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OncoMatch/Clinical Trials/NCT06368141

Neoadjuvant Chemotherapy Plus Sequential Immune Checkpoint Inhibitor (ICI) Therapy in Locally Advanced Colon Cancer

Is NCT06368141 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Serplulimab and Capecitabine for colon cancer.

Phase 2RecruitingRuijin HospitalNCT06368141Data as of May 2026

Treatment: Serplulimab · Capecitabine · OxaliplatinThe goal of this clinical trial is to learn the effect of neoadjuvant chemotherapy plus sequential immune checkpoint inhibitor (ICI) therapy in locally advanced colon cancer. The main questions it aims to answer are: * Does this neoadjuvant chemotherapy increase the pathologic complete response (pCR) of locally advanced colon cancer? * Does this neoadjuvant chemotherapy improve the long-term survival of locally advanced colon cancer? Participants will receive: * a pre-operative CAPEOX (capecitabine oral + oxaliplatin i.v.)regimen. * a sequential CAPEOX plus Serplulimab regimen. * a standard complete mesocolic excision (CME) operation.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: MMR microsatellite stable

MSS/RAS mutation patients

Required: KRAS mutation

MSS/RAS mutation patients

Required: NRAS mutation

MSS/RAS mutation patients

Disease stage

Required: Stage T3N1-2, T4N0-2

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

Cannot have received: surgery

Cannot have received: chemotherapy

Cannot have received: immunotherapy

Cannot have received: molecular targeted therapy

Cannot have received: other clinical research drugs

Cannot have received: immune checkpoint inhibitor

Lab requirements

Blood counts

Absolute value of neutrophils ≥ 1.5 × 10^9/L, platelet ≥ 100 × 10^9/L, hemoglobin concentration ≥ 9g/dL

Kidney function

serum creatinine ≤ 1.5 × ULN, or creatinine clearance rate (CCr) ≥ 60ml/min

Liver function

bilirubin ≤ 1.5 × ULN; aspartate transaminase and glutamate transaminase ≤ 2.5 × ULN; if there is liver metastasis, AST and ALT ≤ 5 × ULN

Cardiac function

Left ventricular ejection fraction <50% detected by echocardiography excluded; III-IV cardiac insufficiency according to NYHA standard excluded

Sufficient organ and bone marrow function confirmed by laboratory examinations within 7 days prior to the first use of the study medication, without severe hematopoietic abnormalities, heart, lung, liver, kidney dysfunction, and immune deficiency

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

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