Could one drug replace the standard triple therapy for rectal cancer?
NCT ID NCT05723562
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a single immunotherapy drug, dostarlimab, can effectively treat people with a specific type of advanced rectal cancer (dMMR/MSI-H) that has not been treated before. About 154 participants will receive the drug and, if their cancer completely disappears, they will be closely monitored instead of receiving the usual treatments of chemotherapy, radiation, and surgery. The goal is to see if this approach can lead to long-term remission without the need for harsh treatments.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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154 people
The number who actually took part.
- Started
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Apr 2023
- Expected to finish
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Oct 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant has histologically confirmed Stage II to III (T3-T4, N0, or T any, N+), locally advanced rectal cancer * Participant has radiologically and endoscopically evaluable disease. * Participant has a tumor which can be categorized as dMMR or MSI-H by local or central assessment Exclusion Criteria: * Participant has distant metastatic disease. * Participant has received prior radiation therapy, systemic therapy, or surgery for management of rectal cancer. * Participant has any history of interstitial lung disease or pneumonitis * Participant has experienced any of the following with prior immunotherapy: any imAE of Grade ≥3, immune-related severe neurologic events of any grade (e.g., myasthenic syndrome/myasthenia gravis, encephalitis, Guillain Barré Syndrome, or transverse myelitis), exfoliative dermatitis of any grade (Stevens-Johnson Syndrome, toxic epidermal necrolysis, or DRESS syndrome), or myocarditis of any grade. Non clinically significant laboratory abnormalities are not exclusionary. * Participant has a known additional malignancy that progressed or required active treatment within the past 2 years. Exceptions include adequately treated superficial skin cancers, superficial bladder cancers, and other in situ cancers. * Participant has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e., with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment. * Participant has a history of severe allergic and/or anaphylactic reactions to chimeric, human or humanized antibodies, fusion proteins, or has known allergies to dostarlimab or its excipients. * Has received or plans to receive an organ or stem cell transplant that uses donor stem cells (allogeneic stem cell transplant).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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GSK Investigational Site
Los Angeles, California, 90027, United States
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GSK Investigational Site
Albuquerque, New Mexico, 87131, United States
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GSK Investigational Site
New York, New York, 10022, United States
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GSK Investigational Site
Pittsburgh, Pennsylvania, 15232, United States
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GSK Investigational Site
Nashville, Tennessee, 37203, United States
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GSK Investigational Site
Dallas, Texas, 75390, United States
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GSK Investigational Site
Richmond, Virginia, 23298, United States
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GSK Investigational Site
Ottawa, Ontario, K1H 8L6, Canada
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GSK Investigational Site
Toronto, Ontario, M5G 2M9, Canada
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GSK Investigational Site
Montreal, Quebec, H2X 0C1, Canada
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GSK Investigational Site
Sherbrooke, Quebec, J1H 5N4, Canada
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GSK Investigational Site
Besançon, 25030, France
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GSK Investigational Site
Marseille, 13273, France
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GSK Investigational Site
Paris, 75012, France
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GSK Investigational Site
Pessac, 33604, France
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GSK Investigational Site
Rennes, 35000, France
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GSK Investigational Site
Berlin, 13353, Germany
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GSK Investigational Site
Dresden, 01307, Germany
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GSK Investigational Site
Düsseldorf, 40225, Germany
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GSK Investigational Site
Frankfurt, 60488, Germany
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GSK Investigational Site
München, 81377, Germany
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GSK Investigational Site
Milan, 20133, Italy
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GSK Investigational Site
Padova, 35128, Italy
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GSK Investigational Site
Roma, 00168, Italy
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GSK Investigational Site
Chiba, 277-8577, Japan
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GSK Investigational Site
Kanagawa, 232-0024, Japan
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GSK Investigational Site
Osaka, 540-0006, Japan
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GSK Investigational Site
Osaka, 565-0871, Japan
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GSK Investigational Site
Utrecht, 3584 CX, Netherlands
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GSK Investigational Site
Seoul, 05505, South Korea
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GSK Investigational Site
Seoul, 06591, South Korea
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GSK Investigational Site
Seoul, 120-752, South Korea
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GSK Investigational Site
Seoul, 135-710, South Korea
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GSK Investigational Site
Barcelona, 08035, Spain
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GSK Investigational Site
Granada, 18014, Spain
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GSK Investigational Site
Madrid, 28007, Spain
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GSK Investigational Site
Madrid, 28041, Spain
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GSK Investigational Site
Santander, 39008, Spain
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GSK Investigational Site
Valencia, 46010, Spain
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GSK Investigational Site
Leeds West Yorkshire, LS9 7TF, United Kingdom
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GSK Investigational Site
London, EC1A 7BE, United Kingdom
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GSK Investigational Site
Sutton, SM2 5PT, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Butter-Derived supplement protect the gut during cancer radiation?
- Can an immunotherapy cocktail make rectal tumors disappear before surgery?
- Could a Tumor's genes reveal who can skip chemo?
- Could cutting one amino acid make rectal cancer treatment more effective?
- Could a single drug replace surgery for rectal cancer?
- Can a targeted radiation combo boost rectal cancer remission?