MelanomaPhase 3NCT05933577
A Clinical Study of Intismeran Autogene (V940) Plus Pembrolizumab in People With High-Risk Melanoma (V940-001)
A Phase 3 study testing Intismeran autogene and Pembrolizumab in people with Melanoma, run by Merck Sharp & Dohme LLC at 165 sites in 26 countries.
Trial summary
The purpose of this study is to learn if intismeran autogene which is an individualized neoantigen therapy (INT; formerly, called messenger ribonucleic acid [mRNA]-4157) with pembrolizumab (MK-3475) is safe and prevents cancer from returning in people with high-risk melanoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Intismeran autogene and Pembrolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,089 participants
- Where
- 165 sitesin 26 countries
- Study dates
- 19 Jul 2023to 26 Sep 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The main inclusion criteria include but are not limited to the following:
- Has surgically resected and histologically/pathologically confirmed diagnosis of Stage IIB or IIC, III, or IV cutaneous melanoma
- Has not received any prior systemic therapy for their melanoma beyond surgical resection
- No more than 13 weeks have passed between final surgical resection that rendered the participant disease-free and the first dose of pembrolizumab
- Is disease free at the time of providing documented consent for the study
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on anti-retroviral therapy (ART)
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- Has ocular or mucosal melanoma
- Has cancer that has spread to other parts of the body and cannot be removed with surgery
- Has heart failure within the past 6 months
- Has received prior cancer therapy or another cancer vaccine
- Has another known cancer that that has spread to other parts of the body or has required treatment within the past 3 years
- Has severe reaction to study medications or any of their substance used to prepare a drug
- Have not recovered from major surgery or have ongoing surgical complications
Trial locations and contacts
165 sites in 26 countries.
165 sites in 26 countries
United States34 sites
University of Michigan ( Site 1915)
Ann Arbor, Michigan, 48109
Winship Cancer Institute of Emory University ( Site 1940)
Atlanta, Georgia, 30322
Texas Oncology - Austin ( Site 1903)
Austin, Texas, 78731
Johns Hopkins Hospital-Sidney Kimmel Comprehensive Cancer Center - Melanoma ( Site 1912)
Baltimore, Maryland, 21287
Massachusetts General Hospital ( Site 1927)
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center ( Site 1957)
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute ( Site 1956)
Boston, Massachusetts, 02215
University of North Carolina Medical Center-Lineberger Comprehensive Cancer Center ( Site 1949)
Chapel Hill, North Carolina, 27599
Medical University of South Carolina-Hollings Cancer Center ( Site 1934)
Charleston, South Carolina, 29425
Texas Oncology - Dallas (Sammons) ( Site 1902)
Dallas, Texas, 75246
Duke Cancer Institute ( Site 1911)
Durham, North Carolina, 27710
Inova Schar Cancer Institute ( Site 1900)
Fairfax, Virginia, 22031
Cancer and Hematology Centers of Western Michigan ( Site 1932)
Grand Rapids, Michigan, 49503
John Theurer Cancer Center at Hackensack University Medical Center ( Site 1944)
Hackensack, New Jersey, 07601
University of Texas MD Anderson Cancer Center ( Site 1920)
Houston, Texas, 77030
University of Iowa-Holden Comprehensive Cancer Center ( Site 1935)
