Phase 1b Study of Tarlatamab in Combination with YL201 with or without Anti-PD-L1 in Subjects with Extensive Stage Small Cell Lung Cancer (DeLLphi-310)

2024-515903-21-00 Protocol 20240124 Human pharmacology (Phase I) - Other Temporarily halted

Start 31 Oct 2025 · Status Temporarily halted · 6 EU/EEA countries · 18 sites · Protocol 20240124

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Temporarily halted
Participants planned 200
Countries 6
Sites 18

Extensive Stage Small Cell Lung Cancer (ES-SCLC)

Key facts

Sponsor
Amgen Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
31 Oct 2025 → ongoing
Decision date (initial)
2025-09-30
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-515903-21-00
WHO UTN
U1111-1316-8805
ClinicalTrials.gov
NCT06898957

Trial design

CTIS Part I — objectives, methods, condition coding

Conditions and MedDRA coding

Extensive Stage Small Cell Lung Cancer (ES-SCLC)

VersionLevelCodeTermSystem organ class
21.1 PT 10041068 Small cell lung cancer extensive stage 100000004864

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Amgen Inc.

Sponsor organisation
Amgen Inc.
Address
1 Amgen Center Drive
City
Thousand Oaks
Postcode
91320-1730
Country
United States

Scientific contact point

Organisation
Amgen Inc.
Contact name
Medical Information

Public contact point

Organisation
Amgen Inc.
Contact name
Medical Information

Locations

6 EU/EEA countries · 18 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Temporarily halted 10 4
Germany Temporarily halted 3 1
Greece Temporarily halted 9 4
Hungary Temporarily halted 5 2
Italy Temporarily halted 8 3
Spain Temporarily halted 12 4
Rest of world
Korea, Republic of, China, United States, Canada
153

Investigational sites

France

4 sites · Temporarily halted
Institut Bergonie
Oncologie medicale, 180 R De Saint Genes, 229 Cours De L Argonne, Bordeaux
Oncopole Claudius Regaud
Service Oncologie, 1 Avenue Irene Joliot Curie, 31059, Toulouse Cedex 9
Centre Leon Berard
Oncologie medicale, 28 Rue Laennec, 69008, Lyon
Institut Gustave Roussy
Departement Interdisciplinaire d Organisation des Parcours Patients, 114 Rue Edouard Vaillant, 94800, Villejuif

Germany

1 site · Temporarily halted
Universitaetsklinikum Essen AöR
Universitätsklinikum Essen, Innere Klinik (Tumorforschung), Hufelandstrasse 55, Holsterhausen, Essen

Greece

4 sites · Temporarily halted
Alexandra Hospital
Oncology Department, Department of Clinical Therapeutics, Vassilissas Sofias Avenue 80, 115 28, Athens
Athens Medical Center S.A.
Oncology Department, Pylea, Asklipiou 10, Thessaloniki
Henry Dunant Hospital Center
4th Oncology Department and Clinical Trials Unit, 107 Mesogeion Avenue, 115 26, Athens
Athens Medical Center S.A.
4th Department of Medical Oncology, Pylea, Asklipiou 10, Thessaloniki

Hungary

2 sites · Temporarily halted
Clinexpert Kft.
NA, Dozsa Gyorgy Utca 15, 3200, Gyongyos
Semmelweis University
Belgyogyaszati es Onkologiai Klinika, Koranyi Sandor Utca 2/a, Kerulet, Budapest VIII

Italy

3 sites · Temporarily halted
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Unita Operativa Oncologia Medica, Via Piero Maroncelli 40, 47014, Meldola
ASST Grande Ospedale Metropolitano Niguarda
Dipartimento Ematologia Oncologia e Medicina molecolare, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Istituto Di Candiolo Fondazione Del Piemonte Per L'Oncologia IRCCS
Day Hospital Oncologico, Strada Provinciale 142 Orba Km 3,95, 10060, Candiolo

