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Small Cell Lung CarcinomaPhase 1NCT03319940

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

A Phase 1 study testing Tarlatamab, Pembrolizumab and CRS Mitigation Strategies in people with Small Cell Lung Carcinoma, run by Amgen at 39 sites in 13 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

A study to assess the safety, tolerability, and PK of tarlatamab in participants with SCLC Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Small Cell Lung Carcinoma
What is being tested?
Tarlatamab, Pembrolizumab and CRS Mitigation Strategies
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
269 participants
Where
39 sitesin 13 countries
Study dates
26 Dec 2017to 31 Dec 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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 (regardless of symptomatic or not).
  • 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
Show all 9Show fewer
  • 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

Trial locations and contacts

39 sites in 13 countries.

39 sites in 13 countries

United States15 sites
  • Winship Cancer Institute

    Atlanta, Georgia, 30322

  • John Hopkins Sidney Kimmel Comprehensive Cancer Center

    Baltimore, Maryland, 21287

  • University of Chicago

    Chicago, Illinois, 60637

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • The Ohio State University Wexner Medical Center - Thoracic Oncology Clinic

    Columbus, Ohio, 43210

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • City of Hope National Medical Center

    Duarte, California, 91010

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • Ochsner Clinic Foundation

    New Orleans, Louisiana, 70121

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10021

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • University of Pittsburgh Medical Center Cancer Pavillion

    Pittsburgh, Pennsylvania, 15232

  • Washington University

    St Louis, Missouri, 63110-1093

  • Moffitt Cancer Center

    Tampa, Florida, 33612

Other trials in United States

Spain5 sites
  • Hospital Universitari Vall d Hebron

    Barcelona, Catalonia, 08035

  • Hospital Clinic i Provincial de Barcelona

    Barcelona, Catalonia, 08036

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario La Paz

    Madrid, 28046

Other trials in Spain

Japan3 sites
  • National Cancer Center Hospital

    Chuo-ku, Tokyo, 104-0045

  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba, 277-8577

  • Wakayama Medical University Hospital

    Wakayama, Wakayama, 641-8510

Other trials in Japan

Taiwan3 sites
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, 80756

  • Tri-Service General Hospital

    Taipei, 11490

  • Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation

    Taoyuan, 33305

Other trials in Taiwan

Austria2 sites
  • Medizinische Universitaet Graz

    Graz, 8036

  • Landeskrankenhaus Salzburg

    Salzburg, 5020

Other trials in Austria

Netherlands2 sites
  • Nederlands Kanker Instituut Antoni van Leeuwenhoekziekenhuis

    Amsterdam, 1066 CX

  • Maastricht Universitair Medisch Centrum

    Maastricht, 6229 HX

Other trials in Netherlands

Poland2 sites
  • Biokinetica SA

    Józefów, 05-410

  • Europejskie Centrum Zdrowia Otwock Szpital imienia Fryderyka Chopina

    Otwock, 05-400

Other trials in Poland

Switzerland2 sites
  • Centre Hospitalier Universitaire Vaudois

    Lausanne, 1011

  • Kantonsspital St Gallen

    Sankt Gallen, 9007

Other trials in Switzerland

Australia1 site
  • Chris OBrien Lifehouse

    Camperdown, New South Wales, 2050

Other trials in Australia

France1 site
  • Gustave Roussy

    Villejuif, 94805

Other trials in France

Germany1 site
  • Universitaetsklinikum Wuerzburg

    Würzburg, 97078

Other trials in Germany

Hong Kong1 site
  • Prince of Wales Hospital

    Shatin, New Territories

Other trials in Hong Kong

United Kingdom1 site
  • Christie Hospital

    Manchester, M20 4BX

Other trials in United Kingdom

About this study

Official title: A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of Tarlatamab in Subjects With Small Cell Lung Cancer (DeLLphi-300)

A study to assess the safety, tolerability, and PK of tarlatamab in participants with SCLC

Read the 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)

Being tested
Tarlatamab, Pembrolizumab, CRS Mitigation Strategies
Keywords
Half-Life Extended (HLE) Bispecific T cell engager (BiTE®), Delta-like protein 3 (DLL3), Tarlatamab, Oncology, Immunology
Medical subject headings
Small Cell Lung Carcinoma, Bites and Stings, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TarlatamabDrug

    Tarlatamab is a Half-Life Extended (HLE) Bispecific T cell engager (BiTE®) targeting delta-like protein 3 (DLL3)

  • PembrolizumabDrug

    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

  • CRS Mitigation StrategiesDrug

    Participants will be treated with one of the CRS mitigation strategies.

