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OncoMatch/Clinical Trials/NCT04165772

Study of Induction PD-1 Blockade in Subjects With Locally Advanced Mismatch Repair Deficient Solid Tumors

Is NCT04165772 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies multiple treatments including TSR-042 or Dostarlimab and capecitabine or 5-FU for rectal adenocarcinoma.

Phase 2RecruitingMemorial Sloan Kettering Cancer CenterNCT04165772Data as of Sep 2026

Treatment: TSR-042 or Dostarlimab · capecitabine or 5-FUThe purpose of this study is to find out whether the study drug, TSR-042, followed by standard chemoradiotherapy (the chemotherapy drug capecitabine + radiation therapy) and standard surgery is an effective treatment for advanced dMMR solid tumors. The study will also look at the safety of the study drug.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

capecitabine or 5-FU

Other

TSR-042 or Dostarlimab

Cancer type

Colorectal Cancer

Tumor Agnostic

Biomarker criteria

Required: MLH1 loss

Tumor specimen that demonstrates mismatch repair deficiency by Immunohistochemistry

Required: MSH2 loss

Tumor specimen that demonstrates mismatch repair deficiency by Immunohistochemistry

Required: MSH6 loss

Tumor specimen that demonstrates mismatch repair deficiency by Immunohistochemistry

Required: PMS2 loss

Tumor specimen that demonstrates mismatch repair deficiency by Immunohistochemistry

Disease stage

Required: Stage III, FIGO 2009 STAGE I, FIGO 2009 STAGE II (other)

Excluded: Stage IV

Histologically confirmed locally advanced solid tumor (Cohorts 1 & 2); Endometrial cancer that is clinically FIGO 2009 Stage I or II (Cohort 3); No evidence of distant metastases

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: radiation therapy

Exception: Cohort 3: prior hormonal therapy for endometrial hyperplasia and/or endometrial cancer allowed if discontinued ≥1 week before first dose

Prior radiation therapy, chemotherapy, or surgery for tumor

Cannot have received: chemotherapy

Exception: Cohort 3: prior hormonal therapy for endometrial hyperplasia and/or endometrial cancer allowed if discontinued ≥1 week before first dose

Prior radiation therapy, chemotherapy, or surgery for tumor

Cannot have received: surgery for tumor

Exception: Cohort 3: prior hormonal therapy for endometrial hyperplasia and/or endometrial cancer allowed if discontinued ≥1 week before first dose

Prior radiation therapy, chemotherapy, or surgery for tumor

Cannot have received: antibody or drug targeting T-cell co-stimulation or checkpoint pathways

Cohort 1 & 3: Received prior therapy with an antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥1,500 /mcL; Platelets ≥100,000 / mcL; Hemoglobin >9 g/dL or ≥5.6 mmol/L

Kidney function

Serum creatinine ≤1.5 × ULN OR Measured or calculated creatinine clearance (GFR can also be used in place of creatinine or CrCl) ≥60 mL/min for subject with creatinine levels > 1.5 × institutional ULN

Liver function

Serum total bilirubin ≤ 1.5 × ULN OR Direct bilirubin ≤ ULN for subjects with total bilirubin levels > 1.5 ULN; AST (SGOT) and ALT (SGPT) ≤ 2.5 × ULN

Cardiac function

QTcF ≤ 450 msec, or ≤ 480 msec for participants with bundle branch block

Demonstrate adequate organ function as defined below within 14 days of Cycle 1, Day 1: Hematological: ANC ≥1,500 /mcL; Platelets ≥100,000 / mcL; Hemoglobin >9 g/dL or ≥5.6 mmol/L. Renal: Serum creatinine ≤1.5 × ULN OR Measured or calculated creatinine clearance (GFR can also be used in place of creatinine or CrCl) ≥60 mL/min for subject with creatinine levels > 1.5 × institutional ULN. Hepatic: Serum total bilirubin ≤ 1.5 × ULN OR Direct bilirubin ≤ ULN for subjects with total bilirubin levels > 1.5 ULN; AST (SGOT) and ALT (SGPT) ≤ 2.5 × ULN. Cardiac: QTcF ≤ 450 msec, or ≤ 480 msec for participants with bundle branch block.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Hartford Healthcare (Data Collection) · Hartford, Connecticut
  • Baptist Alliance MCI (Data Collection Only) · Miami, Florida
  • Memorial Sloan Kettering Basking Ridge - Limited Protocol Activities · Basking Ridge, New Jersey
  • Memorial Sloan Kettering Monmouth - Limited Protocol Activities · Middletown, New Jersey
  • Memorial Sloan Kettering Bergen - Limited Protocol Activities · Montvale, New Jersey

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See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT04165772 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require MLH1?

Yes, MLH1 loss is a required biomarker for enrollment.

Does this trial require MSH2?

Yes, MSH2 loss is a required biomarker for enrollment.

Does this trial require MSH6?

Yes, MSH6 loss is a required biomarker for enrollment.

What disease stage is eligible?

Stage III or FIGO 2009 STAGE I or FIGO 2009 STAGE II is required.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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