Iowa City, Iowa, 52242
UCLA Hematology/Oncology - Westwood (Building 100) ( Site 1918)
Los Angeles, California, 90095
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital ( Site 1950)
Marietta, Georgia, 30060
Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 1958)
Mineola, New York, 11501
Atlantic Health System ( Site 1925)
Morristown, New Jersey, 07960
SCRI Oncology Partners ( Site 1910)
Nashville, Tennessee, 37203
Yale-New Haven Hospital-Yale Cancer Center ( Site 1933)
New Haven, Connecticut, 06510
NYU Langone Health-Perlmutter Cancer Center ( Site 1917)
New York, New York, 10016
Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 1908)
New York, New York, 10032
Memorial Sloan Kettering Cancer Center ( Site 1914)
New York, New York, 10065
Orlando Health Cancer Institute ( Site 1937)
Orlando, Florida, 32806
Hospital of the University of Pennsylvania Perelman Center for Advanced Medicine ( Site 1905)
Philadelphia, Pennsylvania, 19104
UPMC Hillman Cancer Center ( Site 1909)
Pittsburgh, Pennsylvania, 15232
Valley Health Systems - Ridgewood Campus ( Site 1947)
Ridgewood, New Jersey, 07450
UCSF Medical Center at Mission Bay ( Site 1929)
San Francisco, California, 94158
Fred Hutchinson Cancer Center ( Site 1901)
Seattle, Washington, 98109
Sanford Cancer Center ( Site 1951)
Sioux Falls, South Dakota, 57104
Highlands Oncology Group ( Site 1943)
Springdale, Arkansas, 72762
Moffitt Cancer Center, Richard M. Shulze Family Foundation Outpatient Center ( Site 1945)
Tampa, Florida, 33612
Germany12 sites
Universitaetsklinikum Augsburg ( Site 1312)
Augsburg, Bavaria, 86156
Charité Universitaetsmedizin Berlin - Campus Mitte-Hauttumorcentrum Charité (HTCC) ( Site 1302)
Berlin, 10115
Universitaetsklinikum Koeln ( Site 1307)
Cologne, North Rhine-Westphalia, 50937
Universitaetsklinikum Essen-Klinik für Dermatologie, Venerologie und Allergologie ( Site 1300)
Essen, North Rhine-Westphalia, 45147
SRH Wald-Klinikum Gera-Zentrum für klinische Studien ( Site 1306)
Gera, Thuringia, 07548
Universitätsmedizin Göttingen - Georg-August-Universität-Dermatology ( Site 1308)
Göttingen, Lower Saxony, 37075
Universitaetsklinikum Hamburg-Eppendorf ( Site 1309)
Hamburg, 20246
Universitaetsklinikum des Saarlandes ( Site 1313)
Homburg, Saarland, 66424
Universitätsmedizin Mannheim ( Site 1305)
Mannheim, Baden-Wurttemberg, 68167
Johannes Wesling Klinikum Minden-Skin Cancer Center Minden ( Site 1301)
Minden, North Rhine-Westphalia, 32429
Klinik und Poliklinik für Dermatologie und Allergologie-Dermato-oncology ( Site 1315)
München, Bavaria, 80337
Universitätsmedizin Rostock-Klinik und Poliklinik für Dermatologie und Venerologie ( Site 1310)
Rostock, Mecklenburg-Vorpommern, 18057
France11 sites
CHU d'Amiens-Picardie - Hôpital Sud-Dermatologie ( Site 1208)
Amiens, Somme, 80054
CHU Besançon ( Site 1209)
Besançon, Doubs, 25030
CHU de Bordeaux Hop St ANDRE-Service de Dermatologie ( Site 1204)
Bordeaux, Gironde, 33075
Centre Georges François Leclerc ( Site 1210)
Dijon, Cote-d Or, 21079
Hopital Claude Huriez - CHU de Lille ( Site 1207)
Lille, Nord, 59037
Assistance Publique Hôpitaux de Marseille - Hôpital de la Ti-Service de Dermatologie et Cancérologi ( Site 1203)
Marseille, Bouches-du-Rhone, 13385
Centre Hospitalier Universitaire de Nice - Hôpital l'Archet-Dermatology Department ( Site 1211)
Nice, Alpes-Maritimes, 06200
Hôpital Saint-Louis ( Site 1200)
Paris, 75010
centre hospitalier lyon sud-Service de dermatologie ( Site 1202)
Pierre-Bénite, Rhone, 69310
