Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT05239546

Single Arm Study of Neoadjuvant Dostarlimab in Stage II and III Deficient Mismatch Repair Colon Cancers

Led by University of Iowa · Updated on 2025-05-25

25

Participants Needed

1

Research Sites

327 weeks

Total Duration

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AI-Summary

What this Trial Is About

This is a Phase II, single arm study looking at the rate of major clinical response and non-operative management in Stage II and III colon cancer after 18 weeks (up to 6 cycles) of neoadjuvant dostarlimab.

CONDITIONS

Official Title

Single Arm Study of Neoadjuvant Dostarlimab in Stage II and III Deficient Mismatch Repair Colon Cancers

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Able to understand and follow study procedures and provide informed consent (or have a representative consent if mild cognitive impairment).
  • 18 years or older.
  • Biopsy confirmed dMMR Stage II or III colon cancer suitable for surgical removal.
  • Biopsy tissue available for specific immune marker testing or willing to have repeat biopsy.
  • Willing to delay surgery if study treatment shows response.
  • ECOG performance status of 0 or 1.
  • No metastatic disease on recent CT scan.
  • Adequate blood counts: neutrophils ≥1,500/µL, platelets ≥100,000/µL, hemoglobin ≥9 g/dL.
  • Kidney and liver function within specified limits.
  • For those who can become pregnant, negative pregnancy test and agreement to use contraception during and after treatment.
  • For males, use of contraception during and after treatment.
Not Eligible

You will not qualify if you...

  • More than one primary tumor present.
  • Bowel obstruction, perforation, or severe bleeding needing urgent surgery or transfusion.
  • Tumors classified as Clinical T4b.
  • Allergy to dostarlimab or its components.
  • Major surgery within 3 weeks before starting treatment.
  • Recent use of investigational therapies.
  • Active or severe bleeding from tumor requiring surgery.
  • Other active cancers within past two years.
  • Uncontrolled illnesses such as infections, heart conditions, or psychiatric issues.
  • Active autoimmune diseases treated systemically in past 2 years.
  • Immunodeficiency or recent immunosuppressive therapy.
  • Severe immune-related side effects from prior immunotherapy.
  • HIV infection with recent opportunistic infections.
  • Organ transplant recipients.
  • Active hepatitis B or untreated hepatitis C infections.
  • History of interstitial lung disease.
  • Recent live vaccine within 30 days.
  • Insufficient biopsy tissue for testing.
  • Severe cognitive impairment.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States, 52242

Actively Recruiting

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Research Team

S

Saima Sharif, MD, MS

CONTACT

A

Alisha Demsky

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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