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Jemperli (dostarlimab-gxly) approved in US as first and only immunotherapy for adults with MSI-H/dMMR locally advanced rectal cancer

$GSKPress releaseOct 19, 2026, 6:18 PM ETRead the release

The FDA approved GSK's Jemperli (dostarlimab-gxly) as the first and only immunotherapy for adults with stage II/III MSI-H/dMMR locally advanced rectal cancer under the accelerated approval pathway. The approval is based on the phase II AZUR-1 trial, where 68% of evaluable patients achieved a sustained clinical complete response at 12 months by investigator assessment, with no disease recurrences reported among responders after a median follow-up of more than two years. Jemperli monotherapy could allow eligible patients to avoid chemotherapy, radiation and surgery, though the indication is limited to the 5-10% of rectal cancers that are MSI-H/dMMR.

Key figures

Drug Name
Jemperli (dostarlimab-gxly)
Phase Of Trial
Phase II
Trial name
AZUR-1
Approval pathway
accelerated approval
Median follow up
more than two years
Biomarker prevalence
5-10% of rectal cancers
Discontinuation rate
3%
C CR12 independent review
47% (54/116)
Serious adverse reactions
20%
C CR12 investigator assessed
68% (98/144)
No evidence of cancer 1yr plus
76% (110/144)

AI analysis

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