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National Drug Formulary

CALQUENCE FILM-COATED TABLET 100MG [SIN16875P]

Active ingredients: ACALABRUTINIB MALEATE EQV ACALABRUTINIB

View product's general information
Last updated on 9 October 2026

Product Info

CALQUENCE FILM-COATED TABLET 100MG

[SIN16875P]

Product information

Active Ingredient and Strength

ACALABRUTINIB MALEATE EQV ACALABRUTINIB - 100 MG

Dosage Form

TABLET, FILM COATED

Manufacturer and Country

ASTRAZENECA AB - SWEDEN

Registration Number

SIN16875P

Licence Holder

ASTRAZENECA SINGAPORE PTE LTD

Forensic Classification

PRESCRIPTION ONLY MEDICINES

Anatomical Therapeutic Chemical (ATC) code

L01EL02

Prescription-only Medicines with Exemptions for Supply without Prescription

NA

Indication

4.1 Therapeutic indications

Mantle Cell Lymphoma (MCL)

CALQUENCE as monotherapy is indicated for the treatment of patients with mantle cell lymphoma (MCL) who have received at least one prior therapy.

CALQUENCE in combination with bendamustine and rituximab (BR) is indicated for the treatment of adult patients with previously untreated MCL who are ineligible for autologous stem cell transplant (ASCT).

Chronic Lymphocytic Leukaemia (CLL) / Small Lymphocytic Lymphoma (SLL)

CALQUENCE is indicated:

  • in combination with obinutuzumab or as monotherapy for the treatment of patients with previously untreated chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL).

  • in combination with venetoclax with or without obinutuzumab for the treatment of patients with previously untreated CLL/SLL.

  • as monotherapy for the treatment of patients with CLL/SLL who have received at least one prior therapy.

Dosing

4.2 Posology and method of administration

Treatment with CALQUENCE should be initiated and supervised by a physician experienced in the use of anticancer therapies.

Posology

MCL

The recommended dose of CALQUENCE in monotherapy or in combination with other medicinal products is 100 mg (1 tablet) twice daily. For the combination regimens, refer to the prescribing information of each of the medicinal product for dosing information. For details of the combination regimens, see section 5.1 – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information.

CALQUENCE in combination with bendamustine and rituximab
CALQUENCE should be administered on Day 1 on Cycle 1 (each cycle is 28 days) until disease progression or unacceptable toxicity. Bendamustine should be administered at 90 mg/m2 on Days 1 and 2 of each cycle for a total of 6 cycles. Rituximab should be administered at 375 mg/m2 on Day 1 each cycle for a total of 6 cycles. Patients achieving a response (partial response [PR] or complete response [CR]) after the first 6 cycles, may receive maintenance rituximab at 375 mg/m2 on Day 1 of every other cycle for a maximum of 12 additional doses, starting on Cycle 8 up to Cycle 30.

CLL/SLL

The recommended dose of CALQUENCE for the treatment of CLL/SLL is 100 mg (1 tablet) twice daily, either as monotherapy or in combination. Refer to the prescribing information of each of the combination medicinal products for recommended dosing information (for details of the combination regimen, see section 5.1 – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information).

CALQUENCE doses should be separated by approximately 12 hours.

Treatment with CALQUENCE monotherapy or in combination with obinutuzumab should continue until disease progression or unacceptable toxicity.

Treatment with CALQUENCE in combination with venetoclax with or without obinutuzumab, should continue until disease progression, unacceptable toxicity or completion of 14 cycles of treatment (each cycle is 28 days).

Missed Dose

If a patient misses a dose of CALQUENCE by more than 3 hours, instruct the patient to take the next dose at its regularly scheduled time. Extra tablets of CALQUENCE should not be taken to make up for a missed dose.

Dose Adjustments

Adverse Reactions

Recommended dose modifications of CALQUENCE for Grade ≥ 3 adverse reactions in patients receiving CALQUENCE monotherapy and CALQUENCE in combination with obinutuzumab or in combination with venetoclax with or without obinituzumab are provided in Table 1.

Temporarily interrupt CALQUENCE to manage a Grade ≥ 3 non-haematological treatment-related adverse reaction, Grade 3 thrombocytopenia with significant bleeding, Grade 4 thrombocytopenia, or Grade 4 neutropenia lasting longer than 7 days. Upon resolution of the adverse reaction to Grade 1 or baseline (recovery), restart CALQUENCE as recommended in Table 1.

Calquence Tablet Dosage Table 1



Dose modifications for adverse reactions in patients receiving CALQUENCE in combination with bendamustine and rituximab are listed in Table 2.

Calquence Tablet Dosage Table 2



Refer to the prescribing information of each of the medicinal products used in combination with CALQUENCE for additional information for management of toxicities.

Calquence Tablet Dosage Table 3



Acalabrutinib tablets can be co-administered with gastric acid reducing agents (proton pump inhibitors, H2-receptor antagonists, antacids), unlike acalabrutinib capsules which show impaired uptake when given with acid reducing agents (see section 4.5 – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information).

Method of Administration

CALQUENCE should be swallowed whole with water at approximately the same time each day. CALQUENCE can be taken with or without food. The tablet should not be chewed, crushed, dissolved, or divided.

Special patient populations

Elderly (≥ 65 years)

No dose adjustment is necessary based on age (see section 5.2 – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information).

Renal Impairment

No dose adjustment is recommended in patients with mild to moderate renal impairment (eGFR greater than or equal to 30 mL/min/1.73m2 as estimated by MDRD (modification of diet in renal disease equation)). The pharmacokinetics and safety of CALQUENCE in patients with severe renal impairment (eGFR less than 29 mL/min/1.73m2) or end-stage renal disease have not been studied (see section 5.2 – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information).

Hepatic Impairment

No dose adjustment is recommended in patients with mild or moderate hepatic impairment (Child-Pugh A, Child-Pugh B, or total bilirubin between 1.5–3 times the upper limit of normal [ULN] and any AST). Avoid administration of CALQUENCE in patients with severe hepatic impairment (Child-Pugh C or total bilirubin > 3 times ULN and any AST) (see section 5.2 – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information).

Severe Cardiac Disease

Patients with severe cardiovascular disease were excluded from CALQUENCE clinical studies.

Paediatric and adolescents

The safety and efficacy of CALQUENCE in children and adolescents aged less than 18 years have not been established.

Contraindications

4.3 Contraindications

Hypersensitivity to acalabrutinib or to any of the excipients in the formulation.