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NOT YET RECRUITING
NCT07381777
PHASE2

XELOX Plus DoSTARlimab Versus XELOX Alone as Consolidation Treatment After Standard Chemoradiation in pMMR/MSS or MSI-Low Locally Advanced Rectal Cancer (LARC) Patients

Sponsor: Gruppo Oncologico Italiano di Ricerca Clinica

View on ClinicalTrials.gov

Summary

This is a phase II, multicenter, randomized (2:1) controlled, clinical trial to evaluate the preliminary efficacy and safety of consolidation chemotherapy (XELOX) plus dostarlimab after standard long-course CRT (ARM A) compared to XELOX alone (ARM B) in patients with pMMR/MSS or MSI-Low LARC (cT3-4 cN0, any cT cN+) candidate to receive standard long course CRT followed by TME. After the surgery, the patients in ARM A will be randomized (1:1) to receive adjuvant dostarlimab (ARM A1) versus follow-up (ARM A2), and in ARM B only follow-up. If clinical complete responses (cCR) are documented after consolidation treatment, the patient may choose not to proceed with surgery and pursue nonoperative management (NOM).

Official title: Phase II Randomized Trial of XELOX Plus DoSTARlimab Versus XELOX Alone as Consolidation Treatment After Standard Chemoradiation in pMMR/MSS or MSI-Low Locally Advanced Rectal Cancer (LARC) Patients - IMMUNOSTAR Trial GOIRC-02-2024

Key Details

Gender

All

Age Range

Any - Any

Study Type

INTERVENTIONAL

Enrollment

270

Start Date

2026-01-31

Completion Date

2030-12-31

Last Updated

2026-02-02

Healthy Volunteers

No

Interventions

DRUG

XELOX (Capecitabine and Oxaliplatin)

Capecitabine 1000mg/m2 BID + Oxaliplatin 130mg/m2 Q3W

DRUG

Dostarlimab

Dostarlimab IV 500mg Q3W

Locations (30)

Ospedale San Donato - UOC Oncologia Medica dell'Aretino, Casentino, Valtiberina, Valdichiana Aretina

Arezzo, Italy

Oncologia medica e prevenzione oncologica - Centro di Riferimento Oncologico

Aviano, Italy

UOC Oncologia Medica IRCCS Azienda Ospedaliero-Universitaria di Bologna

Bologna, Italy

Oncologia Medica Fondazione Poliambulanza Istituto Ospedaliero

Brescia, Italy

UOC Oncologia Medica - ARNAS Garibaldi PO Nesima

Catania, Italy

A.O. Oncologia S. Croce e Carle - presidio Ospedaliero A. Carle

Cuneo, Italy

AOUC Azienda Ospedaliero - Universitaria Careggi Oncologia Medica

Florence, Italy

U.O. Oncologia Medica 1 IRCCS Ospedale Policlinico San Martino

Genova, Italy

S.C. Oncologia Medica, Ospedale Felettino

La Spezia, Italy

IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"

Meldola (FC), Italy

Oncologia Falck - ASST Grande Ospedale Metropolitano Niguarda

Milan, Italy

Struttura Complessa Oncologia Medica 1 - Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy

AOU di Modena - Policlinico di Modena - DH Oncologico

Modena, Italy

Oncologia Clinica Sperimentale Addome Istituto Nazionale Tumori - IRCCS Fondazione G. Pascale

Naples, Italy

UOC Di Oncologia Medica AOU Federico II

Naples, Italy

UOC Oncoematologia AOU Vanvitelli

Naples, Italy

UOC Oncologia 1 - Ospedale Busonera - IRCCS Istituto Oncologico Veneto

Padova, Italy

UOC Oncologia Medica Azienda Ospedaliero Universitaria di Parma

Parma, Italy

SC Oncologia, Fondazione IRCCS Policlinico S. Matteo

Pavia, Italy

Oncologia Medica 2 Universitaria

Pisa, Italy

UOC Oncologia Ravenna Dipartimento di Oncologia ed Ematologia - AUSL Romagna

Ravenna, Italy

SOC di Oncologia Provinciale, AUSL IRCCS di Reggio Emilia

Reggio Emilia, Italy

Fondazione Policlinico Universitario Campus Bio-Medico

Roma, Italy

Oncologia Medica - Policlinico Universitario Gemelli IRCCS

Roma, Italy

IRCCS Istituto clinico humanitas

Rozzano, Italy

Oncologia Ricerca Clinica - IRCCS Casa Sollievo della Sofferenza

San Giovanni Rotondo, Italy

U.O. C. di Oncologia Medica - OSPEDALE CIVILE SS ANNUNZIATA

Sassari, Italy

Oncologia Medica 1, A.O.U. Città della Salute e della Scienza di Torino Ospedale Molinette

Torino, Italy

SOC Oncologia Azienda sanitaria Universitaria Friuli Centrale - P.O. S. Maria della Misericordia

Udine, Italy

ASST Brianza

Vimercate, Italy