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Trial · NCT04885998

AMG 757 and AMG 404 in Subjects With Small Cell Lung Cancer (SCLC)

NCT04885998, Phase 1, Completed, Amgen; results first posted 2024-10-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. AMG 757 and AMG 404 in Subjects With Small Cell Lung Cancer (SCLC). Trials, record NCT04885998. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04885998

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
AMG 757 and AMG 404 in Subjects With Small Cell Lung Cancer (SCLC)
NCT number
NCT04885998
Status
Completed
Phases
Phase 1
Enrollment
23 participants, actual
Lead sponsor
Amgen
Conditions
Small Cell Lung Cancer
Interventions
Tarlatamab, AMG 404
First posted
2021-05-13
Last updated
2025-09-29
Other registries' IDs
eudract:2020-005957-26
Results first posted
2024-10-15

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPart 1: Number of Participants Who Experienced Dose-limiting Toxicity (DLT)First dose of tarlatamab up to 28 days
A DLT was any of the following during the DLT window, assessed by Common Terminology Criteria for Adverse Events v4.0: * Grade 3 adverse event (AE) except for fatigue lasting \< 7 days, Grade 3 nonfebrile neutropenia that improved to ≤ Grade 1 within 3 weeks, endocrinopathies if managed with replacement therapy, Grade 3 nausea/vomiting or diarrhea for \< 72 hours, Grade 3 amylase or lipase values not associated with pancreatitis, Grade 3 hematologic laboratory abnormalities not clinically relevant, or Grade 3 electrolyte abnormality up to 72 hours. * Grade 4 AE except for Grade 4 nonfebrile neutropenia lasting ≤ 7 days, Grade 4 electrolyte abnormality lasting up to 72 hours, Grade 4 amylase or lipase values not associated with pancreatitis, or Grade 4 hematologic laboratory abnormalities no clinically relevant. * Grade 5 AE * Recurrent Grade ≥ 2 pneumonitis * Any other toxicity requiring permanent discontinuation of AMG 404.
PrimaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs)
Any TEAEs: From first IP dose up to last dose + 65 days or EOS, median duration was 4.2 months; TEAEs for EP: From last dose + 65 days up to snapshot date (15 November 2024), death, or last dose + 145 days or EOS, median duration was 2.6 months
An AE was defined as any untoward medical occurrence in a clinical trial participant. A TEAE was an AE that started on or after the first dose of investigational product (IP; tarlatamab) up to 65 days after the last dose of tarlatamab or AMG 404 or the end of study (EOS), whichever was earlier. A TEAE for the EP was an AE that occurred after the 65th day after the last dose of tarlatamab or AMG 404 up to 145 days after the last dose of tarlatamab or AMG 404 or end of study, whichever was later. A treatment-related AE was any TEAE where there was a reasonable possibility that the TEAE could have been caused by tarlatamab or AMG 404. Any clinically significant changes in vital signs, physical examinations, electrocardiograms, and clinical laboratory tests were included as TEAEs.
SecondaryObjective Response Rate Per Modified Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1From first dose of IP up to a minimum of last dose date + 65 days or EOS; median (min, max) duration was 4.2 (0.4, 25.4) months
The objective response rate was defined as the percentage of participants with a confirmed best overall response of complete response (CR) or partial response (PR) based on the modified RECIST v1.1. CR: complete disappearance of all lesions and pathologic lymph nodes reduced in short axis to \< 10 mm. PR: decrease in tumor burden of ≥ 30% relative to baseline, or complete disappearance of all index lesions with the presence of non-index lesions. Confirmation scans were required within 4 weeks of the first documented response of CR or PR. Exact 95% confidence intervals (CIs) were calculated using the Clopper-Pearson method.
SecondaryDuration of Response Per Modified RECIST v1.1From first dose of IP up to a minimum of last dose date + 65 days or EOS; median (min, max) duration was 4.2 (0.4, 25.4) months
The duration of response was defined as the time from first evidence of CR or PR to progressive disease (PD) or death due to any cause, whichever occurred first, estimated via Kaplan-Meier methods. CR: complete disappearance of all lesions and pathologic lymph nodes reduced in short axis to \< 10 mm. PR: decrease in tumor burden of ≥ 30% relative to baseline, or complete disappearance of all index lesions with the presence of non-index lesions. Confirmation scans were required within 4 weeks of the first documented response of CR or PR. PD: radiologic detection of ≥ 20% increase in tumor burden relative to nadir and ≥ 5 mm absolute increase, or unequivocal progression of non-index lesions, or presence of new lesions. 95% CIs were calculated using the Brookmeyer and Crowley method.
SecondaryDisease Control Rate Per Modified RECIST v1.1From first dose of IP up to a minimum of last dose date + 65 days or EOS; median (min, max) duration was 4.2 (0.4, 25.4) months
The disease control rate was defined as the percentage of participants with a best overall response of a confirmed response (CR/PR) or stable disease (SD) while on the study as defined by modified RECIST v1.1. CR: complete disappearance of all lesions and pathologic lymph nodes reduced in short axis to \< 10 mm. PR: decrease in tumor burden of ≥ 30% relative to baseline, or complete disappearance of all index lesions with the presence of non-index lesions. Confirmation scans were required within 4 weeks of the first documented response of CR or PR SD: Index lesions not meeting the criteria for CR, PR, or PD or the persistence of one or more non-index lesions. Exact 95% CIs were calculated using the Clopper-Pearson method.
SecondaryProgression-free Survival Per Modified RECIST v1.1From first dose of IP up to a minimum of EOS or death; median (min, max) time was 9.4 (0.4, 25.5) months
Progression-free survival was defined as the interval from the earlier date of the first dose of IP to the earlier of PD per modified RECIST v1.1 or death due to any cause, estimated via Kaplan-Meier methods. PD: radiologic detection of ≥ 20% increase in tumor burden to nadir and ≥ 5 mm absolute increase, or unequivocal progression of non-index lesions, or the presence of new lesions. Confirmation scans were required within 4 weeks of the first documented response of CR or PR, and 4-6 weeks for PD. 95% CIs were calculated using the Brookmeyer and Crowley method.
