Evidence map›Paper›PMID 40839303›Full record

ArticleThe oncologist2025

Efficacy outcomes between tarlatamab and real-world physicians' choice of therapies for previously treated extensive stage small cell lung cancer.

Jessie Wang, Gautam Sajeev, Xinglei Chai, Rumbidzai Takundwa, Franziska Dirnberger, Xerxes Pundole, Malaika Pastel, Hongbo Yang, Umit Tapan

Abstract read
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jessie WangAmgen Inc., Thousand Oaks, CA 91320, United States.
Gautam SajeevAnalysis Group, Inc., Boston, MA 02199, United States.
Xinglei ChaiAnalysis Group, Inc., Boston, MA 02199, United States.
Rumbidzai TakundwaAmgen Ltd, Uxbridge UB8 1DH, United Kingdom.
Franziska DirnbergerAmgen GmbH, Munich 80992, Germany.
Xerxes PundoleAmgen Inc., Thousand Oaks, CA 91320, United States.
Malaika PastelAmgen Inc., Thousand Oaks, CA 91320, United States.
Hongbo YangAnalysis Group, Inc., Boston, MA 02199, United States.
Umit TapanSection of Hematology & Medical Oncology, Boston University Chobanian & Avedisian School of Medicine, and Boston Medical Center, Boston, MA 02118, United States.ORCID 0000-0002-3906-3004

Funding

Amgen Inc
6 · The paper itself

Abstract

backgroundTarlatamab, a bispecific T-cell engager immunotherapy, showed durable response with promising survival outcomes in patients with previously treated small cell lung cancer (SCLC) in the phase 2 DeLLphi-301 study. Given the lack of a comparator in DeLLphi-301, this analysis aimed to evaluate the relative efficacy of tarlatamab against physicians' choice of therapies in real-world practice. PATIENTS AND

methodsThis analysis compared the outcomes of patients in DeLLphi-301 who received tarlatamab 10 mg (n = 97) with patients in real-world cancer clinics captured in the Flatiron Health database who received third or later-line comparator therapies for SCLC (n = 184). Propensity score weighting was used to adjust for differences in key prognostic factors between cohorts. Overall survival (OS), progression-free survival (PFS), time to treatment discontinuation (TTD), time to next treatment or death (TTNTD), and objective response rate (ORR) were compared after weighting.

resultsTarlatamab was associated with significantly longer OS, PFS, TTD, and TTNTD, and higher ORR vs comparator therapies. After weighting, the hazard ratios (95% confidence interval [CI]) of tarlatamab vs comparator therapies were 0.45 (0.30, 0.68) for OS, 0.61 (0.43, 0.90) for PFS, 0.57 (0.39, 0.84) for TTD, and 0.45 (0.30, 0.66) for TTNTD. The odds ratio for ORR was 2.80 (95% CI, 1.44, 5.83).

conclusionThe study findings suggest that tarlatamab offers potential clinical benefits relative to comparator treatments. This analysis underscores the potential of tarlatamab to become a new therapeutic option for previously treated SCLC, a disease that has historically been associated with extremely poor outcomes and limited treatment options.

Indexed as

Lung NeoplasmsSmall Cell Lung CarcinomaAdultAgedFemaleHumansMaleMiddle AgedNeoplasm StagingTreatment Outcomeexternal control armindirect treatment comparisonreal-worldsmall cell lung cancertarlatamab

Identifiers

PMID40839303
PMCPMC12459094

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.