This phase II trial studies how well giving zanidatamab before surgery (neoadjuvant) works in treating patients with colon and rectal cancer that is human epidermal growth factor receptor 2 positive (HER2+ve) who are planned for curative intent treatment. Zanidatamab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens).
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Rate of Complete and Major Pathologic Regression (Cohort 1)
Timeframe: At time of surgical resection
Radiologic Response (Cohort 2)
Timeframe: At 6 and 12 weeks
Tumor Regression Grades (Cohort 2)
Timeframe: At time of surgical resection