The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Tarlatamab, a First-in-Class DLL3-Targeted Bispecific T-Cell Engager, in Recurrent Small-Cell Lung Cancer: An Open-Label, Phase I Study
Open accessAbstract
PURPOSE: Small-cell lung cancer (SCLC) is an aggressive malignancy with limited treatments. Delta-like ligand 3 (DLL3) is aberrantly expressed in most SCLC. Tarlatamab (AMG 757), a bispecific T-cell engager molecule, binds both DLL3 and CD3 leading to T-cellb–mediated tumor lysis. Herein, we report phase I results of tarlatamab in patients with SCLC. PATIENTS AND METHODS: This study evaluated tarlatamab in patients with relapsed/refractory SCLC. The primary end point was safety. Secondary end points included antitumor activity by modified RECIST 1.1, overall survival, and pharmacokinetics. RESULTS: By July 19, 2022, 107 patients received tarlatamab in dose exploration (0.003 to 100 mg; n = 73) and expansion (100 mg; n = 34) cohorts. Median prior lines of anticancer therapy were 2 (range, 1-6); 49.5% received antiprogrammed death-1/programmed death ligand-1 therapy. Any-grade treatment-related adverse events occurred in 97 patients (90.7%) and grade b % 3 in 33 patients (30.8%). One patient (1%) had grade 5 pneumonitis. Cytokine release syndrome was the most common treatment-related adverse event, occurring in 56 patients (52%) including grade 3 in one patient (1%). Maximum tolerated dose was not reached. Objective response rate was 23.4% (95% CI, 15.7 to 32.5) including two complete and 23 partial responses. The median duration of response was 12.3 months (95% CI, 6.6 to 14.9). The disease control rate was 51.4% (95% CI, 41.5 to 61.2). The median progression-free survival and overall survival were 3.7 months (95% CI, 2.1 to 5.4) and 13.2 months (95% CI, 10.5 to not reached), respectively. Exploratory analysis suggests that selecting for increased DLL3 expression can result in increased clinical benefit. CONCLUSION: In patients with heavily pretreated SCLC, tarlatamab demonstrated manageable safety with encouraging response durability. Further evaluation of this promising molecule is ongoing. [Media: see text]
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The present and future of bispecific antibodies for cancer therapy
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Metadata
- Authors
- Paz-Ares, L., Champiat, S., Lai, W. V., Izumi, H., Govindan, R., Boyer, M., Hummel, H.-D., Borghaei, H., Johnson, M. L., Steeghs, N., Blackhall, F., Dowlati, A., Reguart, N., Yoshida, T., He, K., Gadgeel, S. M., Felip, E., Zhang, Y., Pati, A., Minocha, M., Mukherjee, S., Goldrick, A., Nagorsen, D., Hashemi Sadraei, N., & Owonikoko, T. K.
- Venue
- Journal of Clinical Oncology
- Published
- 2023-06-01
- Volume
- 41
- Issue
- 16
- Pages
- 2893-2903
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W4317776094
- Cited by
- 336
- References
- 27
- FWCI
- 34.68
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Paz-Ares, L., Champiat, S., Lai, W. V., Izumi, H., Govindan, R., Boyer, M., Hummel, H.-D., Borghaei, H., Johnson, M. L., Steeghs, N., Blackhall, F., Dowlati, A., Reguart, N., Yoshida, T., He, K., Gadgeel, S. M., Felip, E., Zhang, Y., Pati, A., . . . Owonikoko, T. K. (2023). Tarlatamab, a First-in-Class DLL3-Targeted Bispecific T-Cell Engager, in Recurrent Small-Cell Lung Cancer: An Open-Label, Phase I Study. Journal of Clinical Oncology. https://doi.org/10.1200/jco.22.02823
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