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Study Evaluating Safety, Tolerability and Pharmacokinetics (PK) of Tarlatamab in Adults With Small Cell Lung Cancer (SCLC)

Primary Purpose

Small Cell Lung Carcinoma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Tarlatamab
Pembrolizumab
CRS Mitigation Strategies
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Carcinoma focused on measuring Half-Life Extended (HLE) Bispecific T cell engager (BiTE®), Delta-like protein 3 (DLL3), Tarlatamab, Oncology, Immunology

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has provided informed consent prior to initiation of any study-specific activities/procedures
  • Age greater than or equal to 18 years old at the time of signing the informed consent
  • Histologically or cytologically confirmed Small Cell Lung Cancer (SCLC):
  • Part A, C, D, E, F, and G: RR SCLC who progressed or recurred following platinum-based regimen;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
  • Subjects with treated brain metastases are eligible provided they meet defined criteria
  • Adequate organ function as defined in protocol

Exclusion Criteria:

  • History of other malignancy within the past 2 years prior to first dose of AMG 757 with exceptions
  • Major surgery within 28 days of first dose AMG 757
  • Untreated (includes new lesions or progression in previously treated lesions) or symptomatic brain metastases and leptomeningeal disease
  • Prior anti-cancer therapy: at least 28 days must have elapsed between any prior anti-cancer therapy and first dose of AMG 757

Exceptions:

  • Subjects who received conventional chemotherapy are eligible if at least 14 days have elapsed and if all treatment-related toxicity has been resolved to Grade less than or equal to 1
  • Prior palliative radiotherapy must have been completed at least 7 days before the first dose of AMG 757
  • Subjects who experienced severe, life-threatening or recurrent (Grade 2 or higher) immune-mediated adverse events or infusion-related reactions including those that lead to permanent discontinuation while on treatment with immune-oncology agents.
  • Has evidence of interstitial lung disease or active, non-infectious pneumonitis
  • Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of AMG 757
  • Part C only: history of solid organ transplantation or active autoimmune disease that has required systemic treatment within the past 2 years
  • No evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. If history of SARS-CoV-2, no acute symptoms of coronavirus disease 2019 (COVID-19) within14 days prior to first dose of investigational product (counted from day of positive test for asymptomatic subjects)

Sites / Locations

  • City of Hope National Medical Center
  • Yale New Haven HospitalRecruiting
  • Moffitt Cancer CenterRecruiting
  • Winship Cancer InstituteRecruiting
  • University of ChicagoRecruiting
  • Ochsner Clinic FoundationRecruiting
  • John Hopkins Sidney Kimmel Comprehensive Cancer CenterRecruiting
  • Henry Ford Health SystemRecruiting
  • Washington UniversityRecruiting
  • Memorial Sloan Kettering Cancer CenterRecruiting
  • University Hospitals Cleveland Medical CenterRecruiting
  • The Ohio State University Wexner Medical Center - Thoracic Oncology ClinicRecruiting
  • Fox Chase Cancer CenterRecruiting
  • University of Pittsburgh Medical Center Cancer PavillionRecruiting
  • Sarah Cannon Research InstituteRecruiting
  • Chris OBrien LifehouseRecruiting
  • Medizinische Universitaet GrazRecruiting
  • Universitaetsklinikum SalzburgRecruiting
  • Gustave RoussyRecruiting
  • Universitaetsklinikum WuerzburgRecruiting
  • Prince of Wales HospitalRecruiting
  • National Cancer Center Hospital EastRecruiting
  • National Cancer Center HospitalRecruiting
  • Wakayama Medical University HospitalRecruiting
  • Nederlands Kanker Instituut, Antoni van Leeuwenhoek ZiekenhuisRecruiting
  • Maastricht Universitair Medisch Centrum
  • Biokinetica SARecruiting
  • Europejskie Centrum Zdrowia Otwock Szpital imienia Fryderyka ChopinaRecruiting
  • Hospital Universitari Vall d HebronRecruiting
  • Hospital Clinic i Provincial de BarcelonaRecruiting
  • Hospital Universitario Ramon y CajalRecruiting
  • Hospital Universitario 12 de OctubreRecruiting
  • Hospital Universitario La PazRecruiting
  • Centre Hospitalier Universitaire VaudoisRecruiting
  • Kantonsspital St GallenRecruiting
  • Kaohsiung Medical University Chung-Ho Memorial HospitalRecruiting
  • Tri-Service General HospitalRecruiting
  • Linkou Chang Gung Memorial Hospital of Chang Gung Medical FoundationRecruiting
  • Christie HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A

