Tarlatamab Explained

Type:mab
Mab Type:BiTE
Source:u
Target:DLL3 and CD3
Tradename:Imdelltra
Dailymedid:Tarlatamab
Routes Of Administration:Intravenous
Class:Antineoplastic
Atc Prefix:None
Legal Us:Rx-only
Cas Number:2307488-83-9
Drugbank:DB17256
Unii:74X82ST8Q1
Kegg:D12234
Synonyms:AMG757; AMG-757, tarlatamab-dlle
C:4664
H:7139
N:1259
O:1454
S:34

Tarlatamab, sold under the brand name Imdelltra, is an anti-cancer medication used for the treatment of extensive-stage small cell lung cancer.[1] It is a bispecific T-cell engager that binds delta-like ligand 3 and CD3.

The most common adverse reactions include cytokine release syndrome, fatigue, pyrexia, dysgeusia, decreased appetite, musculoskeletal pain, and constipation, anemia and nausea.[2]

It was approved for medical use in the United States in May 2024.[3]

Medical uses

Tarlatamab is indicated for the treatment of adults with extensive stage small cell lung cancer with disease progression on or after platinum-based chemotherapy.

Adverse effects

The prescribing information for tarlatamab includes a boxed warning for serious or life-threatening cytokine release syndrome (CRS) and neurologic toxicity, including immune effector cell-associated neurotoxicity syndrome (ICANS).

The most common adverse reactions include cytokine release syndrome, fatigue, pyrexia, dysgeusia, decreased appetite, musculoskeletal pain, and constipation, anemia and nausea. The most common grade 3 or 4 laboratory abnormalities include decreased lymphocytes, decreased sodium, increased uric acid, decreased total neutrophils, decreased hemoglobin, increased activated partial thromboplastin time, and decreased potassium.

History

Efficacy was evaluated in 99 participants with relapsed/refractory extensive stage small cell lung cancer with disease progression following platinum-based chemotherapy enrolled in DeLLphi-301 [NCT05060016], an open-label, multicenter, multi-cohort study. Participants with symptomatic brain metastases, interstitial lung disease or non-infectious pneumonitis, and active immunodeficiency were excluded. Participants received tarlatamab until disease progression or unacceptable toxicity.

The FDA granted the application for tarlatamab priority review, breakthrough therapy, and orphan drug designations.

Society and culture

Names

Tarlatamab is the international nonproprietary name[4] and the United States Adopted Name.[5]

Further reading

External links

Notes and References

  1. Web site: Imdelltra (AMG757)- tarlatamab-dlle kit . DailyMed . 16 May 2024 . 31 May 2024.
  2. Web site: FDA grants accelerated approval to tarlatamab-dlle for extensive stage small cell lung cancer . U.S. Food and Drug Administration (FDA) . 16 May 2024 . 17 May 2024.
  3. FDA approves Imdelltra (tarlatamab-dlle), the first and only T-cell engager therapy for the treatment of extensive-stage small cell lung cancer . Amgen . PR Newswire . 16 May 2024 . 18 May 2024.
  4. ((World Health Organization)) . 2021 . International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 85 . WHO Drug Information . 35 . 1 . 10665/340684 . free . World Health Organization .
  5. Web site: Tarlatamab . AMA Finder . 18 May 2024.