Imdelltra plus Imfinzi improves survival in first-line maintenance extensive-stage small-cell lung cancer
Full Phase 3 DeLLphi-305 results presented on October 24, 2026 showed that Amgen’s Imdelltra (tarlatamab) plus AstraZeneca’s Imfinzi (durvalumab), used as first-line maintenance after initial durvalumab, platinum-based chemotherapy and etoposide, reduced the risk of death by 58% versus Imfinzi alone in extensive-stage small-cell lung cancer. Median overall survival was 21.1 months with the combination versus 12.7 months with Imfinzi alone.
This is a new, forward-looking clinical-study result rather than market-performance commentary. Reuters reports that full results from the 563-patient Phase 3 DeLLphi-305 study presented on October 24, 2026 showed a 58% reduction in the risk of death and median overall survival of 21.1 months with Imdelltra plus Imfinzi versus 12.7 months with Imfinzi alone in first-line maintenance extensive-stage small-cell lung cancer. Amgen and AstraZeneca had previously disclosed that the study met its overall-survival endpoint, but the detailed numerical results were newly reported at the medical meeting; therefore, the incremental surprise is meaningful but not extreme. The result could support future label expansion and commercial growth for both sponsors, although the combination was not yet approved for this setting. The exact presentation time is not stated, so the occurrence timestamp is normalized to the start of the reported date in UTC. Only the direct sponsors and Roche, a competitor in the same extensive-stage small-cell lung cancer market, are approved as stakeholders; indirect manufacturing, distribution, and later-line exposure are too speculative.
Amgen's NASDAQ:AMGN Imdelltra used in combination with AstraZeneca's LSE:AZN immunotherapy Imfinzi reduced the risk of death by 58% compared to the Astra drug alone in patients with extensive-stage small cell lung cancer, according to data from a study presented at a major medical meeting on Saturday.
The study found that those given both drugs lived for a median of 21.1 months, compared with 12.7 months for those treated only with Imfinzi.
AstraZeneca said IMFINZI (durvalumab) plus Amgen’s tarlatamab-dlle cut risk of death by 58% vs IMFINZI alone in 1L maintenance ES‑SCLC (OS HR 0.42; p<0.001) and reduced progression/death risk by 66% (PFS HR 0.34; p<0.001). Median OS 21.1 vs 12.7 months.
AstraZeneca's AZN/Amgen trial: ImEdelltra+Imfinzi first-line maintenance vs Imfinzi showed OS 21.1 vs 12.7 months, 1‑yr survival ~80% vs 53%, PFS 7.4 vs 1.9 months, ORR 26.4% vs 4.1%.