Drug intelligence / Profile preview

acalabrutinib + R-CHOP

Development stage
Unknown
Lead developer
AstraZeneca
Modality
Nucleic Acid-Directed Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics, Covalent Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Oral, Intravenous
01

Overview

**acalabrutinib + R-CHOP** is a combination therapy regimen used in clinical research for B-cell lymphomas, particularly diffuse large B-cell lymphoma (DLBCL). It consists of acalabrutinib—a second-generation, highly selective covalent Bruton tyrosine kinase (BTK) inhibitor—and the established R-CHOP regimen, which includes rituximab (monoclonal anti-CD20 antibody), cyclophosphamide (alkylating agent), doxorubicin (anthracycline), vincristine (vinca alkaloid), and prednisolone (corticosteroid)[1][3][7]. Acalabrutinib inhibits BTK to interfere with B-cell receptor (BCR) signaling, while R-CHOP acts through multiple cytotoxic and immunological mechanisms targeting dividing B-cells[2][4][6]. The rationale for this combination is to enhance efficacy by simultaneously inhibiting BCR signaling and cytotoxicly targeting malignant B cells[3][5].

Brand names
Calquence
Other names
acalabrutinib and R-CHOPacalabrutinib plus R-CHOP
02

Targets

CD20 (B-lymphocyte antigen CD20)ERBB4 (Erb-b2 receptor tyrosine kinase 4)GR (Glucocorticoid receptor)DNATUBB (Tubulin (alpha and beta subunits))BMX (Bone Marrow Tyrosine Kinase X-linked)BTK (Bruton tyrosine kinase)

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