Centre Eugène Marquis Rennes - Centre de Lutte Contre le Cancer ( Site 1206)
Rennes, Ille-et-Vilaine, 35042
Gustave Roussy-Dermatologie ( Site 1201)
Villejuif, Val-de-Marne, 94800
Poland9 sites
Bialostockie Centrum Onkologii ( Site 2905)
Bialystok, Podlaskie Voivodeship, 15-027
Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 2908)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Uniwersyteckie Centrum Kliniczne-Klinika Chirurgii Onkologicznej, Transplantacyjnej i Ogólnej ( Site 2906)
Gdansk, Pomeranian Voivodeship, 80-214
Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 2907)
Gliwice, Silesian Voivodeship, 44-101
Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zakl-Klinika Onkologii Klinicznej, Dzial Ch ( Site 2902)
Kielce, Świętokrzyskie Voivodeship, 25-734
Uniwersytecki Szpital Kliniczny w Poznaniu ( Site 2909)
Poznan, Greater Poland Voivodeship, 60-569
Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 2903)
Siedlce, Masovian Voivodeship, 08-110
Zachodniopomorskie Centrum Onkologii ( Site 2904)
Szczecin, West Pomeranian Voivodeship, 71-730
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 2900)
Warsaw, Masovian Voivodeship, 02-781
United Kingdom9 sites
Bristol Haematology and Oncology Centre ( Site 1811)
Bristol, Bristol, City of, BS2 8ED
Addenbrooke's Hospital ( Site 1800)
Cambridge, Cambridgeshire, CB2 2QQ
Norfolk and Norwich University Hospitals NHS Foundation Trust ( Site 1813)
Cringleford, England, NR4 7UY
Western General Hospital ( Site 1806)
Edinburgh, Midlothian, EH4 2XU
St James's University Hospital-Leeds Cancer Centre ( Site 1808)
Leeds, LS9 7TF
University College London Hospital ( Site 1807)
London, London, City of, NW1 2PG
ROYAL MARSDEN HOSPITAL (CHELSEA) ( Site 1804)
London, London, City of, SW3 6JJ
The Christie NHS Foundation Trust ( Site 1814)
Manchester, m20 4bx
The Churchill Hospital ( Site 1805)
Oxford, Oxfordshire, OX3 7LE
Canada7 sites
William Osler Health System ( Site 1105)
Brampton, Ontario, L6R 3J7
Cross Cancer Institute ( Site 1104)
Edmonton, Alberta, T6G 1Z2
Centre Hospitalier de l'Université de Montréal-Unité de Recherche Clinique en Oncologie et Hématolo ( Site 1100)
Montreal, Quebec, H2X 0X9
Centre intégré de cancérologie du CHU de Québec Université L-Hemato-Oncology ( Site 1101)
Québec, Quebec, G1J 1Z4
Sunnybrook Research Institute ( Site 1103)
Toronto, Ontario, M4N 3M5
Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 1102)
Toronto, Ontario, M5G 2M9
BC Cancer Vancouver-Clinical Trials Unit ( Site 1106)
Vancouver, British Columbia, V5Z 4E6
Turkey (Türkiye)7 sites
Hacettepe Universite Hastaneleri ( Site 3006)
Ankara, 06230
Memorial Ankara Hastanesi-Medical Oncology ( Site 3010)
Ankara, 06520
Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 3002)
Ankara, 06800
Acibadem Universitesi Atakent Hastanesi-Medical Oncology ( Site 3008)
Istanbul, 34303
TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 3003)
Istanbul, 34722
Ege University Medical Faculty Hospital ( Site 3011)
Izmir, 35100
I.E.U. Medical Point Hastanesi-Oncology ( Site 3005)
Izmir, 35575
Argentina6 sites
Instituto Alexander Fleming-Alexander Fleming ( Site 2203)
Buenos Aires, Buenos Aires F.D., 1426ANZ
Hospital Aleman ( Site 2200)
Buenos Aires, C1118AAT
Sanatorio Finochietto ( Site 2205)
Buenos Aires, C1187AAN
Clinica Adventista Belgrano-Oncology ( Site 2204)
Caba., Buenos Aires, C1430EGF
Hospital Italiano de Buenos Aires-Clinical Oncology ( Site 2202)
