Clinical trial Recruiting at 15 sites Observational Ages 18 and up

Acalabrutinib in first-line CLL in Spain: real-world observation

Official title: Non-interventional Cohort Study of Patients Previously Untreated or First-generation BTKi Intolerant With Chronic Lymphocytic Leukemia Describing the First-line Use of Acalabrutinib and Its Real-world Outcomes in Spain: the PICAROS Study

Run by AstraZeneca · NCT05999877 · Data updated 2026-11-12

This study looks at how patients with chronic lymphocytic leukemia do when they start acalabrutinib as their first CLL treatment in Spain, using real-world data from multiple centers.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment315 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsobinutuzumab, acalabrutinib
Locations50 sites (Almería, Andalusia and 49 other locations)
StatusRecruiting
StartedJuly 11, 2023
Main results expectedMarch 31, 2029
Study endsMarch 31, 2029
Registry record updatedNovember 4, 2026
Trial IDNCT05999877 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with CLL who started acalabrutinib as first-line therapy in routine practice in Spain (including those switching from another BTK inhibitor due to intolerance).

Probably not a fit

Patients who do not receive ongoing acalabrutinib therapy or who are not first-line recipients in routine practice may not experience direct benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an observational, non-interventional study collecting real-world data on adults with CLL who begin acalabrutinib as their first-line therapy in Spain. It uses ambispective data (retrospective and prospective) to describe treatment patterns, outcomes, and safety in routine clinical practice. Two cohorts are included: cohort 1 tracks patients who started acalabrutinib in the year before site initiation, either as treatment-naïve or after intolerance to an initial BTK inhibitor, and cohort 2 examines first-line fixed-duration acalabrutinib with venetoclax according to official approvals. Data collection extends up to about 32 months for cohort 1 and ~25 months after the last patient enrollment for cohort 2. Participation is based on physician decision and local practice, with consent for living patients where required.

Why it matters

Potential benefit: If successful, the study could provide real-world insights into the effectiveness and safety of first-line acalabrutinib in CLL and help inform clinical practice.

How similar studies have gone: Real-world studies in CLL have shown useful insights for BTK inhibitors, but this specific first-line acalabrutinib real-world experience in Spain is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 years old at starting acalabrutinib treatment.
* Diagnosis of CLL.
* Start of acalabrutinib treatment (index date) as per the CLL SmPC:
* in treatment-naïve CLL patients or those switching in first-line between first-generation BTK inhibitor to acalabrutinib due to intolerance in absence of progression according to routine clinical practice within the year before the first site initiation visit (cohort 1).
* in treatment-naïve CLL patients for the fixed-duration treatment combination of acalabrutinib plus venetoclax (with or without obinutuzumab) according to routine clinical practice from the EMA approval (i.e., 2 June 2025) (cohort 2).

Decision to administer acalabrutinib must be made and documented prior to inclusion into the study and must follow local clinical practice.

* Informed consent (for alive patients).

Exclusion Criteria:

* Enrolled in any clinical trial during acalabrutinib treatment.
* Patients who are unable to understand the study and its questionnaires due to insufficient knowledge of the Spanish language or their health status.

Where it's running

  • Research Site
    Almería, Andalusia, Spain
    Recruiting
  • Research Site
    Córdoba, Andalusia, Spain
    Recruiting
  • Research Site
    Granada, Andalusia, Spain
    Recruiting
  • Research Site
    Seville, Andalusia, Spain
    Recruiting
  • Research Site
    Zaragoza, Aragon, Spain
    Recruiting
  • Research Site
    San Cristóbal de La Laguna, Canary Islands, Spain
    Recruiting
Show 44 more locations
  • Research Site
    Guadalajara, Castille-La Mancha, Spain
    Recruiting
  • Research Site
    Ourense, Galicia, Spain
    Recruiting
  • Research Site
    Vigo, Galicia, Spain
    Recruiting
  • Research Site
    Madrid, Madrid, Spain
    Recruiting
  • Research Site
    Madrid, Madrid, Spain
    Recruiting
  • Research Site
    Madrid, Madrid, Spain
    Recruiting
  • Research Site
    Madrid, Madrid, Spain
    Recruiting
  • Research Site
    Murcia, Murcia, Spain
    Recruiting
  • Research Site
    Alicante, Valencia, Spain
    Recruiting
  • Research Site
    Jaén, Andalusia, Spain
    Active not recruiting
  • Research Site
    Marbella, Andalusia, Spain
    Active not recruiting
  • Research Site
    Málaga, Andalusia, Spain
    Active not recruiting
  • Research Site
    Zaragoza, Aragon, Spain
    Active not recruiting
  • Research Site
    Palma de Mallorca, Balearic Islands, Spain
    Active not recruiting
  • Research Site
    Palma de Mallorca, Balearic Islands, Spain
    Active not recruiting
  • Research Site
    Donostia / San Sebastian, Basque Country, Spain
    Withdrawn
  • Research Site
    Galdakao, Basque Country, Spain
    Withdrawn
  • Research Site
    Las Palmas de Gran Canaria, Canary Islands, Spain
    Active not recruiting
  • Research Site
    Las Palmas de Gran Canaria, Canary Islands, Spain
    Active not recruiting
  • Research Site
    Santander, Cantabria, Spain
    Active not recruiting
  • Research Site
    Salamanca, Castille and León, Spain
    Active not recruiting
  • Research Site
    Segovia, Castille and León, Spain
    Active not recruiting
  • Research Site
    Valladolid, Castille and León, Spain
    Active not recruiting
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    Valladolid, Castille and León, Spain
    Active not recruiting
  • Research Site
    Toledo, Castille-La Mancha, Spain
    Active not recruiting
  • Research Site
    Barcelona, Catalonia, Spain
    Active not recruiting
  • Research Site
    Barcelona, Catalonia, Spain
    Active not recruiting
  • Research Site
    Barcelona, Catalonia, Spain
    Active not recruiting
  • Research Site
    Barcelona, Catalonia, Spain
    Active not recruiting
  • Research Site
    Granollers, Catalonia, Spain
    Active not recruiting
  • Research Site
    L'Hospitalet de Llobregat, Catalonia, Spain
    Active not recruiting
  • Research Site
    Lleida, Catalonia, Spain
    Active not recruiting
  • Research Site
    Terrassa, Catalonia, Spain
    Active not recruiting
  • Research Site
    Santiago de Compostela, Galicia, Spain
    Active not recruiting
  • Research Site
    Madrid, Madrid, Spain
    Active not recruiting
  • Research Site
    Madrid, Madrid, Spain
    Active not recruiting
  • Research Site
    Madrid, Madrid, Spain
    Active not recruiting
  • Research Site
    Madrid, Madrid, Spain
    Active not recruiting
  • Research Site
    Majadahonda, Madrid, Spain
    Active not recruiting
  • Research Site
    El Palmar, Murcia, Spain
    Active not recruiting
  • Research Site
    Oviedo, Principality of Asturias, Spain
    Active not recruiting
  • Research Site
    Valencia, Valencia, Spain
    Active not recruiting
  • Research Site
    Valencia, Valencia, Spain
    Active not recruiting
  • Research Site
    Valencia, Valencia, Spain
    Active not recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.