Study groups in NCT03319940
Study groupRoleWhat they receive
Part AExperimentalTarlatamab monotherapy
Receives: Drug: Tarlatamab
Part CExperimentalTarlatamab with Pembrolizumab
Receives: Drug: Tarlatamab; Drug: Pembrolizumab
Part DExperimentalTarlatamab with additional CRS mitigation strategies
Receives: Drug: Tarlatamab; Drug: CRS Mitigation Strategies
Part EExperimentalTarlatamab administration with 24-hour monitoring
Receives: Drug: Tarlatamab
Part FExperimentalTarlatamab administered in outpatient infusion centers with 8-hour monitoring Optional wearable digital device substudy (US sites only)
Receives: Drug: Tarlatamab
Part GExperimentalTarlatamab additional dosing schedule Optional wearable digital device substudy (US sites only)
Receives: Drug: Tarlatamab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of participants with dose limiting toxicities (DLT) for all indications

    Measured: 6 months

  2. Number of participants with treatment-emergent adverse events (AEs) for all indications

    Measured: 4 years

  3. Number of participants with treatment-related AEs for all indications

    Measured: 4 years

  4. Number of participants with clinically significant changes in vital signs for all indications

    Measured: 4 years

  5. Number of participants with significant changes in electrocardiogram (ECG) for all indications

    Measured: 4 years

  6. Number of participants with significant changes in physical examinations for all indications

    Measured: 4 years

  7. Number of participants with significant changes in clinical laboratory tests for all indications

    Measured: 4 years

Secondary outcomes (10)
  1. Maximum observed concentration (Cmax) following intravenous administration for all indications

    Measured: 4 years

  2. Minimum observed concentration (Cmin) following intravenous administration for all indications

    Measured: 4 years

  3. Area under the concentration-time curve (AUC) over the 2 week dosing interval for all indications

    Measured: 4 years

  4. Accumulation following multiple dosing for all indications

    Measured: 4 years

  5. Half-life (t1/2) following intravenous administration for all indications

    Measured: 4 years

  6. Objective Response (OR) per modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

    Only for parts A, D, E, F, and G

    Measured: 4 years

  7. Duration of Response (DOR) for all indications

    Measured: 4 years

  8. Time to Response (TTR)

    Measured: 4 years

  9. 9-month Progression-Free Survival (PFS) for all indications

    Measured: 9 months

  10. 9-month Overall Survival (OS) for all indications

    Measured: 9 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2017
  2. Study start26 Dec 2017
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
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)
Enrolment
269 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03319940
Sponsor's protocol ID
20160323
Status last verified
Nov 2026
First submitted
5 Oct 2017
Last updated
4 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Expanded access
Available

Publications

  • 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.

    PubMed 31215500
  • Dowlati A, Hummel HD, Champiat S, Olmedo ME, Boyer M, He K, Steeghs N, Izumi H, Johnson ML, Yoshida T, Bouchaab H, Borghaei H, Felip E, Jost PJ, Gadgeel S, Chen X, Yu Y, Martinez P, Parkes A, Paz-Ares L. Sustained Clinical Benefit and Intracranial Activity of Tarlatamab in Previously Treated Small Cell Lung Cancer: DeLLphi-300 Trial Update. J Clin Oncol. 2024 Oct 10;42(29):3392-3399. doi: 10.1200/JCO.24.00553. Epub 2024 Aug 29.

    PubMed 39208379
  • 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.

    PubMed 36689692
  • Chiang AC, Olmedo Garcia ME, Carlisle JW, Dowlati A, Reguart N, Felip E, Jost PJ, Steeghs N, Stec R, Gadgeel SM, Loong HH, Jiang W, Hamidi A, Parkes A, Paz-Ares L. Safety of tarlatamab with 6-8-h outpatient versus 48-h inpatient monitoring during cycle 1: DeLLphi-300 phase 1 substudy. ESMO Open. 2025 Apr;10(4):104538. doi: 10.1016/j.esmoop.2025.104538. Epub 2025 Apr 4.

    PubMed 40187110

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tarlatamab, Pembrolizumab and CRS Mitigation Strategies in people with Small Cell Lung Carcinoma, run by Amgen at 39 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, Spain, Japan, Taiwan, Austria and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of participants with dose limiting toxicities (DLT) for all indications (time frame: 6 months). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03319940, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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