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Calquence
Acalabrutinib
$15000.00
100mg · 3 × 56 capsules · 3 months supply
BrandBranded medicine· By Astra Zeneca
$5000.00 per month
How long a supply?
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Annual cost
$65000a year at this pack size
Prescription required
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About Calquence
Overview
Calquence contains acalabrutinib, a kinase inhibitor supplied as capsules. It is used to treat adults with chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), or mantle cell lymphoma (MCL) after at least one previous treatment. For previously untreated MCL, it is used with bendamustine and rituximab in adults who are not eligible for a stem cell transplant using their own cells. It works by blocking Bruton tyrosine kinase (BTK), a protein involved in signals that help B cells multiply and move.
What it treats
- Previously untreated mantle cell lymphoma (MCL) in adults who are not eligible for an autologous stem cell transplant, used with bendamustine and rituximab. - Mantle cell lymphoma (MCL) in adults who have received at least one previous treatment. - Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) in adults.
Safety information
Side effects
Common side effects of Calquence include upper respiratory tract infections, diarrhea, headache, and muscle, bone or joint pain. Serious side effects that require medical attention include serious infections, including infections that occur when immune defenses are weakened; bleeding; low blood cell counts; irregular heart rhythms; and liver injury. Contact your doctor promptly if you develop signs of infection, bleeding or an irregular heartbeat. Other cancers, including skin cancers and other solid tumors, have also occurred. Use sun protection. Blood tests may show reduced neutrophils or lymphocytes (types of white blood cells), reduced platelets, or increased uric acid. Your doctor should monitor your blood counts regularly and your liver function throughout treatment.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
The FDA label lists no formal contraindications for Calquence (acalabrutinib). However, use should be avoided in people with severe liver impairment. Calquence may harm an unborn baby and cause difficult labour. Do not breastfeed during treatment. Important risks requiring caution and monitoring include serious and opportunistic infections, bleeding, low blood cell counts, heart rhythm problems, and liver toxicity, including drug-induced liver injury. Blood counts and liver function should be monitored regularly throughout treatment. Infections should be treated promptly. Other cancers, including skin cancers and other solid tumours, have occurred. Use sun protection.
Interactions
Calquence should not be taken with strong CYP3A inhibitors or strong CYP3A inducers, which affect an enzyme involved in processing medicines. Your prescriber may recommend a dose adjustment for these interactions. Avoid taking Calquence with proton pump inhibitors (PPIs), which reduce stomach acid. Other acid-reducing medicines called H2-receptor antagonists, and antacids, need to be taken at separate times from Calquence. Tell your doctor if you use any of these medicines and ask how to manage them.
Using Calquence
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label CALQUENCE (ACALABRUTINIB) CAPSULE, GELATIN COATED [ASTRAZENECA PHARMACEUTICALS LP] (DailyMed, retrieved 19 September 2026).
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