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OncoMatch/Clinical Trials/NCT06893783

Efficacy and Safety Evaluation of Tarlatamab in Advanced Extrapulmonary Neuroendocrine Carcinoma Patients

Is NCT06893783 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies Tarlatamab for neuroendocrine carcinomas (nec).

Phase 2RecruitingInkeun ParkNCT06893783Data as of Jun 2026Location: South Korea

Treatment: TarlatamabThis is a phase 2 single-arm, open-label clinical trial designed to evaluate the efficacy and safety of tarlatamab in patients with relapsed extrapulmonary neuroendocrine carcinoma (EPNEC) who have previously received platinum-based first-line chemotherapy. Participants will receive tarlatamab on Cycle 1 Day 1 (C1D1), Day 8 (C1D8), and Day 15 (C1D15), followed by administration every two weeks thereafter. No placebo control is included in this study.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Tarlatamab

Cancer type

Neuroendocrine Tumor

Pancreatic Cancer

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Ages ≥ 19

Prior therapy

Max 2 prior lines
Min 1 prior line

Must have received: platinum-based chemotherapy — first-line (except prostate cancer, where platinum may be later line)

Subject has progressed or recurred following 1 platinum-based regimen: documented first disease progression must be during or following first-line platinum-based systemic chemotherapy. For patients with prostate cancer, especially in cases with treatment-emergent neuroendocrine carcinoma, platinum-based chemotherapy will not need to be the first line therapy.

Cannot have received: tarlatamab

Prior therapy with tarlatamab

Cannot have received: DLL3 pathway inhibitor

Prior therapy with any selective inhibitor of the DLL3 pathway

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1.5 x 10^9 /L; Platelet count ≥ 100 x 10^9/L; Hemoglobin > 9 g/dL (90 g/L)

Kidney function

eGFR ≥ 30 mL/min/1.73 m^2 or creatinine clearance ≥ 30 mL/min

Liver function

AST and ALT < 3 x ULN (or <5 x ULN for subjects with liver involvement); total bilirubin <1.5 x ULN (<2 x ULN for subjects with liver involvement) (except participants with Gilbert syndrome who must have total bilirubin <3.0 mg/dL)

Cardiac function

Cardiac ejection fraction ≥50%, no clinically significant pericardial effusion as determined by ECHO or MUGA, and no clinically significant ECG findings

Adequate organ function, defined as follows: Hematological function: Absolute neutrophil count ≥ 1.5 x 10^9 /L Platelet count ≥ 100 x 10^9/L Hemoglobin > 9 g/dL (90 g/L); Coagulation function: PT/INR and PTT or aPTT ≤ 1.5 x ULN except for subjects undergoing new class anticoagulant therapy (eg, Edoxaban), stable dose for 2 weeks required prior to enrollment; Renal function: eGFR ≥ 30 mL/min/1.73 m^2 or creatinine clearance ≥ 30 mL/min; Hepatic function: AST and ALT < 3 x ULN (or <5 x ULN for subjects with liver involvement) total bilirubin <1.5 x ULN (<2 x ULN for subjects with liver involvement) (except participants with Gilbert syndrome who must have total bilirubin <3.0 mg/dL); Pulmonary function: no clinically significant pleural effusion. Pleural effusion managed with indwelling pleural catheter (eg, PleurX) are allowed baseline oxygen saturation >90% on room air; Cardiac function: cardiac ejection fraction ≥50%, no clinically significant pericardial effusion as determined by an echocardiogram (ECHO) or multigated acquisition (MUGA) scan, and no clinically significant electrocardiogram (ECG) findings

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT06893783 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior tarlatamab, DLL3 pathway inhibitor disqualifies patients from enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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