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On August 6, 2026, the National Institute for Health and Care Excellence (NICE) announced the recommendation of acalabrutinib combinations for the treatment of newly diagnosed mantle cell lymphoma (MCL) and chronic lymphocytic leukemia (CLL).1
Acalabrutinib was recommended in combination with bendamustine + rituximab for the treatment of patients with MCL, supported by results from the phase III ECHO trial (NCT02972840).1,2 The addition of acalabrutinib to bendamustine + rituximab resulted in a median progression-free survival of 72.5 months vs 47.8 months with bendamustine + rituximab alone (p = 0.002). Safety outcomes were comparable between arms, with similar cumulative rates of Grade ≥3 adverse events (AEs).2
Acalabrutinib was also recommended for the treatment of patients with CLL, in combination with venetoclax, supported by results from the phase III AMPLIFY trial (NCT03836261).1,3 The risk of disease progression or death was reduced with acalabrutinib + venetoclax vs chemoimmunotherapy (hazard ratio, 0.65; 95% confidence interval, 0.49–0.87; p = 0.004).3 Grade ≥3 AEs were reported in 53.6% and 60.6% of patients in the acalabrutinib + venetoclax and chemoimmunotherapy arms, respectively.3
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