LABELS · 27ebb1b1-13da-4058-9e0b-65c04dd062fe
IMDELLTRA (AMG757)
Open original source → · Download preserved record
Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.
- Label effective date
- 2026-06-23
- Captured
- 2026-09-09T23:37:42.544548+00:00
- Current indication reconciliation
- Not reconciled
Boxed warning in this label
- WARNING: CYTOKINE RELEASE SYNDROME and NEUROLOGIC TOXICITY including IMMUNE EFFECTOR CELL-ASSOCIATED NEUROTOXICITY SYNDROME Cytokine release syndrome (CRS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Initiate IMDELLTRA using the step-up dosing schedule to reduce the incidence and severity of CRS. Withhold IMDELLTRA until CRS resolves or permanently discontinue based on severity [see Dosage and Administration (2.5) and Warnings and Precautions (5.1) ] . Neurologic toxicity and immune effector cell-associated neurotoxicity syndrome (ICANS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Monitor patients for signs and symptoms of neurologic toxicity, including ICANS, during treatment and treat promptly. Withhold IMDELLTRA until ICANS resolves or permanently discontinue based on severity [see Dosage and Administration (2.5) and Warnings and Precautions (5.2) ] . WARNING: CYTOKINE RELEASE SYNDROME and NEUROLOGIC TOXICITY including IMMUNE EFFECTOR CELL-ASSOCIATED NEUROTOXICITY SYNDROME See full prescribing information for complete boxed warning . Cytokine release syndrome (CRS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Initiate treatment with the IMDELLTRA using step-up dosing schedule to reduce the incidence and severity of CRS. Withhold IMDELLTRA until CRS resolves or permanently discontinue based on severity. ( 2.5 , 5.1 ) Neurologic toxicity and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Monitor patients for signs or symptoms of neurologic toxicity, including ICANS, during treatment and treat promptly. Withhold IMDELLTRA until ICANS resolves or permanently discontinue based on severity. ( 2.5 , 5.2 )
Indications and usage: exact source text
- 1 INDICATIONS AND USAGE IMDELLTRA is indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy. IMDELLTRA is a bispecific delta-like ligand 3 (DLL3)-directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum - based chemotherapy. ( 1 )
Full extracted label fields
- application numbers
- BLA761344
- boxed warning exact
- WARNING: CYTOKINE RELEASE SYNDROME and NEUROLOGIC TOXICITY including IMMUNE EFFECTOR CELL-ASSOCIATED NEUROTOXICITY SYNDROME Cytokine release syndrome (CRS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Initiate IMDELLTRA using the step-up dosing schedule to reduce the incidence and severity of CRS. Withhold IMDELLTRA until CRS resolves or permanently discontinue based on severity [see Dosage and Administration (2.5) and Warnings and Precautions (5.1) ] . Neurologic toxicity and immune effector cell-associated neurotoxicity syndrome (ICANS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Monitor patients for signs and symptoms of neurologic toxicity, including ICANS, during treatment and treat promptly. Withhold IMDELLTRA until ICANS resolves or permanently discontinue based on severity [see Dosage and Administration (2.5) and Warnings and Precautions (5.2) ] . WARNING: CYTOKINE RELEASE SYNDROME and NEUROLOGIC TOXICITY including IMMUNE EFFECTOR CELL-ASSOCIATED NEUROTOXICITY SYNDROME See full prescribing information for complete boxed warning . Cytokine release syndrome (CRS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Initiate treatment with the IMDELLTRA using step-up dosing schedule to reduce the incidence and severity of CRS. Withhold IMDELLTRA until CRS resolves or permanently discontinue based on severity. ( 2.5 , 5.1 ) Neurologic toxicity and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS), including life-threatening or fatal reactions, can occur in patients receiving IMDELLTRA. Monitor patients for signs or symptoms of neurologic toxicity, including ICANS, during treatment and treat promptly. Withhold IMDELLTRA until ICANS resolves or permanently discontinue based on severity. ( 2.5 , 5.2 )
- brand names
- IMDELLTRA (AMG757)
- current indication status
- not_reconciled
- dailymed set url
- https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e7b6163-5d83-42ea-82c9-cf7620cdc782
- generic names
- TARLATAMAB-DLLE
