ClinicalTrials.gg
RecruitingNCT07708753Updated Sep 23, 2026

A Study of SYS6043 in Platinum-Resistant, Advanced Ovarian, Primary Peritoneal, or Fallopian Tube Cancers

A Phase 3 interventional study of SYS6043 and Liposomal doxorubicin, paclitaxel, or topotecan in Platinum-resistant Ovarian Cancer, Platinum-resistant Primary Peritoneal Cancer and Platinum-resistant Fallopian Tube Cancer, sponsored by CSPC Megalith Biopharmaceutical Co.,Ltd.. Recruiting at 1 site in China. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by CSPC Megalith Biopharmaceutical Co.,Ltd. (part of CSPC Pharmaceutical Group Limited) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
460
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 58 studies in Fallopian Tube Neoplasms with a site in China — 32 open to participants now, 39 under way, 17 of them phase 3. Fallopian Tube Neoplasms · China.

Planned enrollment
17th of 58
460 · median 220
Started
2026
with 10 others
Phase 3
26 of 58
9 open now
Primary completion
2029-10
later than 35 of 38 live
Registered
53rd of 58
by date

Among the 58 studies in Fallopian Tube Neoplasms with a site in China, this one is the 17th largest by planned enrollment, is one of 11 that started in 2026, is one of 26 in phase 3, reaches primary completion later than 35 of the 38 other live ones, and was the 53rd registered.

Fallopian Tube Neoplasms

835 studies on the registry are indexed under Fallopian Tube Neoplasms; 131 are open to participants now.

Browse Fallopian Tube Neoplasms studies →

Open to participants now

32 of the 58 studies in Fallopian Tube Neoplasms with a site in China are open now. Recruiting first, the newest first:

26 more — sign in →

All 32 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 105 Fallopian Tube Neoplasms studies recruiting now, 87 (83%) set no upper age limit and 10 (10%) stop at 75 or younger; 6 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 58 studies in Fallopian Tube Neoplasms with a site in China, or all of them as a file.
02

Study summary

This is a randomized, open-label, multicenter Phase III clinical study designed to evaluate the efficacy and safety of SYS6043 versus investigator's choice chemotherapy in participants with platinum-resistant ovarian cancer, primary peritoneal, or fallopian tube cancer.

Read the detailed description

This is a randomized, open-label, multicenter Phase III clinical study designed to evaluate the efficacy and safety of SYS6043 versus investigator's choice chemotherapy in participants with platinum-resistant ovarian cancer, primary peritoneal, or fallopian tube cancer. Approximately 460 eligible participants will be enrolled in the study.

Participants in the experimental group will receive SYS6043, administered on Day 1 of each cycle. Participants in the control group will receive investigator's choice chemotherapy:

Liposomal doxorubicin 40 mg/m² every 28 days (Q4W), administered on Day 1 of each cycle; Paclitaxel 80 mg/m² every 28 days (Q4W), administered on Days 1, 8, 15, and 22 of each cycle; Topotecan 4 mg/m² every 28 days (Q4W), administered on Days 1, 8, and 15 of each cycle.

Participants will continue to receive SYS6043 or investigator's choice chemotherapy until disease progression, unacceptable toxicity, withdrawal of consent, death, or until the Sponsor terminates the study (whichever comes first).

Tumor assessments based on RECIST v1.1, including radiological assessments by CT/MRI scans will be performed at Screening and subsequently every 6 weeks (± 7 days, + 7days for the first tumor assessment after Screening) from Cycle 1 Day 1 (C1D1) for the first 36 weeks then every 12 weeks (± 7 days) until disease progression, death, the start of new anticancer therapy, or participant's withdrawal of consent (whichever occurs first). Participants who discontinue treatment prior to disease progression shall continue to undergo tumor assessment until the first occurrence of any of the following: imaging-confirmed disease progression, death, loss to follow-up, withdrawal from the trial by the participant or their legal representative, initiation of new anti-tumor therapy, or completion of the entire trial.Imaging frequency as before.

All participants who discontinue SYS6043 or investigator's choice chemotherapy will be followed for survival every 2 months (± 7 days) until death, lost to follow-up, withdrawal of consent for survival follow-up, or end of study (EOS) (whichever comes first). Additional survival follow-up calls may occur periodically, if needed.

