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Clinical Trials/NCT07472153
NCT07472153RecruitingPhase 2

To Validate, Develop and Implement The Scope of Medical Care for Metastatic, Persistent and Recurrent Cervical Cancer Using The Method of Chemoimmunotargeted Therapy

N.N. Alexandrov National Cancer Centre1 site in 1 country120 target enrollmentStarted: July 1, 2025Last updated:
Interventions

Trial Snapshot

Phase
Phase 2
Status
Recruiting
Sponsor
Enrollment
120
Locations
1
Primary Endpoint
Overall survival

Study Overview

Brief Summary

This is a randomized trial evaluating the results of using of PD-1 and PD-L1 immune checkpoint inhibitors combined with chemotherapy, with or without bevacizumab, in patients with metastatic, persistent, and recurrent cervical cancer.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Participant)

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Age ≥18-≤75 years.
  • Histologically confirmed diagnosis.
  • One of the forms of the cervical cancer:
  • Metastatic cervical cancer (stage IVB according to FIGO (International Federation of Gynaecology and Obstetrics) 2018);
  • Persistent cervical cancer (primary incurability after radical treatment for stages IIB-IVA cervical cancer according to FIGO 2018);
  • Reccurent cervical cancer (first recurrence after completed radical treatment for IA-IVB cervical cancer according to FIGO 2018).
  • Availability of material for determining PD-L-1 expression for immunotherapy candidates.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or
  • No contraindications to chemotherapy, immunotherapy, or bevacizumab.
  • Signed informed consent to participate in the study.

Exclusion Criteria

  • Presence of another active malignant invasive neoplasm.
  • Pregnancy or lactation period.

Arms & Interventions

PD-1

Experimental

Intervention: PD-1 antibody (Drug)

PD-L1

Experimental

Intervention: PD-L1 antibody (Drug)

Standard

Active Comparator

Intervention: Chemotherapy and bevacizumab (CT-BEV) (Drug)

Outcomes

Primary Outcomes

Overall survival

Time Frame: From enrollment through study completion, an average of 2 year

Time from randomization to the death of any cause

Median overall survival

Time Frame: From date of treatment initiation until the date of death from any cause, assessed up to 36 months

The timepoint at which 50% of patients are still alive following treatment initiation

Secondary Outcomes

  • Objective response rate(From randomization until progression or study completion, average of 60 months)
  • Duration of response(From date of first documented response until progression or death, assessed up to 60 months)
  • Disease-free survival(From enrollment through study completion, an average of 2 year)
  • Median Disease-free survival(From date of treatment initiation until the date of death from any cause, assessed up to 36 months)

Investigators

Sponsor
N.N. Alexandrov National Cancer Centre
Sponsor Class
Other Gov
Responsible Party
Sponsor

Study Sites (1)

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