- id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- indications and usage exact
- 1 INDICATIONS AND USAGE IMDELLTRA is indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy. IMDELLTRA is a bispecific delta-like ligand 3 (DLL3)-directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum - based chemotherapy. ( 1 )
- indications and usage tables exact
- is original packager
- true
- manufacturer names
- Amgen, Inc
- matched search terms
- cancer
- package ndcs
- 55513-059-01
- 55513-103-01
- 55513-068-01
- 55513-077-01
- 55513-069-01
- product ndcs
- 55513-059
- 55513-077
- product types
- HUMAN PRESCRIPTION DRUG
- recent major changes exact
- Indications and Usage ( 1 ) 11/2025 Dosage and Administration ( 2.1 , 2.2 , 2.3 ) 11/2025 Dosage and Administration ( 2.4 , 2.5 , 2.6 ) 11/2025 Warnings and Precautions ( 5.1 , 5.2 , 5.3 , 5.4 ) 11/2025 Warnings and Precautions, ( 5.5 , 5.6 , 5.7 ) 11/2025
- record type
- complete_spl_indications_section_candidate
- routes
- rxcuis
- 2682961
- 2682967
- 2682969
- 2682971
- source batch
- file
- /private/tmp/cancer-full-research/indications/raw/labels-00100.json
- meta
- disclaimer
- Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
- last updated
- 2026-09-09
- results
- limit
- 100
- skip
- 100
- total
- 830
- sha256
- fc39a8c5cf96bf95ca20b85578140167b66b2741f7d9217f500d9ba0847ac058
- source url
- https://api.fda.gov/drug/label.json?search=id%3A%2227ebb1b1-13da-4058-9e0b-65c04dd062fe%22
- spl effective date
- 2026-06-23
- spl effective time
- 20260623
- spl set id
- 1e7b6163-5d83-42ea-82c9-cf7620cdc782
- spl version
- 7
- substance names
- uniis
- verification flags
- oncology_keyword_candidate_not_clinically_classified
- spl_text_not_verified_identical_to_latest_approved_label
- individual_indications_not_split_or_reconciled
Drugs@FDA application source records
- application number
- BLA761344
- payload
- all indexed label documents
- Appl No
- 761344
- Application Docs Date
- 2024-05-16 00:00:00
- Application Docs ID
- 78485
- Application Docs Title
- 0
- Application Docs Type ID
- 2
- Application Docs URL
- http://www.accessdata.fda.gov/drugsatfda_docs/label/2024/761344s000lbl.pdf
- Submission No
- 1
- Submission Type
- ORIG
- Appl No
- 761344
- Application Docs Date
- 2025-11-20 00:00:00
- Application Docs ID
- 84237
- Application Docs Title
- 0
- Application Docs Type ID
- 2
- Application Docs URL
- http://www.accessdata.fda.gov/drugsatfda_docs/label/2025/761344s001lbl.pdf
- Submission No
- 1
- Submission Type
- SUPPL
- all submission records
- Appl No
- 761344
- Review Priority
- PRIORITY
- Submission Class Code ID
- 2
- Submission No
- 1
- Submission Status
- AP
- Submission Status Date
- 2025-11-19 00:00:00
- Submission Type
- SUPPL
- Submissions Public Notes
- Appl No
- 761344
- Review Priority
- PRIORITY
- Submission Class Code ID
- 7
- Submission No
- 1
- Submission Status
- AP
- Submission Status Date
- 2024-05-16 00:00:00
- Submission Type
- ORIG
- Submissions Public Notes
- application number
- BLA761344
- approval interpretation
- Application linkage and approved submission are not indication-level current approval verification
- current indication status
- not_reconciled
- drugsfda url
- https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=761344
- has approved submission record
- true
- latest approved submission date
- 2025-11-19
- latest label selection rule
- max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
- latest posted label documents
- Appl No
- 761344
- Application Docs Date
- 2025-11-20 00:00:00
- Application Docs ID
- 84237
- Application Docs Title
- 0
- Application Docs Type ID
- 2
- Application Docs URL
- http://www.accessdata.fda.gov/drugsatfda_docs/label/2025/761344s001lbl.pdf
- Submission No
- 1
- Submission Type
- SUPPL
- official application record
- Appl No
- 761344
- Appl Public Notes
- Appl Type
- BLA
- Sponsor Name
- AMGEN INC
- openfda application present
- true
- products
- Active Ingredient
- TARLATAMAB-DLLE
- Appl No
- 761344
- Drug Name
- IMDELLTRA
- Form
- INJECTABLE;INJECTION
- Product No
- 001
- Reference Drug
- 0
- Reference Standard
- 0
- Strength
- 1MG
- marketing status
- Prescription
- Active Ingredient
- TARLATAMAB-DLLE
- Appl No
- 761344
- Drug Name
- IMDELLTRA
- Form
- INJECTABLE;INJECTION
- Product No
- 002
- Reference Drug
