Subcutaneous Tarlatamab in Participants With Extensive Stage Small Cell Lung Cancer (DeLLphi-308)

Phase 1
Recruiting
Conditions
Interventions
Registration Number
NCT06598306
Lead Sponsor
Amgen
Brief Summary

The primary objective of this study is to evaluate the safety and tolerability of subcutaneous (SC) tarlatamab.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Participants β‰₯ 18 years of age (or β‰₯ legal adult age within country if it is older than 18 years) at time of signing informed consent.
  • Participants with histologically or cytologically confirmed ES-SCLC that progressed or recurred following at least one line of platinum-based regimen.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1.
  • Participants must have adequate organ function (cardiac, pulmonary, kidney, and liver).
  • Participants must be able to have SC injections administered in the abdomen (and/or thigh).
  • Participants without measurable disease or tumor tissue (fresh biopsy or archival) available may be permitted after discussion with and approval by Amgen Medical Monitor.
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Exclusion Criteria
  • Participants that have received prior DLL3 targeted therapy.
  • Participants with untreated or symptomatic brain metastases or those requiring therapy with steroids.
  • Note: Participants with asymptomatic brain metastatic lesions are allowed following definitive treatment (Amgen Medical Monitor may approve untreated, asymptomatic brain metastasis if local therapy is not required per investigator judgment).
  • Participants with leptomeningeal disease.
  • Participants with baseline oxygen requirement.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part 1 Dose ExplorationTarlatamabTarlatamab will be administered as a SC injection in Part 1.
Part 2 Dose ExpansionTarlatamabFollowing the selection of a SC dosing regimen in Part 1, tarlatamab will be administered in Part 2 at the dose deemed safe and tolerable in Part 1.
Primary Outcome Measures
NameTimeMethod
Number of Participants with Dose-limiting toxicities (DLTs)Up to day 21
Number of Participants with Treatment-emergent Adverse Events (TEAEs)Up to approximately 24 months
Number of Participants with Changes in Vital SignsUp to approximately 24 months
Number of Participants with Clinically Significant Changes in Clinical Laboratory TestsUp to approximately 24 months
Secondary Outcome Measures
NameTimeMethod
Maximum Serum Concentration (Cmax) of TarlatamabUp to approximately 12 months
Serum Concentration Prior to Dosing (Ctrough) of TarlatamabUp to approximately 12 months
Time to Cmax (Tmax) of TarlatamabUp to approximately 12 months
Area Under the Concentration-time Curve (AUC) of TarlatamabUp to approximately 12 months
Objective Response (OR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1Up to approximately 24 months
Duration of Response (DOR) per RECIST 1.1Up to approximately 24 months
Time to Response (TTR) per RECIST 1.1Up to approximately 24 months
Progression-free Survival (PFS) per RECIST 1.1Up to approximately 24 months
Time to Progression per RECIST 1.1Up to approximately 24 months
Time to Subsequent TherapyUp to approximately 24 months
Overall Survival (OS)Up to approximately 24 months
Number of Participants with Anti-tarlatamab Antibody FormationUp to approximately 24 months

Trial Locations

Locations (14)

Universitair Ziekenhuis Leuven - Campus Gasthuisberg

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Leuven, Belgium

Uniwersyteckie Centrum Kliniczne

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Gdansk, Poland

Kantonsspital Graubuenden

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Chur, Switzerland

University of Southern California, Norris Comprehensive Cancer Center

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Los Angeles, California, United States

Avera Cancer Institute

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Sioux Falls, South Dakota, United States

Swedish Cancer Institute

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Seattle, Washington, United States

Chris OBrien Lifehouse

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Camperdown, New South Wales, Australia

Calvary Mater Newcastle Hospital

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Waratah, New South Wales, Australia

The Alfred Hospital

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Melbourne, Victoria, Australia

Universitair Ziekenhuis Gent

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Gent, Belgium

Universitaetsklinikum Wuerzburg

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Wuerzburg, Germany

Okayama University Hospital

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Okayama-shi, Okayama, Japan

Wakayama Medical University Hospital

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Wakayama-shi, Wakayama, Japan

Kantonsspital Winterthur

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Winterthur, Switzerland

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