NCT07418749

Brief Summary

The main objective of this study is to evaluate the efficacy of SHR-A2102 versus investigator's choice of chemotherapy in patients with platinum-based chemotherapy and PD-(L)1 inhibitor treatment failed recurrent or metastatic cervical cancer.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
398

participants targeted

Target at P50-P75 for phase_3

Timeline
31mo left

Started Mar 2026

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress8%
Mar 2026Dec 2028

First Submitted

Initial submission to the registry

February 11, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 18, 2026

Completed
11 days until next milestone

Study Start

First participant enrolled

March 1, 2026

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

February 18, 2026

Status Verified

February 1, 2026

Enrollment Period

1.8 years

First QC Date

February 11, 2026

Last Update Submit

February 11, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall survival (OS)

    OS is the time interval from the start of treatment to death due to any reason or lost of follow-up.

    Up to 3 years.

Secondary Outcomes (10)

  • Progression free survival (PFS)

    Up to 3 years.

  • Objective Response Rate (ORR)

    Up to 3 years.

  • Duration of response (DoR)

    Up to 3 years.

  • Disease control rate (DCR)

    Up to 3 years.

  • Adverse Events (AEs)

    Up to 3 years.

  • +5 more secondary outcomes

Study Arms (2)

SHR-A2102 Group

EXPERIMENTAL

Participants receive SHR-A2102 for injection.

Drug: SHR-A2102 for Injection

The investigator's choice of chemotherapy Group

ACTIVE COMPARATOR

Participants receive the investigator's choice of chemotherapy, with optional chemotherapeutic agents including: Pemetrexed Disodium for Injection, Gemcitabine Hydrochloride for Injection, Topotecan Hydrochloride for Injection, Paclitaxel for Injection (Albumin bound).

Drug: Pemetrexed Disodium for InjectionDrug: Gemcitabine Hydrochloride for InjectionDrug: Topotecan Hydrochloride for InjectionDrug: Paclitaxel for Injection (Albumin bound)

Interventions

SHR-A2102 for injection.

SHR-A2102 Group

Pemetrexed Disodium for injection.

The investigator's choice of chemotherapy Group

Gemcitabine Hydrochloride for injection.

The investigator's choice of chemotherapy Group

Topotecan Hydrochloride for injection.

The investigator's choice of chemotherapy Group

Paclitaxel for injection (Albumin bound).

The investigator's choice of chemotherapy Group

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participate in the study voluntarily, sign the informed consent form.
  • Histologically or cytologically confirmed cervical squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma that is deemed unsuitable for radical surgery and/or radical radiotherapy or chemoradiotherapy.
  • Provide primary or metastatic tumor samples.
  • At least one measurable lesion (RECIST version 1.1).
  • ECOG 0\~ 1.
  • With adequate organ functions.
  • Expected overall survival is ≥12 weeks.

You may not qualify if:

  • With known untreated or active central nervous system (CNS) tumor metastasis, or a history of or current leptomeningeal metastasis.
  • With symptomatic, poorly controlled, or moderate-to-severe pleural effusion, pericardial effusion, or ascites.
  • With a history of or concurrent other malignant tumor(s).
  • Participants with gastrointestinal perforation or fistula, urogenital fistula, or those at risk of fistula within 3 months prior to randomization.
  • With known or suspected interstitial lung disease.
  • With intestinal obstruction or signs/symptoms suggestive of intestinal obstruction within 3 months prior to randomization.
  • With poorly controlled cardiac clinical symptoms or diseases.
  • Experienced arterial/venous thromboembolic events within 3 months prior to randomization.
  • With severe infections occurring within 1 month prior to randomization.
  • With active hepatitis B (defined as positive hepatitis B surface antigen \[HBsAg\] test and hepatitis B virus \[HBV\] DNA ≥500 IU/mL at screening) or active hepatitis C (defined as positive hepatitis C virus antibody \[HCV-Ab\] test and detectable hepatitis C virus \[HCV\] RNA at screening).
  • With active tuberculosis infection within 1 year prior to randomization, or a history of active tuberculosis infection more than 1 year ago without proper treatment.
  • With a history of immunodeficiency, including a positive human immunodeficiency virus (HIV) test, other acquired or congenital immunodeficiency diseases, or a history of organ transplantation.
  • Have received systemic anti-tumor therapy within 28 days prior to randomization.
  • With uncontrolled psychiatric disorders, or known history of alcoholism, drug abuse, or substance dependence, incarceration, or other conditions that may affect the completion of study procedures.
  • Any other condition that, in the judgment of the investigator, may increase the risk associated with study participation, interfere with the interpretation of study results, or make the participant unsuitable for the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, 510060, China

Location

MeSH Terms

Conditions

Uterine Cervical Neoplasms

Interventions

InjectionsPemetrexedGemcitabineTopotecanPaclitaxel

Condition Hierarchy (Ancestors)

Uterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Diseases

Intervention Hierarchy (Ancestors)

Drug Administration RoutesDrug TherapyTherapeuticsGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DicarboxylicDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingCamptothecinAlkaloidsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: An open-label, randomized, controlled, multicenter, phase III Study.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2026

First Posted

February 18, 2026

Study Start

March 1, 2026

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2028

Last Updated

February 18, 2026

Record last verified: 2026-02

Locations