CClinicalTrials.gg
RecruitingNCT05855200Updated Jan 23, 2026

Study of Perioperative Dostarlimab in Participants With Untreated T4N0 or Stage III dMMR/MSI-H Resectable Colon Cancer

A Phase 3 interventional study of Dostarlimab and CAPEOX in Colonic Neoplasms and Neoplasms, Colon, sponsored by GlaxoSmithKline. Recruiting at 266 sites in 28 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-23.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
892
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to evaluate the efficacy of perioperative dostarlimab compared with standard of care (SOC) in participants with untreated T4N0 or Stage III (resectable), defective mismatch repair/ microsatellite instability high (dMMR/MSI-H) colon cancer.

02

Conditions studied

  • Colonic Neoplasms
  • Neoplasms, Colon

Browse trials for

Keywords

  • JEMPERLI
  • Dostarlimab
  • dostarlimab-gxly
  • TSR-042
  • GSK4057190A
  • FOLFOX
  • CAPEOX
  • Colon Cancer
  • Resectable colon cancer
  • dMMR/MSI
  • Perioperative
  • Neoadjuvant
  • Adjuvant
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Has untreated pathologically confirmed colon adenocarcinoma
  • Has resectable colon adenocarcinoma defined as clinically T4N0 or Stage III
  • Has radiologically evaluable disease
  • Has a tumor demonstrating the presence of either dMMR status or MSI-H

Exclusion criteria

Exclusion Criteria:

  • Has distant metastatic disease.
  • Has received prior medical therapy (chemotherapy, immunotherapy, biologic, or targeted therapy), radiation therapy or surgery for management of the current diagnosis of colon cancer
  • Has a tumor that, in the investigator's judgment is causing symptomatic bowel obstruction or otherwise requires urgent/emergent surgery at the time of screening. Participants with a history of colonic obstruction are eligible after obstruction is relieved by a diverting stoma (defunctioning ileostomy or colostomy). Patients with a history of colonic obstruction in the context of current colon cancer diagnosis and treated with colonic stents are not eligible.
  • Has undergone any major surgical procedure, open biopsy, or experienced significant traumatic injury within 28 days prior to randomization
  • Has any history of interstitial lung disease or pneumonitis and/or history of radiation induced enteritis.
  • Has cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal/gastric varices, or persistent jaundice
  • Has a history of allogenic stem cell transplantation or organ transplantation
  • Is receiving any other anticancer or experimental therapy. No other experimental therapies (including but not limited to chemotherapy, radiation, hormonal treatment, antibody therapy, immunotherapy, gene therapy, vaccine therapy, or other experimental drugs) of any kind are permitted while the participant is receiving study intervention
  • Is pregnant, breastfeeding, or expecting to conceive children within the projected duration of the study
  • Has a history of severe allergic and/or anaphylactic reactions to chimeric, human or humanized antibodies, fusion proteins, or known allergies to dostarlimab, or its excipients, or any components of FOLFOX or CAPEOX
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
892 participants (estimated)

Study arms

  • Experimental
    Dostarlimab

    Participants will receive Dostarlimab pre and post surgery

    Biological: Dostarlimab

  • Active comparator
    Standard of Care (SOC)

    Participants will receive SOC (FOLFOX/CAPEOX) or undergo expectant observation post surgery.

    Drug: CAPEOX · Drug: FOLFOX

Interventions

  • BiologicalDostarlimab

    Dostarlimab will be administered.

  • DrugCAPEOX

    CAPEOX will be administered.

  • DrugFOLFOX

    FOLFOX will be administered.

05

What researchers measure

Primary outcomes

  1. Event-free Survival (EFS) Assessed by Blinded Independent Central Review (BICR)

    EFS is defined as the time from randomization to either disease recurrence or death due to any cause or treatment related toxicity that results in the participant not being suitable for surgery

    Time frame: Up to approximately 5 years

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as time from randomization to death from any cause

    Time frame: Up to approximately 5 years

  2. Number of Participants with Pathological Response

    Pathological response will be categorized as a complete pathologic response, major pathologic response, partial pathologic response, or negligible pathologic response.

