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

March 11, 2024 updated by: Acerta Pharma BV

Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Acalabrutinib in Combination With Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects ≤75 Years With Previously Untreated Non-GCB DLBCL

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.

Study Overview

Detailed Description

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).

Study Type

Interventional

Enrollment (Actual)

611

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Adelaide, Australia, 5000
        • Research Site
      • Camperdown, Australia, 2050
        • Research Site
      • Clayton, Australia, 3168
        • Research Site
      • Darlinghurst, Australia, 2010
        • Research Site
      • Heidelberg, Australia, 3084
        • Research Site
      • Hobart, Australia, 7000
        • Research Site
      • Kogarah, Australia, 2217
        • Research Site
      • Liverpool, Australia, 2170
        • Research Site
      • Nedlands, Australia, 6009
        • Research Site
      • Westmead, Australia, 2145
        • Research Site
      • Linz, Austria, 4021
        • Research Site
      • Salzburg, Austria, 5020
        • Research Site
      • Wels, Austria, 4600
        • Research Site
      • Antwerpen, Belgium, 2060
        • Research Site
      • Brugge, Belgium, 8000
        • Research Site
      • La Louvière, Belgium, 7100
        • Research Site
      • Curitiba, Brazil, 81520-060
        • Research Site
      • Florianopolis, Brazil, 88034-000
        • Research Site
      • Goiania, Brazil, 74605-020
        • Research Site
      • Passo Fundo, Brazil, 99010-260
        • Research Site
      • Porto Alegre, Brazil, 90035-003
        • Research Site
      • Porto Alegre, Brazil, 90619-900
        • Research Site
      • Porto Alegre, Brazil, 90110-270
        • Research Site
      • Ribeirão Preto, Brazil, 14051-140
        • Research Site
      • Rio de Janeiro, Brazil, 22793-080
        • Research Site
      • Sao Paulo, Brazil, 01236-030
        • Research Site
      • Sao Paulo, Brazil, 01509-900
        • Research Site
      • Sao Paulo, Brazil, 05652-900
        • Research Site
      • Sao Paulo, Brazil, 04029-000
        • Research Site
      • Sao Paulo, Brazil, 5403
        • Research Site
      • Sao Paulo, Brazil, 13083-878
        • Research Site
      • São Paulo, Brazil, 08270-070
        • Research Site
      • São Paulo, Brazil, 01323-001
        • Research Site
      • Ottawa, Canada, K1H 8L6
        • Research Site
      • Quebec, Canada, G1J 1Z4
        • Research Site
    • British Columbia
      • Vancouver, British Columbia, Canada, V5Z 4E6
        • Research Site
    • CA
      • Toronto, CA, Canada, M5G 2M9
        • Research Site
    • Manitoba
      • Winnipeg, Manitoba, Canada, R3E 0V9
        • Research Site
    • Ontario
      • London, Ontario, Canada, N6A 5W9
        • Research Site
      • Toronto, Ontario, Canada, M4N 3M5
        • Research Site
    • Quebec
      • Lévis, Quebec, Canada, G6V 0B8
        • Research Site
      • Montreal, Quebec, Canada, H2X 3E4
        • Research Site
      • Montreal, Quebec, Canada, H1T 2M4
        • Research Site
      • Beijing, China, 100044
        • Research Site
      • Beijing, China, 100191
        • Research Site
      • Changchun, China, 130021
        • Research Site
      • Chengdu, China, 610041
        • Research Site
      • Guangzhou, China, 510120
        • Research Site
      • Guangzhou, China, 510080
        • Research Site
      • Guangzhou, China, 510060
        • Research Site
      • Hangzhou, China, 310003
        • Research Site
      • Hangzhou, China, 310009
        • Research Site
      • Harbin, China, 150081
        • Research Site
      • Jinan, China, 250117
        • Research Site
      • Luoyang, China, 471003
        • Research Site
      • Nanchang, China, 330006
        • Research Site
      • Nanning, China, 530021
        • Research Site
      • Shanghai, China, 200032
        • Research Site
      • Shanghai, China
        • Research Site
      • Shenyang, China, 110042
        • Research Site
      • Shenyang, China, 110004
        • Research Site
      • Shijiazhuang, China, 050020
        • Research Site
      • Suzhou, China, 215006
        • Research Site
      • Tianjin, China, 300060
        • Research Site
      • Tianjin, China, 300020
        • Research Site
      • Wuhan, China, 430022
        • Research Site
