About this trial
The primary objective for dose exploration and dose expansion is to evaluate the safety and tolerability of tarlatamab in combination with AB248.
The primary objective for dose exploration only is to determine the recommended dose for expansion and/or maximum tolerated combination dose (MTCD) of AB248 in combination with tarlatamab.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participant has provided informed consent before initiation of any study-specific activities/procedures.
Participants ≥ 18 years (or ≥ legal age within the country if it is older than 18 years) at the time of signing the informed consent.
Participants with histologically or cytologically confirmed ES-SCLC that has progressed or recurred following at least 1 line of anti-cancer therapy for ES-SCLC.
Participants must have at least 1 measurable lesion as defined by RECIST 1.1 within 21-day screening period, not previously irradiated.
Disqualifiers
Symptomatic central nervous system (CNS) metastases.
Participants with brain metastases may be eligible if criteria defined in the protocol are met.
Prior therapy with any delta-like ligand 3 (DLL3)-directed therapy (including tarlatamab).
Prior interleukin (IL)-2, IL-7 or IL-15 targeted therapy.
Trial design
Sequential
Treatments tested in this trial
Tarlatamab
DrugAdministered as an IV infusion.
AB248
DrugAdministered either as an IV infusion followed by a flush or using a syringe pump without a flush.
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants with Treatment-emergent Adverse Events (TEAEs)
Clinically significant changes in vital signs and clinical laboratory tests will be reported as adverse events.
Dose Exploration: Number of Participants with Dose-limiting Toxicities (DLTs)
Secondary outcomes
Maximum Serum Concentration (Cmax) of Tarlatamab
Minimum Serum Concentration (Cmin) of Tarlatamab
Area Under the Concentration-time Curve (AUC) of Tarlatamab
Half-life (t1/2) of Tarlatamab
Sponsors and contacts
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Amgen
Lead sponsor
Asher Biotherapeutics, Inc.
Collaborator