Past present and future of radiosensitization in cervical cancer
By
Olivia N. Julian
Isabella Velarde
Sunil J. Advani
Jyoti Mayadev
Ramez N. Eskander
June 19, 2026
Objective: To explore the current state and future directions of radiosensitization strategies in the treatment of locally advanced cervical cancer (LACC).
Approach: Key Findings: Cisplatin has been the standard radiosensitizer for LACC since the 1990s, despite advancements in radiation techniques. ADCs and ICIs have improved survival rates in metastatic cervical cancer but require further study in LACC. Current clinical trials of DNA damage response inhibitors have not shown effective tumor control and may increase normal tissue damage. Interpretation: Multimodal ADC-radio-immunotherapy may offer a beneficial approach for LACC, warranting further investigation.
Limitations: Lack of clinical trials studying ADCs and ICIs specifically in the LACC population. Previous trials of DNA damage response inhibitors have not yielded positive outcomes. Conclusion: The integration of novel therapies with existing treatment modalities may enhance outcomes for patients with locally advanced cervical cancer.