Study Evaluating Safety, Tolerability and Pharmacokinetics (PK) of Tarlatamab in Adults With Small Cell Lung Cancer (SCLC)
Small Cell Lung Carcinoma
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
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
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Part A
Part C
Part D
Part E
Part F
Part G
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)