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Lymphoma, Mantle CellPhase 3NCT02972840

A Study of BR Alone Versus in Combination With Acalabrutinib in Subjects With Previously Untreated MCL

A Phase 3 study testing Acalabrutinib, Bendamustine and Rituximab in people with Lymphoma, Mantle Cell, run by Acerta Pharma BV at 228 sites in 27 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This study is evaluating the efficacy of acalabrutinib in combination with bendamustine and rituximab (BR) compared with placebo plus BR in subjects with previously untreated mantle cell lymphoma. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Lymphoma, Mantle Cell
What is being tested?
Acalabrutinib, Bendamustine and Rituximab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
635 participants
Where
228 sitesin 27 countries
Study dates
5 Apr 2017to 15 Feb 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Men and women, ≥ 65 years of age.
  • Pathologically confirmed MCL, with documentation of a chromosome translocation t(11;14)(q13;q32) and/or overexpression of cyclin D1 in association with other relevant markers (eg, CD5, CD19, CD20, PAX5) .
  • MCL requiring treatment and for which no prior systemic anticancer therapies have been received.
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2.
  • Agreement to use highly effective forms of contraception during the study and 6 months after the last dose of bendamustine, or 12 months after the last dose of rituximab, whichever is longest .

Who cannot join

  • 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, or corrected QT interval (QTc) > 480 msec (calculated using Friderica's formula: QT/RR0.33) at screening. Exception: Subjects with controlled, asymptomatic atrial fibrillation during screening are allowed to enroll on study.
  • 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 (defined as exhibiting ongoing signs/symptoms related to the infection and without improvement, despite appropriate antibiotics or other treatment), or intravenous anti infective treatment within 2 weeks before first dose of study drug.
  • Concurrent participation in another therapeutic clinical trial.

Trial locations and contacts

228 sites in 27 countries.

228 sites in 27 countries

United States32 sites
  • Research Site

    Ann Arbor, Michigan, 48109

  • Research Site

    Charleston, South Carolina, 29425

  • Research Site

    Charlottesville, Virginia, 22908

  • Research Site

    Chattanooga, Tennessee, 37404

  • Research Site

    Downey, California, 90241

  • Research Site

    Fort Belvoir, Virginia, 22060

  • Research Site

    Greenville, South Carolina, 29615

  • Research Site

    Hackensack, New Jersey, 07601

  • Research Site

    Hawthorne, New York, 10532

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Kansas City, Missouri, 64132

  • Research Site

    Lake Success, New York, 11042

  • Research Site

    Louisville, Kentucky, 40207

  • Research Site

    Marietta, Georgia, 30060

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    Morristown, New Jersey, 07960

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    New Haven, Connecticut, 06510

