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This combination therapy is an investigational regimen being evaluated for the treatment of recurrent or metastatic cervical cancer, particularly in patients who have progressed on prior anti-PD-(L)1 therapy. The regimen consists of QL1706, a bifunctional MabPair biologic developed by Qilu Pharmaceutical that combines the anti-PD-1 monoclonal antibody iparomlimab and the anti-CTLA-4 monoclonal antibody tuvonralimab in a fixed 2:1 ratio. This immunotherapy is combined with nab-paclitaxel (an albumin-bound nanoparticle formulation of paclitaxel) and bevacizumab (an anti-VEGF monoclonal antibody). The therapeutic strategy aims to overcome resistance to single-agent checkpoint inhibition by simultaneously targeting the PD-1 and CTLA-4 pathways while utilizing the cytotoxic effects of chemotherapy and the anti-angiogenic properties of bevacizumab to enhance anti-tumor activity.
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