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1199ABB
Centro Privado de RMI Río Cuarto S.A. II ( Site 2201)
Río Cuarto, Córdoba Province, X5800ALB
Australia6 sites
Princess Alexandra Hospital ( Site 1003)
Brisbane, Queensland, 4102
Peter MacCallum Cancer Centre-Parkville Cancer Clinical Trials Unit (PCCTU) ( Site 1005)
Melbourne, Victoria, 3000
Paula Fox Melanoma & Cancer Centre ( Site 1004)
Melbourne, Victoria, 3004
One Clinical Research ( Site 1002)
Nedlands, Western Australia, 6009
Westmead Hospital ( Site 1001)
Westmead, New South Wales, 2145
Melanoma Institute Australia-Clinical Trials Unit ( Site 1000)
Wollstonecraft, New South Wales, 2065
Spain6 sites
HOSPITAL CLÍNIC DE BARCELONA-ICHMO- Clinic Institut of Haematological and Oncological diseases ( Site 1600)
Barcelona, Catalonia, 08036
Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1601)
Barcelona, 08035
Hospital Universitario Ramón y Cajal ( Site 1602)
Madrid, Madrid, Comunidad de, 28034
H.R.U Málaga - Hospital General-Oncology ( Site 1605)
Málaga, Malaga, 29011
HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID ( Site 1603)
Pozuelo de Alarcón, Madrid, 28223
HOSPITAL CLINICO DE VALENCIA ( Site 1604)
Valencia, Valenciana, Comunitat, 46010
Belgium5 sites
UZ Brussel-Medische oncologie ( Site 3405)
Brussels, Bruxelles-Capitale, Region de, 1090
Ziekenhuis Oost-Limburg, Campus St.-Jan ( Site 3402)
Genk, Limburg, 3600
UZ Gent ( Site 3403)
Ghent, Oost-Vlaanderen, 9000
AZ Groeninge Campus Kennedylaan-Oncology ( Site 3401)
Kortrijk, West-Vlaanderen, 8500
UZ Leuven ( Site 3400)
Leuven, Vlaams-Brabant, 3000
Brazil5 sites
Centro Avançado de Tratamento Oncológico- CENANTRON ( Site 2303)
Belo Horizonte, Minas Gerais, 30130-090
ONCOSITE - Centro de Pesquisa Clinica em Oncologia ( Site 2302)
Ijuí, Rio Grande do Sul, 98700-000
Hospital Nossa Senhora da Conceição ( Site 2309)
Porto Alegre, Rio Grande do Sul, 91350-200
Instituto Nacional de Câncer - INCA-Pesquisa Clinica HC II ( Site 2305)
Rio de Janeiro, 20220-410
ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 2300)
São Paulo, 01246-000
Italy5 sites
Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 1401)
Milan, Lombardy, 20133
Istituto Europeo di Oncologia IRCCS ( Site 1404)
Milan, Lombardy, 20141
Istituto Nazionale Tumori IRCCS Fondazione Pascale-s.c. melanoma, immunoterapia oncologica e terapi ( Site 1400)
Naples, 80131
AO Santa Maria della Misericordia ( Site 1403)
Perugia, Umbria, 06129
Azienda Ospedaliero Universitaria Senese-U.O.C. Immunoterapia Oncologica ( Site 1402)
Siena, Tuscany, 53100
South Korea5 sites
Kyungpook National University Chilgok Hospital-Hematology/oncology ( Site 3904)
Daegu, Taegu-Kwangyokshi, 41404
Chungnam national university hospital-Department of Internal Medicine ( Site 3903)
Daejeon, Taejon-Kwangyokshi, 35015
Seoul National University Hospital-Oncology ( Site 3902)
Seoul, 03080
Severance Hospital, Yonsei University Health System-Medical oncology ( Site 3901)
Seoul, 03722
Samsung Medical Center-Division of Hematology/Oncology ( Site 3900)
Seoul, 06351
Colombia4 sites
Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 2500)
Bogotá, Bogota D.C., 111321
Fundación Valle del Lili ( Site 2505)
Cali, Valle del Cauca Department, 760032
IMAT S.A.S ( Site 2503)
Montería, Departamento de Córdoba, 230002
Clinica Somer-Unidad de Investigacion y Docencia ( Site 2506)
Rionegro, Antioquia, 054040
Greece4 sites
General Hospital of Athens "Laiko"-First Department of Internal Medicine ( Site 3700)
