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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04529772




Registration number
NCT04529772
Ethics application status
Date submitted
25/08/2020
Date registered
28/08/2020
Date last updated
12/03/2024

Titles & IDs
Public title
A Combination of Acalabrutinib With R-CHOP in Subjects With Previously Untreated Non-GCB DLBCL (ACE-LY-312)
Scientific title
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
Secondary ID [1] 0 0
2019-001755-39
Secondary ID [2] 0 0
D8227C00001
Universal Trial Number (UTN)
Trial acronym
ESCALADE
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Diffuse Large B-Cell Lymphoma 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - acalabrutinib
Treatment: Drugs - placebo
Treatment: Drugs - Prednisone
Treatment: Drugs - Rituximab
Treatment: Drugs - Cyclophosphamide
Treatment: Drugs - Vincristine
Treatment: Drugs - Doxorubicin

Experimental: acalabrutinib + R-CHOP - Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)

Placebo Comparator: placebo + R-CHOP - Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)


Treatment: Drugs: acalabrutinib
Investigational Product

Treatment: Drugs: placebo
Placebo comparator

Treatment: Drugs: Prednisone
Investigational Product

Treatment: Drugs: Rituximab
Investigational Product

Treatment: Drugs: Cyclophosphamide
Investigational Product

Treatment: Drugs: Vincristine
Investigational Product

Treatment: Drugs: Doxorubicin
Investigational Product
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Progression-free survival (PFS) per the Lugano Classification for NHL in Arm A compared to Arm B
Timepoint [1] 0 0
at every single visit up to 60 months
Secondary outcome [1] 0 0
Investigator-assessed event-free survival (EFS) for NHL in Arm A compared to Arm B
Timepoint [1] 0 0
at every single visit up to 60 months
Secondary outcome [2] 0 0
Overall survival in Arm A compared to Arm B
Timepoint [2] 0 0
at every single visit up to 60 months
Secondary outcome [3] 0 0
Percentage of Participants Who Achieved a Complete Response (CR) per 2014 Lugano Classification for NHL
Timepoint [3] 0 0
at every single visit up to 60 months

Eligibility
Key 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
Minimum age
18 Years
Maximum age
75 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key 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 design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
8/10/2020
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
5/02/2027
Actual
Sample size
Target
Accrual to date
Final
611
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Research Site - Adelaide
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Research Site - Camperdown
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Research Site - Clayton
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Research Site - Darlinghurst
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Research Site - Hobart
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Research Site - Kogarah
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Research Site - Liverpool
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Research Site - Nedlands
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Research Site - Westmead
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5000 - Adelaide
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2050 - Camperdown
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3168 - Clayton
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2010 - Darlinghurst
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3084 - Heidelberg
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7000 - Hobart
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2217 - Kogarah
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2170 - Liverpool
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6009 - Nedlands
Recruitment postcode(s) [10] 0 0
2145 - Westmead
Recruitment outside Australia
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Mykolayiv
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Ukraine
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Zaporizhzhia

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Acerta Pharma BV
Address
Country
Other collaborator category [1] 0 0
Commercial sector/Industry
Name [1] 0 0
AstraZeneca
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
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.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04529772
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04529772