Gut microbes and immune therapy for common colorectal cancer

Microbiome-Mediated Tumor Immunomodulation in a Pathomimetic Colorectal Cancer Chip

NIH-funded research Cleveland Clinic Lerner Com-Cwru · NIH-11291342

This project tests whether a patient’s own gut microbes can change immune proteins in common colorectal tumors to help immune-based treatments work better.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionCleveland Clinic Lerner Com-Cwru NIH-funded
Lab location1 site (Cleveland, United States)
Project IDNIH-11291342 on NIH RePORTER

What this research studies

You would provide tumor tissue or allow use of tumor-adjacent tissue so researchers can grow patient-derived organoids on a 3D colorectal cancer “chip” that mimics the gut environment. Scientists will add specific gut bacteria to these organoids and measure how the bacteria change immune checkpoint proteins on the tumor. By comparing many patient samples, they aim to map which tumor-microbiome interactions make tumors more or less likely to respond to immune therapies. The team plans to develop a personalized workflow to guide ways of boosting immune therapy for patients whose tumors usually do not respond.

Who could benefit from this research

Good fit: Ideal candidates are people with mismatch repair–proficient, microsatellite-stable (MMR‑proficient/MSS) colorectal cancer who can provide tumor or surgical biopsy tissue for organoid and microbiome testing.

Not a fit: People whose tumors are already immunotherapy-responsive (e.g., mismatch repair–deficient/MSI‑high) or patients unable or unwilling to provide tumor tissue are unlikely to benefit directly from this project.

Why it matters

Potential benefit: If successful, this work could point to ways to make immune therapies effective for patients with the common, treatment-resistant form of colorectal cancer.

How similar studies have performed: Previous clinical and translational studies have linked the gut microbiome to immunotherapy responses in other cancers, but using patient-derived organoids on a pathomimetic chip to define mechanisms in MSS colorectal cancer is a novel, less-tested approach.

Where this research is happening

Cleveland, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.