    Time frame: Up to approximately 5 years

  3. Event-free Survival (EFS) assessed by local assessment

    EFS is defined as the time from randomization to either disease recurrence or death due to any cause or treatment related toxicity that results in the participant not being suitable for surgery

    Time frame: Up to approximately 5 years

  4. Number of Participants with treatment emergent adverse events (AEs), serious adverse events (SAEs), Immune-mediated Adverse Event (imAEs), AEs leading to death and AEs leading to discontinuation of study treatment

    Time frame: Up to approximately 5 years

  5. Number of Participants with AEs and SAEs by Severity

    Time frame: Up to approximately 5 years

  6. Serum Concentration of Dostarlimab

    Time frame: Predose and End of Infusion (EoI) of Cycle 1 and EoI of Cycle 2 to Cycle 10 (each cycle is of 21 days)

  7. Serum Concentration of Dostarlimab at End of Infusion (C-EoI)

    Time frame: End of Infusion (EoI) of Cycle 1 to Cycle 10 (each cycle is of 21 days)

  8. Serum Predose trough concentration (Ctrough) of Dostarlimab

    Time frame: Predose of Cycle 1 to Cycle 10 (each cycle is of 21 days)

  9. Number of Participants with Anti-Drug Antibodies against Dostarlimab

    Time frame: Up to approximately 5 years

06

Study locations

229 of 266 sites recruiting
  • GSK Investigational Site
    Tucson, Arizona 85715, United States
    Recruiting
  • GSK Investigational Site
    Los Angeles, California 90027, United States
    Recruiting
  • GSK Investigational Site
    New Haven, Connecticut 06520, United States
    Recruiting
  • GSK Investigational Site
    Washington D.C., District of Columbia 20010, United States
    Withdrawn
  • GSK Investigational Site
    Deerfield Beach, Florida 33064, United States
    Withdrawn
  • GSK Investigational Site
    Fort Lauderdale, Florida 33316, United States
    Withdrawn
  • GSK Investigational Site
    Marietta, Georgia 30060, United States
    Withdrawn
  • GSK Investigational Site
    Chicago, Illinois 60611, United States
    Recruiting
  • GSK Investigational Site
    Chicago, Illinois 60612, United States
    Recruiting
  • GSK Investigational Site
    Chicago, Illinois 60637, United States
    Withdrawn
  • GSK Investigational Site
    Naperville, Illinois 60126, United States
    Recruiting
  • GSK Investigational Site
    Naperville, Illinois 60540, United States
    Recruiting
  • GSK Investigational Site
    Westwood, Kansas 66205, United States
    Recruiting
  • GSK Investigational Site
    Lexington, Kentucky 40503, United States
    Withdrawn
  • GSK Investigational Site
    Louisville, Kentucky 40206, United States
    Withdrawn
  • GSK Investigational Site
    Baton Rouge, Louisiana 70809, United States
    Withdrawn
  • GSK Investigational Site
    Bethesda, Maryland 20817, United States
    Recruiting
  • GSK Investigational Site
    Ann Arbor, Michigan 48109, United States
    Withdrawn
  • GSK Investigational Site
    Detroit, Michigan 48202, United States
    Recruiting
  • GSK Investigational Site
    Minneapolis, Minnesota 55455, United States
    Recruiting
  • GSK Investigational Site
    Joplin, Missouri 64804, United States
    Withdrawn
  • GSK Investigational Site
    St Louis, Missouri 63128, United States
    Withdrawn
  • GSK Investigational Site
    St Louis, Missouri 63141, United States
    Withdrawn
  • GSK Investigational Site
    Grand Island, Nebraska 68803, United States
    Recruiting
  • GSK Investigational Site
