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What the FDA labels say about taking them together

Acalabrutinib and obinutuzumab

Acalabrutinib's FDA label of February 19, 2026 names obinutuzumab in its warnings and precautions section; the obinutuzumab label PlainMeds reads does not name acalabrutinib. The acalabrutinib label: “… (9%) in 1,758 patients treated with CALQUENCE alone and in combination with obinutuzumab or venetoclax;”

Check it at the source: the acalabrutinib FDA label on DailyMed (effective February 19, 2026, AstraZeneca Pharmaceuticals LP); the obinutuzumab FDA label on DailyMed (effective December 19, 2025, Genentech, Inc.).

What does the acalabrutinib label say about obinutuzumab?

Acalabrutinib label, warnings and precautions

Grade 3 or 4 cytopenias included absolute neutrophil count decreased (28%), absolute lymphocyte count decreased (10%), hemoglobin decreased (9%), and platelets decreased (9%) in 1,758 patients treated with CALQUENCE alone and in combination with obinutuzumab or venetoclax;

Source: FDA drug label (CALQUENCE), AstraZeneca Pharmaceuticals LP, effective February 19, 2026 (SPL set b1409184-3267-4d8c-8f17-4e01f69828b1), via openFDA; the full label on DailyMed

What does the obinutuzumab label say about acalabrutinib?

Obinutuzumab's label (effective December 19, 2025) does not name acalabrutinib in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Gazyva), Genentech, Inc., effective December 19, 2025 (SPL set df12ceb2-5b4b-4ab5-a317-2a36bf2a3cda), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Acalabrutinib generic labelers
0Obinutuzumab generic labelers
AcalabrutinibObinutuzumab
Labeled forLeukemia, lymphoma and myelomaLeukemia, lymphoma and myeloma
Boxed warningNoYes
Pharmacy cost (NADAC)n/an/a
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?