Athens, Attica, 115 26
Metropolitan Hospital-A' Oncology Dpt ( Site 3701)
Neo Faliro, Attica, 185 47
Bioclinic Thessalonikis Private Clinic Single Member S.A.-Oncology ( Site 3703)
Thessaloniki, Central Macedonia, 546 22
European Interbalkan Medical Center-Oncology Department ( Site 3702)
Thessaloniki, 570 01
Israel4 sites
Emek Medical Center ( Site 2003)
Afula, 1834111
Hadassah Medical Center ( Site 2004)
Jerusalem, 9112001
Rabin Medical Center ( Site 2000)
Petah Tikva, 4941492
Sheba Medical Center ( Site 2001)
Ramat Gan, 5265601
Portugal4 sites
Instituto Português de Oncologia de Lisboa Francisco Gentil ( Site 3601)
Lisbon, Lisbon District, 1099-023
Unidade Local de Saude Lisboa Ocidental - Hospital de São Francisco Xavier ( Site 3602)
Lisbon, 1449-005
Unidade Local de Saude de Santa Maria - Hospital de Santa Maria ( Site 3603)
Lisbon, 1649-035
Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 3604)
Porto, 4200-072
Taiwan4 sites
Chang Gung Memorial Hospital at Kaohsiung ( Site 4000)
Kaohsiung City, 83301
National Cheng Kung University Hospital-Clinical Trial Center ( Site 4004)
Tainan, 704
National Taiwan University Hospital ( Site 4001)
Taipei, 10002
Chang Gung Medical Foundation-Linkou Branch ( Site 4003)
Taoyuan, 33305
Chile3 sites
FALP-UIDO ( Site 2400)
Santiago, Region M. de Santiago, 7500921
Clínica UC San Carlos de Apoquindo-Hemato-Oncology ( Site 2402)
Santiago, Region M. de Santiago, 7620002
Bradfordhill ( Site 2401)
Santiago, Region M. de Santiago, 8420383
Denmark3 sites
Aalborg Universitetshospital, Syd ( Site 3302)
Aalborg, North Denmark, 9000
Herlev and Gentofte Hospital ( Site 3301)
Copenhagen, Capital Region, 2730
Odense Universitetshospital ( Site 3300)
Odense C, Region Syddanmark, 5000
Japan3 sites
National Cancer Center Hospital ( Site 4200)
Chūō, Tokyo, 104-0045
Shizuoka Cancer Center ( Site 4202)
Nagaizumi-cho,Sunto-gun, Shizuoka, 411-8777
Nagoya University Hospital ( Site 4201)
Nagoya, Aichi-ken, 466-8560
South Africa3 sites
Cape Town Oncology Trials ( Site 4100)
Cape Town, Western Cape, 7570
Medical Oncology Centre of Rosebank ( Site 4106)
Johannesburg, Gauteng, 2196
Wilgers Oncology Centre ( Site 4103)
Pretoria, Gauteng, 0040
New Zealand2 sites
Harbour Cancer & Wellness ( Site 1500)
Auckland, 1023
Capital, Coast and Hutt Valley District - Wellington Regional Hospital ( Site 1502)
Newtown, Wellington Region, 6021
Sweden2 sites
Sahlgrenska Universitetssjukhuset ( Site 3200)
Gothenburg, Västra Götaland County, 413 45
Skånes Universitetssjukhus Lund ( Site 3201)
Lund, Skåne County, 22185
Switzerland2 sites
Kantonsspital Graubünden-Medizin ( Site 1703)
Chur, Kanton Graubünden, 7000
UniversitätsSpital Zürich-Dermatology ( Site 1700)
Zürich Flughafen, Canton of Zurich, 8058
About this study
Official title: A Phase 3, Randomized, Double-Blind, Placebo- and Active-Comparator-Controlled Clinical Study of Adjuvant V940 (mRNA-4157) Plus Pembrolizumab Versus Adjuvant Placebo Plus Pembrolizumab in Participants With High-Risk Stage II-IV Melanoma (INTerpath-001)
The purpose of this study is to learn if intismeran autogene which is an individualized neoantigen therapy (INT; formerly, called messenger ribonucleic acid [mRNA]-4157) with pembrolizumab (MK-3475) is safe and prevents cancer from returning in people with high-risk melanoma. Researchers want to know if intismeran autogene with pembrolizumab is better than receiving pembrolizumab alone at preventing the cancer from returning.