Part C

Part D

Part E

Part F

Part G

Arm Description

Tarlatamab monotherapy

Tarlatamab with Pembrolizumab

Tarlatamab with additional CRS mitigation strategies

Tarlatamab administration with 24-hour monitoring

Tarlatamab administered in outpatient infusion centers with 8-hour monitoring Optional wearable digital device substudy (US sites only)

Tarlatamab additional dosing schedule Optional wearable digital device substudy (US sites only)

Outcomes

Primary Outcome Measures

Number of participants with dose limiting toxicities (DLT) for all indications
Number of participants with treatment-emergent adverse events (AEs) for all indications
Number of participants with treatment-related AEs for all indications
Number of participants with clinically significant changes in vital signs for all indications
Number of participants with significant changes in electrocardiogram (ECG) for all indications
Number of participants with significant changes in physical examinations for all indications
Number of participants with significant changes in clinical laboratory tests for all indications

Secondary Outcome Measures

Maximum observed concentration (Cmax) following intravenous administration for all indications
Minimum observed concentration (Cmin) following intravenous administration for all indications
Area under the concentration-time curve (AUC) over the 2 week dosing interval for all indications
Accumulation following multiple dosing for all indications
Half-life (t1/2) following intravenous administration for all indications
Objective Response (OR) per modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Only for parts A, D, E, F, and G
Duration of Response (DOR) for all indications
Time to Response (TTR)
9-month Progression-Free Survival (PFS) for all indications
9-month Overall Survival (OS) for all indications

Full Information

First Posted
October 5, 2017
Last Updated
October 4, 2023
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT03319940
Brief Title
Study Evaluating Safety, Tolerability and Pharmacokinetics (PK) of Tarlatamab in Adults With Small Cell Lung Cancer (SCLC)
Official Title
A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of Tarlatamab in Subjects With Small Cell Lung Cancer (DeLLphi-300)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 26, 2017 (Actual)
Primary Completion Date
October 22, 2024 (Anticipated)
Study Completion Date
October 20, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A study to assess the safety, tolerability, and PK of tarlatamab in participants with SCLC
Detailed Description
This is an open-label, ascending, multiple doses, phase 1 study evaluating tarlatamab monotherapy, in combination with anti-PD1 therapy and with additional cytokine release syndrome (CRS) mitigation strategies. Tarlatamab will be administered as a short term intravenous (IV) infusion in participants with SCLC. Tarlatamab is a Half-Life Extended (HLE) Bispecific T cell engager (BiTE®) targeting delta-like protein 3 (DLL3)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Carcinoma
Keywords
Half-Life Extended (HLE) Bispecific T cell engager (BiTE®), Delta-like protein 3 (DLL3), Tarlatamab, Oncology, Immunology