03

Conditions studied

  • Platinum-resistant Ovarian Cancer
  • Platinum-resistant Primary Peritoneal Cancer
  • Platinum-resistant Fallopian Tube Cancer
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Female participants aged ≥ 18 years (as of the date of signed ).
  2. or cytologically confirmed epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer with a histologic subtype of high-grade serous carcinoma or G2-G3 endometrioid carcinoma.
  3. Participants with prior platinum-based therapy and confirmed platinum-resistant recurrent disease, defined as disease progression or recurrence during platinum-based chemotherapy or within 6 months (183 days) after the last dose of platinum-based chemotherapy. A total number of treatment lines not exceeding 5 lines.
  4. At least one evaluable extracranial lesion according to the (RECIST v1.1).
  5. Expected survival of the participant is ≥ 3 months. 5.6. For patients with previously confirmed folate receptor-α (FRα) positivity (verified by Ventana FOLR-2.1 assay: ≥75% of tumor cells exhibiting moderate [2+] or strong [3+] staining intensity per the PS2+ scoring method), prior treatment with mirvetuximab soravtansine is required, unless the investigator deems the patient intolerant to mirvetuximab soravtansine or the patient is ineligible for this therapy per the warnings in the prescribing information.

6.7. performance status 0-1, with no deterioration in ECOG score within 28 days prior to enrollment.

7.8. ≥ 50% as demonstrated by ECHO or MUGA obtained within 28 days before enrollment.

8.9. Major organ function must meet the following criteria within 7 days prior to enrollment:

  1. Complete blood count (no whole blood, red blood cell, or transfusion, and no administration of hematopoietic growth factors [G-CSF or GM-CSF], erythropoietin [EPO], or thrombopoietin [TPO] to correct blood cell counts within 7 days before sampling):i. (ANC) ≥ 1.5 × 10\^9/L;Platelet count (PLT) ≥ 100 × 10\^9/L; (HGB) ≥ 90 g/L.
  2. Blood biochemistry:i. Serum creatinine ≤ 1.5 × ;Serum total (TBIL) ≤ 1.5 × ULN (participants with Gilbert's syndrome may be allowed up to 3 × ULN); (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN (≤ 5.0 × ULN for participants with hepatocellular carcinoma or liver );Serum albumin ≥ 30 g/L.

    3) Coagulation function: i. (APTT) and international normalized ratio (INR) ≤ 1.5 × ULN (for participants not receiving anticoagulation therapy; for those on anticoagulation therapy, levels must be within the therapeutic range with stable dose).

    10. Any toxicities related to prior therapy have resolved to version 6.0 grade ≤1 or baseline level, excluding alopecia, fatigue, pigmentation, hypothyroidism stabilized with hormone replacement therapy, grade 2 peripheral neuropathy following chemotherapy, and other toxicities that the investigator deems not to pose a safety risk to participants.

    11. A sufficient from prior anti-tumor therapy is required prior to the first study drug administration.

    12. Willing to provide a previously excised tumor sample or undergo a fresh tumor for the assessment of B7-H3 expression level (if no exist).

    13. Female participants of must have a negative serum pregnancy test within 7 days prior to randomization.Female participants of childbearing potential must agree to use highly effective during the study and for at least 7 months after the last dose of study drug.Females must not be breastfeeding during this period.Females must not donate oocytes or undergo oocyte retrieval for personal use during this period.

    14. Provides voluntary written informed consent after adequate understanding of the clinical trial.

Exclusion criteria

Exclusion Criteria:

  1. Patients with platinum- disease (progression within 1 month after the last platinum-containing therapy).
  2. Prior treatment with B7H3-targeted therapy.
  3. Prior treatment with irinotecan, topotecan, any other topoisomerase I inhibitor (including TOP1 inhibitors), or topoisomerase inhibitor-antibody drug conjugate (e.g., trastuzumab deruxtecan, etc.).
  4. Patients for whom paclitaxel, topotecan, and pegylated liposomal doxorubicin (as listed in the control group) are all considered inappropriate by the investigator.
  5. History of severe cardiac or cerebrovascular disease, including but not limited to: heart failure ≥ (NYHA) Class 2; acute coronary syndrome (e.g., myocardial infarction, unstable angina, etc.) within 6 months prior to screening; acute cerebrovascular disease (e.g., , cerebral infarction, cerebral hemorrhage, etc.) within 6 months prior to screening.
  6. Mean interval using the Fridericia formula (QTcF) > 470 milliseconds (ms) based on the results of three 12-lead (ECG) examinations; history of serious cardiac arrhythmia (e.g., complete left bundle branch block, third-degree atrioventricular block, atrial fibrillation, atrial flutter, ventricular fibrillation, ventricular flutter, etc.), excluding transient atrial fibrillation and atrial flutter.
  7. Unable or unwilling to discontinue concomitant medications known to prolong the QT interval.
  8. A history of or current interstitial lung disease (ILD) requiring treatment, non-infectious interstitial pneumonia, pulmonary fibrosis, and radiation pneumonitis requiring hormone treatment, or suspected of having such diseases by imaging examination at the time of screening.
  9. A history of underlying lung diseases, including but not limited to pulmonary embolism within 3 months prior to the start of study treatment, severe asthma, severe , restrictive lung disease, and other lung damage or requiring supplementary oxygen.
  10. Patients with active pulmonary tuberculosis (those who have received adequate treatment and stopped anti-tuberculosis treatment for ≥ 3 months before randomization may be enrolled).
  11. Any disease, connective tissue disease, or inflammatory disease involving the lungs that is recorded or suspected at the time of screening (e.g., rheumatoid arthritis, Sjögren's syndrome, sarcoidosis, etc.).
  12. Unstable thrombotic events requiring therapeutic intervention within 6 months prior to screening, such as deep vein thrombosis, arterial thrombosis, and pulmonary embolism (patients with stable lower extremity deep vein thrombosis, intermuscular venous thrombosis, or infusion-related thrombosis that are judged to be risk-free by the investigator may be included).
  13. Presence of uncontrolled infection requiring intravenous antibiotics, antiviral drugs, or antifungal drugs.
  14. Known (HIV) infection, or current active syphilis infection (i.e., positive treponema pallidum antibody (RPR or TRUST) or requiring systemic treatment).
  15. Participants with active viral hepatitis (positive surface antigen and/or positive hepatitis B core antibody with HBV DNA ≥ 10000 copies/ml or 2000 IU/ml; positive virus (HCV) with HCV RNA above the lower limit of detection by the analytical method).
  16. Presence of spinal cord compression or clinically active or meningeal . Participants with central nervous system metastases who have received prior central nervous system-directed therapy and have been radiologically and neurologically stable within 4 weeks before the first dose [i.e., imaging shows no new or enlarged metastatic lesions, no need for corticosteroid treatment or taking a stable or decreasing dose of corticosteroids (equivalent to ≤ 10 mg/day prednisone), and no symptoms] are eligible to enter the study. Untreated central nervous system metastases may be enrolled if the following conditions are met: no neurological symptoms, no need for surgery, radiotherapy, or corticosteroid treatment, and no obvious edema around the brain metastases.
  17. Diagnosis of active malignant tumor within 3 years prior to randomization, except for the following cases: cured basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, carcinoma in situ of the cervix, carcinoma in situ of the breast, and/or carcinoma in situ that has undergone radical resection, which the investigator deems eligible for enrollment.
  18. Moderate or above pleural effusion, pericardial effusion, or ascites; if effusion drainage is performed (except for diagnostic thoracentesis), participants who have been stable for at least 2 weeks after drainage may be enrolled.
  19. Presence of fistula diseases and perforation diseases such as genital fistula, genitourinary fistula, and enterovaginal fistula (if the perforation or fistula has been treated by resection or repair and the disease has recovered, enrollment is allowed).
  20. Presence of intestinal obstruction, or signs and symptoms of intestinal obstruction, or requiring parenteral nutrition within 1 month prior to the start of study treatment; however, screening may be performed if surgical treatment has been performed and the obstruction is completely relieved; prior intestinal stent implantation with the intestinal stent still not removed by the screening period; gastrointestinal bleeding (including melena, hematochezia, etc.) within 1 month prior to randomization (those confirmed to have hemorrhoidal bleeding or only positive fecal occult blood may be enrolled); presence of abdominal abscess within 1 month prior to randomization.
  21. Subjects who have received systemic administration of strong inhibitors or strong inducers of and CYP2C8, or inhibitors of OATP1B1/OATP1B3 within 14 days prior to the first dose of study drug, or those who require continuous systemic use of such medicinal products during the study period.
  22. Known allergy to the active ingredient or of the study drug.
  23. Having undergone or allogeneic stem cell transplantation.
  24. Subjects with a history of severe neurological or psychiatric disorders, including but not limited to dementia, depressive disorder, epileptic seizure, and bipolar disorder.
  25. Have a history of drug abuse, or have any other medical conditions that, in the opinion of the Investigator, may increase the safety risk to the participant, or interfere with the participant's enrollment in and completion of the clinical study, or confound the evaluation of the study results.
  26. Subjects planning to receive or vaccinated with live vaccines within 28 days before the first dose of study drug.
  27. Subjects with other severe physical conditions, clinically significant laboratory abnormalities, or poor treatment compliance, who may increase the risks of study participation, interfere with study outcomes, or are otherwise considered unsuitable for enrollment in this study by the Investigator.
Terms in these criteria, in plain language(37)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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
    Experimental Arm

