Smart scans and blood tests could guide lymphoma treatment

NCT ID NCT04604067

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times

Summary

This phase II trial is testing whether using ctDNA blood tests and PET scans can help doctors choose the right treatment for people with diffuse large B-cell lymphoma. About 260 participants will receive different combinations of standard chemotherapy (R-CHOP) plus the targeted drug acalabrutinib, based on their genetic markers and early response. The goal is to see if this personalized approach can improve outcomes and reduce unnecessary treatment.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Acalabrutinib combined with R-CHOP chemotherapy

What this could lead to

If successful, this could lead to more personalized treatment for DLBCL, potentially improving survival and reducing unnecessary chemotherapy for some patients.

What could go wrong

This is an early-phase trial with multiple treatment groups, so results may not apply to all patients. The added drug acalabrutinib may increase side effects without clear benefit.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

diffuse large B-cell lymphoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Azienda Ospedaliera Universitaria Maggiore della Carita di Novara

    Novara, 20503, Italy

  • Centre Hospitalier Universitaire Vaudois

    Lausanne, CH-1011, Switzerland

  • City Hospital Triemli

    Zurich, CH-8063, Switzerland

  • Hopital Fribourgeois

    Fribourg, 1708, Switzerland

  • Hopitaux Universitaire de Genève (HUG)

    Geneva, 1211, Switzerland

  • Inselspital, Bern

    Bern, CH-3010, Switzerland

  • Istituto Oncologico della Svizzera Italiana

    Bellinzona, 6500, Switzerland

  • Kantonsspital Aarau

    Aarau, CH-5001, Switzerland

  • Kantonsspital Baden (Baden/Brugg)

    Baden, 5404, Switzerland

  • Kantonsspital Graubünden

    Chur, 7000, Switzerland

  • Kantonsspital Luzern

    Luzerne, CH-6000, Switzerland

  • Kantonsspital Olten

    Olten, CH-4600, Switzerland

  • Kantonsspital St. Gallen

    Sankt Gallen, 9007, Switzerland

  • Kantonsspital Winterthur

    Winterthur, 8401, Switzerland

  • Ospedale Papa Giovanni XXIII

    Bergamo, 24127, Italy

  • Policlinico Agostino Gemelli

    Roma, 00168, Italy

  • Réseau Hospitalier Neuchâtelois (RHNe)

    Neuchâtel, 2000, Switzerland

  • St. Claraspital

    Basel, 4058, Switzerland

  • UniversitätsSpital Zürich

    Zurich, 8091, Switzerland