Andrea FerrisJacob SandsPaul BurtonJay BradnerLUNGevity FoundationAstraZenecaAmgenAstraZeneca plcDana-Farber Cancer InstituteAmgen Inc.

Amgen's Imdelltra plus AstraZeneca's Imfinzi cut risk of death by 58% in first-line extensive-stage small cell lung cancer; median overall survival hit 21.1 months vs 12.7

Amgen's Imdelltra, combined with AstraZeneca's Imfinzi, has shown a 58% reduction in death risk for extensive-stage small cell lung cancer patients, with median overall survival reaching 21.1 months compared to 12.7 months for Imfinzi alone, according to late-stage trial results released Saturday.

CNBC CNBC+1 source24 October 2026 · 23:08 UTC
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Amgen's Imdelltra, in combination with AstraZeneca's Imfinzi, has demonstrated a groundbreaking 58% reduction in the risk of death for patients with extensive-stage small cell lung cancer (ES-SCLC). The late-stage trial results, released Saturday, revealed a median overall survival of 21.1 months compared to 12.7 months for those receiving Imfinzi alone.12

Dr. Paul Burton, Amgen's chief medical officer, stated, "I think there are moments in medicine when you see a piece of data that is so profound that it's going to transform the standard of care for patients, and I think, honestly, we're at that moment." The combination therapy not only extends survival but also has the potential to convert this aggressive cancer into a chronic disease.6

The trial indicated that nearly 80% of patients on the combination therapy were alive at one year, compared to 53% for those on Imfinzi alone. Additionally, the combination reduced the risk of disease progression or death by 66% and showed substantial anti-tumor activity, with 26.4% of patients achieving an objective response compared to 4.1% for Imfinzi alone.

Amgen's Imdelltra, which generated $288 million in sales during the second quarter, is on track to become a blockbuster drug, with expectations of surpassing $1 billion in sales. The findings underscore the importance of early treatment, positioning Imdelltra as a potential "indispensable backbone therapy" for small cell lung cancer.

As Dr. Jacob Sands noted, "For a disease where durable survival has remained extremely difficult to achieve, the magnitude and consistency of benefit in DeLLphi-305 are striking."

Key Insight
“The DeLLphi-305 trial also showed a 66% reduction in risk of disease progression or death, with median progression-free survival of 7.4 months versus 1.9 months. Amgen's chief medical officer called the data 'so profound' that it could transform the standard of care.”
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1
CNBCCNBC
“Full results from a late-stage trial released Saturday show that adding Amgen's immunotherapy Imdelltra to AstraZeneca's Imfinzi drug slashed the risk of death by 58% in patients with extensive-stage small cell lung cancer, a fast-growing disease that has spread beyond the lung where it began.”
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2
Amgen
“Amgen (NASDAQ:AMGN) today announced landmark interim Phase 3 results showing that IMDELLTRA® (tarlatamab-dlle) in combination with AstraZeneca's IMFINZI® (durvalumab) reduced the risk of death by 58% as a first-line maintenance treatment for extensive stage small cell lung cancer (ES-SCLC) (hazard ratio *.1”
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