Difference between revisions of "Acalabrutinib (Calquence)"

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For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer.  Instead, for the most current information, please refer to your preferred pharmacopeias such as [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.
 
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer.  Instead, for the most current information, please refer to your preferred pharmacopeias such as [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.
  
==Preliminary studies==
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==Diseases for which it is used==
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*[[Chronic lymphocytic leukemia (CLL/SLL)]]
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*[[Mantle cell lymphoma]]
  
===[[Chronic lymphocytic leukemia (CLL/SLL)]]===
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==History of changes in FDA indication==
# Byrd JC, Harrington B, O'Brien S, Jones JA, Schuh A, Devereux S, Chaves J, Wierda WG, Awan FT, Brown JR, Hillmen P, Stephens DM, Ghia P, Barrientos JC, Pagel JM, Woyach J, Johnson D, Huang J, Wang X, Kaptein A, Lannutti BJ, Covey T, Fardis M, McGreivy J, Hamdy A, Rothbaum W, Izumi R, Diacovo TG, Johnson AJ, Furman RR. Acalabrutinib (ACP-196) in relapsed chronic lymphocytic leukemia. N Engl J Med. 2016 Jan 28;374(4):323-32. Epub 2015 Dec 7. [http://www.nejm.org/doi/full/10.1056/NEJMoa1509981 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/26641137 PubMed]
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*10/31/2017: Granted accelerated FDA approval "for treatment of adult patients with [[mantle cell lymphoma|mantle cell lymphoma (MCL)]] who have received at least one prior therapy."
  
 
==Also known as==
 
==Also known as==
 
*'''Code name:''' ACP-196
 
*'''Code name:''' ACP-196
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*'''Brand name:''' Calquence
  
 
==References==
 
==References==
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[[Category:Chronic lymphocytic leukemia (CLL/SLL) medications]]
 
[[Category:Chronic lymphocytic leukemia (CLL/SLL) medications]]
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[[Category:Mantle cell lymphoma medications]]
  
[[Category:Investigational]]
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[[Category:Drugs FDA approved in 2017]]

Revision as of 14:08, 1 November 2017

General information

Class/mechanism: Irreversible inhibitor of Bruton's tyrosine kinase (BTK), which is an enzyme that participates in the B-cell receptor (BCR) signal cascade and cytokine receptor pathways. BCR signaling is believed to promote cell proliferation, adhesion, and survival in B-cell malignancies. Inhibition of BTK interferes with the processes above, as well as B-cell chemotaxis and trafficking. More specific to BTK than the first-generation drug ibrutinib.
Route: PO
Extravasation: n/a

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.

Diseases for which it is used

History of changes in FDA indication

  • 10/31/2017: Granted accelerated FDA approval "for treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy."

Also known as

  • Code name: ACP-196
  • Brand name: Calquence

References