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NCT02180724 · OUTCOME

Overall Response Rate (ORR) of Acalabrutinib in Subjects as Assessed by Investigator Per IWWM 3rd Criteria

An Open-label, Phase 2 Study of ACP-196 in Subjects With Waldenström Macroglobulinemia · Source last updated 2026-06-16

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
Up to approximately 3.8 years. Data cut at when last patient has completed Cycle 27 (28 days per Cycle).

What was measured

ORR defined as the rate of subjects achieving a Miner Response (MR) or better including complete response (CR), very good partial response (VGPR), partial response (PR) and MR; The definition of responses are evaluated by investigators using both Modified 6th criteria (refer to protocol table 4-2 , 4-3) and Modified 3rd International Workshop of Waldenström Macroglobulinemia (IWWM) criteria (refer to protocol table 4-4 and table 4-5 for definition). For Modified 6th criteria, MR is defined as (1) monoclonal IgM protein is detectable, (2) no new signs or symptoms of active disease, (3) and patient has \>=25% but \< 50% reduction in serum monoclonal IgM level from baseline. PR and VGPR both require (1) and (2) as MR, but PR also requires the \>=50% and \<90% reduction in serum monoclonal IgM level as well as reduction in extramedullary disease. VGPR requires \>= 90% reduction in serum IgM and complete resolution of extramedullary disease.

Analysis population: In the original protocol, previously treated subjects were planned to be randomized 1:1 into 2 cohorts: Cohort 1 to receive Acala 100 mg BID for 28 days and Cohort 2 to receive Acala 200 mg once daily (QD) for 28 days. After enrollment started, the dose regimen was amended. The 200 mg QD dose was eliminated, and subjects who were enrolled under the original protocol and received treatment with 200 mg QD were switched to 100 mg BID. Results are combined.

Groups in this outcome

Previously Treated (N=92)

100 mg BID N=92

Treatment Naive (N=14)

100 mg BID N= 14

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Previously Treated (N=92)92
Treatment Naive (N=14)14

Reported measurements

ORR 3rd IWWM criteria (CR+VGPR+PR+MR)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Previously Treated (N=92)87Not reportedNot reportedNot reportedNot reported
Treatment Naive (N=14)13Not reportedNot reportedNot reportedNot reported
CR (IWWM 3rd criteria)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Previously Treated (N=92)2Not reportedNot reportedNot reportedNot reported
Treatment Naive (N=14)0Not reportedNot reportedNot reportedNot reported
VGPR (IWWM 3rd criteria)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Previously Treated (N=92)38Not reportedNot reportedNot reportedNot reported
Treatment Naive (N=14)1Not reportedNot reportedNot reportedNot reported
PR (IWWM 3rd criteria)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Previously Treated (N=92)35Not reportedNot reportedNot reportedNot reported
Treatment Naive (N=14)10Not reportedNot reportedNot reportedNot reported
MR (IWWM 3rd criteria)
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Previously Treated (N=92)12Not reportedNot reportedNot reportedNot reported
Treatment Naive (N=14)2Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        87
      2. group Id
        OG001
        value
        13
    title
    ORR 3rd IWWM criteria (CR+VGPR+PR+MR)
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        0
    title
    CR (IWWM 3rd criteria)
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        38
      2. group Id
        OG001
        value
        1
    title
    VGPR (IWWM 3rd criteria)
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        35
      2. group Id
        OG001
        value
        10
    title
    PR (IWWM 3rd criteria)
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        12
      2. group Id
        OG001
        value
        2
    title
    MR (IWWM 3rd criteria)
denoms
  1. counts
    1. group Id
      OG000
      value
      92
    2. group Id
      OG001
      value
      14
    units
    Participants
description
ORR defined as the rate of subjects achieving a Miner Response (MR) or better including complete response (CR), very good partial response (VGPR), partial response (PR) and MR; The definition of responses are evaluated by investigators using both Modified 6th criteria (refer to protocol table 4-2 , 4-3) and Modified 3rd International Workshop of Waldenström Macroglobulinemia (IWWM) criteria (refer to protocol table 4-4 and table 4-5 for definition). For Modified 6th criteria, MR is defined as (1) monoclonal IgM protein is detectable, (2) no new signs or symptoms of active disease, (3) and patient has \>=25% but \< 50% reduction in serum monoclonal IgM level from baseline. PR and VGPR both require (1) and (2) as MR, but PR also requires the \>=50% and \<90% reduction in serum monoclonal IgM level as well as reduction in extramedullary disease. VGPR requires \>= 90% reduction in serum IgM and complete resolution of extramedullary disease.
groups
  1. description
    100 mg BID N=92
    id
    OG000
    title
    Previously Treated (N=92)
  2. description
    100 mg BID N= 14
    id
    OG001
    title
    Treatment Naive (N=14)
param Type
COUNT_OF_PARTICIPANTS
population Description
In the original protocol, previously treated subjects were planned to be randomized 1:1 into 2 cohorts: Cohort 1 to receive Acala 100 mg BID for 28 days and Cohort 2 to receive Acala 200 mg once daily (QD) for 28 days. After enrollment started, the dose regimen was amended. The 200 mg QD dose was eliminated, and subjects who were enrolled under the original protocol and received treatment with 200 mg QD were switched to 100 mg BID. Results are combined.
reporting Status
POSTED
time Frame
Up to approximately 3.8 years. Data cut at when last patient has completed Cycle 27 (28 days per Cycle).
title
Overall Response Rate (ORR) of Acalabrutinib in Subjects as Assessed by Investigator Per IWWM 3rd Criteria
type
PRIMARY
unit Of Measure
Participants

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