About this trial
The main objective of the study is to compare the efficacy of tarlatamab in combination with durvalumab, carboplatin and etoposide to the combination of durvalumab, carboplatin and etoposide on prolonging overall survival (OS).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participant has provided informed consent before initiation of any study-specific activities/procedures.
Age ≥ 18 years or ≥ legal age within the country if it is older than 18 years.
Histologically or cytologically documented ES-SCLC (American Joint Committee on Cancer, 2017, Stage IV 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.
Measurable disease as defined per RECIST 1.1.
Disqualifiers
Participants can have no history of other malignancy in the last 2 years.
Any symptomatic central nervous system (CNS) metastases, or leptomeningeal disease.
They will have no history of severe or life-threatening events to immune-mediated therapy.
History of arterial thrombosis (eg, stroke or transient ischemic attack) within 6 months prior to first dose of study treatment.
Trial design
Parallel
Treatments tested in this trial
Tarlatamab
DrugTarlatamab will be administered as an intravenous (IV) infusion.
Durvalumab
DrugDurvalumab will be administered as an IV infusion.
Carboplatin
DrugCarboplatin will be administered as an IV infusion.
Etoposide
DrugEtoposide will be administered as an IV infusion.
Treatment groups
Trial outcomes
Primary outcomes
Overall Survival (OS)
Progression free survival (PFS) (Blinded Independent Central Review [BICR] Assessed)
Secondary outcomes
PFS (Investigator Assessed)
Objective Response (OR)
Disease Control
Duration of Response (DOR)
Sponsors and contacts
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Amgen
Lead sponsor
AstraZeneca
Collaborator