Can a simple shot replace an IV for this aggressive lung cancer?
NCT ID NCT07778316
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This phase 3 trial is testing whether tarlatamab, an immunotherapy drug, can be given as a quick injection under the skin instead of a slow intravenous drip for people with relapsed extensive-stage small cell lung cancer. The study will compare the two methods to see if the injection delivers the drug just as effectively and safely. Participants will be randomly assigned to receive tarlatamab either subcutaneously or intravenously, and researchers will monitor how well the drug controls the cancer and how long patients live.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tarlatamab (a bispecific T-cell engager antibody)
- What this could lead to
- If successful, this could offer a more convenient way to deliver tarlatamab, potentially improving quality of life for people with relapsed small cell lung cancer.
- What could go wrong
- This is a phase 3 trial, but it's testing a new route of administration. It may not prove non-inferior, and side effects could differ. Results are not yet available.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant has provided informed consent prior to initiation of any study specific activities/procedures. * Age ≥ 18 years (or legal adult age within country, whichever is older) at the time of signing the informed consent. * Histologically or cytologically confirmed SCLC with demonstrated progression or relapse. * Participants who progressed or recurred following 1 platinum-based regimen. * Measurable disease as defined per RECIST 1.1 within the 21-day screening period. * Eastern Cooperative Oncology Group (ECOG) PS of 0 or 1. * Minimum life expectancy of 12 weeks. * Adequate organ function. * History of central nervous system (CNS) metastases are allowed with considerations defined in the protocol. Exclusion Criteria: Disease Related \- Any previous diagnosis of non-small cell lung cancer (NSCLC), epidermal growth factor receptor (EGFR) activating mutation that has transformed to SCLC, or mixed SCLC and NSCLC histology, with exceptions defined in the protocol. Other Medical Conditions * Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association \> class II) within 6 months prior to first dose of study treatment. * History of arterial thrombosis (e.g., stroke or transient ischemic attack) within 6 months prior to first dose of study treatment. * Current evidence or history of non-infectious pneumonitis/ILD (interstitial lung disease) that required steroids or other immunosuppressive treatment. * History of other malignancy within the past 2 years, with exceptions defined in the protocol. * Presence or history of viral infection based on criteria per protocol. * History of solid organ transplantation. * Symptoms and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection requiring antibiotics within 7 days prior to the first dose study treatment. * Known sensitivity or a contraindication to any of the products or components. * Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures. Prior/Concomitant Therapy * Prior systemic anticancer therapy within 30 days of enrolment * Prior history of severe or life-threatening events from any immune-mediated therapy. * Receiving systemic corticosteroid therapy or any other form of immunosuppressive therapy within 14 days prior to first dose of study treatment. * Live and live-attenuated vaccines within 28 days prior to the start of study treatment. * Receiving another anticancer therapy for a malignancy other than SCLC. * More than 1 prior line of anticancer therapy for SCLC. * Participation in a tarlatamab clinical trial or prior therapy with any selective inhibitor of the delta-like ligand 3 (DLL3) pathway. * Treatment in an alternative investigational trial within 28 days prior to enrolment. * History of allergy or hypersensitivity to similar products (eg, drugs with a similar chemical structure or other monoclonal antibody) or any excipient. Other Exclusions * Participants unable to have SC injections administered in the abdomen or thigh. * Participant unlikely to be able to complete all protocol-required procedures, restrictions and requirements. * History or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator, would pose a risk to participant safety.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
2 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Cancer and Hematology Centers of Western Michigan
RECRUITINGGrand Rapids, Michigan, 49503, United States
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Shanghai Pulmonary Hospital
RECRUITINGShanghai, 200433, China
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