Could immunotherapy spare some colon cancer patients from surgery?
NCT ID NCT07409844
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests giving an immunotherapy drug (pembrolizumab) before surgery to people with a specific type of colon cancer (dMMR). The goal is to see if the drug can shrink or eliminate the tumor so some patients may avoid surgery and instead be closely monitored. About 152 adults with stage I to III dMMR colon cancer will join this phase 2 trial across 13 hospitals in Denmark.
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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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About 152 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 years 2. Written informed consent 3. Clinical UICC stage I-III dMMR colon carcinoma 4. Indication for elective curative-intent surgery 5. ECOG status 0-2 Exclusion Criteria: 1. Patients deemed to be non-surgical candidates by MDT 2. Patients with a need for emergent surgery due to tumour obstruction 3. Contraindications to pembrolizumab, including allergy and hypersensitivity reactions, assessed by the study investigator(s) 4. Any serious or uncontrolled medical disorder, including other malignant disease, that may increase the risk associated with participation or drug administration. 5. Patients with colonic stents Additional Circumstances: In the following circumstances, eligibility will be individually verified: * Synchronous colonic tumours (may be included if other lesions are biopsy-verified with dMMR status) * Concurrent tumours (e.g., patients with prostate cancer may be included if this does not hinder their other cancer treatment or assessments of efficacy) In the following circumstance patients may be excluded from the PROMs outcomes: * Danish language skills insufficient to answer PROMs * Unable to use eBoks
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Zealand University Hospital
Køge, 4600, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can precision radiation and immunotherapy team up against abdominal colorectal cancer?
- Can a Three-Dose immunotherapy cure early lung cancer without surgery?
- MRI 'Fingerprint' may reveal which head and neck tumors vanish with Pre-Surgery therapy
- A new tool aims to demystify immunotherapy for advanced cancer patients
- Can a Dual-Drug combo shrink lung tumors before surgery?
- Can adding radiation at the right time boost immunotherapy for aggressive lung cancer?