      • Wuhan, China, 430030
        • Research Site
      • Xiamen, China, 361003
        • Research Site
      • Zhengzhou, China, 450008
        • Research Site
      • Brno, Czechia, 625 00
        • Research Site
      • Hradec Kralove, Czechia, 500 05
        • Research Site
      • Ostrava - Poruba, Czechia, 708 52
        • Research Site
      • Plzen, Czechia, 304 60
        • Research Site
      • Praha 10, Czechia, 100 34
        • Research Site
      • Praha 2, Czechia, 12808
        • Research Site
      • Brest, France, 29609
        • Research Site
      • Caen Cedex 9, France, 14033
        • Research Site
      • Marseille cedex 5, France, 13385
        • Research Site
      • Montpellier, France, 34295
        • Research Site
      • Nantes, France, 44093
        • Research Site
      • Pessac, France, 33604
        • Research Site
      • Pierre Benite, France, 69495
        • Research Site
      • Rennes Cedex 9, France, 35033
        • Research Site
      • Toulouse, France, 31100
        • Research Site
      • Bamberg, Germany, 96049
        • Research Site
      • Berlin, Germany, 10967
        • Research Site
      • Dresden, Germany, 01307
        • Research Site
      • Homburg, Germany, 66421
        • Research Site
      • Neumünster, Germany, 24534
        • Research Site
      • Bangalore, India, 560064
        • Research Site
      • Delhi, India, 110029
        • Research Site
      • Kochi, India, 682041
        • Research Site
      • Mumbai, India, 400 012
        • Research Site
      • Nashik, India, 422004
        • Research Site
      • Pune, India, 411001
        • Research Site
      • Afula, Israel, 18101
        • Research Site
      • Ashdod, Israel, 7747629
        • Research Site
      • Beer Sheba, Israel, 8410101
        • Research Site
      • Haifa, Israel, 34362
        • Research Site
      • Haifa, Israel, 31096
        • Research Site
      • Haifa, Israel, 31048
        • Research Site
      • Holon, Israel, 58100
        • Research Site
      • Jerusalem, Israel, 91031
        • Research Site
      • Jerusalem, Israel, 91120
        • Research Site
      • Nahariya, Israel, 22100
        • Research Site
      • Petah Tikva, Israel, 4941492
        • Research Site
      • Ramat Gan, Israel, 52621
        • Research Site
      • Tel Aviv, Israel, 6423906
        • Research Site
      • Zerifin, Israel, 70300
        • Research Site
      • Bari, Italy, 70124
        • Research Site
      • Bergamo, Italy, 24127
        • Research Site
      • Bologna, Italy, 40138
        • Research Site
      • Firenze, Italy, 50134
        • Research Site
      • Genova, Italy, 16132
        • Research Site
      • Meldola, Italy, 47014
        • Research Site
      • Milan, Italy, 20141
        • Research Site
      • Milano, Italy, 20162
        • Research Site
      • Novara, Italy, 28100
        • Research Site
      • Palermo, Italy, 90146
        • Research Site
      • Pavia, Italy, 27100
        • Research Site
      • Pisa, Italy, 56126
        • Research Site
      • Ravenna, Italy, 48121
        • Research Site
      • Reggio Emilia, Italy, 42123
        • Research Site
      • Roma, Italy, 00152
        • Research Site
      • Roma, Italy, 00144
        • Research Site
      • Siena, Italy, 53100
        • Research Site
      • Torino, Italy, 10126
        • Research Site
      • Tricase, Italy, 73039
        • Research Site
      • Venezia, Italy, 30174
        • Research Site
      • Chiba-shi, Japan, 260-8717
        • Research Site
      • Chuo-ku, Japan, 104-0045
        • Research Site
      • Fukuoka-shi, Japan, 812-8582
        • Research Site
      • Itabashi-ku, Japan, 173-8610
        • Research Site
      • Kahoku-gun, Japan, 920-0293
        • Research Site
      • Kashiwa, Japan, 277-8577
        • Research Site
      • Kobe-shi, Japan, 650-0047
        • Research Site
      • Koto-ku, Japan, 135-8550
        • Research Site
      • Kumamoto-shi, Japan, 860-0008
        • Research Site
      • Kumamoto-shi, Japan, 860-8556
        • Research Site
      • Kyoto-city, Japan, 602-8026
        • Research Site
      • Matsuyama-shi, Japan, 791-0280
        • Research Site
      • Nagasaki-shi, Japan, 852-8501
        • Research Site
      • Nagoya-shi, Japan, 464-8681
        • Research Site
      • Nagoya-shi, Japan, 466-8560
        • Research Site
      • Nagoya-shi, Japan, 460-0001
        • Research Site
      • Niigata-shi, Japan, 951-8520
        • Research Site
