Last updated: May 17, 2026
Roughly 13,000 new cases per year in the US, ~600,000 worldwide. About 95% are HPV-associated, mostly squamous cell carcinoma (HPV-16 and HPV-18 are the dominant types). The remaining ~5% are HPV-independent and tend to behave more aggressively. The disease has a meaningful global burden in Asia-Pacific, sub-Saharan Africa, and Latin America where HPV vaccination + screening coverage is lower.
Active research areas in 2026:Standard of care (2026): Early-stage (FIGO IA–IB1): radical hysterectomy or definitive chemoradiation. Locally advanced (IB3–IVA): cisplatin-based chemoradiation + brachytherapy + pembrolizumab before/during/after chemoRT (KEYNOTE-A18). Recurrent / metastatic, first-line: pembrolizumab + paclitaxel + carboplatin or cisplatin ± bevacizumab (KEYNOTE-826). After pembrolizumab progression: tisotumab vedotin (Tivdak, FDA-approved 2024).
For FIGO stage IB3–IVA disease where chemoradiation + brachytherapy is the curative-intent treatment, now with immunotherapy additions per the 2024 KEYNOTE-A18 standard:
For untreated metastatic or recurrent disease. KEYNOTE-826 established pembrolizumab + chemo ± bevacizumab as standard; trials test what comes next:
For patients who have progressed on pembrolizumab + chemo. ADC era is the dominant theme:
Cellular therapy is emerging for cervical cancer because HPV viral antigens make these tumors uniquely targetable:
PD-1 inhibitors (pembrolizumab, cemiplimab, others) are now standard with chemo in 1L recurrent/metastatic and added to chemoRT in high-risk locally advanced disease. View all checkpoint inhibitor trials →
2026 is a major year for bispecific antibody Phase 3 readouts in cervical cancer. Cadonilimab, volrustomig, QL1706, and MEDI5752 are all PD-1/CTLA-4 bispecifics; ivonescimab is a PD-1/VEGF bispecific. View all bispecific trials →
Tisotumab vedotin (Tivdak), a tissue factor-targeted ADC, was the first FDA-approved ADC for cervical cancer (2024). Phase 3 trials now test next-generation TROP2 ADCs (sacituzumab tirumotecan / MK-2870, SKB264) and HER3 ADCs (HER3-DXd / patritumab deruxtecan). View all ADC trials →
Tumor-infiltrating lymphocyte therapy (modeled on lifileucel in melanoma) is being tested in recurrent cervical cancer. HPV-specific T-cell receptor therapy is in earlier-phase development.
Showing selected notable trials. View all 328 recruiting interventional cervical cancer trials on ClinicalTrials.gov.
How do I find cervical cancer clinical trials I'm eligible for?
Paste your medical summary into ClinTrialFinder to get AI-matched cervical cancer trials in minutes. The tool considers your FIGO stage, HPV status, histology (squamous cell vs adenocarcinoma), prior chemoradiation, and prior immunotherapy exposure.
Does HPV status affect cervical cancer treatment options?
Yes, increasingly. About 95% of cervical cancers are HPV-associated and tend to respond better to immunotherapy because HPV viral antigens make tumors more visible to the immune system. The ~5% that are HPV-independent are more aggressive and increasingly recognized as a separate prognostic group. Some 2026 trials stratify by HPV status; HPV-targeted therapies (vaccines, HPV-specific T cells) are HPV-specific by design.
What is the current standard of care for locally advanced cervical cancer?
Since KEYNOTE-A18 (2024), the standard for high-risk locally advanced disease (FIGO IB3-IVA with positive nodes or high tumor burden) is cisplatin-based chemoradiation plus brachytherapy with pembrolizumab added before, during, and after chemoRT. Multiple Phase 3 trials in 2026 test similar designs with other PD-1 inhibitors (adebrelimab) and PD-1/CTLA-4 bispecifics (cadonilimab, volrustomig).
What options exist after progression on pembrolizumab + chemo?
Tisotumab vedotin (Tivdak), a tissue factor-targeted antibody-drug conjugate, received FDA approval in 2024 and is the established post-pembrolizumab option. Phase 3 trials now test TROP2-targeted ADCs (sacituzumab tirumotecan / MK-2870) and other ADC classes in head-to-head comparisons. TIL cell therapy (GT101) is in Phase 2 for heavily-pretreated patients.
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