Accelerated Approval for Amgen Lung Cancer Drug
FDA has granted Amgen accelerated approval for its BLA for Imdelltra (tarlatamab-dlle) for extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy.
Approval was based on data from DeLLphi-301 [NCT05060016] clinical trial in 99 patients, according to an FDA release. The major efficacy outcome measures were overall response rate (ORR) and duration of response (DOR). “ORR was 40% (95% CI: 31, 51) and median DOR was 9.7 months…,” it says. “Of the 69 patients with available data regarding platinum sensitivity status, the ORR was 52% (95% CI 32, 71) in 27 patients with platinum-resistant SCLC (defined as progression less than 90 days after last dose of platinum therapy) and 31% (95% CI 18, 47) in 42 patients with platinum-sensitive SCLC (defined as progression greater than 90 days after last dose of platinum therapy).”
FDA notes that the therapy’s prescribing information includes a Boxed Warning for serious or life-threatening cytokine release syndrome (CRS) and neurologic toxicity, including immune effector cell-associated neurotoxicity syndrome. The most common adverse reactions (occurring in over 20% of patients treated) were CRS, fatigue, pyrexia, dysgeusia, decreased appetite, musculoskeletal pain, and constipation, anemia and nausea.