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Acalabrutinib monotherapy and in combination with rituximab in patients with FL

By Abhilasha Verma

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Dec 13, 2024

Learning objective: After reading this article, learners will be able to cite a new clinical development in follicular lymphoma


Results from a multicenter, open-label phase Ib/II trial (NCT02180711) that evaluated the safety and efficacy of acalabrutinib, a second-generation BTK inhibitor, alone or in combination with rituximab in patients with FL have been published in the British Journal of Haematology by Strati et al.1

Key learnings
The most common any grade AEs in the acalabrutinib + rituximab TN cohort, acalabrutinib monotherapy R/R cohort, and acalabrutinib + rituximab R/R cohort included hypertension (25%, 7,7%, 15.4%) and diarrhea (41.7%, 38.5%, 53.8%), while SAEs were reported in 16.7%, 38.5%, 23.1%, respectively.  
The ORR rates were 92.3%, 33.3%, and 30.8% in the acalabrutinib + rituximab TN, acalabrutinib monotherapy R/R, and acalabrutinib + rituximab R/R cohorts, respectively, and the CR rates were 38.5%, 8.3%, and 15.4%. 
Overall, the efficacy and safety data suggest that acalabrutinib monotherapy and in combination with rituximab could be a viable treatment option for patients with FL. 

Abbreviations: AE, adverse event; BTK, Bruton’s tyrosine kinase; CR, complete response; FL, follicular lymphoma; ORR, overall response rate; R/R, relapsed/refractory; SAE, serious adverse event; TN, treatment naïve.  

References

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