News|Articles|October 27, 2026

GSK, Hansoh Report Phase 3 Ris-Rez PFS Data in Relapsed Osteosarcoma

Key Takeaways

  • Risvutatug rezetecan cut the risk of progression or death by 67% vs chemotherapy in relapsed osteosarcoma.
  • Median progression-free survival was 5.5 months with Ris-Rez compared with 1.4 months with gemcitabine plus docetaxel.
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Risvutatug rezetecan extended median progression-free survival to 5.5 months vs 1.4 months with chemotherapy in pretreated osteosarcoma.

On October 26, 2026, Hansoh Pharmaceutical Group announced phase 3 results for risvutatug rezetecan (Ris-Rez), an antibody-drug conjugate (ADC) that targets B7-H3. Hansoh licensed the drug to GSK. In the ARTEMIS-011 trial, Ris-Rez significantly improved progression-free survival (PFS) compared with chemotherapy in patients in China with relapsed osteosarcoma.¹ The trial enrolled patients whose disease had progressed or relapsed after at least 2 prior lines of systemic therapy. The late-breaking results were presented during a Presidential Symposium at the European Society for Medical Oncology (ESMO) Congress 2026 and will support a regulatory submission by Hansoh in China.¹

Key facts

  • Drug: risvutatug rezetecan (Ris-Rez; HS-20093; Hansoh/GSK)
  • Class: B7-H3-targeted ADC
  • Indication studied: relapsed osteosarcoma (after ≥2 prior lines)
  • Trial: ARTEMIS-011 (NCT06935409); phase 3
  • Primary endpoint met: median PFS 5.5 vs 1.4 months (HR, 0.33)
  • Comparator: gemcitabine plus docetaxel
  • Safety: grade ≥3 TRAEs 93% vs 83%
  • Regulatory status: submission planned in China
  • Current designation: breakthrough therapy for osteosarcoma (FDA)
  • Geography: China

"Osteosarcoma typically affects children and young adults, and for patients whose disease has returned or progressed following multiple treatments, there are no approved therapies and no clearly established standard of care," said Lu Xie, MD, principal investigator of ARTEMIS-011 and clinical associate professor at Peking University, in a company press release.¹

What did ARTEMIS-011 show?

The multicenter, randomized, open-label trial (NCT06935409) assigned patients 1:1 to 1 of 2 arms, and each arm was given every 3 weeks 12.0 mg/kg Ris-Rez and 1000 mg/m² gemcitabine on days 1 and 8 plus 75 mg/m² docetaxel on day 8.¹,²

After a median follow-up of 7.1 months, Ris-Rez reduced the risk of disease progression or death by 67% (hazard ratio, 0.33; 95% confidence interval, 0.20-0.55; p<.0001).¹ Median PFS, assessed by an independent review committee, was 5.5 months with Ris-Rez vs 1.4 months with chemotherapy.¹

On July 28, 2026, GSK announced that Hansoh's ARTEMIS-011 trial had met its primary endpoint of PFS.³ Secondary endpoints include overall survival, objective response rate, disease control rate, and duration of response.¹

How safe was Ris-Rez at the higher dose?

Grade 3 or higher treatment-related adverse events (TRAEs) occurred in 93% of patients receiving Ris-Rez at 12 mg/kg and 83% of those receiving chemotherapy. In both arms, the most common were hematologic events.¹ TRAEs led to discontinuation in 4% of patients receiving Ris-Rez and 2% receiving chemotherapy.¹ According to GSK, safety findings were consistent with prior findings in this tumor type.¹

The 12 mg/kg dose in ARTEMIS-011 is higher than the 8 mg/kg dose used in the ARTEMIS-008 trial in small cell lung cancer. The higher dose was selected to account for potential difficulty in penetrating bone tissue.¹

Why does this matter for osteosarcoma treatment?

Osteosarcoma is the most common primary bone cancer and mainly affects children and young adults.¹,⁴ Treatment options after first-line chemotherapy are severely limited, and no therapies are approved after 2 prior lines of treatment.¹

"For patients with relapsed osteosarcoma, where treatment options are extremely limited, these findings are particularly important," said Hesham Abdullah, MD, MSc, senior vice president and global head of oncology R&D at GSK, in the release.¹

GSK holds exclusive rights to Ris-Rez outside mainland China, Hong Kong, Macau, and Taiwan. Its global phase 1b/2 EMBOLD Sarcoma-202 trial is evaluating Ris-Rez in previously treated unresectable advanced or metastatic sarcomas, including osteosarcoma. ARTEMIS-011 data are informing dose selection for that trial.¹ B7-H3 is highly expressed in more than 10 solid tumor types, and more than 1000 patients have received Ris-Rez in GSK's EMBOLD program.¹ FDA has granted Ris-Rez breakthrough therapy designation for relapsed or refractory osteosarcoma.¹

What are the limitations?

ARTEMIS-011 enrolled only patients in China. GSK said its global trial is designed to further characterize the benefit-risk profile in a broader population. The open-label design may introduce bias, although the primary endpoint was independently assessed. Follow-up was relatively short, overall survival data were not reported, and grade 3 or higher TRAEs were frequent. Full peer-reviewed results have not been published, and Ris-Rez is not approved for osteosarcoma in any market.

References

  1. GSK. Ris-Rez reduced risk of disease progression or death by 67% versus chemotherapy in patients with relapsed osteosarcoma in China. Press release. Published October 26, 2026. Accessed October 27, 2026. https://www.gsk.com/en-gb/media/press-releases/ris-rez-reduced-risk-of-disease-progression-or-death-by-67-versus-chemotherapy-in-patients-with-relapsed-osteosarcoma-in-china/
  2. Study of HS-20093 versus gemcitabine in combination with docetaxel in treatment of osteosarcoma after previous second-line treatment failure. ClinicalTrials.gov; NCT06935409. Updated October 19, 2026. Accessed October 27, 2026. https://clinicaltrials.gov/study/NCT06935409
  3. GSK. GSK's licensor Hansoh Pharma announces positive results from a second phase III trial for Ris-Rez in China. Press release. Published July 28, 2026. Accessed October 27, 2026. https://www.gsk.com/en-gb/media/press-releases/gsk-s-licensor-hansoh-pharma-announces-positive-results-from-a-second-phase-iii-trial-for-ris-rez-in-china/
  4. Valery PC, Laversanne M, Bray F. Bone cancer incidence by morphological subtype: a global assessment. Cancer Causes Control. 2015;26(8):1127-1139. doi:10.1007/s10552-015-0607-3

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