      • Okayama-shi, Japan, 700-8558
        • Research Site
      • Osaka-shi, Japan, 545-8586
        • Research Site
      • Sapporo-shi, Japan, 003-0006
        • Research Site
      • Sendai-shi, Japan, 980-8574
        • Research Site
      • Shimotsuke-shi, Japan, 329-0498
        • Research Site
      • Tsu-shi, Japan, 514-8507
        • Research Site
      • Busan, Korea, Republic of, 49241
        • Research Site
      • Busan, Korea, Republic of, 49201
        • Research Site
      • Goyang-si, Korea, Republic of, 10408
        • Research Site
      • Jeonju-si, Korea, Republic of, 54907
        • Research Site
      • Seoul, Korea, Republic of, 03722
        • Research Site
      • Seoul, Korea, Republic of, 03080
        • Research Site
      • Seoul, Korea, Republic of, 06591
        • Research Site
      • Seoul, Korea, Republic of, 5505
        • Research Site
      • Seoul, Korea, Republic of, 6351
        • Research Site
      • Suwon-si, Korea, Republic of, 16499
        • Research Site
      • Chihuahua, Mexico, 31000
        • Research Site
      • Monterrey, Mexico, 64460
        • Research Site
      • Gdańsk, Poland, 80-952
        • Research Site
      • Kraków, Poland, 30-510
        • Research Site
      • Lublin, Poland, 20-081
        • Research Site
      • Warszawa, Poland, 02-776
        • Research Site
      • Wrocław, Poland, 50-367
        • Research Site
      • Łódź, Poland, 93-513
        • Research Site
      • Braga, Portugal, 4710
        • Research Site
      • Lisboa, Portugal, 1649-035
        • Research Site
      • Lisboa, Portugal, 1400-038
        • Research Site
      • Lisboa, Portugal, 1998-018
        • Research Site
      • Matosinhos, Portugal, 4454-509
        • Research Site
      • Porto, Portugal, 4099-001
        • Research Site
      • Porto, Portugal, 4200-319
        • Research Site
      • Vila Nova de Gaia, Portugal, 4434-502
        • Research Site
      • Chelyabinsk, Russian Federation, 454087
        • Research Site
      • Moscow, Russian Federation, 125284
        • Research Site
      • Saint Petersburg, Russian Federation, 194291
        • Research Site
      • St. Petersburg, Russian Federation, 197022
        • Research Site
      • Alcalá De Henares, Spain, 28805
        • Research Site
      • Barcelona, Spain, 08035
        • Research Site
      • Barcelona, Spain, 08003
        • Research Site
      • Gijón, Spain, 33394
        • Research Site
      • L'Hospitalet de Llobregat, Spain, 08908
        • Research Site
      • Madrid, Spain, 28034
        • Research Site
      • Madrid, Spain, 28046
        • Research Site
      • Madrid, Spain, 28040
        • Research Site
      • Madrid, Spain, 28007
        • Research Site
      • Madrid, Spain, 28033
        • Research Site
      • Palma, Spain, 07198
        • Research Site
      • Pamplona, Spain, 31008
        • Research Site
      • Pozuelo de Alarcón, Spain, 28223
        • Research Site
      • Salamanca, Spain, 37007
        • Research Site
      • Sevilla, Spain, 41013
        • Research Site
      • Valencia, Spain, 46026
        • Research Site
      • Kaohsiung, Taiwan, 833
        • Research Site
      • Tainan, Taiwan, 736
        • Research Site
      • Tainan, Taiwan, 70403
        • Research Site
      • Taipei, Taiwan, 100
        • Research Site
      • Taipei, Taiwan, 235
        • Research Site
      • Taipei 112, Taiwan
        • Research Site
      • Taoyuan City, Taiwan
        • Research Site
      • Ankara, Turkey, 6500
        • Research Site
      • Ankara, Turkey, 6200
        • Research Site
      • Ankara, Turkey, 06700
        • Research Site
      • Balcova, Turkey, 35340
        • Research Site
      • Edirne, Turkey, 22030
        • Research Site
      • Izmir, Turkey, 35040
        • Research Site
      • Kayseri, Turkey, 38030
        • Research Site
      • Mersin, Turkey, 33079
        • Research Site
      • Samsun, Turkey, 55139
        • Research Site
      • Trabzon, Turkey, 61080
        • Research Site
      • Cherkasy, Ukraine, 18009
        • Research Site
      • Khmelnytskyi, Ukraine, 29000
        • Research Site
      • Kyiv, Ukraine, 03022
        • Research Site
      • Kyiv, Ukraine, 04112
        • Research Site
      • Lviv, Ukraine, 79044
        • Research Site
      • Mykolayiv, Ukraine, 54058
        • Research Site
      • Zaporizhzhia, Ukraine, 69600
        • Research Site
    • Arizona
      • Tucson, Arizona, United States, 85711