  • Research Site

    Portland, Oregon, 97239

  • Research Site

    Rochester, Minnesota, 55905-0001

  • Research Site

    San Antonio, Texas, 78217

  • Research Site

    Santa Monica, California, 90404

  • Research Site

    Seattle, Washington, 98108

  • Research Site

    Seattle, Washington, 98109

  • Research Site

    Seattle, Washington, 98122

  • Research Site

    St Louis, Missouri, 63110

  • Research Site

    Tallahassee, Florida, 32308-5304

  • Research Site

    Tucson, Arizona, 85719

  • Research Site

    Tyler, Texas, 75702

  • Research Site

    Washington D.C., District of Columbia, 20007

  • Research Site

    West Palm Beach, Florida, 33401

  • Research Site

    Westwood, Kansas, 66205

Other trials in United States

China27 sites
  • Research Site

    Beijing, 100036

  • Research Site

    Changchun, 130021

  • Research Site

    Changsha, 410008

  • Research Site

    Changsha, 410013

  • Research Site

    Chongqing, 400037

  • Research Site

    Dalian, 116023

  • Research Site

    Gongshu District, 310022

  • Research Site

    Haidian District, 100191

  • Research Site

    Harbin, 150081

  • Research Site

    Nanchang, 330006

  • Research Site

    Nanchang, 330029

  • Research Site

    Nanjing, 210029

  • Research Site

    Qingdao, 266100

  • Research Site

    Shanghai

  • Research Site

    Shenyang

  • Research Site

    Suzhou, 215006

  • Research Site

    Tianjian, 300020

  • Research Site

    Tianjin

  • Research Site

    Wenzhou, 325000

  • Research Site

    Wuhan, 430030

  • Research Site

    Wuhan, 430079

  • Research Site

    Wuhou District, 610041

  • Research Site

    Xicheng District, 100050

  • Research Site

    Xuhui District, 200032

  • Research Site

    Xuzhou, 221000

  • Research Site

    Zhengzhou, 450000

  • Research Site

    Zhengzhou, 450008

Other trials in China

Japan14 sites
  • Research Site

    Fukuoka, 811-1395

  • Research Site

    Fukuoka, 812-8582

  • Research Site

    Kobe, 650-0047

  • Research Site

    Kyoto, 602-8026

  • Research Site

    Matsuyama, 791-0280

  • Research Site

    Nagoya, 460-0001

  • Research Site

    Nagoya, 464-8681

  • Research Site

    Osaka, 565-0871

  • Research Site

    Sapporo, 003-0006

  • Research Site

    Sendai, 980-8574

  • Research Site

    Shimane, 693-8501

  • Research Site

    Tokyo, 104-0045

  • Research Site

    Tokyo, 135-8550

  • Research Site

    Yokohama, 241-8515

Other trials in Japan

Australia13 sites
  • Research Site

    Bedford Park, 5042

  • Research Site

    Concord, 2139

  • Research Site

    Frankston, 3199

  • Research Site

    Gosford, 2250

  • Research Site

    Heidelberg, 3084

  • Research Site

    Herston, QLD, 4029

  • Research Site

    Kogarah, NSW 2217

  • Research Site

    Murdoch, 6150

  • Research Site

    Nedlands, 6009

  • Research Site

    Newcastle, 2298

  • Research Site

    Southport, 4215

  • Research Site

    Sydney, NSW 2145

  • Research Site

    Woolloongabba, 4102

Other trials in Australia

Spain12 sites
  • Research Site

    Badalona, 8916

  • Research Site

    Barcelona, 08041

  • Research Site

    Barcelona, 8003

  • Research Site

    Barcelona, 8035

  • Research Site

    Barcelona, 8907

  • Research Site

    Madrid, 28007

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28046

  • Research Site

    Majadahonda, 28222

  • Research Site

    Pamplona, 31008

  • Research Site

    Seville

  • Research Site

    Valencia, 46026

Other trials in Spain

Brazil11 sites
  • Research Site

    Bela Vista, 01321-001

  • Research Site

    Curitiba, 81520-060

  • Research Site

    Porto Alegre, 90035-903

  • Research Site

    Porto Alegre, RS 90610-000

  • Research Site

    Rio de Janeiro, 20231-050

  • Research Site

    Salvador, 41253-190

  • Research Site

    São Paulo, 01232-010

  • Research Site

    São Paulo, 05652-9000

  • Research Site

    São Paulo, 1236030

  • Research Site

    São Paulo, 5403

  • Research Site

    So Paulo, 08270-070

Other trials in Brazil

Poland10 sites
  • Research Site

    Chorzów, 41-500

  • Research Site

    Krakow, 30-510

  • Research Site

    Lodz, 93-510

  • Research Site

    Lublin, 20-090

  • Research Site

    Olsztyn, 10-228

  • Research Site

    Warsaw, 02-106

  • Research Site

    Warsaw, 02-776

  • Research Site

    Warsaw, 04-141

  • Research Site

    Woj. Podkarpackie, 36-200

  • Research Site

    Wroclaw, 50-367

Other trials in Poland

France9 sites
  • Research Site

    Argenteuil, 95100

  • Research Site

    Bobigny, 93000

  • Research Site

    Bordeaux, 33076, FR

  • Research Site

    Le Mans, 72000, FR

  • Research Site

    Limoges, 87042

  • Research Site

    Périgueux, 24019

  • Research Site

    Pessac, 33604

  • Research Site

    Rennes, 35000

  • Research Site

    Vienne, 86000, FR

Other trials in France

Italy9 sites
  • Research Site

    Bologna, 40138

  • Research Site

    Milan, 20132

  • Research Site

    Milan, 20162

  • Research Site

    Palermo, 90146

  • Research Site

    Parma

  • Research Site

    Pavia, 27100

  • Research Site

    Reggio Emilia, 42123

  • Research Site

    Rozzano, 20089

  • Research Site

