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Chronic Lymphocytic LeukemiaPICAROSNCT05999877

PICAROS - Acalabrutinib RWE on 1L CLL in Spain

An observational study of Chronic Lymphocytic Leukemia, run by AstraZeneca at 50 sites in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a multicenter non-interventional study (NIS) of patients with CLL treated with first-line acalabrutinib according to routine clinical practice in Spain. It included an initial cohort of patients who initiated treat-to-progression acalabrutinib for the first time within the year before the first site initiation… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Lymphocytic Leukemia
How many people
315 participants
Where
50 sitesSpain
Study dates
11 Jul 2023to 31 Mar 2029
Phase
Observational
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study aims to include approximately 315 patients in the cohort 1 and 103 patients in the cohort 2 who started acalabrutinib for the first time for the treatment of their CLL. To minimize selection biases, all patients (alive or deceased) identified on acalabrutinib will be eligible for inclusion into the study. These patients will be included from approximately 50 hospitals distributed throughout Spain.

Who may be able to join

  • Age ≥18 years old at starting acalabrutinib treatment.
  • Diagnosis of CLL.
  • Start of acalabrutinib treatment (index date) as per the CLL SmPC:
  • in treatment-naïve CLL patients or those switching in first-line between first-generation BTK inhibitor to acalabrutinib due to intolerance in absence of progression according to routine clinical practice within the year before the first site initiation visit (cohort 1).
  • in treatment-naïve CLL patients for the fixed-duration treatment combination of acalabrutinib plus venetoclax (with or without obinutuzumab) according to routine clinical practice from the EMA approval (i.e., 2 June 2025) (cohort 2).
  • Decision to administer acalabrutinib must be made and documented prior to inclusion into the study and must follow local clinical practice.
  • Informed consent (for alive patients).

Who cannot join

  • Enrolled in any clinical trial during acalabrutinib treatment.
  • Patients who are unable to understand the study and its questionnaires due to insufficient knowledge of the Spanish language or their health status.

