A Study of Dostarlimab in Untreated dMMR/MSI-H Locally Advanced Rectal Cancer

NCT ID: NCT05723562

Last Updated: 2025-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-03

Study Completion Date

2029-10-11

Brief Summary

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The purpose of this study is to investigate dostarlimab monotherapy in participants with locally advanced Mismatch-repair deficient (dMMR)/Microsatellite instability-high (MSI-H) rectal cancer who have received no prior treatment. Participants who achieve complete clinical response (cCR) following dostarlimab treatment will undergo non-operative management (NOM), including close surveillance for recurrent disease. The goal of the study is to determine if Dostarlimab therapy alone is an effective treatment that can allow participants to avoid chemotherapy, radiation, and surgery.

Detailed Description

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Conditions

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Neoplasms, Rectal

Keywords

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JEMPERLI dostarlimab-gxly GSK4057190 Stage II/III rectal cancer Neoadjuvant dMMR MSI-H

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dostarlimab monotherapy

Group Type EXPERIMENTAL

Dostarlimab

Intervention Type BIOLOGICAL

Dostarlimab will be administered.

Interventions

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Dostarlimab

Dostarlimab will be administered.

Intervention Type BIOLOGICAL

Other Intervention Names

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JEMPERLI dostarlimab-gxly TSR-042 GSK4057190

Eligibility Criteria

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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).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Los Angeles, California, United States

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Albuquerque, New Mexico, United States

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New York, New York, United States

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Pittsburgh, Pennsylvania, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Richmond, Virginia, United States

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Besançon, , France

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Marseille, , France

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Paris, , France

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Pessac, , France

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Rennes, , France

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Berlin, , Germany

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Dresden, , Germany

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Düsseldorf, , Germany

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Frankfurt, , Germany

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München, , Germany

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Milan, , Italy

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Padua, , Italy

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Roma, , Italy

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Chiba, , Japan

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Kanagawa, , Japan

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Osaka, , Japan

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Osaka, , Japan

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Utrecht, , Netherlands

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Barcelona, , Spain

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Granada, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Santander, , Spain

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Valencia, , Spain

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Leeds West Yorkshire, , United Kingdom

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London, , United Kingdom

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GSK Investigational Site

Sutton, , United Kingdom

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Countries

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United States Canada France Germany Italy Japan Netherlands South Korea Spain United Kingdom

Other Identifiers

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2022-003289-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

219369

Identifier Type: -

Identifier Source: org_study_id