Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 70 Women only

Pre-surgery iparomlimab and tuvonralimab with chemotherapy for locally advanced cervical cancer

Official title: Neoadjuvant Therapy of Iparomlimab and Tuvonralimab Combined With Chemotherapy-eclipse for Locally Advanced Cervical Cancer:A Single-arm, Open-label, Phase II Trial

Run by Fujian Cancer Hospital · NCT07055399 · Data updated 2026-11-12

This phase 2 trial tests whether giving iparomlimab and tuvonralimab with chemotherapy before surgery helps people with locally advanced cervical cancer shrink their tumors and improve outcomes.

More Locally Advanced Cervical Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 70 Years
SexWomen only
Enrollment43 (estimated)
SponsorFujian Cancer Hospital
Government
Drugs / interventionsiparomlimab, tuvonralimab, chemotherapy
Locations1 site (Fuzhou, Fujian)
StatusRecruiting
StartedAugust 21, 2025
Main results expectedSeptember 1, 2026
Study endsSeptember 1, 2029
Registry record updatedSeptember 11, 2025
Trial IDNCT07055399 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–70 years old with histologically confirmed squamous cell, adenocarcinoma, or adenosquamous cervical cancer at FIGO 2018 stages IB3, IIA2, IIB, or IIIC1r, ECOG 0–1, adequate organ function, measurable disease, and willingness to provide blood and tumor samples.

Probably not a fit

Patients with poor organ function, ECOG >1, prior systemic therapy, metastatic disease beyond the included stages, or those whose tumors progress during neoadjuvant treatment are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this single-arm phase 2 trial, 43 patients with FIGO 2018 stages IB3, IIA2, IIB, or IIIC1r locally advanced cervical cancer receive one cycle of iparomlimab and tuvonralimab plus cisplatin and nab‑paclitaxel followed by two additional cycles of iparomlimab and tuvonralimab at three‑week intervals. Tumor response is assessed after three cycles using RECIST v1.1, with patients achieving complete or partial responses proceeding to radical surgery and others moving to concurrent chemoradiotherapy. The trial collects safety and efficacy data, including pathological response rates, and includes blood and tumor sampling for biomarker analyses. Treatments and follow-up are conducted at the lead site with standardized criteria for subsequent adjuvant therapy per guidelines.

Why it matters

Potential benefit: If successful, this preoperative chemo‑immunotherapy approach could increase tumor shrinkage before surgery, raise the chance of complete resection, and improve longer‑term disease control.

How similar studies have gone: Early neoadjuvant trials combining PD‑1 inhibitors with chemotherapy in cervical cancer have shown promising tumor responses, but the specific dual PD‑1/CTLA‑4 bifunctional antibody regimen used here is novel and less extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 1、Written informed consent
* 2、18-70 years old
* 3、Adequate organ function and ECOG of 0 \~1
* 4、Without systemic therapy at the time of enrollment
* 5、FIGO 2018 stage IB3, IIA2, or IIIC1r
* 6、Histologically confirmed squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma of the cervix
* 7、Measurable lesions could be defined by RECIST v1.1
* 8、Willing to get blood/ tumor tissue tested
* 9、Patients who observed the rules about the scheduled visit, study schedule, and medical examination
* 10、The function of major organs is normal, and the following criteria are met:
* 10.1 Blood routine examination must meet: (no blood transfusion within 14 days)

Hb≥90g/L:

ANC≥1.5x10\^9/L; PLT≥100x10\^9/L;

* 10.2 The biochemical examination must meet the following standards BIL \< 1.5 × ULN; ALT and AST \< 2.5xULN; ALB≥ 28 g/L
* 11、Patients who are willing and able to comply with visiting arrangements, treatment plans, laboratory tests, and other research procedures.

Exclusion Criteria:

* 1、History of other malignancies within 3 years
* 2、Participate in other clinical trials at the same time
* 3、Active autoimmune disease, which needs systemic therapy
* 4、Uncontrolled infection, which needs systemic therapy
* 5、History of allogeneic tissue/solid organ transplant
* 6、Serious illness, such as severe mental disorders, cardiac disease, coagulation disorders, digestive system disease, etc
* 7、Active HBV, HCV, or HIV infection
* 8、Pregnant or lactating female patients
* 9、Drug or alcohol abuse
* 10、 Unable or unwilling to sign the informed consent

Where it's running

  • Fujian Cancer Hospital
    Fuzhou, Fujian, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.