Could keytruda before surgery boost colorectal cancer outcomes?

NCT ID NCT03984578

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested whether giving the immunotherapy drug pembrolizumab (Keytruda) along with chemotherapy before surgery can help shrink colorectal tumors and improve immune response. Thirty-three patients with non-metastatic colorectal cancer received the drugs, then had surgery. Researchers measured changes in tumor immune activity and shrinkage to see if this approach might be beneficial.

What this could mean

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

Active substance

Pembrolizumab (Keytruda) and chemotherapy (CAPEOX or capecitabine/5-FU with radiation)

What this could lead to

If successful, this approach could improve tumor shrinkage and immune response before surgery, potentially leading to better outcomes for colorectal cancer patients.

What could go wrong

This is a small, early-phase study (33 participants) focused on biological markers, not survival. Results may not apply to all patients, and side effects from chemo and immunotherapy can be serious.

Disclaimer Read more

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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Conditions

The condition(s) this trial relates to.

colorectal adenocarcinoma colorectal cancer colorectal neoplasm

As listed by the trial registrant

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

Contacts and locations

Locations

  • National Cancer Centre Singapore

    Singapore, 168583, Singapore

  • Sengkang General Hospital

    Singapore, 544886, Singapore

  • Singapore General Hospital

    Singapore, 169608, Singapore