    Omaha, Nebraska 68130, United States
    Recruiting
  • GSK Investigational Site
    Omaha, Nebraska 68198, United States
    Withdrawn
  • GSK Investigational Site
    Lebanon, New Hampshire 03756, United States
    Withdrawn
  • GSK Investigational Site
    New York, New York 10028, United States
    Recruiting
  • GSK Investigational Site
    New York, New York 10469, United States
    Recruiting
  • GSK Investigational Site
    New York, New York 11042, United States
    Recruiting
  • GSK Investigational Site
    New York, New York 11967, United States
    Recruiting
  • GSK Investigational Site
    The Bronx, New York 10461, United States
    Recruiting
  • GSK Investigational Site
    Durham, North Carolina 27710, United States
    Recruiting
  • GSK Investigational Site
    Akron, Ohio 44304, United States
    Recruiting
  • GSK Investigational Site
    Cincinnati, Ohio 45220, United States
    Recruiting
  • GSK Investigational Site
    Cleveland, Ohio 44111, United States
    Withdrawn
  • GSK Investigational Site
    Cleveland, Ohio 44142, United States
    Withdrawn
  • GSK Investigational Site
    Cleveland, Ohio 44196, United States
    Withdrawn
  • GSK Investigational Site
    Oklahoma City, Oklahoma 73104, United States
    Withdrawn
  • GSK Investigational Site
    Oklahoma City, Oklahoma 73120, United States
    Withdrawn
  • GSK Investigational Site
    Pittsburgh, Pennsylvania 15212, United States
    Withdrawn
  • GSK Investigational Site
    Sioux Falls, South Dakota 57078, United States
    Recruiting
  • GSK Investigational Site
    Sioux Falls, South Dakota 57105, United States
    Recruiting
  • GSK Investigational Site
    Sioux Falls, South Dakota 57401, United States
    Recruiting
  • GSK Investigational Site
    Sioux Falls, South Dakota 57501, United States
    Recruiting
  • GSK Investigational Site
    Dallas, Texas 75235, United States
    Withdrawn
  • GSK Investigational Site
    Dallas, Texas 75390, United States
    Completed
  • GSK Investigational Site
    Richmond, Virginia 23229, United States
    Recruiting
  • GSK Investigational Site
    Appleton, Wisconsin 54911, United States
    Recruiting
  • GSK Investigational Site
    Buenos Aires, 1093, Argentina
    Recruiting
  • GSK Investigational Site
    Buenos Aires, C1180AAX, Argentina
    Recruiting
  • GSK Investigational Site
    Buenos Aires, C1181ACH, Argentina
    Recruiting
  • GSK Investigational Site
    Capital Federal, C1426ANZ, Argentina
    Recruiting
  • GSK Investigational Site
    Ciudad Autonoma de Buenos Aire, C1431FWO, Argentina
    Completed
  • GSK Investigational Site
    Córdoba, 5000, Argentina
    Recruiting
  • GSK Investigational Site
    Mar del Plata, 7600, Argentina
    Recruiting
  • GSK Investigational Site
    Rosario, S2002, Argentina
    Recruiting
  • GSK Investigational Site
    San Miguel de Tucumán, T4000IHE, Argentina
    Recruiting
  • GSK Investigational Site
    Santa Fe, S3000FUJ, Argentina
    Recruiting
  • GSK Investigational Site
    Newcastle, New South Wales 2298, Australia
    Recruiting
  • GSK Investigational Site
    St Leonards, New South Wales 2065, Australia
    Withdrawn
  • GSK Investigational Site
    Woolangabba, Queensland 4102, Australia
    Recruiting
  • GSK Investigational Site
    Heidelberg, Victoria 3084, Australia
    Recruiting
  • GSK Investigational Site
    Melbourne, Victoria 3004, Australia
    Withdrawn
  • GSK Investigational Site
    Aalst, 9300, Belgium
    Recruiting
  • GSK Investigational Site
