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DRUG CLASS:

DLL3 inhibitor

1d
START-lung: A Trial of Tarlatamab in Patients With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) and ECOG PS 2 (clinicaltrials.gov)
P2, N=48, Recruiting, ETOP IBCSG Partners Foundation | Not yet recruiting --> Recruiting | N=30 --> 48
Enrollment open • Enrollment change • Trial initiation date
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Imdelltra (tarlatamab-dlle)
1d
First Documented Response to Tarlatamab in a Patient With Transformed SCLC Without Actionable Gene Alteration: Case Report. (PubMed, JTO Clin Res Rep)
She was treated with tarlatamab, achieving 4 months of treatment response with symptomatic relief and improved performance status. This case represents the first documented evidence of the clinical benefit of tarlatamab in transformed SCLC and highlights its therapeutic potential in this challenging setting.
Journal
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DLL3 (Delta Like Canonical Notch Ligand 3)
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Imdelltra (tarlatamab-dlle)
2d
Enrollment open
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DLL3 (Delta Like Canonical Notch Ligand 3)
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DLL3 expression
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VENTANA DLL3 (SP347) Assay
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Tecentriq (atezolizumab) • carboplatin • etoposide IV • obrixtamig (BI 764532)
5d
Transcription Factor Subtype Governs Response and Resistance to DLL3-Directed T-Cell Engagement in Small Cell Lung Cancer. (PubMed, bioRxiv)
The recent approval of the DLL3×CD3 bispecific T-cell engager tarlatamab represents one of the first meaningful advances in relapsed small cell lung cancer (SCLC) in decades, yet responses remain heterogeneous and resistance is inevitable...These findings underscore the clinical relevance of TF-defined molecular subtypes in human SCLC. More broadly, they highlight the power of integrating longitudinal in vivo plasma transcriptional profiling from patient plasma with functional mouse modeling to uncover clinical and biological mechanisms of response and resistance to cell-surface-targeted therapies.
Journal
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DLL3 (Delta Like Canonical Notch Ligand 3) • POU2F3 (POU Class 2 Homeobox 3) • ASCL1 (Achaete-Scute Family BHLH Transcription Factor 1) • NEUROD1 (Neuronal Differentiation 1)
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Imdelltra (tarlatamab-dlle)
7d
New P2 trial
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Imdelltra (tarlatamab-dlle)
7d
New P1/2 trial
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Imdelltra (tarlatamab-dlle)
7d
New P1 trial
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Imfinzi (durvalumab) • Imdelltra (tarlatamab-dlle)
8d
Trial completion date
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Tecentriq (atezolizumab) • carboplatin • etoposide IV • obrixtamig (BI 764532)
11d
Landscape of T-Cell Engagers in Solid Tumors. (PubMed, Oncologist)
Recent advances seen with tebentafusp in metastatic uveal melanoma and tarlatamab in small-cell lung cancer have validated the approach and driven a rapidly expanding pipeline targeting other tumor associated antigens such as STEAP1, MUC16, and PRAME among others. Collectively, next-generation TCEs guided by rational target selection, context-dependent activation, and biomarker-driven patient stratification, are poised to broaden the reach of immunotherapy in solid tumors. In this review, we synthesize the recent advances that aim to expand the therapeutic window of TCEs for the treatment of solid tumors.
Journal • IO biomarker
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STEAP1 (STEAP Family Member 1) • PRAME (Preferentially Expressed Antigen In Melanoma)
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Kimmtrak (tebentafusp-tebn) • Imdelltra (tarlatamab-dlle)
14d
Trial initiation date
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DLL3 (Delta Like Canonical Notch Ligand 3)
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DLL3 expression