NCT07652983

Brief Summary

The goal of this observational study is to evaluate the effectiveness and safety of Iparomlimab and Tuvonralimab (QL1706)-based therapy in patients with recurrent or metastatic cervical cancer who have experienced disease progression after platinum-based treatment. The main questions it aims to answer are:

  • Does QL1706-based therapy improve clinical outcomes compared with investigator-selected chemotherapy in patients with recurrent or metastatic cervical cancer?
  • Does the addition of bevacizumab further improve treatment effectiveness?
  • Which patient subgroups are most likely to benefit from QL1706-based therapy? Participants receiving QL1706-based therapy or investigator-selected chemotherapy as part of routine clinical practice will be followed through real-world clinical data collection. Using a target trial emulation framework, the study will compare treatment effectiveness and safety between groups. Clinical characteristics, treatment outcomes, and adverse events will be collected for analysis. In addition, artificial intelligence-based models and multi-omics analyses will be used to identify predictive biomarkers and explore potential mechanisms of treatment response and resistance.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
280

participants targeted

Target at P75+ for all trials

Timeline
43mo left

Started Jun 2026

Typical duration for all trials

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

First Submitted

Initial submission to the registry

June 11, 2026

Completed
4 days until next milestone

Study Start

First participant enrolled

June 15, 2026

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 17, 2026

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2029

Last Updated

June 17, 2026

Status Verified

June 1, 2026

Enrollment Period

2.5 years

First QC Date

June 11, 2026

Last Update Submit

June 11, 2026

Conditions

Keywords

Recurrent or metastatic cervical cancerIparomlimab and Tuvonralimab

Outcome Measures

Primary Outcomes (1)

  • Objective response rate

    From the date of first dose to achieving complete response or partial response, assessed up to 12 months

Secondary Outcomes (5)

  • Progression-free survival

    From the date of first dose to the date of first documented progression or death from any cause, whichever occurs first, assessed up to 12 months

  • Disease control rate

    From the date of first documented evidence of CR or PR to the date of PD or death, assessed up to 12 months.

  • Time to treatment failure

    From the date of first dose to the date of first documented progression or death from any cause, whichever occurs first, assessed up to 12 months.

  • Overall survival

    From the date of first dose to the date of death due to any cause, assessed up to 12 months

  • adverse event

    From first dose to the later of 90 days after the last dose of QL1706

Study Arms (2)

QL1706-based therapy (with or without chemotherapy/bevacizumab)

investigator-selected chemotherapy (with or without bevacizumab)

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Recurrent or Metastatic Cervical Cancer

You may qualify if:

  • Participants voluntarily agree to participate in the study and provide written informed consent.
  • Age ≥18 years at the time of signing the informed consent form.
  • Histologically confirmed recurrent or metastatic cervical cancer (FIGO 2018 stage IVB), including squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma.
  • Disease progression or treatment failure following prior platinum-based chemotherapy.
  • At least one measurable target lesion according to RECIST version 1.1, as assessed by CT or MRI.
  • Estimated life expectancy of at least 3 months.
  • Considered suitable by the investigator for antitumor treatment with Iparomlimab and Tuvonralimab (QL1706), either as monotherapy or in combination with other therapies, and with a planned treatment regimen including QL1706.

You may not qualify if:

  • Histological subtypes including sarcoma, small-cell carcinoma with neuroendocrine differentiation, or other non-epithelial malignancies.
  • History of severe hypersensitivity reaction (Grade ≥3) to Iparomlimab and Tuvonralimab (QL1706) and/or any of its excipients.
  • Known additional malignancy that has progressed or required active treatment within the past 3 years.
  • Active autoimmune disease requiring systemic treatment within the past 2 years (e.g., disease-modifying agents, corticosteroids, or immunosuppressive therapy); history of non-infectious pneumonitis requiring steroid treatment, or current pneumonitis.
  • Active infection requiring systemic therapy.
  • Any other medical condition, laboratory abnormality, or circumstance that, in the investigator's judgment, would make the participant unsuitable for participation in this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

RecurrenceUterine Cervical Neoplasms

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Diseases

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
2 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 11, 2026

First Posted

June 17, 2026

Study Start

June 15, 2026

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

December 31, 2029

Last Updated

June 17, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will not share