KRT-232 plus acalabrutinib in relapsed/refractory DLBCL or CLL
Official title: An Open-Label, Multicenter, Phase 1b/2 Study of the Safety and Efficacy of KRT-232 in Combination With Acalabrutinib in Subjects With Relapsed/Refractory Diffuse Large B-cell Lymphoma or Relapsed/Refractory Chronic Lymphocytic Leukemia
Run by Kartos Therapeutics, Inc. · NCT04502394 · Data updated 2026-11-12
This trial tests a new MDM2 inhibitor (KRT-232) together with acalabrutinib to see if the combination helps adults with relapsed or refractory DLBCL or CLL.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 84 (estimated) |
| Sponsor | Kartos Therapeutics, Inc. Industry-sponsored |
| Drugs / interventions | acalabrutinib |
| Locations | 45 sites (Goshen, Indiana and 44 other locations) |
| Status | Recruiting |
| Started | February 23, 2021 |
| Main results expected | October 2022 |
| Study ends | March 2024 |
| Registry record updated | August 4, 2022 |
| Trial ID | NCT04502394 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with TP53-wildtype DLBCL after at least two prior therapies (or one prior if transplant-ineligible) or TP53-wildtype CLL after at least one prior therapy, and adequate organ function.
✕Probably not a fit
Patients with TP53-mutant disease, those who do not respond to the combination, or those with significant comorbidity may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study combines KRT-232, an oral MDM2 inhibitor, with acalabrutinib in adults with relapsed or refractory Diffuse Large B-Cell Lymphoma or Chronic Lymphocytic Leukemia. It includes two cohorts: TP53-wildtype DLBCL and TP53-wildtype CLL, each with specific prior therapy requirements. Participants must have adequate organ function and an ECOG performance status of 0 to 2, and those previously treated with MDM2 inhibitors or BTK inhibitors are excluded. The study spans Phase 1 and Phase 2 to assess safety, tolerability, and preliminary efficacy of the combination. Lead sites are in Indiana and Ohio, with Kartos Therapeutics, Inc. as the sponsor.
Why it matters
Potential benefit: If successful, participants could experience tumor control or slowed disease progression with a potentially tolerable safety profile from the combination therapy.
How similar studies have gone: BTK inhibitors plus MDM2 inhibitors are being explored in hematologic cancers, but this exact combination in TP53-wildtype DLBCL/CLL is relatively novel with limited prior success data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Cohort 1: Confirmed diagnosis of TP53wt DLBCL (WHO); R/R DLBCL after at least 2 prior lines of treatment or 1 prior for patients who are ineligible for stem cell transplant * Cohort 2: Confirmed diagnosis of TP53wt CLL (iwCLL); R/R CLL after at least 1 prior line of treatment * ECOG 0 to 2 * Adequate hematologic, hepatic, and renal functions. Exclusion Criteria: * Prior treatment with any MDM2 inhibitor * Prior treatment with any BTK inhibitor
Where it's running
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Goshen Center for Cancer Care
Goshen, Indiana, United States Recruiting -
University of Cincinnati
Cincinnati, Ohio, United States Recruiting -
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, United States Recruiting -
UT Southwestern Medical Center
Dallas, Texas, United States Recruiting -
Royal Adelaide Hospital
Adelaide, Australia Recruiting -
Eastern Health - Box Hill Hospital
Box Hill, Australia Recruiting
Show 39 more locations
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Barwon Health
Geelong, Australia Recruiting -
Royal Perth Hospital
Perth, Australia Recruiting -
Antwerp University Hospital (UZA)
Edegem, Belgium Recruiting -
Jessa Ziekenhuis
Hasselt, Belgium Recruiting -
University Hospital (UZ) Leuven
Leuven, Belgium Recruiting -
Fakultni Nemocnice Hradec Kralove
Nový Hradec Králové, Czechia Recruiting -
Fakultni nemocnice Ostrava
Ostrava, Czechia Recruiting -
Vseobecna fakultni nemocnice v Praze
Prague, Czechia Recruiting -
CHU de Nantes - Hôtel-Dieu
Nantes, France Recruiting -
Centre Henri Becquerel
Rouen, France Recruiting -
CHRU de Tours - Hôpital Bretonneau
Tours, France Recruiting -
Centro Riferimento Oncologico - Aviano
Aviano, Italy Recruiting -
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, Italy Recruiting -
ASST Grande Ospedale Metropolitano Niguarda
Milan, Italy Recruiting -
IRCCS Ospedale San Raffaele
Milan, Italy Recruiting -
Fondazione IRCCS Policlinico San Matteo
Pavia, Italy Recruiting -
Centro Ricerche Cliniche di Verona s.r.l.
Verona, Italy Recruiting -
Copernicus PL Sp. z o.o., Wojewodzkie Centrum Onkologii
Gdansk, Poland Recruiting -
Uniwersyteckie Centrum Kliniczne, Klinika Hematologii i Transplantologii
Gdansk, Poland Recruiting -
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial w Gliwicach - Klinika Transplantacji Szpiku i Onkohematologii
Gliwice, Poland Recruiting -
Pratia MCM Krakow
Krakow, Poland Recruiting -
Szpital Uniwersytecki Krakow - Oddzial Kliniczny Hematologii
Krakow, Poland Recruiting -
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu
Wroclaw, Poland Recruiting -
Hospital de Braga
Braga, Portugal Recruiting -
Centro Hospitalar Universitario de Lisboa Norte - Hospital de Santa Maria
Lisbon, Portugal Recruiting -
Champalimaud Cancer Center
Lisbon, Portugal Recruiting -
Instituto Portugues de Oncologia do Porto Francisco Gentil, EPE
Porto, Portugal Recruiting -
Centro Hospitalar de Vila Nova de Gaia/Espinho EPE
Vila Nova de Gaia, Portugal Recruiting -
National Cancer Center
Goyang, South Korea Recruiting -
Gachon University Gil Medical Center
Incheon, South Korea Recruiting -
Samsung Medical Center
Seoul, South Korea Recruiting -
Seoul National University Hospital
Seoul, South Korea Recruiting -
Seoul St. Mary's Hospital
Seoul, South Korea Recruiting -
Severance Hospital, Yonsei University Health System
Seoul, South Korea Recruiting -
Kantonsspital St. Gallen
Sankt Gallen, Switzerland Recruiting -
St James's University Hospital
Leeds, United Kingdom Recruiting -
King's College Hospital
London, United Kingdom Recruiting -
Royal Marsden Foundation Trust
London, United Kingdom Recruiting -
University Hospital Southampton NHS Foundation Trust
Southampton, United Kingdom Recruiting
Study contacts
- Study coordinator: John Mei
- Email: jmei@kartosthera.com
- Phone: 650-542-0136
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.