    Turin, 10126

Other trials in Italy

South Korea8 sites
  • Research Site

    Busan, 49201

  • Research Site

    Gyeonggi-do, 13620

  • Research Site

    Seoul, 3080

  • Research Site

    Seoul, 3722

  • Research Site

    Seoul, 5505

  • Research Site

    Seoul, 6351

  • Research Site

    Seoul, 6591

  • Research Site

    Seoul, 7985

Other trials in South Korea

Germany7 sites
  • Research Site

    Heidelberg, 69120, DE

  • Research Site

    München, 81377, DE

  • Research Site

    Münster, 48149

  • Research Site

    Nordrhein-Westfalen, 52064, DE

  • Research Site

    Ravensburg, 88212

  • Research Site

    Rheinland-Pfalz, 55131, DE

  • Research Site

    Ulm, 89081

Other trials in Germany

Greece7 sites
  • Research Site

    Athens, 11525

  • Research Site

    Athens, 11527, GR

  • Research Site

    Athens, 11528, GR

  • Research Site

    Ioannina, 45500, GR

  • Research Site

    Pátrai, 26504

  • Research Site

    Thessaloniki, 54007, GR

  • Research Site

    Thessaloniki, 57010, GR

Other trials in Greece

Argentina6 sites
  • Research Site

    Buenos Aires, C1114AAP

  • Research Site

    Buenos Aires, C1426ANZ

  • Research Site

    Buenos Aires, C1430EGF

  • Research Site

    Buenos Aires, C1431FWO

  • Research Site

    Caba, C1118AAT

  • Research Site

    Córdoba, 5000

Other trials in Argentina

Canada6 sites
  • Research Site

    Edmonton, T6G 1Z2

  • Research Site

    Greenfield Park, J4V 2H1

  • Research Site

    Halifax, NS B3H 2Y9

  • Research Site

    Oshawa, Ontario, L1G 2B9,

  • Research Site

    Toronto, Ontario, M4N 3M5

  • Research Site

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

Hungary6 sites
  • Research Site

    Budapest, 1085

  • Research Site

    Budapest, 1122

  • Research Site

    Debrecen, 4032

  • Research Site

    Győr, 9024

  • Research Site

    Pécs, 7624

  • Research Site

    Szeged, 6725

Other trials in Hungary

Russia6 sites
  • Research Site

    Pyatigorsk, 357532

  • Research Site

    Saint Petersburg, 197022

  • Research Site

    Saint Petersburg, 197341

  • Research Site

    Saint Petersburg

  • Research Site

    Syktyvkar, 167029

  • Research Site

    Tula, 300053

Other trials in Russia

Ukraine6 sites
  • Research Site

    Cherkasy, 18009

  • Research Site

    Chernihiv, 14029

  • Research Site

    Dnipropetrovsk, 49102

  • Research Site

    Kiev, 3022

  • Research Site

    Lviv, 79044

  • Research Site

    Zhytomyr, 10002

Other trials in Ukraine

Belgium5 sites
  • Research Site

    Antwerp, 2060

  • Research Site

    Ghent, 9000

  • Research Site

    Leuven, 3000

  • Research Site

    Roeselare, 8900

  • Research Site

    Sint-Niklaas, 9100

Other trials in Belgium

Czechia5 sites
  • Research Site

    Brno, 625 00

  • Research Site

    Hradec Králové, 500 05, CZ

  • Research Site

    Ostrava Poruba, 708 52

  • Research Site

    Pilsen, 30460, CZ

  • Research Site

    Prague, 100 34, CZ

Other trials in Czechia

Israel4 sites
  • Research Site

    Haifa, 31096

  • Research Site

    Jerusalem, 9103102

  • Research Site

    Petah Tikva, 494142

  • Research Site

    Tel Aviv, 64239

Other trials in Israel

Mexico4 sites
  • Research Site

    México, 14080

  • Research Site

    Mexico City, 2990

  • Research Site

    Monterrey

  • Research Site

    Querétaro, 76090

Other trials in Mexico

Peru4 sites
  • Research Site

    Arequipa, 5154

  • Research Site

    Bellavista

  • Research Site

    Lima, 1

  • Research Site

    Lima, 34

Other trials in Peru

Romania4 sites
  • Research Site

    Brasov, 50012

  • Research Site

    Bucharest, 070131

  • Research Site

    Cluj-Napoca, 400124

  • Research Site

    Iași, 700483

Other trials in Romania

Taiwan4 sites
  • Research Site

    Kaohsiung City, 833

  • Research Site

    Taichung, 40447

  • Research Site

    Taipei, 100

  • Research Site

    Taoyuan, 333

Other trials in Taiwan

Vietnam4 sites
  • Research Site

    Hanoi, 123

  • Research Site

    Hanoi

  • Research Site

    Ho Chi Minh City, 700000

  • Research Site

    Ho Chi Minh City, WARD 7

Other trials in Vietnam

New Zealand3 sites
  • Research Site

    Dunedin, 9016

  • Research Site

    Grafton, 1023

  • Research Site

    Otahuhu, 1640

Other trials in New Zealand

Hong Kong2 sites
  • Research Site

    Hong Kong, 999077

  • Research Site

    Pok Fu Lam

Other trials in Hong Kong

About this study

Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study of Bendamustine and Rituximab (BR) Alone Versus in Combination With Acalabrutinib (ACP-196) in Subjects With Previously Untreated Mantle Cell Lymphoma

This study is evaluating the efficacy of acalabrutinib in combination with bendamustine and rituximab (BR) compared with placebo plus BR in subjects with previously untreated mantle cell lymphoma.

Read the detailed description

To evaluate the efficacy of acalabrutinib in combination with bendamustine and rituximab (BR) compared with placebo plus BR based on Independent Review Committee (IRC) assessment of progression-free survival (PFS) per the Lugano Classification for Non-Hodgkin Lymphoma (NHL) in subjects with previously untreated mantle cell lymphoma (MCL).

