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New cocktail aims to boost remission in rare blood cancer

NCT ID NCT04624906

First seen Feb 04, 2026 · Last updated Jun 22, 2026 · Updated 20 times

Summary

This phase II trial tests whether adding the targeted drug acalabrutinib to standard chemotherapy (bendamustine and rituximab) improves outcomes for people with untreated Waldenstrom's macroglobulinemia, a rare blood cancer. About 63 participants will receive the three-drug combo for up to a year. The main goal is to see how many achieve a very good partial response or complete remission.

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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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Contacts and locations

Locations

  • CHU de Quebec - University Laval

    Laval, Quebec, Canada

  • Cross Cancer Institute

    Edmonton, Alberta, Canada

  • Hamilton Health Sciences Centre - Juravinksi

    Hamilton, Ontario, Canada

  • McGill University Health Centre

    Montreal, Quebec, Canada

  • QEII Health Sciences Centre

    Halifax, Nova Scotia, Canada

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5, Canada

  • The Ottawa Hospital

    Ottawa, Ontario, Canada

  • Tom Baker Cancer Centre

    Calgary, Alberta, Canada

  • Vancouver General Hospital

    Vancouver, British Columbia, Canada

What this could mean

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

Active substance

Acalabrutinib (a targeted cancer drug) combined with bendamustine and rituximab (standard chemotherapy and immunotherapy)

What this could lead to

If successful, this combination could offer a more effective first-line treatment for Waldenstrom's macroglobulinemia, potentially leading to deeper and longer-lasting responses.

What could go wrong

This is a phase II trial with only 63 participants and no comparison group, so results are preliminary. The added drug (acalabrutinib) may increase side effects without improving outcomes.

Conditions

The condition(s) this trial relates to.

Waldenstrom macroglobulinemia

As listed by the trial registrant

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