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**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].
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