Extended indication 1L CLL in combinatie met obinutuzumab
Therapeutic value No judgement
Total cost 42,000,000.00
Registration phase Registration application pending


Active substance Acalabrutinib
Domain Oncology and Hematology
Reason of inclusion New medicine (specialité)
Main indication CLL
Extended indication 1L CLL in combinatie met obinutuzumab
Proprietary name Calquence
Manufacturer AstraZeneca
Mechanism of action Tyrosine kinase inhibitor
Route of administration Oral
Therapeutical formulation Capsule
Budgetting framework Intermural (MSZ)


Registration route Centralised (EMA)
Type of trajectory Normal trajectory
Submission date October 2019
Expected Registration September 2020
Orphan drug Yes
Registration phase Registration application pending
Additional comments De fabrikant verwacht registratie in Q4 2020.

Therapeutic value

Current treatment options Rituximab combined with idelalisib (IdR) or bendamustine (BR); ibrutinib; fludarabine cyclophosphamide rituximab (FCR); chlorambucil +/- rituximab
Therapeutic value No judgement
Substantiation De rol van Acalabrutinib is nog niet helemaal duidelijk. Als uit studies blijkt, dat het inderdaad net zo effectief is als ibrutinib, maar minder toxisch, dan zal het ibrutinib gaan vervangen.
Frequency of administration 1 times a day
Dosage per administration 100 mg
References NCT02475681

Expected patient volume per year

Patient volume

< 600

Market share is generally not included unless otherwise stated.

Additional comments Geschat wordt dat er jaarlijks zo'n 600 patiënten in de 1e lijn behandeld worden.

Expected cost per patient per year

Cost 70,000.00
References Zie eerdere inschatting ibrutinib CLL in de Horizonscan.
Additional comments Prijs mogelijk in dezelfde range als ibrutinib: inschatting zo'n €70.000.

Potential total cost per year

Total cost


This amount gives an indication of the total cost. It is the result of the average expected patient volume times the average cost per patient. both per year.

Off label use

There is currently nothing known about off label use.

Indication extension

Indication extension Yes
Indication extensions 1L mantle cell lymphoma, R/R CLL high-risk, 1L CLL icm venetoclax en obinutuzumab
References AstraZeneca pipeline

Other information

There is currently no futher information available.