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RecruitingNCT05687851Updated Sep 19, 2024

Study Of Cadonilimab Combined With Radiotherapy In The Treatment of Locally Advanced Cervical Cancer

A Phase 2 interventional study of Cadonilimab(AK104) and EBRT in Locally Advanced Cervical Cancer, sponsored by Chongqing University Cancer Hospital. Recruiting at 1 site in China. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Chongqing University Cancer Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as recruiting.
  • Started Dec 2022; still recruiting 3 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

Cadonilimab(AK104)is a humanized IgG1 bispecific antibody that targets PD-1 and CTLA-4.

This is a single-arm, multicenter, open-label, phase II study, the purpose of this study is to evaluate the efficacy and safety of Cadonilimab plus radiotherapy in participants with locally advanced cervical cancer who do not tolerate chemotherapy.

02

Conditions studied

  • Locally Advanced Cervical Cancer

Keywords

  • Local advanced cervical cancer
  • Concurrent chemoradiotherapy
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In context

Uterine Cervical Neoplasms

1,881 studies on the registry are indexed under Uterine Cervical Neoplasms; 567 are open to participants now.

This study's planned enrollment of 33 is below the median of 100 across 1,377 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Chongqing University Cancer Hospital is the lead sponsor of 40 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Able to understand and voluntarily sign written informed consent.
  2. Women aged ≥18 years at the time of study entry.
  3. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2.
  4. Life expectancy ≥12 weeks.
  5. Intolerance to chemotherapy regimens.
  6. Histologically confirmed cervical cancer.

    1. Histologically-confirmed squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma of the cervix;
    2. Not receiving systemic anti-tumour therapy (including but not limited to radiotherapy, targeted therapy and immunotherapy, etc; concurrent chemotherapy is not included. Note: Removal or biopsy of pelvic lymph nodes or para-aortic lymph nodes for the purpose of clinical staging is allowed).
    3. Locally advanced cervical cancer(LACC): The International Federation of Gynecology and Obstetrics (FIGO) 2018 Stage IB3/IIA2, IIB-IVA.
  7. At least one measurable tumor lesion according to RECIST v1.1 criteria.
  8. Available archived tumor tissue samples or recent biopsies.
  9. Adequate organ function.
  10. For fertile women with negative serum pregnancy and effective contraception within 7 days before administration (until 120 days after the last administration of the study drug and at least 180 days after radiotherapy)

Exclusion criteria

Exclusion Criteria:

  1. Other histological types of cervical cancer (eg, neuroendocrine carcinoma, small cell carcinoma, sarcoma, etc).
  2. Evidence of distant metastases.
  3. Have received total hysterectomy.
  4. Subject with other active malignancies within 2 years prior enter the study.
  5. Subject who cannot receive brachytherapy.
  6. Active or prior documented autoimmune disease that may relapse.
  7. History of interstitial lung disease or noninfectious pneumonitis.
  8. Subject with the clinically significant cardio-cerebrovascular disease.
  9. History of severe hypersensitivity reactions to other mAbs.
  10. Prior allogeneic stem cell transplantation or organ transplantation.
  11. Subjects who require systemic treatment with glucocorticoid (>10 mg/day of prednisone or equivalent glucocorticoid) or other immunosuppressive agents within 14 days prior enter the study.
  12. Receipt of live attenuated vaccines within 30 days prior to the first dose of the study drug.
  13. Prior exposure to any experimental antitumor vaccines, or any agent targeting T-cell costimulation or immune checkpoint pathways (eg, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4, anti-CD137 or anti-OX40 antibody, etc).
  14. Any condition that, in the opinion of the Investigator, would interfere with the evaluation of the study drug or interpretation of subject safety or study results.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (estimated)

Study arms

  • Experimental
    treatment arm

    Participants receive Cadonilimab at a dose of 10 mg/kg, Q3W (Day 1 of each 21 day treatment cycle) via IV infusion, until disease progression, intolerable toxicity, investigator determines that the participant cannot continue to benefit, withdraw informed consent, or Cadonilimab treatment over 2 years. During the q3w dosing period of Cadonilimab, participants receive radiotherapy including external beam radiotherapy (EBRT) and followed by brachytherapy.

    Drug: Cadonilimab(AK104) · Radiation: EBRT · Radiation: BT

Interventions

  • DrugCadonilimab(AK104)

    q3w iv

  • RadiationEBRT

    45-50.4Gy

  • RadiationBT

    ≥80Gy

06

What researchers measure

Primary outcomes

  1. ORR assessed by Investigator

    The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR per RECIST v1.1.

    Time frame: Up to 2 years

Secondary outcomes

  1. DCR

    The DCR is defined as the proportion of subjects with CR, PR, or SD (subjects achieving SD will be included in the DCR if they maintain SD for ≥8 weeks) based on RECIST Version 1.1.

    Time frame: Up to 2 years

  2. PFS

    Progression-free survival is defined as the time from the start of treatment with AK104 until the first documentation of disease progression or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 30 months

  3. OS

    OS is the time from randomization to death due to any cause

    Time frame: Up to approximately 40 months

  4. Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Global Health Status Score and Physical Function Score.

    The EORTC QLQ-C30 is a questionnaire that rates the overall quality of life in cancer participants. The first 28 questions use a 4-point scale (1=not at all to 4=very much) for evaluating function (physical, role, social, cognitive, emotional), symptoms (diarrhea, fatigue, dyspnea, appetite loss, insomnia, nausea/vomiting, constipation, and pain) and financial difficulties. The last 2 questions use a 7-point scale (1=very poor to 7=excellent) to evaluate overall health and quality of life. Global scores are converted to a score of 0 to 100, with a higher score indicating improved health status. The change from baseline in EORTC QLQ-C30 score will be presented.

    Time frame: Baseline and up to approximately 40 months

  5. Number of participants with adverse events (AEs)

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Time frame: Up to approximately 40 months

07

Study locations

1 of 1 sites recruiting
  • Chongqing university Cancer Hospital
    Chongqing, CHN 400000, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05687851
Lead sponsor
Chongqing University Cancer Hospital
Collaborators
Liaoning Cancer Hospital & Institute, Henan Cancer Hospital, Fujian Cancer Hospital
Responsible party
Qi Zhou (Professor, Chongqing University Cancer Hospital) — Principal investigator
First posted
Jan 18, 2023
Start date
Dec 29, 2022
Primary completion
Dec 30, 2024 (estimated)
Completion
Dec 2026 (estimated)
Last update
Sep 19, 2024

Study contacts

Xingtao Long, MD
Contact
longxingtao2009@163.com
+8602365075619
Qi Zhou, MD
principal investigator · Chongqing University Cancer Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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