DSP107 plus atezolizumab versus fruquintinib for advanced colorectal cancer
Official title: A Randomized, Open-label, Phase 2b Study to Compare the Efficacy of DSP107 in Combination With Atezolizumab Versus Fruquintinib in Patients With Advanced Microsatellite Stable Colorectal Cancer
Run by Kahr Medical · NCT07235293 · Data updated 2026-11-12
This test will see if giving DSP107 together with atezolizumab works better and is as safe as fruquintinib for adults with advanced microsatellite-stable colorectal cancer who have already tried standard treatments.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Kahr Medical Industry-sponsored |
| Drugs / interventions | atezolizumab, fruquintinib, bevacizumab |
| Locations | 18 sites (Aurora, Colorado and 17 other locations) |
| Status | Recruiting |
| Started | January 16, 2026 |
| Main results expected | September 30, 2026 |
| Study ends | April 30, 2027 |
| Registry record updated | August 20, 2026 |
| Trial ID | NCT07235293 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with histologically confirmed inoperable MSS or pMMR colorectal cancer, measurable disease, and progression or intolerance after standard therapies (up to three prior lines) who have not received fruquintinib or regorafenib are the intended candidates.
✕Probably not a fit
Patients with MSI-high tumors, active autoimmune disease, unresolved grade 2+ toxicities from prior therapy, recent other malignancies, or prior fruquintinib/regorafenib exposure are unlikely to benefit or are ineligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2b, randomized, open-label, multicenter study enrolls adults with advanced MSS or pMMR colorectal cancer who have progressed on or are intolerant to standard therapies. Participants are randomized 1:1 to receive DSP107 plus atezolizumab on a 28-day cycle or oral fruquintinib on days 1–21 of each 28-day cycle, with treatment continued until progression or unacceptable toxicity. The trial will measure tumor response by RECIST v1.1, safety and tolerability, and pharmacokinetics, with regular imaging and safety assessments. Enrollment occurs at several U.S. academic centers and excludes prior treatment with fruquintinib or regorafenib.
Why it matters
Potential benefit: If successful, the combination could improve tumor response and extend disease control for people with MSS colorectal cancer who have limited treatment options.
How similar studies have gone: Previous efforts to make checkpoint inhibitors effective in MSS colorectal cancer have shown limited success, so this specific DSP107 plus atezolizumab approach is relatively novel with limited prior proof-of-concept.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Are ≥ 18 years of age with a life expectancy of \> 3 months. 2. Participants with histologically confirmed, inoperable, MSS and/or pMMR CRC which has progressed to, or is intolerant to, specified therapies (and has received prior treatment with no more than 3 lines of therapy). 3. Measurable disease per RECIST v1.1. Exclusion Criteria: 1. Central nervous system (CNS) metastases unless stable 2 months post definitive therapy with steroids. 2. Unresolved AEs of Grade 2 or higher from prior anticancer therapy. 3. Past or current history of autoimmune disease or immune deficiency. 4. History of other malignancy within 3 years of first study treatment cycle. 5. Current or recent treatment with certain therapies including specified anticancer treatments, modulators of CYP3A4 and immunomodulating therapies (prior treatment with CPIs is not exclusory). 6. Known allergy or hypersensitivity to any of the test compounds, materials, or contraindication to test product. 7. Clinically significant abnormal laboratory safety tests.
Where it's running
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University of Colorado Hospital- Anschutz Cancer Center Pavillion (ACP)
Aurora, Colorado, United States Recruiting -
University of Colorado Cancer Center - Highlands Ranch Hospital
Highlands Ranch, Colorado, United States Recruiting -
Mayo Clinic
Florida City, Florida, United States Recruiting -
Duke University Medical Center - Duke Cancer Center
Durham, North Carolina, United States Recruiting -
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, United States Recruiting -
The University of Texas MD Anderson Cancer Center
Texas City, Texas, United States Recruiting
Show 12 more locations
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The Queen Elizabeth Hospital
Woodville, Adelaide, Australia Recruiting -
Chris O'brien Lifehouse
Camperdown, New South Wales, Australia Recruiting -
Port Macquarie Base Hospital (Mid North Coast Cancer Institute), Wrights Road,
Port Macquarie, New South Wales, Australia Recruiting -
Westmead Hospital
Westmead, New South Wales, Australia Recruiting -
Icon Cancer Centre
South Brisbane, Queensland, Australia Recruiting -
Flinders Medical Centre SA
Bedford Park, South Australia, Australia Recruiting -
Monash Health
Clayton, Victoria, Australia Recruiting -
Footscray Hospital - Western Health
Footscray, Victoria, Australia Recruiting -
Austin Health
Heidelberg, Victoria, Australia Recruiting -
Alfred Hospital
Melbourne, Victoria, Australia Recruiting -
Sunshine Hospital - Western Health
Saint Albans, Victoria, Australia Recruiting -
Sir Charles Gairdner Hospital
Nedlands, Western Australia, Australia Recruiting
Study contacts
- Study coordinator: Adam Foley Comer
- Email: adam@kahrbio.com
- Phone: +972 54 749 1753
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Monitoring Fruzaqla treatment in adults with metastatic colorectal cancer in South Korea
This project will track side effects, including serious ones, in adults in South Korea who are being treated with Fruzaqla (fruquintinib) for metastatic colorectal cancer.
-
Fruquintinib plus FOLFIRI for second-line metastatic colorectal cancer
This study will test whether adding fruquintinib to FOLFIRI helps people with metastatic colorectal cancer who progressed after first-line FOLFOX plus bevacizumab.
-
Fruquintinib with or without TAS-102 for refractory metastatic colorectal cancer
This trial tests whether adding TAS-102 (Lonsurf) to fruquintinib helps people with microsatellite-stable, advanced or metastatic colorectal cancer that no longer responds to standard chemotherapy.
-
Combination treatment for metastatic colorectal cancer patients
This study is testing if adding Atezolizumab to the usual treatment for patients with advanced colorectal cancer can help them live longer without their cancer getting worse.
-
Evaluating fruquintinib's safety in minority groups with advanced colorectal cancer
This study is testing if fruquintinib is safe for Black and Hispanic adults with advanced colorectal cancer who have already had treatment.
-
Combining fruquintinib with HAI-FOLFOX for treating refractory colorectal cancer
This study tests whether combining a new drug called fruquintinib with a specific chemotherapy method can help people with colorectal cancer that hasn't responded to other treatments live longer and feel better.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.