A Combination of Acalabrutinib With R-CHOP in Subjects With Previously Untreated Non-GCB DLBCL (ACE-LY-312)

NCT ID: NCT04529772

Last Updated: 2025-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

611 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-08

Study Completion Date

2027-02-01

Brief Summary

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Phase 3 randomized, double-blind, placebo-controlled, study assessing the efficacy and safety of acalabrutinib plus rituximab,cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) vs placebo plus R-CHOP in subjects ≤75 years of age with previously untreated non-germinal center diffuse large B-cell lymphoma.

Detailed Description

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Phase 3 randomized, double-blind, placebo-controlled, study to evaluate the efficacy and safety of acalabrutinib plus rituximab,cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) as compared with placebo plus R-CHOP in subjects ≤75 years of age with previously untreated non-germinal center diffuse large B-cell lymphoma (activated B-cell (ABC) and unclassified).

Conditions

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Diffuse Large B-Cell Lymphoma

Keywords

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Untreated Non-Germinal Center Diffuse Large B-Cell Lymphoma Lymphoma Lymphoma, B-Cell Lymphoma, Large B-Cell, Diffuse Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Lymphoma, Non-Hodgkin Prednisone Cyclophosphamide Rituximab Doxorubicin Vincristine Acalabrutinib Calquence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double-blind Randomised Placebo-controlled Study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Participant Care provider Investigator Outcomes assessor

Study Groups

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acalabrutinib + R-CHOP

Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)

Group Type EXPERIMENTAL

acalabrutinib

Intervention Type DRUG

Investigational Product

Prednisone

Intervention Type DRUG

Investigational Product

Rituximab

Intervention Type DRUG

Investigational Product

Cyclophosphamide

Intervention Type DRUG

Investigational Product

Vincristine

Intervention Type DRUG

Investigational Product

Doxorubicin

Intervention Type DRUG

Investigational Product

placebo + R-CHOP

Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

Placebo comparator

Prednisone

Intervention Type DRUG

Investigational Product

Rituximab

Intervention Type DRUG

Investigational Product

Cyclophosphamide

Intervention Type DRUG

Investigational Product

Vincristine

Intervention Type DRUG

Investigational Product

Doxorubicin

Intervention Type DRUG

Investigational Product

Interventions

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acalabrutinib

Investigational Product

Intervention Type DRUG

placebo

Placebo comparator

Intervention Type DRUG

Prednisone

Investigational Product

Intervention Type DRUG

Rituximab

Investigational Product

Intervention Type DRUG

Cyclophosphamide

Investigational Product

Intervention Type DRUG

Vincristine

Investigational Product

Intervention Type DRUG

Doxorubicin

Investigational Product

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men and women, age ≥18 and ≤75 years
* Pathologically confirmed DLBCL, sufficient diagnostic material should be available to forward to a central laboratory for gene expression profiling and pathology review.
* No prior treatment for DLBCL
* Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2.
* International Prognostic Index (IPI) score of 1 to 5
* Disease Stage II to IV by the Ann Arbor Classification
* Adequate organ and marrow function
* Agreement to use highly effective forms of contraception during the study and 12 months after the last dose of rituximab

Exclusion Criteria

* Evidence of severe or uncontrolled systemic diseases
* Known history of a bleeding diathesis (i.e., haemophilia, von Willebrand disease)
* History of stroke or intracranial haemorrhage in preceding 6 months.
* Known CNS lymphoma or leptomeningeal disease
* Known primary mediastinal lymphoma
* Known High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements
* Prior history of indolent lymphoma or CLL
* History of or ongoing confirmed PML
* Significant cardiovascular disease such as uncontrolled or 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
* Malabsorption syndrome, disease significantly affecting gastrointestinal function, resection of the stomach, extensive small bowel resection that is likely to affect absorption, symptomatic inflammatory bowel disease, partial or complete bowel obstruction, or gastric restrictions and bariatric surgery, such as gastric bypass.
* Uncontrolled active systemic fungal, bacterial, viral, or other infection
* Prior anthracycline use ≥150 mg/m2
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Acerta Pharma BV

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Tucson, Arizona, United States

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Little Rock, Arkansas, United States

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Irvine, California, United States

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Aurora, Colorado, United States

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Norwich, Connecticut, United States

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Fort Myers, Florida, United States

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Orlando, Florida, United States

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St. Petersburg, Florida, United States

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Tallahassee, Florida, United States

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West Palm Beach, Florida, United States

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Fort Wayne, Indiana, United States

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Des Moines, Iowa, United States

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Wichita, Kansas, United States

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Louisville, Kentucky, United States

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Baltimore, Maryland, United States

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Grand Rapids, Michigan, United States

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Minneapolis, Minnesota, United States

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St Louis, Missouri, United States

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Albany, New York, United States

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New York, New York, United States

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New York, New York, United States

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Stony Brook, New York, United States

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Charlotte, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Eugene, Oregon, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Nashville, Tennessee, United States

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Fort Sam Houston, Texas, United States

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Lubbock, Texas, United States

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Salem, Virginia, United States

