About this trial
A Phase II Study of Serplulimab Plus Chemoradiotherapy as Adjuvant Treatment for Postoperative Cervical Cancer with Multiple Risk Factors
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntarily participate in the clinical study: Fully understand and be informed about the study, and sign the informed consent form (ICF); willing to comply with and capable of completing all trial procedures.
Female aged ≥18 years and ≤65 years at the time of signing the ICF.
ECOG PS score of 0 or 1.
Positive PD-L1 status (CPS ≥1).
Disqualifiers
Patients with unresectable residual tumors.
Histologically confirmed diagnosis of cervical small cell carcinoma (neuroendocrine) or mucinous adenocarcinoma.
Patients who have previously received pelvic radiotherapy.
History of other untreated malignant tumors within the past 5 years, except for cured basal cell carcinoma of the skin or carcinoma in situ.
Trial design
Parallel
Treatments tested in this trial
Serplulimab
Drugintravenous infusion of 300 mg, administered every 3 weeks as one cycle, on the first day of each cycle, with a maximum treatment duration of 2 years (up to 35 treatment cycles)
Chemotherapy
DrugCisplatin: Administered by intravenous infusion during concurrent chemoradiotherapy at a dose of 30-40 mg/m² once weekly for only 5-6 treatment cycles; during sequential chemoradiotherapy, administered at 60-75 mg/m² on the first and second days of each cycle, once every 3 weeks (21 days) for only 4 treatment cycles. Paclitaxel: Nab-paclitaxel administered by intravenous infusion at a dose of 135-175 mg/m² on the first day of each cycle, once every 3 weeks (21 days) for only 4 treatment cycles.
radiotherapy
RadiationPelvic external beam radiation therapy at a dose of 1.8 Gy per fraction or 2 Gy per day, 5 times per week, with a total dose of 45-50 Gy.
Treatment groups
Trial outcomes
Primary outcomes
DFS
The time from the date of random assignment to the first occurrence of locoregional failure, DM, second primary tumor, or death from any cause.
Secondary outcomes
OS
The time from random assignment to death because of any cause.
RFS
The time from random assignment to death because of any recurrence.
Sponsors and contacts
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