Neoadjuvant pembrolizumab and porustobart for resectable MSS colon cancer
Official title: A Phase 2, Open-Label, Multicenter, Randomized Trial Evaluating the Efficacy and Safety of Different Schedules of Neoadjuvant Pembrolizumab and Porustobart in Patients With Resectable pMMR/MSS Colon Cancer
Run by Solstice Oncology, Inc. · NCT07808151 · Data updated 2026-11-12
This trial tests whether giving pembrolizumab with porustobart before surgery can shrink MSS colon cancer and improve outcomes, comparing one versus two doses of porustobart.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Solstice Oncology, Inc. Industry-sponsored |
| Drugs / interventions | pembrolizumab |
| Locations | 30 sites (Los Angeles, California and 29 other locations) |
| Status | Recruiting |
| Started | September 30, 2026 |
| Main results expected | September 30, 2029 |
| Study ends | September 30, 2029 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT07808151 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with resectable pMMR/MSS adenocarcinoma of the colon who are candidates for surgery and have adequate organ function.
✕Probably not a fit
Patients who do not respond to immune therapy or cannot tolerate the treatment may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 2 trial investigates using two immune therapies before surgery for adults with resectable pMMR/MSS colon cancer. All participants receive pembrolizumab, with one group getting a single porustobart dose on day 1 and the other group receiving doses on day 1 and day 22. The study aims to measure how well the treatment reduces tumor burden prior to surgery and to monitor safety and side effects. Participants will receive intravenous therapy on specified days, undergo standard pre-surgical assessments, and have surgery about 6–9 weeks after starting treatment. Outcomes will compare efficacy and safety between the two dosing schedules.
Why it matters
Potential benefit: If successful, the regimen could increase tumor response before surgery and potentially improve long-term outcomes for resectable MSS colon cancer.
How similar studies have gone: Immune checkpoint inhibitors plus chemotherapy or targeted agents have shown activity in colorectal cancer, but combining pembrolizumab with porustobart in this neoadjuvant MSS setting is novel/less established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: ≥18 years of age at consent Adenocarcinoma of the colon (rectosigmoid considered non-rectal); pMMR/MSS status Any T3 or T4, N any, M0; disease amenable to surgical resection ECOG Performance Status 0-1 Adequate tumor tissue sample with associated pathology report Adequate hematologic, hepatic, and renal function Reproductive status/contraception requirements per protocol Exclusion Criteria: Investigational agent within 3 weeks of first dose Imminent or urgent need for surgery Prior treatment with ICIs targeting CTLA-4, PD-1, or PD-L1 Systemic corticosteroid/immunosuppressive therapy within 1 week of first dose (exceptions apply) History of severe hypersensitivity to a fully human mAb; interstitial lung disease; pneumonitis requiring corticosteroids Active or history of autoimmune disease requiring systemic treatment within 2 years Major surgery within 4 weeks of first dose; active infection requiring treatment
Where it's running
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Los Angeles, California, United States Recruiting -
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Cleveland, Ohio, United States Recruiting -
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Seattle, Washington, United States Recruiting -
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Tampa, Florida, United States Not yet recruiting -
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Chicago, Illinois, United States Not yet recruiting -
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Baltimore, Maryland, United States Not yet recruiting
Show 24 more locations
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Boston, Massachusetts, United States Not yet recruiting -
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New York, New York, United States Not yet recruiting -
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New York, New York, United States Not yet recruiting -
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New York, New York, United States Not yet recruiting -
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Nashville, Tennessee, United States Not yet recruiting -
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Anderlecht, Belgium Not yet recruiting -
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Bonheiden, Belgium Not yet recruiting -
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Ghent, Belgium Not yet recruiting -
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Leuven, Belgium Not yet recruiting -
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Liège, Belgium Not yet recruiting -
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Ostend, Belgium Not yet recruiting -
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Woluwe-Saint-Lambert, Belgium Not yet recruiting -
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Milan, Italy Not yet recruiting -
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Naples, Italy Not yet recruiting -
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Pisa, Italy Not yet recruiting -
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Amsterdam, Netherlands Not yet recruiting -
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Barcelona, Spain Not yet recruiting -
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L'Hospitalet de Llobregat, Spain Not yet recruiting -
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Madrid, Spain Not yet recruiting -
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Aberdeen, United Kingdom Not yet recruiting -
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Cardiff, United Kingdom Not yet recruiting -
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Glasgow, United Kingdom Not yet recruiting -
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Leeds, United Kingdom Not yet recruiting -
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London, United Kingdom Not yet recruiting
Study contacts
- Study coordinator: Medical Monitor
- Email: SOL1-201@solsticeoncology.com
- Phone: 617-982-2331
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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.