        • Research Site
    • Arkansas
      • Little Rock, Arkansas, United States, 72205
        • Research Site
    • California
      • Irvine, California, United States, 92618
        • Research Site
    • Colorado
      • Aurora, Colorado, United States, 80012
        • Research Site
    • Connecticut
      • Norwich, Connecticut, United States, 06360
        • Research Site
    • Florida
      • Fort Myers, Florida, United States, 33901
        • Research Site
      • Orlando, Florida, United States, 32804
        • Research Site
      • Saint Petersburg, Florida, United States, 33705-1449
        • Research Site
      • Tallahassee, Florida, United States, 32308-5304
        • Research Site
      • West Palm Beach, Florida, United States, 33401
        • Research Site
    • Indiana
      • Fort Wayne, Indiana, United States, 46845
        • Research Site
    • Iowa
      • Des Moines, Iowa, United States, 50309
        • Research Site
    • Kansas
      • Wichita, Kansas, United States, 67214
        • Research Site
    • Kentucky
      • Louisville, Kentucky, United States, 40207
        • Research Site
    • Maryland
      • Baltimore, Maryland, United States, 21201
        • Research Site
    • Michigan
      • Grand Rapids, Michigan, United States, 49503
        • Research Site
    • Minnesota
      • Minneapolis, Minnesota, United States, 55407
        • Research Site
    • Missouri
      • Saint Louis, Missouri, United States, 63129
        • Research Site
    • New York
      • Albany, New York, United States, 12208
        • Research Site
      • New York, New York, United States, 10065
        • Research Site
      • New York, New York, United States, 10028
        • Research Site
      • Stony Brook, New York, United States, 11795
        • Research Site
    • North Carolina
      • Charlotte, North Carolina, United States, 28204
        • Research Site
      • Winston-Salem, North Carolina, United States, 27103
        • Research Site
    • Oregon
      • Eugene, Oregon, United States, 97401
        • Research Site
      • Portland, Oregon, United States, 97239
        • Research Site
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19111
        • Research Site
      • Pittsburgh, Pennsylvania, United States, 15212
        • Research Site
    • Tennessee
      • Nashville, Tennessee, United States, 37203
        • Research Site
    • Texas
      • Fort Sam Houston, Texas, United States, 78234
        • Research Site
      • Lubbock, Texas, United States, 79410
        • Research Site
    • Virginia
      • Salem, Virginia, United States, 24153
        • Research Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
Investigational Product
Investigational Product
Investigational Product
Investigational Product
Investigational Product
Investigational Product
Placebo Comparator: placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
Investigational Product
Investigational Product
Investigational Product
Investigational Product
Investigational Product
Placebo comparator

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Progression-free survival (PFS) per the Lugano Classification for NHL in Arm A compared to Arm B
Time Frame: at every single visit up to 60 months
at every single visit up to 60 months

Secondary Outcome Measures

Outcome Measure
Time Frame
Investigator-assessed event-free survival (EFS) for NHL in Arm A compared to Arm B
Time Frame: at every single visit up to 60 months
at every single visit up to 60 months
Overall survival in Arm A compared to Arm B
Time Frame: at every single visit up to 60 months
at every single visit up to 60 months
Percentage of Participants Who Achieved a Complete Response (CR) per 2014 Lugano Classification for NHL
Time Frame: at every single visit up to 60 months
at every single visit up to 60 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 8, 2020

Primary Completion (Estimated)

February 5, 2027

Study Completion (Estimated)

February 5, 2027

Study Registration Dates

First Submitted

August 25, 2020

First Submitted That Met QC Criteria

August 25, 2020

First Posted (Actual)

August 28, 2020

Study Record Updates

Last Update Posted (Actual)

March 12, 2024

Last Update Submitted That Met QC Criteria

March 11, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Time Frame

AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Access Criteria

When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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