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RecruitingNCT06498479Updated Oct 16, 2024

ARTEMIS-008:HS-20093 Compared With Topotecan in Subjects With Relapsed Small Cell Lung Cancer

A Phase 3 interventional study of HS-20093 and Topotecan in Small Cell Lung Cancer, sponsored by Hansoh BioMedical R&D Company. Recruiting at 9 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-16.

Sponsored by Hansoh BioMedical R&D Company · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
460
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main objective of this study is to compare the efficacy of HS-20093 with standard of care (SOC) on prolonging overall survival (OS) in subjects with relapsed small cell lung cancer (SCLC).

Read the detailed description

This is a phase 3, randomized, open-label, multicenter study comparing HS-20093 with topotecan in patients with limited or extensive SCLC that had disease progression on or after first-line platinum-based regimen. Subjects will be randomized by a ratio of 1:1 to receive HS-20093 or topotecan until disease progression.

The primary objective of this study is to assess whether treatment with HS-20093 prolongs OS compared with treatment of topotecan among subjects with relapsed SCLC.

The secondary objectives of the study are to further evaluate the efficacy/safety of HS-20093. The exploratory objectives are to characterize the pharmacokinetics of HS-20093, evaluate E-R relationship, immunogenicity of HS-20093, B7-H3 protein expression and soluble B7-H3 expression.

02

Conditions studied

  • Small Cell Lung Cancer
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's planned enrollment of 460 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Hansoh BioMedical R&D Company is the lead sponsor of 44 studies on the registry; 41 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female subjects ≥18 years of age.
  2. Histologically or cytologically confirmed SCLC.
  3. Subjects who progressed on or after first-line platinum-based regimens.
  4. Has at least 1 measurable lesion as defined per RECIST 1.1.
  5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  6. Minimum life expectancy of more than 12 weeks.
  7. Females subjects must not be pregnant at screening or have evidence of non-childbearing potential.
  8. Men or women should be using adequate contraceptive measures throughout the study.
  9. Subject has provided informed consent/assent prior to initiation of any study specific activities/procedures.

Exclusion criteria

Exclusion Criteria:

  1. Combined SCLC, any previous diagnosis of transformed SCLC or SCLC that has transformed to NSCLC.
  2. Chemotherapy-free interval ≤30 days.
  3. Has received prior treatment with anti-B7 homologue 3 (B7-H3) targeted agents.
  4. Has received prior treatment with topoisomerase I inhibitor, including ADC that consists of topoisomerase I inhibitor.
  5. Has inadequate washout period before randomization as specified in the protocol.
  6. Untreated or symptomatic brain metastases with exceptions defined in the protocol.
  7. Unresolved toxicity from prior anti-tumor therapy, defined as not having resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 grade 1 with exceptions defined in the protocol.
  8. History of other malignancy with exceptions defined in the protocol.
  9. Inadequate bone marrow reserve or organ dysfunction.
  10. Evidence of cardiovascular risks.
  11. Severe, uncontrolled or active cardiovascular diseases.
  12. Severe or uncontrolled diabetes.
  13. Severe or uncontrolled high blood pressure.
  14. Clinically significant bleeding or obvious bleeding tendency within 1 month before randomization.
  15. Severe arterial or venous thromboembolic events within 3 months prior to randomization.
  16. Severe infections within 4 weeks before randomization.
  17. Receiving systemic corticosteroid therapy within 30 days prior to randomization with exceptions defined in the protocol.
  18. The presence of active infectious diseases before randomization.
  19. Current hepatic encephalopathy, hepatorenal syndrome, or Child-Pugh Grade B or more severe cirrhosis.
  20. History of interstitial lung disease, immunotherapy-induced pneumonitis, clinically moderate or severe pulmonary disease.
  21. History of severe neuropathy or mental disorders.
  22. Female subjects of childbearing potential; female subjects who are breastfeeding or who plan to breastfeed while on study; female subjects planning to become pregnant while on study.
  23. Vaccination or hypersensitivity of any level within 4 weeks before randomization.
  24. History of severe hypersensitivity reaction, severe infusion reaction or allergy to recombinant human or mouse derived proteins.
  25. Hypersensitivity to any ingredient of HS-20093, DNA topoisomerase I inhibitor or regimens of Topotecan.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
460 participants (estimated)

Study arms

  • Experimental
    HS-20093

    Participants will receive HS-20093 as an intravenous (IV) infusion at dose of 8.0 mg/kg on Day 1 of each 21-day cycle until a treatment discontinuation criterion is met as specified in the protocol.