Being tested
Acalabrutinib, Bendamustine, Rituximab, Placebo
Keywords
Bruton tyrosine kinase inhibitor, Acalabrutinib, Mantle Cell Lymphoma, ACE-LY-308, Treatment naive, non-Hodgkins Lymphoma, Bendomustine, Rituximab
Medical subject headings
Lymphoma, Mantle-Cell, Lymphoma, Non-Hodgkin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AcalabrutinibDrug

    Also called ACP-196, Calquence

    Administered orally (PO)

  • BendamustineDrug

    Also called Treanda, Bendeka

    Administered intravenously (IV)

  • RituximabDrug

    Also called Rituxan, Rituxan Hycela

    Administered intravenously (IV)

  • PlaceboDrug

    Placebo comparator

Study groups in NCT02972840
Study groupRoleWhat they receive
Acalabrutinib in combination with bendamustine and rituximabExperimentalAcalabrutinib administered twice per day (BID) orally (PO) plus bendamustine on Days 1 and 2 and rituximab on Day 1; cycles are repeated every 28 days.
Receives: Drug: Acalabrutinib; Drug: Bendamustine; Drug: Rituximab
Placebo in combination with bendamustine and rituximabPlacebo comparatorMatching placebo administered BID PO plus bendamustine on Days 1 and 2 and rituximab on Day 1; cycles are repeated every 28 days.
Receives: Drug: Bendamustine; Drug: Rituximab; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free survival per the Lugano Classification for NHL in Arm 1 compared to Arm 2

    Defined as the time from the date of randomization until disease progression (assessed by the IRC per the Lugano Classification for NHL) or death from any cause, whichever occurs first.

    Measured: Up to 6 years

Secondary outcomes (6)
  1. Investigator-assessed progression-free survival per the Lugano Classification for NHL in Arm 1 compared to Arm 2

    Defined as the time from the date of randomization until disease progression (assessed by the investigator per the Lugano Classification for NHL) or death from any cause, whichever occurs first.

    Measured: Up to 6 years

  2. Investigator-assessed overall response rate per the Lugano Classification for NHL in Arm 1 compared to Arm 2

    Defined as the proportion of subjects who achieve either partial response (PR) or complete response (CR) as best overall response according to the Lugano Classification for NHL as assessed by investigator.

    Measured: Up to 6 years

  3. IRC-assessed overall response rate per the Lugano Classification for NHL in Arm 1 compared to Arm 2

    Defined as the proportion of subjects who achieve either PR or CR as best overall response according to the Lugano Classification for NHL as assessed by IRC.

    Measured: Up to 6 years

  4. Overall survival in Arm 1 compared to Arm 2

    Defined as the time from randomization until the date of death from any cause.

    Measured: Up to 6 years

  5. IRC-assessed duration of response per the Lugano Classification for NHL in Arm 1 compared to Arm 2

    Defined as the time from the first documentation of CR or PR to disease progression per the Lugano Classification for NHL or death from any cause, whichever occurs first.

    Measured: Up to 6 years

  6. IRC assessed time to response per the Lugano Classification for NHL in Arm 1 compared to Arm 2

    Defined as the time from randomization to the first CR or PR per the Lugano Classification for NHL.

    Measured: Up to 6 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Nov 2016 (estimated)
  2. Study start5 Apr 2017
  3. Primary completion15 Feb 2027 (estimated)
  4. Study completion15 Feb 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
635 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02972840
Sponsor's protocol ID
ACE-LY-308
Other IDs
2023-509354-58-00, 2015-005220-26, 2015, 2023
Status last verified
Oct 2026
First submitted
21 Nov 2016
Last updated
8 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Publications

  • Wang M, Salek D, Belada D, Song Y, Jurczak W, Kahl BS, Paludo J, Chu MP, Kryachok I, Fogliatto L, Cheah CY, Morawska M, Sancho JM, Li Y, Patti C, Forsyth C, Zhang J, Lesley R, Ramadan S, Rule S, Dreyling M; ECHO investigators; ECHO Investigators. Acalabrutinib Plus Bendamustine-Rituximab in Untreated Mantle Cell Lymphoma. J Clin Oncol. 2025 Jul 10;43(20):2276-2284. doi: 10.1200/JCO-25-00690. Epub 2025 May 1.

    PubMed 40311141

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Acalabrutinib, Bendamustine and Rituximab in people with Lymphoma, Mantle Cell, run by Acerta Pharma BV at 228 sites in 27 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 8 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 228 sites in United States, China, Japan, Australia, Spain and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free survival per the Lugano Classification for NHL in Arm 1 compared to Arm 2 (time frame: Up to 6 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02972840, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Oct 2026.

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