Trial locations and contacts

50 sites in 1 country. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

50 sites in 1 country

Spain50 sites, 15 recruiting
  • Research Site

    Alicante, Valencia, 3010

    Recruiting
  • Research Site

    Almería, Andalusia, 4009

    Recruiting
  • Research Site

    Barcelona, Catalonia, 8003

    Active, not recruiting
  • Research Site

    Barcelona, Catalonia, 8025

    Active, not recruiting
  • Research Site

    Barcelona, Catalonia, 8035

    Active, not recruiting
  • Research Site

    Barcelona, Catalonia, 8036

    Active, not recruiting
  • Research Site

    Córdoba, Andalusia, 14004

    Recruiting
  • Research Site

    Donostia / San Sebastian, Basque Country, 20014

    Withdrawn
  • Research Site

    El Palmar, Murcia, 30120

    Active, not recruiting
  • Research Site

    Galdakao, Basque Country, 48960

    Withdrawn
  • Research Site

    Granada, Andalusia, 18014

    Recruiting
  • Research Site

    Granollers, Catalonia, 8402

    Active, not recruiting
  • Research Site

    Guadalajara, Castille-La Mancha, 19002

    Recruiting
  • Research Site

    Jaén, Andalusia, 23007

    Active, not recruiting
  • Research Site

    L'Hospitalet de Llobregat, Catalonia, 8908

    Active, not recruiting
  • Research Site

    Las Palmas de Gran Canaria, Canary Islands, 35016

    Active, not recruiting
  • Research Site

    Las Palmas de Gran Canaria, Canary Islands, 35019

    Active, not recruiting
  • Research Site

    Lleida, Catalonia, 25198

    Active, not recruiting
  • Research Site

    Madrid, Madrid, 28006

    Recruiting
  • Research Site

    Madrid, Madrid, 28031

    Active, not recruiting
  • Research Site

    Madrid, Madrid, 28034

    Active, not recruiting
  • Research Site

    Madrid, Madrid, 28040

    Recruiting
  • Research Site

    Madrid, Madrid, 28041

    Recruiting
  • Research Site

    Madrid, Madrid, 28046

    Recruiting
  • Research Site

    Madrid, Madrid, 28905

    Active, not recruiting
  • Research Site

    Madrid, Madrid, 28911

    Active, not recruiting
  • Research Site

    Majadahonda, Madrid, 28222

    Active, not recruiting
  • Research Site

    Málaga, Andalusia, 29010

    Active, not recruiting
  • Research Site

    Marbella, Andalusia, 29603

    Active, not recruiting
  • Research Site

    Murcia, Murcia, 30008

    Recruiting
  • Research Site

    Ourense, Galicia, 32005

    Recruiting
  • Research Site

    Oviedo, Principality of Asturias, 33011

    Active, not recruiting
  • Research Site

    Palma de Mallorca, Balearic Islands, 7010

    Active, not recruiting
  • Research Site

    Palma de Mallorca, Balearic Islands, 7198

    Active, not recruiting
  • Research Site

    Salamanca, Castille and León, 37007

    Active, not recruiting
  • Research Site

    San Cristóbal de La Laguna, Canary Islands, 38320

    Recruiting
  • Research Site

    Santander, Cantabria, 39008

    Active, not recruiting
  • Research Site

    Santiago de Compostela, Galicia, 15706

    Active, not recruiting
  • Research Site

    Segovia, Castille and León, 40002

    Active, not recruiting
  • Research Site

    Seville, Andalusia, 41013

    Recruiting
  • Research Site

    Terrassa, Catalonia, 8221

    Active, not recruiting
  • Research Site

    Toledo, Castille-La Mancha, 45004

    Active, not recruiting
  • Research Site

    Valencia, Valencia, 46010

    Active, not recruiting
  • Research Site

    Valencia, Valencia, 46014

    Active, not recruiting
  • Research Site

    Valencia, Valencia, 46026

    Active, not recruiting
  • Research Site

    Valladolid, Castille and León, 47003

    Active, not recruiting
  • Research Site

    Valladolid, Castille and León, 47012

    Active, not recruiting
  • Research Site

    Vigo, Galicia, 36312

    Recruiting
  • Research Site

    Zaragoza, Aragon, 50009

    Active, not recruiting
  • Research Site

    Zaragoza, Aragon, 50009

    Recruiting

Other trials in Spain

About this study

Official title: Non-interventional Cohort Study of Patients Previously Untreated or First-generation BTKi Intolerant With Chronic Lymphocytic Leukemia Describing the First-line Use of Acalabrutinib and Its Real-world Outcomes in Spain: the PICAROS Study

This is a multicenter non-interventional study (NIS) of patients with CLL treated with first-line acalabrutinib according to routine clinical practice in Spain. It included an initial cohort of patients who initiated treat-to-progression acalabrutinib for the first time within the year before the first site initiation visit, both for previously untreated CLL and after switching in first line from another BTK inhibitor due to intolerance in absence of progression (cohort 1). This cohort is complemented with the addition of another regarding the first-line fixed-duration acalabrutinib use with venetoclax in routine practice (cohort 2).

Read the detailed description

This is a multicenter, non-interventional study (NIS) based on ambispective (including retrospective and/or prospective) real-world data collection of patients with CLL who received treatment with acalabrutinib for the first time in Spain.

It included an initial cohort of patients who initiated treat-to-progression acalabrutinib for the first time within the year before the first site initiation visit, both for previously untreated CLL and after switching in first line from another BTK inhibitor due to intolerance in absence of progression (cohort 1). This cohort is complemented with the addition of another regarding the first-line fixed-duration acalabrutinib use with venetoclax in routine practice (cohort 2).

For the cohort 1, the start of acalabrutinib treatment (index date) was prior to the first site initiation visit. For both cohorts 1 and 2, the clinical decision of starting patient on acalabrutinib has to independently occur prior to the patient inclusion into this study. Patients' eligibility for study inclusion is regardless of their current status of acalabrutinib therapy, for example, patients already deceased or discontinued therapy are still eligible to be included into this study. Patient data will be collected both retrospectively and/or prospectively up to approximately 32 months from the first site initiation visit for cohort 1, and approximately 25 months after the inclusion of the last patient in the cohort 2. For patients who received acalabrutinib therapy and have deceased, only retrospective medical chart review will be conducted.