    Brussels, 1070, Belgium
    Recruiting
  • GSK Investigational Site
    Brussels, 1200, Belgium
    Recruiting
  • GSK Investigational Site
    Edegem, 2650, Belgium
    Recruiting
  • GSK Investigational Site
    Ghent, 9000, Belgium
    Recruiting
  • GSK Investigational Site
    Leuven, 3000, Belgium
    Recruiting
  • GSK Investigational Site
    Liège, 4000, Belgium
    Recruiting
  • GSK Investigational Site
    Roeselare, 8800, Belgium
    Recruiting
  • GSK Investigational Site
    Barretos, 14784-400, Brazil
    Recruiting
  • GSK Investigational Site
    Belém, 66.073-005, Brazil
    Recruiting
  • GSK Investigational Site
    Campo Grande, 79002-061, Brazil
    Recruiting
  • GSK Investigational Site
    Lages, 88501-001, Brazil
    Recruiting
  • GSK Investigational Site
    Natal, 59075-740, Brazil
    Recruiting
  • GSK Investigational Site
    Porto Alegre, 90610-000, Brazil
    Recruiting
  • GSK Investigational Site
    Salvador, 40414-120, Brazil
    Recruiting
  • GSK Investigational Site
    São José do Rio Preto, 15090-000, Brazil
    Recruiting
  • GSK Investigational Site
    São Paulo, 01509-010, Brazil
    Recruiting
  • GSK Investigational Site
    São Paulo, 04312903, Brazil
    Recruiting
  • GSK Investigational Site
    Teresina, 64049-200, Brazil
    Recruiting
  • GSK Investigational Site
    Vitória, 29043-260, Brazil
    Recruiting
  • GSK Investigational Site
    Edmonton, Alberta T6G 1Z2, Canada
    Withdrawn
  • GSK Investigational Site
    Halifax, Nova Scotia B3H 1V7, Canada
    Recruiting
  • GSK Investigational Site
    Ottawa, Ontario K1H 8L6, Canada
    Recruiting
  • GSK Investigational Site
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • GSK Investigational Site
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • GSK Investigational Site
    Beijing, 100036, China
    Recruiting
  • GSK Investigational Site
    Beijing, 100083, China
    Recruiting
  • GSK Investigational Site
    Beijing, 100730, China
    Recruiting
  • GSK Investigational Site
    Changchun, 130021, China
    Recruiting
  • GSK Investigational Site
    Changsha, 410013, China
    Recruiting
  • GSK Investigational Site
    Chengdu, 610041, China
    Recruiting
  • GSK Investigational Site
    Chongqing, 400042, China
    Recruiting
  • GSK Investigational Site
    Chongqing, 400042, China
    Recruiting
  • GSK Investigational Site
    Guangzhou, 510060, China
    Recruiting
  • GSK Investigational Site
    Guangzhou, 510655, China
    Recruiting
  • GSK Investigational Site
    Hangzhou, 310016, China
    Recruiting

Showing the first 100 of 266 sites across 28 countries.

07

References and documents

Publications

  • Starling N, Elez E, Strickler JH, Benson A, Oki E, Mendez G, Ferreiro R, Lau YL, Kawazoe A, Tian M, Campbell N, Cohen DN, Edwards K, Stjepanovic N, Seligmann JF. A Phase III study of perioperative dostarlimab in patients with dMMR/MSI-H resectable colon cancer: AZUR-2 study design. Future Oncol. 2026 Jan;22(2):137-145. doi: 10.1080/14796694.2025.2606910. Epub 2026 Jan 6. PubMed 41492912 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/

Supporting information: Study protocol, Sap, Icf, Csr

08

Registry details

Key details

Study ID
NCT05855200
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 11, 2023
Start date
Aug 1, 2023
Primary completion
Mar 19, 2029 (estimated)
Completion
Mar 27, 2031 (estimated)
Last update
Jan 23, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466
GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion