Cervical Cancer (CC)

Cervical cancer is a gynecologic malignancy that develops in the cells of the cervix and is most commonly associated with persistent infection with high-risk strains of human papillomavirus (HPV). It is one of the most common cancers affecting women worldwide, with hundreds of thousands of new cases diagnosed each year. Despite advances in screening, vaccination, and treatment, advanced and recurrent cervical cancer continue to represent areas of significant unmet medical need, particularly for patients whose disease progresses following standard therapies.

— Disease Biology

Understanding Cervical Cancer

Most cervical cancers are caused by persistent HPV infection, which can lead to abnormal cellular changes over time. The two primary types of cervical cancer are:

Squamous Cell Carcinoma — the most common subtype, arising from the thin, flat cells lining the outer cervix.

Adenocarcinoma — a less common subtype that develops from glandular cells within the cervical canal.

Biomarker Note:
Biomarkers such as PD-L1 expression may play an important role in determining eligibility for immunotherapy-based treatment approaches in certain patients with advanced disease.
— Clinical Presentation

Signs & Symptoms

Common signs and symptoms of cervical cancer can vary depending on the stage and
extent of disease. In many cases, early-stage cervical cancer may develop slowly and without obvious symptoms, while more advanced disease can lead to increasingly persistent or progressive symptoms affecting the pelvic region and surrounding organs.

One of the most common warning signs is abnormal vaginal bleeding, which may occur between menstrual periods, after sexual intercourse, after menopause, or as heavier or longer-lasting menstrual bleeding. Women may also experience unusual vaginal discharge that can appear watery, pink, brown, or blood-tinged and may sometimes have a strong or unpleasant odor.

Pelvic pain or pressure is another frequently reported symptom and may present as a persistent ache or discomfort in the lower abdomen or pelvis. Some women may also experience pain during intercourse (dyspareunia), which can result from inflammation or involvement of cervical tissues.

As the disease progresses, cervical cancer can sometimes affect nearby structures, leading to symptoms such as lower back pain, changes in urination or bowel habits, urinary urgency or frequency, or swelling in one or both legs due to impaired lymphatic or vascular drainage.

Systemic symptoms such as fatigue, weakness, decreased appetite, and unintended weight loss may occur in more advanced stages of disease.

However, many women with early cervical cancer may not experience noticeable symptoms at all, underscoring the critical importance of routine gynecologic care, Pap testing, and HPV screening for early detection and improved outcomes.
— Prevention & Risk

Risk Factors

We advance innovative therapeutic programs through focused development strategies, global collaboration, and a commitment to better treatment options for patients worldwide with serious unmet medical needs.
01
Persistent high-risk HPV infection
02
Smoking
03
Weakened immune system
04
Lack of routine cervical screening
05
Long-term oral contraceptive use
06
Family history of cervical cancer
— Treatment Landscape

Current Treatment Approaches

— Immunotherapy

Why Immunotherapy?

Cancer cells can sometimes evade detection by the immune system through immune checkpoint pathways such as PD-1/PD-L1 signaling. Anti-PD-1 therapies are designed to help restore the immune system’s ability to recognize and attack cancer cells.

Immunotherapy has emerged as an important treatment approach for certain patients with advanced cervical cancer, particularly in tumors expressing PD-L1.

— The Science Behind It

The PD-1/PD-L1 checkpoint pathway is one of the primary mechanisms through which tumors suppress immune activity. By blocking this interaction, anti-PD-1 monoclonal antibodies reinvigorate T-cell responses against tumor cells, enabling the immune system to mount a more effective anti-cancer attack.

For patients with advanced or recurrent cervical cancer following standard therapies, immunotherapy-based approaches represent an important avenue of continued treatment — particularly in PD-L1 expressing tumors.

Treatment for cervical cancer is personalized based on the stage of disease, tumor characteristics, and patient factors.

SURGERY
Surgical options may be used in early-stage cervical cancer.
Examples include conization, hysterectomy, and lymph node removal.
RADIATION THERAPY
Radiation uses high-energy beams to target and kill cancer cells.
Often used with chemotherapy in locally advanced disease.
CHEMOTHERAPY
Chemotherapy uses drugs to kill cancer cells or stop their growth.
Commonly used with radiation or for advanced or recurrent cervical cancer.
IMMUNOTHERAPY
Immunotherapy helps the immune system recognize and attack cancer cells.
PD-1/PD-L1 inhibitors are approved for recurrent or metastatic cervical cancer.
TARGETED THERAPIES
Targeted therapies focus on specific molecules involved in cancer growth.
Investigational and approved options are being evaluated in clinical studies.
A multidisciplinary approach—including gynecologic oncologists, medical oncologists, radiation oncologists, pathologists, and supportive care teams—ensures personalized care for each patient.
— Liferna Program

Liferna is evaluating an investigational anti-PD-1 monoclonal antibody for the treatment of multiple solid tumors, including cervical cancer.

The program is being explored as part of Liferna’s broader immuno-oncology strategy focused on advancing therapies designed to enhance anti-tumor immune responses.