Evidence map›Paper›PMID 41421295›Full record

Trial reportESMO open2026

A phase II, multicenter, open-label, single-arm study of berzosertib plus topotecan in patients with relapsed platinum-resistant small-cell lung cancer (DDRiver SCLC 250).

A Navarro, A Thomas, Y Cheng, Y Chen, N Reguart, T Yoshida, S Cousin, X Dong, N Yamamoto, F Cappuzzo and 9 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in ESMO open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04768296 (A Phase II, Open-label, Single-arm Study of Berzosertib), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04768296 phase2completednot on this map

A Phase II, Open-label, Single-arm Study of Berzosertib (M6620) in Combination With Topotecan in Participants With Relapsed Platinum-resistant Small-Cell Lung Cancer (DDRiver SCLC 250)

TypeinterventionalSponsorEMD Serono Research & Development Institute, Inc.Ran2021 to 2023Enrolled76ConditionsSmall-cell Lung CancerArmsBerzosertib, Topotecan
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. The Five-Decade Journey of Small Cell Lung Cancer.Cancer communications (London, England) · 2026
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

A NavarroDepartment of Medical Oncology, University Hospital Vall d'Hebron, Barcelona, Spain.
A ThomasDevelopmental Therapeutics Branch, National Cancer Institute, Bethesda, USA.
Y ChengMedical Oncology, Jilin Cancer Hospital, Changchun, China.
Y ChenCancer and Hematology Centers of Western Michigan, Grand Rapids, USA.
N ReguartOncology Department, Hospital Clinic, Barcelona, Spain.
T YoshidaDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.
S CousinDepartment of Medical Oncology, Institut Bergonié, Bordeaux, France.
X DongCancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, China.
N YamamotoDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.
F CappuzzoMedical Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
R HallwachsMerck Healthcare KGaA, Darmstadt, Germany.
J BolleddulaEMD Serono Research & Development Institute, Inc., an affiliate of Merck KGaA, Billerica, USA.
B SarholzMerck Healthcare KGaA, Darmstadt, Germany.
T GrombacherMerck Healthcare KGaA, Darmstadt, Germany.
M OtteGlobal Clinical Development, Merck Serono Ltd., an affiliate of Merck KGaA, Feltham, UK.
I GounarisGlobal Clinical Development, Merck Serono Ltd., an affiliate of Merck KGaA, Feltham, UK.
J FerrerAres Trading SA, an affiliate of Merck KGaA, Eysins, Switzerland.
C MoulinAres Trading SA, an affiliate of Merck KGaA, Eysins, Switzerland.
L Paz-AresMedical Oncology Department, University Hospital 12 de Octubre, Madrid, Spain. Electronic address: lpazaresr@seom.org.

Funding

Exploiting DNA Replicative Stress for Novel Small Cell Lung Cancer TherapiesZIABC011793 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI THOMAS, ANISH · 2018 to 2025
$16.4M
Intramural NIH HHS ZIA BC011793
6 · The paper itself

Abstract

backgroundSmall-cell lung cancer (SCLC) is characterized by high genomic instability. Proteins involved in maintaining genomic stability, such as ataxia telangiectasia and Rad3-related (ATR) and topoisomerase 1, are promising therapeutic targets in SCLC. Berzosertib, a highly potent, selective, intravenously administered ATR inhibitor, has demonstrated promising antitumor activity in patients with platinum-resistant SCLC. MATERIALS AND

methodsThis phase II, multicenter, open-label, single-arm study (NCT04768296) included patients with relapsed platinum-resistant SCLC who received berzosertib (210 mg/m

resultsA preplanned interim analysis for futility after the first 40 patients had completed their second on-treatment tumor assessment (or dropped out/died prematurely) revealed a low probability of reaching the predefined efficacy threshold, leading to premature study termination. At the final analysis (n = 73), four patients achieved confirmed partial response, resulting in an ORR of 5.5%. The median PFS was 2.2 months [95% confidence interval (CI) 1.5-2.7 months], and the median OS was 6.4 months (95% CI 4.2-7.6 months). No new safety concerns were observed, with the safety profile of berzosertib and topotecan combination therapy being consistent with the known risk profile of the respective monotherapies.

conclusionsNo added clinical benefit of berzosertib and topotecan combination was observed over topotecan monotherapy in patients with platinum-resistant SCLC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLung NeoplasmsSmall Cell Lung CarcinomaTopotecanAdultAgedDrug Resistance, NeoplasmFemaleHumansIsoxazolesMaleMiddle AgedNeoplasm Recurrence, LocalPyrazinesTreatment OutcomeberzosertibIsoxazolesPyrazinesTopotecanberzosertib (M6620)efficacysafetysmall-cell lung cancer

Identifiers

PMID41421295
PMCPMC12794503

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.