Keywords
Observational, Chronic lymphocytic leukemia, Acalabrutinib
Medical subject headings
Leukemia, Lymphocytic, Chronic, B-Cell

What participants receive

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

Study groups in NCT05999877
Study groupRoleWhat they receive
Cohort 1Patients who initiated treat-to-progression acalabrutinib for the first time within the year before the first site initiation visit as per routine clinical practice, both for previously untreated CLL and after switching in first line from another BTK inhibitor due to intolerance in absence of progression.
Cohort 2Patients with first-line fixed-duration acalabrutinib use with venetoclax in routine clinical practice.

What is being measured

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

  1. Proportion of patients on acalabrutinib therapy at 24 months after treatment initiation (cohort 1).

    Proportion of patients on acalabrutinib therapy at 24 months after treatment initiation (cohort 1).

    In addition to this outcome measured in the overall cohort, it will also be assessed by the following factors:

    1. the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression),
    2. presence/absence of risk factors (i.e., del17p, TP53 mutation, and unmutated IGHV).
    3. cardiovascular comorbidities (yes/no).

    Measured: 24 months after treatment initiation (cohort 1).

  2. Real-world overall response rate (rwORR) achieved until the end of the observational period for first-line fixed duration acalabrutinib therapy (cohort 2)

    rwORR (i.e., the proportion of patients that achieved complete or partial response) achieved until the end of the observational period for first-line fixed-duration acalabrutinib therapy as assessed by the treating physician (cohort 2). Complete response may include complete response, complete response with incomplete marrow recovery, or unconfirmed complete response (marrow biopsy not performed). Partial response may include partial response, or partial response with lymphocytosis. The rwORR will be assessed by the treating physician in routine clinical practice, including the use or not of the 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria. The end of observational period for first-line fixed-duration combinations of acalabrutinib is defined as the start date of a subsequent line therapy or study end date, whichever comes first.

    Measured: From fixed-duration acalabrutinib start to the start date of a subsequent line therapy or study end date (cohort 2), assessed up to 25 months after the inclusion of the last patient in the cohort 2.

Secondary outcomes (7)
  1. Acalabrutinib±venetoclax doses (cohorts 1 and 2).

    Acalabrutinib±venetoclax doses (e.g., starting does and dose adjustments), overall (cohorts 1 and 2) and by the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    In cohort 2, doses (e.g., starting dose, dose adjustments, maximum dose achieved) and reasons for changes within the acalabrutinib±venetoclax fixed-duration regimen will also be described globally and for each drug separately, as well as the time to reach the maximal dose.

    Measured: At start date and subsequent dose adjustments during acalabrutinib±venetoclax administration assessed up to 32 months of prospective study follow-up in the cohort 1 and 25 months after the inclusion of the last patient in the cohort 2.

  2. Patients with acalabrutinib±venetoclax dose adjustments (n, %), temporary interruptions (n, %), and permanent discontinuations (n, %) (cohorts 1 and 2).

    Acalabrutinib±venetoclax dose adjustments, temporary interruptions, and permanent discontinuations, overall (cohorts 1 and 2) and by the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    In patients with regimen modifications within cohort 2, the proportion of patients with these regimen modifications and the time from treatment initiation to the regimen modification within same line therapy prior to progression (e.g., treatment duration and number of cycles prior to the modification, and reason for the modification). In cohort 2, temporary interruptions, permanent discontinuations, and their reasons for changes within the acalabrutinib±venetoclax fixed-duration regimen will also be described globally and for each drug separately, as well as the proportion of patients requiring dose reductions after achieving maximum dose.

    Measured: From acalabrutinib±venetoclax start to acalabrutinib±venetoclax end, assessed up to 32 months of prospective study follow-up in the cohort 1 and 25 months after the inclusion of the last patient in the cohort 2.