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Adelaide, , Australia

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Camperdown, , Australia

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Clayton, , Australia

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Darlinghurst, , Australia

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Heidelberg, , Australia

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Hobart, , Australia

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Kogarah, , Australia

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Liverpool, , Australia

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Nedlands, , Australia

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Westmead, , Australia

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Linz, , Austria

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Salzburg, , Austria

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Wels, , Austria

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Antwerp, , Belgium

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Bruges, , Belgium

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La Louvière, , Belgium

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Curitiba, , Brazil

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Florianópolis, , Brazil

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Goiânia, , Brazil

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Passo Fundo, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Ribeirão Preto, , Brazil

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Rio de Janeiro, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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Vancouver, British Columbia, Canada

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Toronto, CA, Canada

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Winnipeg, Manitoba, Canada

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London, Ontario, Canada

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Lévis, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Ottawa, , Canada

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Toronto, , Canada

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Beijing, , China

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Beijing, , China

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Changchun, , China

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Chengdu, , China

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Guangzhou, , China

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Guangzhou, , China

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Guangzhou, , China

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Hangzhou, , China

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Hangzhou, , China

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Harbin, , China

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Jinan, , China

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Luoyang, , China

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Nanchang, , China

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Nanning, , China

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Shanghai, , China

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Shanghai, , China

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Shenyang, , China

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Shenyang, , China

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Shijiazhuang, , China

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Suzhou, , China

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Tianjin, , China

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Tianjin, , China

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Wuhan, , China

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Wuhan, , China

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Xiamen, , China

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Zhengzhou, , China

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Brno, , Czechia

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Hradec Králové, , Czechia

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Ostrava - Poruba, , Czechia

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Pilsen, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Brest, , France

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Caen, , France

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Marseille, , France

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Montpellier, , France

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Nantes, , France

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Pessac, , France

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Pierre-Bénite, , France

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Rennes, , France

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Toulouse, , France

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Bamberg, , Germany

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Berlin, , Germany

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Dresden, , Germany

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Homburg, , Germany

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Neumünster, , Germany

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Bangalore, , India

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Delhi, , India

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Kochi, , India

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Mumbai, , India

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Nashik, , India

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Nashik, , India

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Pune, , India

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Afula, , Israel

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Ashdod, , Israel

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Beersheba, , Israel

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Haifa, , Israel

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Haifa, , Israel

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Haifa, , Israel

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Holon, , Israel

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Jerusalem, , Israel

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Jerusalem, , Israel

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Nahariya, , Israel

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Petah Tikva, , Israel

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Ẕerifin, , Israel

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Bari, , Italy

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Bergamo, , Italy

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Bologna, , Italy

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Florence, , Italy

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Genova, , Italy

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Meldola, , Italy

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Siena, , Italy

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Torino, , Italy

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Tricase, , Italy

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Venezia, , Italy

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Chiba, , Japan

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Chūōku, , Japan

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Fukuoka, , Japan

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Itabashi-ku, , Japan

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Kahoku-gun, , Japan

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Kashiwa, , Japan

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Kobe, , Japan

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Kōtoku, , Japan

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Kumamoto, , Japan

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Kumamoto, , Japan

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Kyoto, , Japan

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Matsuyama, , Japan

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Nagasaki, , Japan

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Nagoya, , Japan

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Nagoya, , Japan

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Nagoya, , Japan

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Niigata, , Japan

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Okayama, , Japan

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Osaka, , Japan

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Sapporo, , Japan

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Sendai, , Japan

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Shimotsuke-shi, , Japan

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Tsu, , Japan

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Chihuahua City, , Mexico

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Monterrey, , Mexico

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Gdansk, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Braga, , Portugal

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Lisbon, , Portugal

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Lisbon, , Portugal

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Lisbon, , Portugal

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Matosinhos Municipality, , Portugal

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Porto, , Portugal

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Porto, , Portugal

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Vila Nova de Gaia, , Portugal

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Chelyabinsk, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Busan, , South Korea

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Busan, , South Korea

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Goyang-si, , South Korea

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Jeonju, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Suwon, , South Korea

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Alcalá de Henares, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Gijón, , Spain

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L'Hospitalet de Llobregat, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Palma, , Spain

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Pamplona, , Spain

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Pozuelo de Alarcón, , Spain

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Salamanca, , Spain

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Seville, , Spain

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Valencia, , Spain

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Kaohsiung City, , Taiwan

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Tainan, , Taiwan

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Tainan, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taoyuan, , Taiwan

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Balçova, , Turkey (Türkiye)

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Edirne, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Kayseri, , Turkey (Türkiye)

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Mersin, , Turkey (Türkiye)

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Samsun, , Turkey (Türkiye)

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Trabzon, , Turkey (Türkiye)

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Cherkasy, , Ukraine

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Khmelnytskyi, , Ukraine

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Kyiv, , Ukraine

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Kyiv, , Ukraine

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Lviv, , Ukraine

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Mykolayiv, , Ukraine

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Zaporizhzhia, , Ukraine

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Countries

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United States Australia Austria Belgium Brazil Canada China Czechia France Germany India Israel Italy Japan Mexico Poland Portugal Russia South Korea Spain Taiwan Turkey (Türkiye) Ukraine

Other Identifiers

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2019-001755-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D8227C00001

Identifier Type: -

Identifier Source: org_study_id