Spain

4 sites · Temporarily halted
Hospital Universitario Puerta De Hierro De Majadahonda
Oncology, Calle De Manuel De Falla 1, 28222, Majadahonda
Hospital De La Santa Creu I Sant Pau
Oncology, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital Universitari Vall D Hebron
Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario 12 De Octubre
Oncology, Avenida De Cordoba Sn, 28041, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2025-11-24 2025-12-30 2026-03-27
Germany 2025-12-16 2026-01-29 2026-03-27
Greece 2025-11-04 2025-12-08 2026-03-27
Hungary 2025-10-31 2025-11-26 2026-03-27
Italy 2025-10-31 2025-11-27 2026-03-27
Spain 2025-11-06 2025-12-02 2026-03-27

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 6 · Art. 38 CTR

Temporary halt TH-126851

Halt date
2026-03-27
Member states concerned
Hungary
Publication date
2026-04-01
Reason
Safety related (clinical or pre-clinical results)
Explanation
The primary reason for implementing the Temporary Halt is a safety related decision.
The temporary halt is applicable for Halt screening activities, Halt screening and enrollment activities and Screen fail subjects in screening. Subjects on treatment may continue treatment, provided requirements in the DIL are met.
This temporary halt is related to an USM which has been submitted on 31 March 2026 (Business key: US-126559, Sponsor internal identifier SIMS ID: 27146)
Follow-up measures
At this time, Amgen has not determined whether there is a causal relationship between
tarlatamab and YL201 and the fatal case of pneumonitis described above. A comprehensive
safety assessment is currently in progress. Based on the details of this event, Amgen will take
the following actions:
- Temporary halt of all screening and enrollment activities on study 20240124 with immediate
effect. In the interim, participants currently receiving study investigational products
(tarlatamab and/or YL201) may continue treatment per protocol at the discretion of the
principal investigator, provided the investigator determines that the potential benefit
outweighs the potential risk. The risks and benefits of continuing treatment must be clearly
discussed with the participant and appropriately documented before administration of the
next dose of investigational products.
- Amgen will perform a comprehensive safety evaluation of the pneumonitis event, including
review of individual case safety reports, aggregate safety data from Study 20240124, and
other relevant available information, to assess whether there may be a causal relationship
between tarlatamab and YL201, and pneumonitis. The outcome of this assessment,
together with any additional actions deemed necessary, including but not limited to updates
to the informed consent form, will be communicated to investigators in a follow-up letter.
- A protocol amendment is not required at this time given that the protocol includes
appropriate management guidelines for pneumonitis.
Benefit-risk balance changed
Yes
Treatment stopped
No

Temporary halt TH-126852

Halt date
2026-03-27
Member states concerned
Greece
Publication date
2026-04-01
Reason
Safety related (clinical or pre-clinical results)
Explanation
The primary reason for implementing the Temporary Halt is a safety related decision.
The temporary halt is applicable for Halt screening activities, Halt screening and enrollment activities and Screen fail subjects in screening. Subjects on treatment may continue treatment, provided requirements in the DIL are met.
This temporary halt is related to an USM which has been submitted on 31 March 2026 (Business key: US-126559, Sponsor internal identifier SIMS ID: 27146)
Follow-up measures
At this time, Amgen has not determined whether there is a causal relationship between
tarlatamab and YL201 and the fatal case of pneumonitis described above. A comprehensive
safety assessment is currently in progress. Based on the details of this event, Amgen will take
the following actions:
- Temporary halt of all screening and enrollment activities on study 20240124 with immediate
effect. In the interim, participants currently receiving study investigational products
(tarlatamab and/or YL201) may continue treatment per protocol at the discretion of the
principal investigator, provided the investigator determines that the potential benefit
outweighs the potential risk. The risks and benefits of continuing treatment must be clearly
discussed with the participant and appropriately documented before administration of the
next dose of investigational products.
- Amgen will perform a comprehensive safety evaluation of the pneumonitis event, including
review of individual case safety reports, aggregate safety data from Study 20240124, and
other relevant available information, to assess whether there may be a causal relationship
between tarlatamab and YL201, and pneumonitis. The outcome of this assessment,
together with any additional actions deemed necessary, including but not limited to updates
to the informed consent form, will be communicated to investigators in a follow-up letter.
- A protocol amendment is not required at this time given that the protocol includes
appropriate management guidelines for pneumonitis.
Benefit-risk balance changed
Yes
Treatment stopped
No