  3. Treatment duration in months (cohorts 1 and 2).

    Treatment duration (cohorts 1 and 2), overall and by the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    In cohort 2, also median number of completed cycles and the proportion of patients who complete 14 cycles.

    Baseline patient characteristics associated with treatment duration in multivariate analyses, overall (cohorts 1 and 2) and according to the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    Measured: From acalabrutinib±venetoclax start to acalabrutinib±venetoclax end, assessed up to 32 months of prospective study follow-up in the cohort 1 and 25 months after the inclusion of the last patient in the cohort 2.

  4. Treatment adherence according to the percentage of days covered (PDC) while receiving acalabrutinib (cohort 1).

    Treatment adherence according to the percentage of days covered (PDC) while receiving acalabrutinib, overall and by the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1).

    The PDC will be based on data available on acalabrutinib treatment in pharmacy records, and defined as the percentage of days a patient has the medication available in a given period of time:

    PDC (%)=(No.days covered)/(No.days of interest)×100

    Measured: From acalabrutinib start to acalabrutinib end, assessed up to 32 months of prospective study follow-up (cohort 1).

  5. TTNT (i.e., the time from the date of first dose of acalabrutinib to the first dose of the next treatment for CLL, or death from any cause) (cohorts 1 and 2).

    TTNT (i.e., the time from the date of first dose of acalabrutinib to the first dose of the next treatment for CLL, or death from any cause [i.e. deaths are not censored]), overall (cohorts 1 and 2) and according to the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    Measured: From the date of first dose of acalabrutinib to first dose of next CLL treatment or death, assessed up to 32 months of prospective study follow-up in the cohort 1 and 25 months after the inclusion of the last patient in the cohort 2.

  6. OS (i.e., the time from the date of first dose of acalabrutinib to death from any cause) (cohorts 1 and 2).

    OS (i.e., the time from the date of first dose of acalabrutinib to death from any cause), overall (cohorts 1 and 2) and according to the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    Measured: From the date of first dose of acalabrutinib to death, assessed up to 32 months of prospective study follow-up in the cohort 1 and 25 months after the inclusion of the last patient in the cohort 2.

  7. Adverse events that lead to acalabrutinib±venetoclax dose changes, temporary interruptions, or permanent discontinuation; that are considered serious during acalabrutinib±venetoclax treatment; and events of clinical interest (cohorts 1 and 2).

    Adverse events that lead to acalabrutinib±venetoclax dose changes, temporary interruptions, or permanent discontinuation.

    Adverse events that are considered serious (including fatal events) during acalabrutinib±venetoclax treatment, globally and treatment related (when available).

    Events of clinical interest (atrial fibrillation, hypertension, bleeding, infections, ventricular arrhythmias, hepatotoxicity, secondary primary malignancies, cytopenia, and pneumonitis) during acalabrutinib treatment, globally and treatment related (when available).

    They will be described overall (cohorts 1 and 2) and according to the reason for treatment initiation (i.e., first-line treatment-naïve patients, and those switching due to intolerance in absence of progression) (cohort 1 only).

    Measured: From acalabrutinib±venetoclax start to acalabrutinib±venetoxlax end, assessed up to 32 months of prospective study follow-up in the cohort 1 and 25 months after the inclusion of the last patient in the cohort 2.

Timeline

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

  1. First posted21 Aug 2023
  2. Study start11 Jul 2023
  3. Primary completion31 Mar 2029 (estimated)
  4. Study completion31 Mar 2029 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
315 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05999877
Sponsor's protocol ID
D8221R00003
Acronym
PICAROS
Status last verified
Nov 2026
First submitted
29 Jun 2023
Last updated
4 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
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 Vivli.org. All requests 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 approved.

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Lymphocytic Leukemia, run by AstraZeneca at 50 sites in Spain.

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 7 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in Spain. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

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?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients on acalabrutinib therapy at 24 months after treatment initiation (cohort 1). (time frame: 24 months after treatment initiation (cohort 1).). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 4 Nov 2026.

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