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
This is an open-label, ascending, multiple doses, phase 1 study evaluating tarlatamab monotherapy, in combination with anti-PD1 therapy and with additional CRS mitigation strategies in participants with SCLC. The dose exploration phases of the study will estimate the maximum tolerated dose (MTD) or Recommended Phase 2 Dose (RP2D) of tarlatamab either as monotherapy or in combination with pembrolizumab. This will be followed by dose expansion phase to confirm RP2D and to obtain further safety and efficacy data.
Masking
None (Open Label)
Masking Description
The patient, investigator, investigative staff, medical monitor and care provider will not be masked for the study.
Allocation
Randomized
Enrollment
392 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A
Arm Type
Experimental
Arm Description
Tarlatamab monotherapy
Arm Title
Part C
Arm Type
Experimental
Arm Description
Tarlatamab with Pembrolizumab
Arm Title
Part D
Arm Type
Experimental
Arm Description
Tarlatamab with additional CRS mitigation strategies
Arm Title
Part E
Arm Type
Experimental
Arm Description
Tarlatamab administration with 24-hour monitoring
Arm Title
Part F
Arm Type
Experimental
Arm Description
Tarlatamab administered in outpatient infusion centers with 8-hour monitoring Optional wearable digital device substudy (US sites only)
Arm Title
Part G
Arm Type
Experimental
Arm Description
Tarlatamab additional dosing schedule Optional wearable digital device substudy (US sites only)
Intervention Type
Drug
Intervention Name(s)
Tarlatamab
Intervention Description
Tarlatamab is a Half-Life Extended (HLE) Bispecific T cell engager (BiTE®) targeting delta-like protein 3 (DLL3)
Intervention Type
Drug
Intervention Name(s)
Pembrolizumab
Intervention Description
Pembrolizumab is a potent humanized IgG4 monoclonal antibody (mAb) with high specificity of binding to the PD-1 receptor, thus inhibiting its interaction with PD-L1 and PD-L2
Intervention Type
Drug
Intervention Name(s)
CRS Mitigation Strategies
Intervention Description
Participants will be treated with one of the CRS mitigation strategies.
Primary Outcome Measure Information:
Title
Number of participants with dose limiting toxicities (DLT) for all indications
Time Frame
6 months
Title
Number of participants with treatment-emergent adverse events (AEs) for all indications
Time Frame
4 years
Title
Number of participants with treatment-related AEs for all indications
Time Frame
4 years
Title
Number of participants with clinically significant changes in vital signs for all indications
Time Frame
4 years
Title
Number of participants with significant changes in electrocardiogram (ECG) for all indications
Time Frame
4 years
Title
Number of participants with significant changes in physical examinations for all indications
Time Frame
4 years
Title
Number of participants with significant changes in clinical laboratory tests for all indications
Time Frame
4 years
Secondary Outcome Measure Information:
Title
Maximum observed concentration (Cmax) following intravenous administration for all indications
Time Frame
4 years
Title
Minimum observed concentration (Cmin) following intravenous administration for all indications
Time Frame
4 years
Title
Area under the concentration-time curve (AUC) over the 2 week dosing interval for all indications
Time Frame
4 years
Title
Accumulation following multiple dosing for all indications
Time Frame
4 years
Title
Half-life (t1/2) following intravenous administration for all indications
Time Frame
4 years
Title
Objective Response (OR) per modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Description
Only for parts A, D, E, F, and G
Time Frame
4 years
Title
Duration of Response (DOR) for all indications
Time Frame
4 years
Title
Time to Response (TTR)
Time Frame
4 years
Title
9-month Progression-Free Survival (PFS) for all indications
Time Frame
9 months
Title
9-month Overall Survival (OS) for all indications
Time Frame
9 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant has provided informed consent prior to initiation of any study-specific activities/procedures Age greater than or equal to 18 years old at the time of signing the informed consent Histologically or cytologically confirmed SCLC. For parts A, C, D, E, F, and G: relapsed/refractory small cell lung cancer (R/R SCLC) who progressed or recurred following platinum-based regimen Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 Participants with treated brain metastases are eligible provided they meet defined criteria Adequate organ function as defined in protocol Exclusion Criteria: History of other malignancy within the past 2 years prior to first dose of tarlatamab with exceptions Major surgery within 28 days of first dose tarlatamab Untreated (includes new lesions or progression in previously treated lesions) or symptomatic brain metastases and leptomeningeal disease Prior anti-cancer therapy: at least 28 days must have elapsed between any prior anti-cancer therapy and first dose of tarlatamab with the following exceptions: participants who received conventional chemotherapy are eligible if at least 14 days have elapsed and if all treatment-related toxicity has been resolved to Grade less than or equal to 1; and prior palliative radiotherapy must have been completed at least 7 days before the first dose of tarlatamab Participants who experienced severe, life-threatening or recurrent (Grade 2 or higher) immune-mediated AEs or infusion-related reactions including those that lead to permanent discontinuation while on treatment with immune-oncology agents Has evidence of interstitial lung disease or active, non-infectious pneumonitis Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of tarlatamab Part C only: history of solid organ transplantation or active autoimmune disease that has required systemic treatment within the past 2 years Participant with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection within 7 days prior to the first dose of investigational product administration