Temporary halt TH-126853

Halt date
2026-03-27
Member states concerned
France
Publication date
2026-04-01
Reason
Safety related (clinical or pre-clinical results)
Explanation
The primary reason for implementing the Temporary Halt is a safety related decision.
The temporary halt is applicable for Halt screening activities, Halt screening and enrollment activities and Screen fail subjects in screening. Subjects on treatment may continue treatment, provided requirements in the DIL are met.
This temporary halt is related to an USM which has been submitted on 31 March 2026 (Business key: US-126559, Sponsor internal identifier SIMS ID: 27146) No subjects are currently receiving treatment in France
Follow-up measures
At this time, Amgen has not determined whether there is a causal relationship between
tarlatamab and YL201 and the fatal case of pneumonitis described above. A comprehensive
safety assessment is currently in progress. Based on the details of this event, Amgen will take
the following actions:
- Temporary halt of all screening and enrollment activities on study 20240124 with immediate
effect. In the interim, participants currently receiving study investigational products
(tarlatamab and/or YL201) may continue treatment per protocol at the discretion of the
principal investigator, provided the investigator determines that the potential benefit
outweighs the potential risk. The risks and benefits of continuing treatment must be clearly
discussed with the participant and appropriately documented before administration of the
next dose of investigational products.
- Amgen will perform a comprehensive safety evaluation of the pneumonitis event, including
review of individual case safety reports, aggregate safety data from Study 20240124, and
other relevant available information, to assess whether there may be a causal relationship
between tarlatamab and YL201, and pneumonitis. The outcome of this assessment,
together with any additional actions deemed necessary, including but not limited to updates
to the informed consent form, will be communicated to investigators in a follow-up letter.
- A protocol amendment is not required at this time given that the protocol includes
appropriate management guidelines for pneumonitis.
Benefit-risk balance changed
Yes
Treatment stopped
No

Temporary halt TH-126844

Halt date
2026-03-27
Member states concerned
Germany
Publication date
2026-04-01
Reason
Safety related (clinical or pre-clinical results)
Explanation
The primary reason for implementing the Temporary Halt is a safety related decision.
The temporary halt is applicable for Halt screening activities, Halt screening and enrollment activities and Screen fail subjects in screening. Subjects on treatment may continue treatment, provided requirements in the DIL are met.
This temporary halt is related to an USM which has been submitted on 31 March 2026 (Business key: US-126559, Sponsor internal identifier SIMS ID: 27146)
Follow-up measures
At this time, Amgen has not determined whether there is a causal relationship between
tarlatamab and YL201 and the fatal case of pneumonitis described above. A comprehensive
safety assessment is currently in progress. Based on the details of this event, Amgen will take
the following actions:
- Temporary halt of all screening and enrollment activities on study 20240124 with immediate
effect. In the interim, participants currently receiving study investigational products
(tarlatamab and/or YL201) may continue treatment per protocol at the discretion of the
principal investigator, provided the investigator determines that the potential benefit
outweighs the potential risk. The risks and benefits of continuing treatment must be clearly
discussed with the participant and appropriately documented before administration of the
next dose of investigational products.
- Amgen will perform a comprehensive safety evaluation of the pneumonitis event, including
review of individual case safety reports, aggregate safety data from Study 20240124, and
other relevant available information, to assess whether there may be a causal relationship
between tarlatamab and YL201, and pneumonitis. The outcome of this assessment,
together with any additional actions deemed necessary, including but not limited to updates
to the informed consent form, will be communicated to investigators in a follow-up letter.
- A protocol amendment is not required at this time given that the protocol includes
appropriate management guidelines for pneumonitis.
Benefit-risk balance changed
Yes
Treatment stopped
No

