The main purpose of this study is to assess efficacy, safety, tolerability and pharmacokinetics (PK) of Berzosertib in combination with Topotecan in participants with relapsed, platinum-resistant small-cell lung cancer (SCLC). This study will be conducted in two parts: safety run-in part and main part. The safety run-in part will be conducted in Japan.
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Main Part: Objective Response Rate According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Independent Review Committee (IRC)
Timeframe: Time from first administration of study treatment up to 27.7 months
Safety Run-in Part: Number of Participants With Dose Limiting Toxicities (DLTs)
Timeframe: Up to Cycle 1 Day 21 (each cycle is of 21 days)
Safety Run-in Part: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related TEAEs
Timeframe: Time from first administration of study treatment up to 27.7 months
Safety Run-in Part: Number of Participants With Clinically Significant Changes From Baseline in Vital Signs
Timeframe: Time from first administration of study treatment up to 27.7 months
Safety Run-in Part: Number of Participants With Clinically Significant Changes From Baseline in 12-Lead Electrocardiogram (ECG) Findings
Timeframe: Time from first administration of study treatment up to 27.7 months
Safety Run-in Part: Number of Participants With Clinically Significant Abnormalities in Laboratory Values Reported as Treatment Emergent Adverse Events (TEAEs)
Timeframe: Time from first administration of study treatment up to 27.7 months