- 0
- Reference Standard
- 0
- Strength
- 10MG
- marketing status
- Prescription
Source passages and status connections
Passage 1 · positive indication candidate
- application numbers
- BLA761344
- brand names
- IMDELLTRA (AMG757)
- classification reasons
- explicit_positive_indication_predicate
- tumor_or_malignant_hematology_words_in_positive_statement
- clinical review status
- pending
- content role
- positive_indication_candidate
- context span
- end
- 402
- end exclusive
- true
- exact text
- 1 INDICATIONS AND USAGE IMDELLTRA is indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy. IMDELLTRA is a bispecific delta-like ligand 3 (DLL3)-directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease prog
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 0
- current approval status
- not_reconciled
- duplicate text group
- dup-99ecacc5ca8ce000bb56
- extraction review status
- automated_candidate_pending_source_review
- generic names
- TARLATAMAB-DLLE
- id
- ind-span-2123c537b52ba2004929
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- positive predicate support span
- end
- 46
- end exclusive
- true
- exact text
- is indicated
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 34
- qualifier mentions
- context exact
- TIONS AND USAGE IMDELLTRA is indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with
- kind
- age
- polarity
- not_inferred
- span
- end
- 82
- end exclusive
- true
- exact text
- adult patients
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 68
- regulatory links
- schema version
- 0.1.0
- source batch sha256
- fc39a8c5cf96bf95ca20b85578140167b66b2741f7d9217f500d9ba0847ac058
- source defined aliases
- source span
- end
- 202
- end exclusive
- true
- exact text
- 1 INDICATIONS AND USAGE IMDELLTRA is indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy.
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 0
- source url
- https://api.fda.gov/drug/label.json?search=id%3A%2227ebb1b1-13da-4058-9e0b-65c04dd062fe%22
- spl effective date
- 2026-06-23
- spl set id
- 1e7b6163-5d83-42ea-82c9-cf7620cdc782
- spl version
- 7
- structured fields status
- not_extracted_no_values_inferred_from_mentions
- structured indication
- age
- Source null
- approval pathway
- Source null
- biomarker and test
- Source null
- disease stage
- Source null
- limitations
- Source null
- line
- Source null
- prior therapy
- Source null
- regimen
- Source null
- tumor histology
- Source null
- use intent
- tumor_directed_candidate
Passage 2 · positive indication candidate
- application numbers
- BLA761344
- brand names
- IMDELLTRA (AMG757)
- classification reasons
- explicit_positive_indication_predicate
- tumor_or_malignant_hematology_words_in_positive_statement
- clinical review status
- pending
- content role
- positive_indication_candidate
- context span
- end
- 458
- end exclusive
- true
- exact text
- NDICATIONS AND USAGE IMDELLTRA is indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum-based chemotherapy. IMDELLTRA is a bispecific delta-like ligand 3 (DLL3)-directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum - based chemotherapy. ( 1 )
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 3
- current approval status
- not_reconciled
- duplicate text group
- dup-c7eb99cfb5c6bd9686c7
- extraction review status
- automated_candidate_pending_source_review
- generic names
- TARLATAMAB-DLLE
- id
- ind-span-a98fc44cb3aaacc95174
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- positive predicate support span
- end
- 294
- end exclusive
- true
- exact text
- is a bispecific delta-like ligand 3 (DLL3)-directed CD3 T- cell engager indicated
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 213
- qualifier mentions
- context exact
- directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with
- kind
- age
- polarity
- not_inferred
- span
- end
- 330
- end exclusive
- true
- exact text
- adult patients
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 316
- regulatory links
- schema version
- 0.1.0
- source batch sha256
- fc39a8c5cf96bf95ca20b85578140167b66b2741f7d9217f500d9ba0847ac058
- source defined aliases
- source span
- end
- 452
- end exclusive
- true
- exact text
- IMDELLTRA is a bispecific delta-like ligand 3 (DLL3)-directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum - based chemotherapy.