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Amgen Call Center
Phone
866-572-6436
Email
medinfo@amgen.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope National Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Completed
Facility Name
Yale New Haven Hospital
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Individual Site Status
Recruiting
Facility Name
Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Name
Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Individual Site Status
Recruiting
Facility Name
Ochsner Clinic Foundation
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70121
Country
United States
Individual Site Status
Recruiting
Facility Name
John Hopkins Sidney Kimmel Comprehensive Cancer Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Individual Site Status
Recruiting
Facility Name
Henry Ford Health System
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Individual Site Status
Recruiting
Facility Name
Washington University
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110-1093
Country
United States
Individual Site Status
Recruiting
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Individual Site Status
Recruiting
Facility Name
University Hospitals Cleveland Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Individual Site Status
Recruiting
Facility Name
The Ohio State University Wexner Medical Center - Thoracic Oncology Clinic
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Pittsburgh Medical Center Cancer Pavillion
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Individual Site Status
Recruiting
Facility Name
Sarah Cannon Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Name
Chris OBrien Lifehouse
City
Camperdown
State/Province
New South Wales
ZIP/Postal Code
2050
Country
Australia
Individual Site Status
Recruiting
Facility Name
Medizinische Universitaet Graz
City
Graz
ZIP/Postal Code
8036
Country
Austria
Individual Site Status
Recruiting
Facility Name
Universitaetsklinikum Salzburg
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
Individual Site Status
Recruiting
Facility Name
Gustave Roussy
City
Villejuif
ZIP/Postal Code
94805
Country
France
Individual Site Status
Recruiting
Facility Name
Universitaetsklinikum Wuerzburg
City
Wuerzburg
ZIP/Postal Code
97078
Country
Germany
Individual Site Status
Recruiting
Facility Name
Prince of Wales Hospital
City
Shatin, New Territories
Country
Hong Kong
Individual Site Status
Recruiting
Facility Name
National Cancer Center Hospital East
City
Kashiwa-shi
State/Province
Chiba
ZIP/Postal Code
277-8577
Country
Japan
Individual Site Status
Recruiting
Facility Name
National Cancer Center Hospital
City
Chuo-ku
State/Province
Tokyo
ZIP/Postal Code
104-0045
Country
Japan
Individual Site Status
Recruiting
Facility Name
Wakayama Medical University Hospital
City
Wakayama-shi
State/Province
Wakayama
ZIP/Postal Code
641-8510
Country
Japan
Individual Site Status
Recruiting
Facility Name
Nederlands Kanker Instituut, Antoni van Leeuwenhoek Ziekenhuis
City
Amsterdam
ZIP/Postal Code
1066 CX
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Maastricht Universitair Medisch Centrum
City
Maastricht
ZIP/Postal Code
6229 HX
Country
Netherlands
Individual Site Status
Completed
Facility Name
Biokinetica SA
City
Jozefow
ZIP/Postal Code
05-410
Country
Poland
Individual Site Status
Recruiting
Facility Name
Europejskie Centrum Zdrowia Otwock Szpital imienia Fryderyka Chopina
City
Otwock
ZIP/Postal Code
05-400
Country
Poland
Individual Site Status
Recruiting
Facility Name
Hospital Universitari Vall d Hebron
City
Barcelona
State/Province
Cataluña
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Clinic i Provincial de Barcelona
City
Barcelona
State/Province
Cataluña
ZIP/Postal Code
08036
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Ramon y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario La Paz
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Individual Site Status
Recruiting
Facility Name
Centre Hospitalier Universitaire Vaudois
City
Lausanne
ZIP/Postal Code
1011
Country
Switzerland
Individual Site Status
Recruiting
Facility Name
Kantonsspital St Gallen
City
Sankt Gallen
ZIP/Postal Code
9007
Country
Switzerland
Individual Site Status
Recruiting
Facility Name
Kaohsiung Medical University Chung-Ho Memorial Hospital
City
Kaohsiung
ZIP/Postal Code
80756
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Tri-Service General Hospital
City
Taipei
ZIP/Postal Code
11490
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
City
Taoyuan
ZIP/Postal Code
33305
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Christie Hospital
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
IPD Sharing Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD Sharing Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD Sharing URL
https://www.amgen.com/datasharing
Citations:
PubMed Identifier
31215500
Citation
Owen DH, Giffin MJ, Bailis JM, Smit MD, Carbone DP, He K. DLL3: an emerging target in small cell lung cancer. J Hematol Oncol. 2019 Jun 18;12(1):61. doi: 10.1186/s13045-019-0745-2.
Results Reference
background
PubMed Identifier
36689692
Citation
Paz-Ares L, Champiat S, Lai WV, Izumi H, Govindan R, Boyer M, Hummel HD, Borghaei H, Johnson ML, Steeghs N, Blackhall F, Dowlati A, Reguart N, Yoshida T, He K, Gadgeel SM, Felip E, Zhang Y, Pati A, Minocha M, Mukherjee S, Goldrick A, Nagorsen D, Hashemi Sadraei N, Owonikoko TK. Tarlatamab, a First-in-Class DLL3-Targeted Bispecific T-Cell Engager, in Recurrent Small-Cell Lung Cancer: An Open-Label, Phase I Study. J Clin Oncol. 2023 Jun 1;41(16):2893-2903. doi: 10.1200/JCO.22.02823. Epub 2023 Jan 23.
Results Reference
background
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website

Learn more about this trial

Study Evaluating Safety, Tolerability and Pharmacokinetics (PK) of Tarlatamab in Adults With Small Cell Lung Cancer (SCLC)

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