Acalabrutinib and Mitotane interaction

Acalabrutinib and Mitotane: the Acalabrutinib prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Acalabrutinib (CALQUENCE) label · effective 2026-02-19

Major

• CYP3A Inducers: Avoid co-administration with strong CYP3A inducers.

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Major

Prevention or Management • Avoid co-administration of strong CYP3A inducers with CALQUENCE.

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Major

• If a strong CYP3A inducer cannot be avoided, increase the acalabrutinib dose to 200 mg approximately every 12 hours.

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Moderate

Strong CYP3A Inducers Clinical Effect • Co-administration of CALQUENCE with a strong CYP3A inducer (rifampin) decreased acalabrutinib plasma concentrations [see Clinical Pharmacology (12.3) ] .

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.