Zanubrutinib and Acalabrutinib Use and Risk of Atrial Fibrillation in Patients With Chronic B-cell Malignancies

NCT ID: NCT07283965

Last Updated: 2025-12-16

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

NOT_YET_RECRUITING

Total Enrollment

15000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-12-22

Study Completion Date

2026-03-31

Brief Summary

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Background. Zanubrutinib and acalabrutinib are both associated with an increased risk of atrial fibrillation (AF) but AF comparative risk between these 2 BTK inhibitors (BTKis) remains largely unknown.

Objectives. Our aim was to examine the risk of developing incident AF with zanubrutinib exposure compared with acalabrutinib exposure.

Methods. Using the TriNetX research network database, authors will conduct a retrospective cohort analysis of deidentified, aggregate adult patients with chronic B-cell malignancies and exposed to zanubrutinib or acalabrutinib. Patients will be divided into 2 groups based on zanubrutinib or acalabrutinib exposure. After propensity score matching (PSM), Cox proportional hazard models will be used to calculate the hazard ratios (HRs) and 95% confidence intervals (CIs) to compare the 2 matched groups. The appropriateness of the proportional hazard assumption will be examined and risk differences (RDs) will be used if appropriate. Results will summarized with the use of Kaplan-Meier survival curves.

Detailed Description

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Conditions

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Chronic B-cell Malignancies BTK Inhibitors Cardiovascular Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Zanubrutinib

Adult patients with a chronic B-cell malignancy exposed to zanubrutinib

Zanubrutinib

Intervention Type DRUG

Adult patients with a chronic B-cell malignancy exposed to zanubrutinib

Acalabrutinib

Adult patients with a chronic B-cell malignancy exposed to acalabrutinib

Acalabrutinib

Intervention Type DRUG

Adult patients with a chronic B-cell malignancy exposed to acalabrutinib

Interventions

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Zanubrutinib

Adult patients with a chronic B-cell malignancy exposed to zanubrutinib

Intervention Type DRUG

Acalabrutinib

Adult patients with a chronic B-cell malignancy exposed to acalabrutinib

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* adult patients
* diagnose with chronic B-cell malignancies
* exposed to zanubrutinib or acalabrutinib

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Caen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Joachim Alexandre, MD, PhD

Role: CONTACT

+33231064670

Other Identifiers

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Pharmaco111525

Identifier Type: -

Identifier Source: org_study_id