May 16 (Reuters) - The U.S. Food and Drug Administration
on Thursday granted accelerated approval to Amgen's ( AMGN )
tarlatamab, a targeted immunotherapy for treating adults with
advanced small cell lung cancer that has worsened despite
chemotherapy.
The therapy, marketed under the name Imdelltra, is part of
Amgen's ( AMGN ) pipeline of bispecific antibodies, which are designed to
attach to a cancer cell and an immune cell, bringing them
together so that the body's immune system can kill the cancer.
Results from a mid-stage trial published last year in the
New England Journal of Medicine showed that tumors shrank in 40%
of patients receiving 10 mg of tarlatamab by intravenous
infusion every two weeks.
More than half of the patients whose tumors responded to
tarlatamab did not see their disease worsen for at least six
months.
The most common side effect was cytokine release
syndrome, a potentially dangerous condition that occurs when the
body's immune system responds over aggressively to infection or
immunotherapy drugs.
Most lung cancer cases are non-small cell, while up to 15%,
according to the American Cancer Society, are the more
aggressive small cell variety targeted by Amgen's ( AMGN ) drug,
tarlatamab.
The disease, which is diagnosed in about 35,000 U.S.
patients annually, is "one of most rapidly proliferating and
most aggressive cancers there is," Jay Bradner, Amgen's ( AMGN ) chief
scientific officer, said in an interview ahead of the decision.
Bradner explained that the arm of tarlatamab that
targets small cell lung cancer cells attaches to a protein
called DLL3.
Amgen ( AMGN ) said it will need to complete its larger, pivotal
trial in advanced small cell lung cancer to receive full FDA
approval of the drug.
The company is also testing tarlatamab for treating
patients with earlier stage small cell lung cancer.
If those studies prove successful, Wall Street analysts
have said tarlatamab could represent an over $2 billion annual
sales opportunity for the company.