United Kingdom

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Countries

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United States Australia Belgium Czechia France Italy Netherlands Poland Spain United Kingdom

References

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Wang M, Rule S, Zinzani PL, Goy A, Casasnovas O, Smith SD, Damaj G, Doorduijn J, Lamy T, Morschhauser F, Panizo C, Shah B, Davies A, Eek R, Dupuis J, Jacobsen E, Kater AP, Le Gouill S, Oberic L, Robak T, Covey T, Dua R, Hamdy A, Huang X, Izumi R, Patel P, Rothbaum W, Slatter JG, Jurczak W. Acalabrutinib in relapsed or refractory mantle cell lymphoma (ACE-LY-004): a single-arm, multicentre, phase 2 trial. Lancet. 2018 Feb 17;391(10121):659-667. doi: 10.1016/S0140-6736(17)33108-2. Epub 2017 Dec 11.

Reference Type DERIVED
PMID: 29241979 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2023-509352-34-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

2014-002117-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ACE-LY-004

Identifier Type: -

Identifier Source: org_study_id

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