    Participants will receive SYS6043

    Drug: SYS6043

  • Active comparator
    Active Comparator Arm

    Participants will receive chemotherapy at investigator's discretion

    Drug: Liposomal doxorubicin, paclitaxel, or topotecan

Interventions

  • Participants in the experimental group will receive SYS6043, administered on Day 1 of each cycle.

  • DrugLiposomal doxorubicin, paclitaxel, or topotecan

    Participants in the control group will receive investigator's choice chemotherapy: Liposomal doxorubicin 40 mg/m² every 28 days (Q4W), administered on Day 1 of each cycle; Paclitaxel 80 mg/m² every 28 days (Q4W), administered on Days 1, 8, 15, and 22 of each cycle; Topotecan 4 mg/m² every 28 days (Q4W), administered on Days 1, 8, and 15 of each cycle.

06

What researchers measure

Primary outcomes

  1. Progression Free Survival by Blinded Independent Central Review (BICR) based on RECIST v1.1.

    Time from randomization to time of objective radiographic disease progression as assessed by BICR based on RECIST v1.1 or death due to any cause.

    Time frame: From date of randomization to radiographic disease progression or death due to any cause, up to approximately 16 months.

  2. Overall Survival

    Time from randomization to the date of death due to any cause.

    Time frame: From date of randomization to death due to any cause, up to approximately 39 months.

Secondary outcomes

  1. ORR by Blinded Independent Central Review (BICR) based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  2. DoR by Blinded Independent Central Review (BICR) based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  3. DCR by Blinded Independent Central Review (BICR) based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  4. PFS by the investigator based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  5. ORR by the investigator based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  6. DoR by the investigator based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  7. DCR by the investigator based on RECIST v1.1.

    Time frame: up to approximately 24 months.

  8. CA-125 response rate assessed by the investigator.

    The GCIG CA-125 response is defined as at least 50% reduction in CA-125 levels from baseline. The response must have been confirmed and maintained for at least 28 days.

    Time frame: up to approximately 24 months.

  9. Incidence of Adverse Events (AE) assessed by CTCAE 6.0.

    An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with the treatment assessed by CTCAE 6.0. The investigator assesses the relationship of each event to the use of study drug.

    Time frame: up to approximately 39 months.

  10. Number of Participants With Anti-Drug Antibodies (ADA).

    Incidence, titer of anti-SYS6043 antibodies, and incidence of neutralizing antibodies (if applicable).

    Time frame: up to approximately 39 months.

  11. Serum concentrations of toxin-bound antibody of SYS6043.

    Time frame: up to approximately 24 months.

  12. Serum concentrations of total antibody of SYS6043.

    Time frame: up to approximately 24 months.

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Oct 2029, 38 months after the start.

Of 54 phase 3 interventional studies under Fallopian Tube Neoplasms, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 38 and three quarters within 109. This study's planned 38 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 15, 2026
First posted
Jul 16, 2026
StartActual
Jul 15, 2026
Primary completionEst.
Oct 1, 2029
CompletionEst.
Dec 1, 2030
Last update
Sep 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07708753
Responsible party
Sponsor
First posted
Jul 16, 2026
Start date
Jul 15, 2026
Primary completion
Oct 1, 2029 (estimated)
Completion
Dec 1, 2030 (estimated)
Last update
Sep 23, 2026

Study contacts

Clinical Trials Information Group officer
Contact
ctr-contact@cspc.cn
031169085587

Oversight

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

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Anti-B7-H3/TOP1i Antibody-drug Conjugate SYS6043

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