Purpose: CpG DNAs induce cytokines, activate natural killer cells, and elicit vigorous T-cell response leading to antitumor effects. Antisense oligodeoxynucleotides targeted against the RIa subunit of protein kinase A (antisense PKA RIa) induce growth arrest, apoptosis, and differentiation in a variety of cancer cell lines in vitro and in vivo. This study investigated the use of a combinatorial therapy consisting of the RNA-DNA second-generation antisense PKA RIa and the CpG immunomer (CpG DNA linked through 3V -3Vlinkage containing two accessible 5Vends). Experimental Design: HCT-15 multidrug-resistant colon carcinoma growth in nude mice was used as an experimental model. The inhibitory effect on tumor growth and apoptotic activity of antisense RIa and CpG immunomer, singly and in combination, were measured by tumor growth, levels of RIa subunit, and antiapoptotic and proapoptotic proteins. Effect on host-immune system was measured by mouse spleen size, interleukin-6 (IL-6) levels in mouse blood, and nuclear factor-nB (NF-nB) transcription activity in mouse spleen cells. Results: In combination, CpG immunomer and antisense PKA RIa induced additive/supraadditive effect on the inhibition of tumor growth. Antisense RIabut not CpGimmunomer increased Bax and Bak proapoptotic protein levels and decreased Bcl-2 and RIa protein levels in tumor cells. CpG immunomer but not antisense RIa induced an enlargement of mouse spleen, increased IL-6 levels in mouse blood, and increased NF-nB transcription activity in mouse spleen cells. Conclusions: These results show that type IPKA down-regulation and induction of apoptosis in tumor cells by antisense PKA RIa, and host-immune stimulation by CpG immunomer are responsible at the molecular level for the supra-additive effects of tumor growth inhibition. Thus, antisense PKA RIa and CpG immunomer in combination work cooperatively and as tumor-targeted therapeutics to treat human cancer.