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Clinical Trials in Ireland / NCT06211036
Active, not recruiting Phase 3

Study Comparing Tarlatamab and Durvalumab Versus Durvalumab Alone in First-Line Extensive-Stage Small-Cell Lung Cancer (ES-SCLC) Following Platinum, Etoposide and Durvalumab

NCT06211036 · tracked via the Priya Life Science Ireland tracker
Sponsor
Amgen
Phase
Phase 3
Started
2024-06-05
Last updated
2025-12-17

Condition(s) studied

Extensive-Stage Small-Cell Lung CancerSmall-Cell Lung Cancer

Investigational drug(s) / intervention(s)

TarlatamabDurvalumab

Tarlatamab: Intravenous (IV) infusion

Durvalumab: IV infusion

Study summary

The primary objective of this study is to compare the efficacy of tarlatamab plus durvalumab with durvalumab alone on prolonging overall survival (OS).

Eligibility

Sex
ALL
Min age
18 Years
Max age
99 Years
Healthy volunteers
No
Inclusion: * Participant has provided informed consent prior to initiation of any study specific activities/procedures. * Age \>= 18 years (or \>= legal adult age within the country if it is older than 18 years). * Completed 3-4 cycles of platinum-etoposide chemotherapy with concurrent durvalumab as first-line treatment of extensive-stage (ES)-SCLC prior to enrollment, without disease progression (ongoing response or stable disease) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1). * Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 to 1. * Minimum life expectancy \> 12 weeks. * Toxicities attributed to prior anti-cancer therapy resolved to grade ≤ 1, unless otherwise specified, excluding alopecia or fatigue. * Adequate organ function. * Histologically or cytologically documented extensive-stage disease (American Joint Committee on Cancer, 2017, IV small-cell lung cancer (SCLC) \[T any, N any, M1 a/b/c\]), or T3 to T4 due to multiple lung nodules that are too extensive or have tumor/nodal volume that is too large to be encompassed in a tolerable radiation plan. Participants with prior limited-stage (LS)-SCLC are allowed if the interval is \> 6 months since the end of previous therapy and progression, in discussion with the medical monitor. Exclusion * Symptomatic central nervous system (CNS) metastases, or leptomeningeal disease. Participants with treated brain metastases are eligible as per protocol. * Prior history of severe or life-threatening events from any immune-mediated therapy. * History of other malignancy within the past 2 years, with some exceptions as per protocol. * Active or prior documented autoimmune or inflammatory disorders as per protocol. * Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association \> class II) within 6 months of first dose of study treatment. * History of arterial thrombosis (e.g., stroke or transient ischemic attack) within 6 months of first dose of study treatment. * Evidence of interstitial lung disease (ILD) or active, non-infectious pneumonitis. * History of solid organ transplant. * Major surgical procedures within 28 days of first dose of study treatment. * Known human immunodeficiency virus (HIV) infection (participants with HIV infection on antiviral therapy and undetectable viral load are permitted with a requirement for regular monitoring for reactivation for the duration of treatment on study), hepatitis C infection (participants with hepatitis C that achieve a sustained virologic response after antiviral therapy are allowed), or hepatitis B infection (participants with hepatitis B surface antigen \[HBsAg\] or core antibody that achieve sustained virologic response with antiviral therapy are permitted with a requirement for regular monitoring for reactivation for the duration of treatment on the study). * Receiving systemic corticosteroid therapy or any other form of immunosuppressive therapy within 14 days prior to first dose of study treatment. * History of allergic reactions or acute hypersensitivity reaction to antibody therapies, platinum chemotherapy, or etoposide. * 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 study treatment. * Participant has known active infection requiring parenteral antibiotic treatment. Upon completion of parenteral antibiotics and resolution of symptoms, the participant may be considered eligible for the study from an infection standpoint. * Treatment with live virus, including live-attenuated vaccination, within 4 weeks prior to the first dose of study treatment. Inactive vaccines (e.g., non-live or non-replicating agent) and live viral non-replicating vaccines (e.g., Jynneos for Monkeypox infection) within 30 days prior to first dose of study treatment. * Prior therapy with any selective inhibitor of the delta-like ligand 3 (DLL3) pathway. * Receiving another anti-cancer therapy. Adjuvant hormonal therapy for resected breast cancer is permitted. * Treatment in an alternative investigational trial within 28 days prior to enrollment. * Has received or is planning to receive consolidative chest radiation for extensive stage disease. * Female participants of childbearing potential unwilling to use protocol specified method of contraception during treatment as per protocol. * Female participants who are breastfeeding or who plan to breastfeed while on study as per protocol. * Female participants planning to become pregnant or donate eggs while on study as per protocol. * Female participants of childbearing potential with a positive pregnancy test assessed at screening by a highly sensitive serum pregnancy test. * Male participants with a female partner of childbearing potential who are unwilling to practice sexual abstinence (refrain from heterosexual intercourse) or use contraception during treatment as per protocol. * Male participants with a pregnant partner who are unwilling to practice abstinence or use a condom during treatment as per protocol. * Male participants unwilling to abstain from donating sperm during treatment as per protocol. * Participant has known sensitivity to any of the products or components to be administered during dosing. * Participant has known sensitivity to any of the products or components to be administered during dosing. * History or evidence of any other clinically significant disorder, condition or disease that, in the opinion of the investigator or physician if consulted, would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion. * Participant likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (eg, Clinical Outcome Assessments) to the best of the participant and investigator's knowledge. Participants who are unable to complete clinical outcome assessments are eligible.

