Colorectal cancer (CRC) represents the third cause of cancer-related mortalities worldwide. The progression of CRC to the metastatic phase significantly compromises the overall survival rates. Despite the advances in the therapeutic protocols, CRC treatment is still challenging. Cancer immunotherapy joined the ranks of surgery, chemotherapy, radiotherapy and targeted therapy as the fifth pillar in the foundation of cancer therapeutics. Interruption of the immunosuppressive signals within the tumor microenvironment and reactivation of antitumor immunity via targeting the molecular immune checkpoints generated promising therapeutic outcomes in several types of hard-to-treat cancers. The year 2017 witnessed the first US Food and Drug Administration (FDA) approval of immune checkpoint inhibitor (ICI) immunotherapy for the management of CRC. The approval was granted to pembrolizumab (anti-PD-1) for the treatment of patients with advanced/metastatic solid malignancies with mismatch-repair deficiency including CRCs. Such natively immunogenic tumors constitute only a minor percentage of all CRCs. Therefore, it is imperative to utilize novel combinatorial regimens to enhance the response of a wider range of CRC tumors to cancer immunotherapy and help in extending the survival rates in patients with advanced/metastatic disease. This review highlights the novel approaches under clinical development to overcome the resistance of CRCs to immunotherapy and improve the therapeutic outcomes. K E Y W O R D S clinical trials, colon cancer, immune checkpoint inhibitors, immunotherapy 1 | INTRODUCTION Colorectal cancer (CRC) is ranked as the third cause of cancer death worldwide. 1 The progression to the metastatic stage cuts down the overall survival rate to 10%. 2 Advances in treatment options for the metastatic stage of the disease only extended the median overall survival from 18 to 30 months. 2,3 Therefore, it is imperative to find better therapeutic strategies for patients with advanced/metastatic CRC. Cancer Immunotherapy is considered the fifth pillar for cancer therapy that proved effectiveness in the management of several types of hard-to-treat cancers. 4,5 Clinical testing of programmed cell death receptor (PD)-1 mAb in patients with metastatic CRC demonstrated promising outcomes with progression-free survival rates of 78% and 11% in mismatch-repair-deficient (dMMR) vs mismatch-repairproficient (pMMR) tumors. 6,7 It is noteworthy that dMMR or microsatellite unstable (MSI) CRC tumors represent only a small percentage