CClinicalTrials.gg
RecruitingNCT07531095DeLLphi-313Updated Aug 21, 2026

Study of Tarlatamab + ZL-1310 +/- Anti-programmed Death Ligand 1 (Anti-PD-L1) in Small Cell Lung Cancer (SCLC)

A Phase 1 interventional study of ZL-1310 and Tarlatamab in Small Cell Lung Cancer, sponsored by Amgen. Recruiting at 27 sites in 9 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Amgen · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 5 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
160
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
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Study summary

The primary objective of this trial is to evaluate the safety and tolerability of tarlatamab in combination with ZL-1310 with or without durvalumab and to determine the maximum tolerated combination dose (MTCD) and/or recommended phase 2 dose (RP2D) of ZL-1310 in combination with tarlatamab.

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Conditions studied

  • Small Cell Lung Cancer

Keywords

  • Tarlatamab
  • ZL-1310
  • Durvalumab
  • SCLC
  • Anti-PD-L1
  • Extensive Stage Small Cell Lung Cancer
  • Programmed death protein-1 (PD-1)
  • Programmed death ligand 1 (PD-L1)
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In context

Small Cell Lung Carcinoma

1,201 studies on the registry are indexed under Small Cell Lung Carcinoma; 340 are open to participants now.

This study's planned enrollment of 160 is above the median of 56 across 1,030 interventional studies indexed under Small Cell Lung Carcinoma.

Browse Small Cell Lung Carcinoma studies →

Lead sponsor

Amgen is the lead sponsor of 1,015 studies on the registry; 49 are open to participants now.

Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 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 SCLC:
  • For Part 1, participants must have SCLC that has progressed or recurred following at least 1 line of platinum-based anti-cancer therapy.
  • For Parts 1 and 2, participants must have progressed or recurred following at least 1 line of platinum-based therapy. No prior tarlatamab is allowed in Cohort 2-1.
  • For Part 3, participants must have extensive-stage SCLC (ES-SCLC) with no prior systemic treatment other than 1 cycle of platinum-based chemotherapy.

Note: Participants with prior treatment for limited-stage SCLC (LS-SCLC) before diagnosis of ES SCLC are permitted.

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • At least 1 measurable lesion as defined per RECIST v1.1 within 21-day screening period, not previously irradiated.
  • Adequate organ function (hematological, coagulation, renal, hepatic, pulmonary, and cardiac function).

Exclusion criteria

Exclusion Criteria:

  • Symptomatic CNS metastases. Participants with treated brain metastases are eligible provided they meet the criteria specified in the protocol.
  • History of interstitial lung disease (ILD)/pneumonitis.
  • Received thoracic radiation therapy within 90 days prior to first dose of trial intervention.
  • Prior therapy with any delta-like ligand 3 (DLL3)-directed therapy.
  • Prior exposure to topoisomerase I inhibitors or antibody-drug conjugate (ADC) with topoisomerase I inhibitor payload.
  • Receiving strong CYP3A4 or CPY2D6 inhibitors within 14 days or 5 half-lives (whichever is longer) before the first dose of trial treatment.
  • Enrollment in any tarlatamab clinical trial.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Dose Exploration (Part 1)

    Multiple dose levels of ZL-1310 will be explored in combination with tarlatamab administered intravenously (IV).

    Drug: ZL-1310 · Drug: Tarlatamab

  • Experimental
    Dose Expansion (Part 2)

    ZL-1310 will be administered IV at the selected maximum tolerated combination dose (MTCD) or recommended phase 2 dose (RP2D) in combination with tarlatamab administered IV.

    Drug: ZL-1310 · Drug: Tarlatamab

  • Experimental
    Triplet Combination (Part 3)

    ZL-1310 will be administered at MTCD or RP2D in combination with tarlatamab and an anti-PD-L1 (durvalumab) each administered IV.

    Drug: ZL-1310 · Drug: Tarlatamab · Drug: Durvalumab

Interventions

  • DrugZL-1310

    ZL-1310 will be administered as an IV infusion.

  • DrugTarlatamab

    Tarlatamab will be administered as an IV infusion.