Temporary halt TH-126848

Halt date
2026-03-27
Member states concerned
Spain
Publication date
2026-04-01
Reason
Safety related (clinical or pre-clinical results)
Explanation
The primary reason for implementing the Temporary Halt is a safety related decision.
The temporary halt is applicable for Halt screening activities, Halt screening and enrollment activities and Screen fail subjects in screening. Subjects on treatment may continue treatment, provided requirements in the DIL are met.
This temporary halt is related to an USM which has been submitted on 31 March 2026 (Business key: US-126559, Sponsor internal identifier SIMS ID: 27146)
Follow-up measures
At this time, Amgen has not determined whether there is a causal relationship between
tarlatamab and YL201 and the fatal case of pneumonitis described above. A comprehensive
safety assessment is currently in progress. Based on the details of this event, Amgen will take
the following actions:
- Temporary halt of all screening and enrollment activities on study 20240124 with immediate
effect. In the interim, participants currently receiving study investigational products
(tarlatamab and/or YL201) may continue treatment per protocol at the discretion of the
principal investigator, provided the investigator determines that the potential benefit
outweighs the potential risk. The risks and benefits of continuing treatment must be clearly
discussed with the participant and appropriately documented before administration of the
next dose of investigational products.
- Amgen will perform a comprehensive safety evaluation of the pneumonitis event, including
review of individual case safety reports, aggregate safety data from Study 20240124, and
other relevant available information, to assess whether there may be a causal relationship
between tarlatamab and YL201, and pneumonitis. The outcome of this assessment,
together with any additional actions deemed necessary, including but not limited to updates
to the informed consent form, will be communicated to investigators in a follow-up letter.
- A protocol amendment is not required at this time given that the protocol includes
appropriate management guidelines for pneumonitis.
Benefit-risk balance changed
Yes
Treatment stopped
No

Temporary halt TH-126849

Halt date
2026-03-27
Member states concerned
Italy
Publication date
2026-04-01
Reason
Safety related (clinical or pre-clinical results)
Explanation
The primary reason for implementing the Temporary Halt is a safety related decision.
The temporary halt is applicable for Halt screening activities, Halt screening and enrollment activities and Screen fail subjects in screening. Subjects on treatment may continue treatment, provided requirements in the DIL are met.
This temporary halt is related to an USM which has been submitted on 31 March 2026 (Business key: US-126559, Sponsor internal identifier SIMS ID: 27146)
Follow-up measures
At this time, Amgen has not determined whether there is a causal relationship between
tarlatamab and YL201 and the fatal case of pneumonitis described above. A comprehensive
safety assessment is currently in progress. Based on the details of this event, Amgen will take
the following actions:
- Temporary halt of all screening and enrollment activities on study 20240124 with immediate
effect. In the interim, participants currently receiving study investigational products
(tarlatamab and/or YL201) may continue treatment per protocol at the discretion of the
principal investigator, provided the investigator determines that the potential benefit
outweighs the potential risk. The risks and benefits of continuing treatment must be clearly
discussed with the participant and appropriately documented before administration of the
next dose of investigational products.
- Amgen will perform a comprehensive safety evaluation of the pneumonitis event, including
review of individual case safety reports, aggregate safety data from Study 20240124, and
other relevant available information, to assess whether there may be a causal relationship
between tarlatamab and YL201, and pneumonitis. The outcome of this assessment,
together with any additional actions deemed necessary, including but not limited to updates
to the informed consent form, will be communicated to investigators in a follow-up letter.
- A protocol amendment is not required at this time given that the protocol includes
appropriate management guidelines for pneumonitis.
Benefit-risk balance changed
Yes
Treatment stopped
No

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-06-06 Italy Acceptable
2025-09-30
2025-09-30
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-10-06 Acceptable
2025-09-30
2025-10-06
3 SUBSTANTIAL MODIFICATION SM-1 2025-10-27 Italy Acceptable
2025-12-23
2025-12-23
4 SUBSTANTIAL MODIFICATION SM-2 2026-03-02 Acceptable 2026-04-03