Primary outcome measure(s)

Trial sites (219)

FacilityCityRegionStatus
Infirmary Cancer Center Mobile Alabama
University of Southern California Los Angeles California
Yale New Haven Hospital New Haven Connecticut
University Cancer and Blood Center LLC Athens Georgia
Emory University Atlanta Georgia
Northeast Georgia Medical Center Gainesville Georgia
University of Illinois Chicago Chicago Illinois
Franciscan Health Indianapolis Indianapolis Indiana
Our Lady of the Lake Cancer Institute Baton Rouge Louisiana
Dana-Farber Cancer Institute Boston Massachusetts
Cancer and Hematology Centers of Western Michigan Grand Rapids Michigan
Mayo Clinic Rochester Minnesota
Allina Health System dba Allina Health Cancer Institute Saint Paul Minnesota
Oncology Hematology Associates Springfield Missouri
Nebraska Cancer Specialists Omaha Nebraska
Astera Cancer Care East Brunswick New Jersey
Rutgers Cancer Institute of New Jersey New Brunswick New Jersey
Montefiore Medical Center - Bronx The Bronx New York
Duke University Durham North Carolina
Wake Forest University Health Sciences Winston-Salem North Carolina
Oncology Hematology Care Incorporated Cincinnati Ohio
University Hospitals Cleveland Medical Center Cleveland Ohio
The Ohio State University Columbus Ohio
Oncology Associates of Oregon, PC Eugene Oregon
Oregon Health and Science University Portland Oregon
Allegheny Health Network Pittsburgh Pennsylvania
University of Pittsburgh Medical Center Pittsburgh Pennsylvania
Medical University of South Carolina Charleston South Carolina
Baptist Cancer Center Memphis Thoracic Memphis Tennessee
Sarah Cannon Research Institute Nashville Tennessee
Texas Oncology - Dallas Fort Worth Dallas Texas
US Oncology Research Investigational Products Center Dallas Texas
University of Texas MD Anderson Cancer Center Houston Texas
Virginia Oncology Associates Newport News Virginia
Virginia Commonwealth University Massey Cancer Center Richmond Virginia
Swedish Cancer Institute Seattle Washington
The Medical College of Wisconsin Milwaukee Wisconsin
Hospital Britanico de Buenos Aires CABA Buenos Aires
Instituto Alexander Fleming Capital Federal Buenos Aires
Fundacion Medica de Rio Negro y Neuquen Cipolletti Río Negro Province

+ 179 more sites — see the full list on the official registry below.

On this site

📄 Imfinzi (durvalumab) drug profile →

More Amgen trials in Ireland

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06211036 on ClinicalTrials.gov ↗ ← All trials in Ireland