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IMFINZI® (durvalumab) plus tarlatamab-dlle reduced the risk of death by 58% in 1st-line extensive-stage small cell lung cancer in the DeLLphi-305 Phase III trial

$AZNPress releaseOct 24, 2026, 10:35 AM ETRead the release

AstraZeneca's IMFINZI plus Amgen's tarlatamab-dlle cut the risk of death by 58% versus IMFINZI alone as 1st-line maintenance in extensive-stage small cell lung cancer, per the Phase III DeLLphi-305 interim analysis (OS HR 0.42, p<0.001). Median overall survival reached 21.1 months with the combination versus 12.7 months for IMFINZI alone — described as the longest benefit ever reported in extensive-stage disease in a Phase III trial. Median PFS was 7.4 vs 1.9 months. Results were presented at ESMO Congress 2026 and simultaneously published in the New England Journal of Medicine; the trial was sponsored by Amgen with partial funding and IMFINZI supplied by AstraZeneca.

Key figures

Drug Name
IMFINZI (durvalumab) + tarlatamab-dlle
Phase Of Trial
Phase 3
Orr control pct
4.1
Os hazard ratio
0.42
Pfs hazard ratio
0.34
Orr combination pct
26.4
Patients randomized
563
Os risk death reduction
58%
Median os control months
12.7
Median pfs control months
1.9
Median os combination months
21.1
Median pfs combination months
7.4

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