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GSK/Hansoh's B7-H3 ADC set for China filing after hitting Phase III endpoint in osteosarcoma

GSK/Hansoh's B7-H3 ADC set for China filing after hitting Phase III endpoint in osteosarcoma

China-based Hansoh Pharmaceutical Group (HKEX: 03692) announced that HS-20093 (risvutatug rezetecan; Ris-Rez), its proprietary B7-H3-directed antibody-drug conjugate licensed to GSK outside Greater China, met the primary endpoint in the pivotal ARTEMIS-011 Phase III trial. The result positions Hansoh to file a biologics license application in China and represents the first Phase III randomized evidence for an ADC in this heavily pretreated population.

ARTEMIS-011 compared HS-20093 against chemotherapy, with progression-free survival assessed by an independent review committee as the primary endpoint. The trial reported a statistically significant and clinically meaningful PFS improvement in favor of HS-20093. Consistent benefits were also observed across secondary endpoints including overall survival and investigator-assessed PFS, though no numerical data were disclosed in the announcement; detailed results are expected at an upcoming international oncology congress. The safety profile was described as consistent with prior findings, with no new safety signals identified.

HS-20093 targets B7-H3 (CD276), an immune checkpoint protein broadly overexpressed in osteosarcoma and other solid tumors, and delivers a topoisomerase I inhibitor payload following receptor-mediated internalization. Relapsed and refractory osteosarcoma has few established options beyond salvage chemotherapy. The REGOBONE Phase II randomized trial of regorafenib (Stivarga) reported a median PFS of 4.0 months versus 1.0 month for placebo in a comparable refractory population, and sorafenib (Nexavar) produced a 4-month PFS rate of 46% in a single-arm Phase II study — together representing the most cited efficacy benchmarks in the indication. Cross-trial comparisons are limited by differences in study design, duration, and patient populations.

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Hansoh said it will initiate regulatory communications to advance BLA preparations in China. The company's ADC pipeline has expanded considerably in recent years, and the osteosarcoma readout adds Phase III proof-of-concept for B7-H3 as an ADC target in bone tumors, a histology where targeted agents have historically struggled to demonstrate survival benefit in randomized settings.


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