    Drug: HS-20093

  • Active comparator
    Topotecan

    Participants will receive topotecan until a treatment discontinuation criterion is met as specified in the protocol.

    Drug: Topotecan

Interventions

  • DrugHS-20093

    HS-20093 will be administered as an IV infusion at dose of 8.0 mg/kg on Day 1 of each 21-day cycle.

  • DrugTopotecan

    Topotecan will be administered per drug label.

06

What researchers measure

Primary outcomes

  1. Overall survival

    Overall survival is defined as the time interval from randomization to death due to any cause.

    Time frame: From the date of randomization to the date of death due to any cause; Up to approximately 4.5 years

Secondary outcomes

  1. Objective Response Rate (ORR) Assessed by Blinded Independent Central Review and Investigators

    Confirmed ORR is defined as the sum of the complete response (CR) rate and partial response (PR) rate as per BICR and investigator per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.

    Time frame: From the date of randomization to documented progressive disease, death, lost to follow-up, or withdrawal by the participant; Up to approximately 4.5 years.

  2. Disease Control Rate (DCR) Assessed by Blinded Independent Central Review and Investigator

    Disease control rate is defined as the proportion of participants who have achieved a best overall response of confirmed CR, confirmed PR, or SD (or non-CR/non-PD) per BICR and investigator assessment per RECIST v1.1.

    Time frame: From the date of randomization to documented progressive disease, death, lost to follow-up, or withdrawal by the participant; Up to approximately 4.5 years.

  3. Duration of Response Assessed by Blinded Independent Central Review and Investigator

    Duration of response (DoR) is defined as the time from the date of the first documentation of objective response (complete response \[CR\] or partial response \[PR\]) to the date of the first documentation of progressive disease (PD) or death.

    Time frame: From the date of first documentation of confirmed response (CR or PR) to the first documentation of objective progression or to death due to any cause, whichever occurs first; Up to approximately 4.5 years.

  4. Progression-free Survival Assessed by Blinded Independent Central Review and Investigator

    PFS is defined as the time interval from the randomization to disease progression as per BICR and investigator assessment or death due to any cause.

    Time frame: From the date of randomization to documented progressive disease, death, lost to follow-up, or withdrawal by the participant; Up to approximately 4.5 years.

  5. Incidence and Grade of Participants With Treatment-emergent Adverse Events

    TEAEs are assessed based on NCI CTCAE v5.0.

    Time frame: From the date of first dose to the end of safety follow-up; Up to approximately 4.5 years.

07

Study locations

1 of 9 sites recruiting
  • Beijing Cancer Hospital
    Beijing, Beijing, China
    • Jian Fang · Principal investigator
    Not yet recruiting
  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang, China
    • Baogang Liu · Principal investigator
    Not yet recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan, China
    • Qiming Liu · Principal investigator
    Not yet recruiting
  • Jilin Cancer Hospital
    Changchun, Jilin, China
    • Ning Zhangning · Contact · JPCHIRB@163.com · 0431-80596067
    • Ying Cheng · Principal investigator
    Recruiting
  • Shengjing Hospital of China Medical University
    Shenyang, Liaoning, China
    • Wei Zheng · Principal investigator
    Not yet recruiting
  • Shandong Cancer Hospital
    Jinan, Shandong, China
    • Haiyong Wang · Principal investigator
    Not yet recruiting
  • Shanghai Pulmonary Hospital
    Shanghai, Shanghai, China
    • Peng Zhang · Contact
    • Peng Zhang · Principal investigator
    Not yet recruiting
  • The First Affiliate Hospital of GUANGZHOU Medical University
    Guangzhou, China
    • Ming Liu · Principal investigator
    Not yet recruiting
  • Tongji Hospital
    Wuhan, China
    • Qian Chu · Principal investigator
    Not yet recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06498479
Lead sponsor
Hansoh BioMedical R&D Company
Responsible party
Sponsor
First posted
Jul 12, 2024
Start date
Jul 4, 2024
Primary completion
Sep 30, 2026 (estimated)
Completion
May 31, 2027 (estimated)
Last update
Oct 16, 2024

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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