Indications of Talatumumab
Talatuzumab is an innovative bispecific antibody drug developed by Amgen of the United States for the treatment of extensive-stage small cell lung cancer (ES-SCLC) that has progressed after platinum-containing chemotherapy. The drug activates T cells to kill tumor cells by targeting DLL3 and CD3, providing a new treatment option for patients whose traditional treatments are ineffective. Talatumumab is a freeze-dried powder injection, available in 1mg (approximately US$6,102) and 10mg (approximately US$28,129), and is not currently available in China.

Indications of talatumumab
is mainly suitable for patients with specific types of lung cancer. Its indications are based on rigorous clinical trial results, providing new hope for patient groups who have failed traditional treatments.
Extensive-stage small cell lung cancer treatment
Talatuzumab is approved for the treatment of adults with extensive-stage small cell lung cancer (ES-SCLC) whose disease has progressed after platinum-containing chemotherapy. This indication was obtained through the accelerated approval process, and further confirmatory clinical trials are required to confirm its long-term efficacy.
Second-line treatment options
For patients with ES-SCLC who have progressed after chemotherapy, talatumumab can be used as an important second-line treatment option. Its unique bispecific antibody mechanism provides a new treatment approach for this type of patients with poor prognosis.
The scope of indications of talatumumab reflects its important role in the treatment of refractory small cell lung cancer and provides a new option for clinical treatment.
Efficacy and role of talatumumab
Talatuzumab exerts anti-tumor effects through an innovative mechanism of action, and its clinical efficacy has been verified in multiple studies.
Mechanism of action of bispecific antibodies
Talatumumab can simultaneously target DLL3 on the surface of tumor cells and CD3 on the surface of T cells, guide T cells directly to tumor cells, activate T cells and prompt them to release cytotoxic substances, thereby specifically killing tumor cells.
Clinical efficacy data
Clinical trials show that the overall response rate of patients in the talatumumab treatment group reached a significant level, and some patients achieved long-term disease control. The median duration of efficacy also showed encouraging results.
Gradually increasing dosage regimen
To reduce the risk of cytokine release syndrome (CRS), a gradually increasing dosage regimen is adopted. The initial dose is 1 mg, subsequently increased to 10 mg, administered every two weeks until disease progression or unacceptable toxicity.
Talatuzumab’s innovative mechanism of action and clinical efficacy make it an important breakthrough in the treatment of small cell lung cancer.
Contraindications of talatumumab
Talatuzumab is not suitable for all patients and needs to be contraindicated or used with special caution in some cases.
Severe allergic reaction
It is contraindicated in patients with a history of severe allergic reaction to talatumumab or any of its components. Severe allergic reactions require immediate discontinuation and appropriate treatment.
Pregnancy and lactation restrictions
Contraindicated for pregnant women as it may cause harm to the fetus. Women of childbearing age need to take effective contraceptive measures during treatment and within 2 months after stopping the drug. Breastfeeding women should suspend breastfeeding.
Precautions for special groups
The safety of medication in children has not been established. No dose adjustment is required in elderly patients, but close monitoring is required. Data on use in patients with moderate to severe hepatic impairment are limited and need to be evaluated with caution.
Understanding and following contraindications can help minimize the risks of treatment.
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