Clinical trial Recruiting at 45 sites Phase1; Phase2 Interventional Ages 18 and up

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

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment84 (estimated)
SponsorKartos Therapeutics, Inc.
Industry-sponsored
Drugs / interventionsacalabrutinib
Locations45 sites (Goshen, Indiana and 44 other locations)
StatusRecruiting
StartedFebruary 23, 2021
Main results expectedOctober 2022
Study endsMarch 2024
Registry record updatedAugust 4, 2022
Trial IDNCT04502394 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

  • 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
  • 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

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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.