Evidence map›Paper›PMID 42762420›Full record

ArticleInternational journal of clinical oncology2026

Tarlatamab in small cell lung cancer following platinum-based chemotherapy: subgroup analysis of Japanese patients from the DeLLphi-304 study.

Takayasu Kurata, Shunichi Sugawara, Hiroaki Akamatsu, Kazushige Wakuda, Koichi Azuma, Takayuki Takahama, Hiroshi Kagamu, Hiroshi Yokouchi, Miyako Satouchi, Shuji Murakami and 10 more

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Article in International journal of clinical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

20 authors.

Takayasu KurataDepartment of Thoracic Oncology, Kansai Medical University Hospital, 2-3-1 Shin-machi, Hirakata city, Osaka, 573-1191, Japan. kurata.tak@kmu.ac.jp.ORCID http://orcid.org/0000-0003-4123-3567
Shunichi SugawaraSendai Kousei Hospital, Miyagi, Japan.
Hiroaki AkamatsuInternal Medicine III, Wakayama Medical University Hospital, Wakayama, Japan.
Kazushige WakudaDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Koichi AzumaDivision of Respirology, Neurology, and Rheumatology, Department of Internal Medicine, Kurume University School of Medicine, Fukuoka, Japan.
Takayuki TakahamaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
Hiroshi KagamuDepartment of Respiratory Medicine, International Medical Center, Saitama Medical University, Saitama, Japan.
Hiroshi YokouchiDepartment of Respiratory Medicine, NHO Hokkaido Cancer Center, Sapporo, Japan.
Miyako SatouchiDepartment of Thoracic Oncology, Hyogo Cancer Center, Akashi, Japan.
Shuji MurakamiDepartment of Thoracic Oncology, Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center, Yokohama, Japan.
Kadoaki OhashiDepartment of Respiratory Medicine, Okayama University Hospital, Okayama, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Kazumi NishinoDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Hiroki IzumiDepartment of Thoracic Oncology, National Cancer Center Hospital East, Chiba, Japan.
Hiroshi TanakaDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Taichi MiyawakiDepartment of Respiratory Medicine, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Shuang HuangAmgen Inc, Thousand Oaks, CA, USA.
Upen PatilAmgen Inc, Thousand Oaks, CA, USA.
Jihyun ParkAmgen K.K, Tokyo, Japan.
Tatsuya YoshidaDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.

Funding

Amgen Inc. Amgen Inc.
6 · The paper itself

Abstract

backgroundIn the Phase 3 DeLLphi-304 trial, tarlatamab significantly improved overall survival (OS) over chemotherapy for small-cell lung cancer (SCLC) progressed after platinum-based chemotherapy. We report efficacy and safety in the Japanese subpopulation.

methodsPatients were randomized to tarlatamab or amrubicin in Japan. The primary endpoint was OS. Secondary endpoints included progression-free survival (PFS), objective response rate (ORR), duration of response (DOR), and safety.

resultsAs of 29 Jan 2025 (data cutoff), 35 patients (tarlatamab, n = 12; amrubicin, n = 23) were enrolled. Baseline characteristics were generally balanced although fewer tarlatamab-treated patients had chemotherapy-free interval < 90 days or brain metastases. Median OS was NE (95% CI, 10.4, NE) for tarlatamab versus 11.5 (6.2, NE) months for amrubicin (HR [95% CI] = 0.533 [0.186, 1.529]). Twelve-month survival was 66.7% (33.7, 86.0) versus 47.0% (25.7, 65.6), respectively. Median PFS was 4.0 (1.3, 11.3) months versus 4.2 (2.1, 5.4) months (HR [95% CI] = 0.726 [0.339, 1.554]). ORR was 33.3% (9.9, 65.1) versus 26.1% (10.2, 48.4). Median DOR was 10.1 (3.0, NE) months versus 5.6 (2.8, NE) months. Grade ≥ 3 treatment-related adverse events were less frequent with tarlatamab (8.3%) versus amrubicin (56.5%). Cytokine release syndrome occurred in 75% of tarlatamab-treated patients (all were grade 1 or 2) and grade 2 immune effector cell-associated neurotoxicity syndrome was reported in 1 (8.3%) patient.

conclusionTarlatamab demonstrated numerically longer OS and DOR, and higher ORR versus amrubicin in Japanese patients with SCLC, with fewer high-grade treatment-related adverse events. These results in Japanese patients support those of the global population.

Indexed as

DeLLphi-304Japanese patientsSmall-cell lung cancerTarlatamab

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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.