Actively Recruiting
A Phase 3, Open Label, Randomized Study Comparing First-Line Tarlatamab Combined With Durvalumab, Carboplatin, and Etoposide Versus Durvalumab, Carboplatin, and Etoposide in Untreated Extensive Stage Small-Cell Lung Cancer
Led by Amgen · Updated on 2026-06-04
330
Participants Needed
157
Research Sites
27 weeks
Total Duration
On this page
Sponsors
A
Amgen
Lead Sponsor
A
AstraZeneca
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are comparing the effectiveness of a combination treatment including tarlatamab, durvalumab, carboplatin, and etoposide to a similar combination without tarlatamab in people with untreated extensive stage small-cell lung cancer ES-SCLC. This Phase 3 study aims to see if adding tarlatamab can improve overall survival and progression-free survival in this patient group. The study is sponsored by Amgen and focuses on first-line treatment options for this aggressive cancer stage. Participants are assigned randomly to one of two groups. One group will receive tarlatamab combined with durvalumab, carboplatin, and etoposide for four cycles, followed by maintenance treatment with tarlatamab and durvalumab. The other group receives durvalumab, carboplatin, and etoposide for four cycles, followed by durvalumab alone. All drugs are given through intravenous infusions. The study is open-label, meaning both participants and researchers know which treatment is being given. During the study, participants will be monitored up to approximately 3.5 years for overall survival and progression-free survival through blinded independent central review. Additional outcomes like objective response, disease control, duration of response, and treatment-related side effects will be tracked for up to four years. Blood samples will be taken to measure tarlatamab levels and to check for antibodies against the drug. Safety and treatment effects are carefully recorded throughout the study period.
CONDITIONS
Brief Title
A Study Comparing Tarlatamab, Durvalumab, Carboplatin, and Etoposide Versus Durvalumab, Carboplatin, and Etoposide in First-line Extensive Stage Small-Cell Lung Cancer (ES-SCLC)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Participant has provided informed consent before starting any study procedures
- Age 18 years or older (or legal adult age in the country if higher)
- Diagnosed with extensive stage small-cell lung cancer (Stage IV or extensive disease with large tumor volume)
- Measurable disease according to RECIST 1.1 criteria
- Suitable to receive carboplatin, etoposide, and durvalumab as first-line treatment
- Minimum life expectancy of at least 12 weeks
You will not qualify if you...
- History of other cancers within the past 2 years
- Presence of symptomatic central nervous system metastases or leptomeningeal disease
- History of severe or life-threatening immune therapy reactions
- Arterial thrombosis (stroke or transient ischemic attack) within 6 months prior to study
- Active autoimmune or inflammatory disorders
- Active HIV or Hepatitis B or C infection
- Evidence of interstitial lung disease or active non-infectious pneumonitis
- History of solid organ transplant
- Myocardial infarction or symptomatic congestive heart failure above NYHA class II within 6 months prior to study
Research Team
A
Amgen Call Center
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