SecondaryOverall SurvivalFrom first dose of IP up to a minimum of EOS or death; median (min, max) time was 9.4 (0.4, 25.5) months
Overall survival was defined as the interval from the earlier date of the first dose of IP to the event of death due to any cause, estimated via Kaplan-Meier methods. Participants who were still alive were censored at the date last known to be alive. If the date last known to be alive was after the data cutoff date, the participant was censored at the analysis trigger date. 95% CIs were calculated using the Brookmeyer and Crowley method.
SecondaryMaximum Observed Concentration (Cmax) of Tarlatamab in Combination With AMG 404Cycle 2 Day 1 (pre-dose up to 7 days post-dose); Cycle 2 Day 15 (pre-dose up to 14 days post-dose)Cmax was obtained using noncompartmental analysis, which was performed for tarlatamab PK parameter estimation. PK analysis is presented per dose received as pre-specified.
SecondaryTrough Concentration (Ctrough) of Tarlatamab in Combination With AMG 404Cycle 2 Day 15 (pre-dose)
Ctrough was obtained at the end of a dosing interval or just before the administration of the next planned dose using noncompartmental analysis, which was performed for tarlatamab PK parameter estimation. PK analysis is presented per dose received as pre-specified.
SecondaryArea Under the Concentration-time Curve From Time 0 to 336 Hours (AUC0-336) of Tarlatamab in Combination With AMG 404Cycle 2 Day 1 (pre-dose up to 7 days post-dose); Cycle 2 Day 15 (pre-dose up to 14 days post-dose)
AUC0-336 was defined as the actual body exposure to the drug over time following administration of a dose, calculated from time zero to 336 hours post-dose using noncompartmental analysis, which was performed for tarlatamab PK parameter estimation. PK analysis is presented per dose received as pre-specified.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPart 1: Number of Participants Who Experienced Dose-limiting Toxicity (DLT)First dose of tarlatamab up to 28 days
The DLT analysis set included all enrolled participants who received at least 1 dose of tarlatamab or AMG 404 during the dose exploration part of the study with an evaluable DLT endpoint. DLT evaluable endpoints included: 1. participant experienced a DLT; or 2. participant did not experience a DLT and received tarlatamab or AMG 404 treatment as planned in cycle 1 and had been followed for safety events a minimum of 28 days from the date of first dose administration of tarlatamab.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Treatment-emergent Adverse Events (TEAEs)
Any TEAEs: From first IP dose up to last dose + 65 days or EOS, median duration was 4.2 months; TEAEs for EP: From last dose + 65 days up to snapshot date (15 November 2024), death, or last dose + 145 days or EOS, median duration was 2.6 months
The safety analysis set included all participants who received at least 1 dose of tarlatamab or AMG 404. For any TEAEs, categories included those that occurred before or during the EP. For the EP, data are presented for participants who entered the EP. Participants with snapshot date (15 November 2024) or death or EOS within the last dose date + 65 days were excluded from the EP.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYObjective Response Rate Per Modified Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1From first dose of IP up to a minimum of last dose date + 65 days or EOS; median (min, max) duration was 4.2 (0.4, 25.4) monthsThe safety analysis set included all participants who received at least 1 dose of IP (tarlatamab or AMG 404).percentage of participantsNUMBER
SECONDARYDuration of Response Per Modified RECIST v1.1From first dose of IP up to a minimum of last dose date + 65 days or EOS; median (min, max) duration was 4.2 (0.4, 25.4) monthsThe safety analysis set included all participants who received at least 1 dose of IP (tarlatamab or AMG 404). Data is presented for participants who achieved a best overall response of PR or CR.monthsMEDIAN
SECONDARYDisease Control Rate Per Modified RECIST v1.1From first dose of IP up to a minimum of last dose date + 65 days or EOS; median (min, max) duration was 4.2 (0.4, 25.4) monthsThe safety analysis set included all participants who received at least 1 dose of IP (tarlatamab or AMG 404).percentage of participantsNUMBER
SECONDARYProgression-free Survival Per Modified RECIST v1.1From first dose of IP up to a minimum of EOS or death; median (min, max) time was 9.4 (0.4, 25.5) monthsThe safety analysis set included all participants who received at least 1 dose of IP (tarlatamab or AMG 404).monthsMEDIAN
SECONDARYOverall SurvivalFrom first dose of IP up to a minimum of EOS or death; median (min, max) time was 9.4 (0.4, 25.5) monthsThe safety analysis set included all participants who received at least 1 dose of IP (tarlatamab or AMG 404).monthsMEDIAN
SECONDARYMaximum Observed Concentration (Cmax) of Tarlatamab in Combination With AMG 404Cycle 2 Day 1 (pre-dose up to 7 days post-dose); Cycle 2 Day 15 (pre-dose up to 14 days post-dose)
The pharmacokinetic (PK) analysis set included all participant who had received at least 1 dose of tarlatamab and had at least 1 PK sample collected. Participants with data available at each timepoint are presented.
micrograms per milliliterGEOMETRIC_MEAN
SECONDARYTrough Concentration (Ctrough) of Tarlatamab in Combination With AMG 404Cycle 2 Day 15 (pre-dose)PK analysis set included all participant who had received at least 1 dose of tarlatamab and had at least 1 PK sample collected. Participants with data available are presented.micrograms per milliliterGEOMETRIC_MEAN
SECONDARYArea Under the Concentration-time Curve From Time 0 to 336 Hours (AUC0-336) of Tarlatamab in Combination With AMG 404Cycle 2 Day 1 (pre-dose up to 7 days post-dose); Cycle 2 Day 15 (pre-dose up to 14 days post-dose)PK analysis set included all participant who had received at least 1 dose of tarlatamab and had at least 1 PK sample collected. Participants with data available at each timepoint are presented.hours*micrograms per milliliterGEOMETRIC_MEAN

