FDA Approves IMDELLTRA® as Standard Therapy for Small Cell Lung Cancer
FDA Grants Full Approval to AMGEN's IMDELLTRA®
On November 19, 2025, the U.S. Food and Drug Administration (FDA) granted full approval to IMDELLTRA® (tarlatamab-dlle) for the treatment of adults with extensive stage small cell lung cancer (ES-SCLC). This approval marks a pivotal moment for patients whose cancer has progressed after using platinum-based chemotherapy. It transforms IMDELLTRA from accelerated to full approval status based on promising data from the global Phase 3 DeLLphi-304 study.
The DeLLphi-304 trial provided substantial evidence demonstrating that patients receiving IMDELLTRA experienced a 40% reduction in the risk of death compared to those undergoing standard chemotherapy. Furthermore, patients treated with IMDELLTRA exhibited a median overall survival increase of over five months—a significant advancement considering the aggressive nature of ES-SCLC. While standard chemotherapy yielded a median overall survival of 8.3 months, those on IMDELLTRA enjoyed a median of 13.6 months.
Dr. Jay Bradner from Amgen emphasized how this approval solidifies IMDELLTRA as a standard treatment for ES-SCLC patients whose cancer has worsened after frontline therapy.