    Also known as: IMDELLTRA

  • DrugDurvalumab

    Durvalumab will be administered as an IV infusion.

06

What researchers measure

Primary outcomes

  1. Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)

    Time frame: Up to 3.5 years

  2. Parts 1 and 3: Number of Participants Experiencing Dose-limiting Toxicities (DLTs)

    Time frame: Up to Day 21

Secondary outcomes

  1. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

    Time frame: Up to 3.5 years

  2. Duration of Response (DOR) per RECIST v1.1

    Time frame: Up to 3.5 years

  3. Time to Response (TTR) per RECIST v1.1

    Time frame: Up to 3.5 years

  4. Disease Control Rate (DCR) per RECIST v1.1

    Time frame: Up to 3.5 years

  5. Progression-free Survival (PFS) per RECIST v1.1

    Time frame: Up to 3.5 years

  6. Time to Progression (TTP) per RECIST v1.1

    Time frame: Up to 3.5 years

  7. Time to Subsequent Therapy

    Time frame: Up to 3.5 years

  8. Overall survival (OS)

    Time frame: Up to 3.5 years

  9. Serum Tarlatamab Concentrations

    Time frame: Up to Week 36

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Study locations

27 of 27 sites recruiting
  • City of Hope Cancer Center Phoenix
    Goodyear, Arizona 85338, United States
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Recruiting
  • City of Hope Chicago
    Zion, Illinois 60099, United States
    Recruiting
  • Health Partners Cancer Center at Regions Hospital
    Saint Paul, Minnesota 55101, United States
    Recruiting
  • New York University Cancer Institute
    New York, New York 10016, United States
    Recruiting
  • Baptist Cancer Center
    Memphis, Tennessee 38120, United States
    Recruiting
  • Next Virginia
    Fairfax, Virginia 22031, United States
    Recruiting
  • Monash Medical Centre
    Clayton, Victoria 3168, Australia
    Recruiting
  • Institut Jules Bordet
    Brussels, B-1070, Belgium
    Recruiting
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
    Recruiting
  • Ziekenhuis aan de Stroom Augustinus
    Wilrijk, 2610, Belgium
    Recruiting
  • Centre Hospitalier Universitaire de Lyon Hopital Louis Pradel
    Bron, 69677, France
    Recruiting
  • Hopital de la Timone
    Marseille, 13005, France
    Recruiting
  • Gustave Roussy
    Villejuif, 94805, France
    Recruiting
  • Universitaetsklinikum Dresden
    Dresden, 01307, Germany
    Recruiting
  • Universitaetsklinikum Wuerzburg
    Würzburg, 97078, Germany
    Recruiting
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, 80-214, Poland
    Recruiting
  • Narodowy Instytut Onkologii im Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
    Gliwice, 44-102, Poland
    Recruiting
  • Hospital Clinico Universitario Virgen de la Victoria
    Málaga, Andalusia 29010, Spain
    Recruiting
  • Hospital Universitari Vall d Hebron
    Barcelona, Catalonia 08035, Spain
    Recruiting
  • Hospital Clinico Universitario de Valencia
    Valencia, Valencia 46010, Spain
    Recruiting
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
    Recruiting
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
    Recruiting
  • Kantonsspital Sankt Gallen
    Sankt Gallen, 9007, Switzerland
    Recruiting
  • Adana Sehir Egitim ve Arastirma Hastanesi
    Adana, 01370, Turkey (Türkiye)
    Recruiting
  • Hacettepe Universitesi Tip Fakultesi Hastanesi
    Ankara, 06230, Turkey (Türkiye)
    Recruiting
  • Izmir Ekonomi Universitesi Medical Point Hastanesi
    Izmir, 35575, Turkey (Türkiye)
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Supporting information: Study protocol, Sap, Icf, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07531095
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Apr 15, 2026
Start date
Apr 21, 2026
Primary completion
May 21, 2028 (estimated)
Completion
May 21, 2031 (estimated)
Last update
Aug 21, 2026

Study contacts

Amgen Call Center
Contact
medinfo@amgen.com
866-572-6436
MD
study director · Amgen

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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