Results by group62

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Part 1: Number of Participants Who Experienced Dose-limiting Toxicity (DLT)Part 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 4040Participants
Part 1: Number of Participants Who Experienced Dose-limiting Toxicity (DLT)Part 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 4041Participants
Part 1: Number of Participants Who Experienced Dose-limiting Toxicity (DLT)Part 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 4041Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 404Any TEAE7Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 404Any TEAE5Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 404Any TEAE3Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 2 Dose Expansion Cohort: Tarlatamab Dose A/Dose B + AMG 404Any TEAE8Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 404Any tarlatamab-related TEAE6Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 404Any tarlatamab-related TEAE5Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Part 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 404Any tarlatamab-related TEAE3Participants

Participant flow20

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 4047
Overall StudySTARTEDPart 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 4045
Overall StudySTARTEDPart 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 4043
Overall StudySTARTEDPart 2 Dose Expansion Cohort: Tarlatamab Dose A/Dose B + AMG 4048
Overall StudySafety Analysis SetPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 4047
Overall StudySafety Analysis SetPart 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 4045
Overall StudySafety Analysis SetPart 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 4043
Overall StudySafety Analysis SetPart 2 Dose Expansion Cohort: Tarlatamab Dose A/Dose B + AMG 4048
Overall StudyEntered Extended Safety Period (EP)Part 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 4046
Overall StudyEntered Extended Safety Period (EP)Part 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 4041

Adverse events1,048

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 40417
otherAnaemiaBlood and lymphatic system disordersPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 404 (EP)06
otherAnaemiaBlood and lymphatic system disordersPart 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 40425
otherAnaemiaBlood and lymphatic system disordersPart 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 404 (EP)01
otherAnaemiaBlood and lymphatic system disordersPart 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 40403
otherAnaemiaBlood and lymphatic system disordersPart 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 404 (EP)01
otherAnaemiaBlood and lymphatic system disordersPart 2 Dose Expansion Cohort: Tarlatamab Dose A/Dose B + AMG 404 (EP)04
otherAnaemiaBlood and lymphatic system disordersPart 2 Dose Expansion Cohort: Tarlatamab Dose A/B + AMG 40438
otherIron deficiency anaemiaBlood and lymphatic system disordersPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 40407
otherIron deficiency anaemiaBlood and lymphatic system disordersPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 404 (EP)06

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 40417
Total, all-cause mortalityPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 404 (EP)16
Total, all-cause mortalityPart 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 40415
Total, all-cause mortalityPart 1 Cohort 2: Tarlatamab Dose A/Dose C + AMG 404 (EP)01
Total, all-cause mortalityPart 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 40413
Total, all-cause mortalityPart 1 Cohort 3: Tarlatamab Dose A/Dose D + AMG 404 (EP)11
Total, all-cause mortalityPart 2 Dose Expansion Cohort: Tarlatamab Dose A/Dose B + AMG 404 (EP)24
Total, all-cause mortalityPart 2 Dose Expansion Cohort: Tarlatamab Dose A/B + AMG 40408
Total, other adverse eventsPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 40477
Total, other adverse eventsPart 1 Cohort 1: Tarlatamab Dose A/Dose B + AMG 404 (EP)16

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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