NCT06117774
进行中(未招募)
3 期
A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study of Tarlatamab Therapy in Subjects With Limited-Stage Small-Cell Lung Cancer (LS-SCLC) Who Have Not Progressed Following Concurrent Chemoradiation Therapy
概览
- 阶段
- 3 期
- 干预措施
- Tarlatamab
- 疾病 / 适应症
- 未指定
- 发起方
- Amgen
- 入组人数
- 404
- 试验地点
- 513
- 主要终点
- PFS as Determined by BICR
- 状态
- 进行中(未招募)
- 最后更新
- 3天前
概览
简要总结
The primary objective of this study is to compare the efficacy of tarlatamab with placebo as assessed by progression free survival (PFS) based on blinded independent central review (BCIR) per response evaluation criteria in solid tumors v1.1 (RECIST 1.1) and on prolonging overall survival (OS).
研究者
入排标准
入选标准
- •Participants are eligible to be included in the study only if all of the following criteria apply:
- •Participant has provided informed consent prior to initiation of any study specific activities/procedures.
- •Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years).
- •Histologically or cytologically confirmed small-cell lung cancer (SCLC).
- •Diagnosed and treated for LS-SCLC with concurrent chemotherapy and radiotherapy.
- •Has completed chemoradiotherapy without progression per RECIST 1.1 (ie, achieved complete response \[CR\], partial response \[PR\], or stable disease \[SD\]).
- •Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or
- •Minimum life expectancy of 12 weeks.
- •Adequate organ function.
- •Toxicities attributed to concurrent chemoradiotherapy resolved to grade ≤ 1, unless otherwise specified. Excluding alopecia or fatigue.
排除标准
- •Participants are excluded from the study if any of the following criteria apply:
- •Disease Related
- •Extensive-stage SCLC (ES-SCLC).
- •Any previous diagnosis of transformed non-small-cell lung cancer (NSCLC), epidermal growth factor receptor (EGFR) activating mutation positive NSCLC that has transformed to SCLC, or mixed SCLC NSCLC histology.
- •Evidence of interstitial lung disease or active, non-infectious pneumonitis. Other Medical Conditions
- •History of other malignancy within the past 2 years, with certain exceptions.
- •History of solid organ transplantation.
- •Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association \> class II) within 6 months prior to first dose of study treatment.
- •History of arterial thrombosis (eg, stroke or transient ischemic attack) within 6 months prior to first dose of study treatment.
- •Exclusion of human immunodeficiency virus (HIV) or active hepatitis infection based on criteria per protocol.
研究组 & 干预措施
Tarlatamab
Participants will receive tarlatamab on Cycle 1 Day 1, 8 and 15, and once every 2 weeks (Q2W) thereafter (cycle is 28 days).
干预措施: Tarlatamab
Placebo
Participants will receive placebo on Cycle 1 Day 1, 8 and 15, and Q2W thereafter (cycle is 28 days).
干预措施: Placebo
结局指标
主要结局
PFS as Determined by BICR
时间窗: Up to approximately 6 years
OS Over the Whole Trial
时间窗: Up to approximately 6 years
次要结局
- PFS Determined by Investigator Assessment(Up to approximately 6 years)
- PFS at 6 months, 1 year, 2 years(6 months, 1 year, 2 years)
- OS at 6 months, 1 year, 2 years, 3 years(6 months, 1 year, 2 years, 3 years)
- Time to Progression (TTP)(Up to approximately 6 years)
- Number of Participants with Treatment-emergent Adverse Events (TEAEs)(Up to approximately 6 years)
- Serum Concentration of Tarlatamab(Up to approximately 4 months)
- Incidence of Anti-tarlatamab Antibody Formation(Up to approximately 1 year)
- Complete Response (CR) Rate(Up to approximately 6 years)
- CR + non-CR/non-Progressive Disease (PD) Rate(Up to approximately 6 years)
- Duration of Complete Response(Up to approximately 6 years)
- PFS Determined by Investigator Assessment(Up to approximately 6 years)
- Objective Response (OR) Rate(Up to approximately 6 years)
- Disease Control (DC) Rate(Up to approximately 6 years)
- Duration of Response (DOR)(Up to approximately 6 years)
- PFS at 6 months, 1 year, 2 years(6 months, 1 year, 2 years)
- OS at 6 months, 1 year, 2 years, 3 years(6 months, 1 year, 2 years, 3 years)
- Time to Progression (TTP)(Up to approximately 6 years)
- Number of Participants with Treatment-emergent Adverse Events (TEAEs)(Up to approximately 6 years)
- Serum Concentration of Tarlatamab(Up to approximately 4 months)
- Incidence of Anti-tarlatamab Antibody Formation(Up to approximately 1 year)
研究点 (513)
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相关资讯
National Cancer Centre Singapore Launches 40 Clinical Trials Spanning Multiple Cancer Types- National Cancer Centre Singapore is currently conducting 40 active clinical trials across diverse cancer types including lung, breast, liver, bladder, and hematologic malignancies.
- The trials feature innovative treatment approaches including antibody-drug conjugates, CAR-T cell therapies, and combination immunotherapy regimens targeting various molecular pathways.
- Notable studies include Phase III trials of disitamab vedotin for HER2-positive urothelial carcinoma and tarlatamab for limited-stage small-cell lung cancer.
- The comprehensive trial portfolio demonstrates Singapore's commitment to advancing cancer research and providing patients access to cutting-edge experimental therapies.SCLC Treatment Landscape Evolves with Tarlatamab Approval and Promising Trial Results- The FDA approved tarlatamab in May 2024 for SCLC that has progressed after platinum-based chemotherapy, marking a new treatment option in the second-line setting.
- The ADRIATIC trial demonstrated that consolidation durvalumab significantly improved PFS and OS in patients with limited-stage SCLC after chemoradiation.
- The IMforte trial showed that lurbinectedin combined with atezolizumab led to significant benefits in overall survival and progression-free survival as a maintenance therapy.
- Research is exploring novel agents like B7-H3 targeted antibody-drug conjugates and DLL3-targeted bispecific T-cell engagers to further improve SCLC treatment outcomes.