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 203
- source url
- https://api.fda.gov/drug/label.json?search=id%3A%2227ebb1b1-13da-4058-9e0b-65c04dd062fe%22
- spl effective date
- 2026-06-23
- spl set id
- 1e7b6163-5d83-42ea-82c9-cf7620cdc782
- spl version
- 7
- structured fields status
- not_extracted_no_values_inferred_from_mentions
- structured indication
- age
- Source null
- approval pathway
- Source null
- biomarker and test
- Source null
- disease stage
- Source null
- limitations
- Source null
- line
- Source null
- prior therapy
- Source null
- regimen
- Source null
- tumor histology
- Source null
- use intent
- tumor_directed_candidate
Passage 3 · unclassified context
- application numbers
- BLA761344
- brand names
- IMDELLTRA (AMG757)
- classification reasons
- no_unambiguous_positive_indication_predicate
- clinical review status
- pending
- content role
- unclassified_context
- context span
- end
- 458
- end exclusive
- true
- exact text
- 3)-directed CD3 T- cell engager indicated for the treatment of adult patients with extensive stage small cell lung cancer (ES-SCLC) with disease progression on or after platinum - based chemotherapy. ( 1 )
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 253
- current approval status
- not_reconciled
- duplicate text group
- dup-18d39f6eb1e74c81a5b4
- extraction review status
- automated_candidate_pending_source_review
- generic names
- TARLATAMAB-DLLE
- id
- ind-span-761dc0c75e66058cbea5
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- positive predicate support span
- Source null
- qualifier mentions
- regulatory links
- schema version
- 0.1.0
- source batch sha256
- fc39a8c5cf96bf95ca20b85578140167b66b2741f7d9217f500d9ba0847ac058
- source defined aliases
- source span
- end
- 458
- end exclusive
- true
- exact text
- ( 1 )
- label id
- 27ebb1b1-13da-4058-9e0b-65c04dd062fe
- offset unit
- unicode_code_points
- source array index
- 0
- source field
- indications_and_usage_exact
- source text sha256
- 889f1e1fd615053f4050dcd757f97ba341b90450017514e26291aede3b8ac345
- start
- 453
- source url
- https://api.fda.gov/drug/label.json?search=id%3A%2227ebb1b1-13da-4058-9e0b-65c04dd062fe%22
- spl effective date
- 2026-06-23
- spl set id
- 1e7b6163-5d83-42ea-82c9-cf7620cdc782
- spl version
- 7
- structured fields status
- not_extracted_no_values_inferred_from_mentions
- structured indication
- age
- Source null
- approval pathway
- Source null
- biomarker and test
- Source null
- disease stage
- Source null
- limitations
- Source null
- line
- Source null
- prior therapy
- Source null
- regimen
- Source null
- tumor histology
- Source null
- use intent
- unclear
Preserved source evidence · Not medical advice
Triangle