‘Strong’ phase 2 colorectal cancer results

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KAHR Bio has announced topline results from its phase 2a dose-expansion cohort in late-line metastatic microsatellite stable colorectal cancer (MSS-CRC).

DSP107 was evaluated in combination with atezolizumab (Tecentriq), an anti–PD-L1 therapy. The combination demonstrated favourable safety, clinical evidence of antitumour activity, and extended survival, including in patients with liver metastases.

KAHR also announced the closing of a $22m round in equity financing. The equity investment was led by Flerie AB, Peregrine Ventures, Oriella Ltd. of the Consensus Business Group, aMoon Growth Fund, and the Cancer Focus Fund, with participation from certain additional existing investors and new investors including SPRIM Global Investments. The proceeds are expected to fully fund KAHR’s randomized, controlled phase 2b trial of DSP107 in combination with atezolizumab versus fruquintinib (Fruzaqla) in fourth-line metastatic MSS-CRC.

The trial was initiated in December 2025 following the U.S. Food and Drug Administration (FDA) investigational new drug (IND) clearance. In addition to the equity financing, KAHR has entered into a $10m on-demand debt facility with SPRIM Global Investments, which the company can draw down based on eligible research and development (R&D) activity under the Australian Government’s R&D tax rebate scheme.

The topline phase 2a data demonstrated a median overall survival of 17.5 months, exceeding outcomes reported for currently approved therapies in this setting (6.4–10.8 months). Approximately 75% of enrolled patients had liver metastases, a population historically refractory to immunotherapy. Across more than 130 patients treated with DSP107 to date in a variety of solid tumours and haematological malignancies, the therapy continues to demonstrate a favourable safety and tolerability profile.

Based on the results, KAHR has initiated a randomized, controlled, multicenter phase 2b clinical trial in fourth-line metastatic, chemo-refractory MSS-CRC. The trial is expected to enrol at 18 sites across Australia and the US, with the first patient having been enrolled in December 2025. Interim results are expected in late 2026, with topline data anticipated in the second half of 2027.

Anwaar Saeed, chief of GI Oncology at the University of Pittsburgh and co-leader of the Cancer Therapeutics Program at UPMC Hillman Cancer Center, who co-led the phase 2a trial, said: “Observing efficacy with an immunotherapy approach in late line MSS-CRC patients with liver metastases is unexpected. DSP107’s mechanism is particularly suited to this setting as it utilizes CD47 overexpression on cancer cells to anchor a 4-1BB ligand to those cells, thereby attracting and activating T cells. CD47 expression increases in liver metastases following chemotherapy, creating a therapeutic window uniquely addressable by DSP107.”

“Following these compelling topline results demonstrating anti-tumour activity and meaningful survival outcomes in heavily pretreated MSS-CRC patients, including those with liver metastases, we have made MSS-CRC our primary development focus and look forward to advancing the phase 2b trial,” said Yaron Pereg, CEO of KAHR.

“We highly appreciate the continued support from our existing and new investors. Their commitment reflects confidence in the clinical potential of DSP107 and the opportunity to meaningfully improve outcomes in MSS-CRC, a disease with a significant unmet medical need, and in our team’s ability to execute as we move toward our next milestones.”

About DSP107

DSP107, KAHR Bio’s lead drug candidate, is a first-in-class, bispecific CD47×4-1BB targeting, next-generation T-cell engager. DSP107 uses tumour-expressed CD47 as an anchor, selectively binding CD47 on cancer cells while sparing red blood cells, thereby overcoming the safety challenges previously seen with other CD47-directed agents. Once bound, DSP107 converts the tumour’s immune-evasion signal into a 4-1BB co-stimulatory activation signal, recruiting and activating CD8 cytotoxic T cells and orchestrating engagement of both the innate and adaptive immune systems to generate a coordinated anti-tumour response.

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Jim Cornall is editor of Deeptech Digest and publisher at Ayr Coastal Media. He is an award-winning writer, editor, photographer, broadcaster, designer and author. Contact Jim here.