Immunotherapy before Chemo-Radiation shows promise for Hard-to-Treat cancers

NCT ID NCT04165772

First seen Jan 24, 2026 · Last updated Jun 21, 2026 · Updated 27 times

Summary

This phase II trial is testing whether giving the PD-1 blocker TSR-042 (dostarlimab) before standard chemoradiation and surgery can improve outcomes for people with advanced mismatch repair deficient (dMMR) solid tumors. The study will enroll 212 adults with locally advanced rectal cancer or other dMMR tumors. The main goal is to see how many patients have a complete response (no cancer detectable) after 12 months.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-••••

Locations

  • Baptist Alliance MCI (Data Collection Only)

    RECRUITING

    Miami, Florida, 33143, United States

    Contact Phone: •••-•••-••••

  • Hartford Healthcare (Data Collection)

    RECRUITING

    Hartford, Connecticut, 06102, United States

    Contact Phone: •••-•••-••••

  • Lehigh Valley Health Network (Data Collection Only)

    RECRUITING

    Allentown, Pennsylvania, 18103, United States

    Contact Phone: •••-•••-••••

  • Memorial Sloan Kettering Basking Ridge - Limited Protocol Activities

    RECRUITING

    Basking Ridge, New Jersey, 07920, United States

    Contact Phone: •••-•••-••••

    Contact

  • Memorial Sloan Kettering Bergen - Limited Protocol Activities

    RECRUITING

    Montvale, New Jersey, 07645, United States

    Contact Phone: •••-•••-••••

  • Memorial Sloan Kettering Cancer Center

    RECRUITING

    New York, New York, 10065, United States

    Contact Phone: •••-•••-••••

    Contact

    Contact Phone: •••-•••-••••

  • Memorial Sloan Kettering Commack - Limited Protocol Activities

    RECRUITING

    Commack, New York, 11725, United States

    Contact

    Contact Phone: •••-•••-••••

  • Memorial Sloan Kettering Monmouth - Limited Protocol Activities

    RECRUITING

    Middletown, New Jersey, 07748, United States

    Contact Phone: •••-•••-••••

  • Memorial Sloan Kettering Nassau - Limited Protocol Activities

    RECRUITING

    Uniondale, New York, 11553, United States

    Contact Phone: •••-•••-••••

  • Memorial Sloan Kettering Westchester - Limited Protocol Activities

    RECRUITING

    Harrison, New York, 10604, United States

    Contact Phone: •••-•••-••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Dostarlimab (TSR-042) plus capecitabine or 5-FU chemotherapy and radiation therapy

What this could lead to

If successful, this could offer a way to shrink or eliminate advanced dMMR tumors before surgery, potentially reducing the need for more aggressive treatments.

What could go wrong

This is a mid-stage trial with a moderate number of participants. The combination of immunotherapy, chemotherapy, and radiation may cause significant side effects, and not all patients may respond.

Conditions

The condition(s) this trial relates to.

endometrial cancer rectal neoplasm rectum adenocarcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.