- Conditions
- Melanoma
- Being tested
- Intismeran autogene, Pembrolizumab, Placebo
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intismeran autogeneBiological
Also called mRNA-4157, Individualized neoantigen therapy, V940
IM injection
PembrolizumabBiological
Also called MK-3475, Keytruda®
IV infusion
PlaceboOther
Also called Normal saline, Dextrose
IM injection
| Study group | Role | What they receive |
|---|---|---|
| Intismeran autogene + Pembrolizumab | Experimental | Participants receive up to 9 doses of intismeran autogene via an intramuscular (IM) injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an intravenous (IV) infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner. Receives: Biological: Intismeran autogene; Biological: Pembrolizumab |
| Placebo + Pembrolizumab | Active comparator | Participants receive up to 9 doses of dose matched placebo to intismeran autogene via an IM injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an IV infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner. Receives: Biological: Pembrolizumab; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrence-Free Survival (RFS)
RFS is defined as the length of time from when the participant starts the study until either the cancer comes back, or the cancer spreads as assessed by the investigator, or death due to any cause.
Measured: Up to approximately 74 months
Secondary outcomes (7)
Distant Metastasis-Free Survival (DMFS)
DMFS is the length of time from when the participant starts the study until either the cancer spreads from where it started to other parts of the body as assessed by the investigator, or death due to any cause.
Measured: Up to approximately 85 months
Overall-Survival (OS)
OS is the length of time that people are alive after joining the study.
Measured: Up to approximately 85 months
Number of Participants Who Experience an Adverse Event (AE)
An AE is a health problem that happens or worsens during a study. Number of participants who experience an AE will be reported.
Measured: Up to approximately 68 weeks
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE is a health problem that happens or worsens during a study. Number of participants who discontinue study treatment will be reported.
Measured: Up to approximately 56 weeks
Change from Baseline in the European Organization for Research and Treatment of Cancer (EORTC)-Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Combined Score
The EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions "How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?" will be scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores will be standardized, so that scores range from 0 to 100. Higher scores indicate a better overall health status. Per protocol, the change from baseline in EORTC QLQ-C30 Items 29 and 30 combined score will be presented.
Measured: Baseline and up to approximately 85 months
Change from Baseline in the EORTC QLQ-C30 Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30
The EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life of cancer patients. Participant responses to 5 questions about their physical functioning will be scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores will be standardized, so that scores range from 0 to 100. Higher scores indicate a better level of physical functioning. The change from baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) combined score will be presented.
Measured: Baseline and up to approximately 85 months
Change from Baseline in the EORTC QLQ-C30 Role Functioning (Items 6 and 7) Combined Score on the EORTC QLQ-C30
The EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions "Were you limited in doing either your work or other daily activities during the past week?" and " Were you limited in pursuing your hobbies or other leisure time activities during the past week?" will be scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a more impaired level of role functioning. Change from baseline in the role functioning (EORTC QLQ-C30 Items 6-7) combined score will be presented.
Measured: Baseline and up to approximately 85 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jul 2023
- Study start19 Jul 2023
- Primary completion26 Oct 2029 (estimated)
- Study completion26 Sep 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,089 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- ModernaTX, Inc.
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05933577
- Sponsor's protocol ID
- V940-001
- Other IDs
- V940-001, 2023-503652-27-00, jRCT2041230169, U1111-1287-6366, 2023
- Status last verified
- Sep 2025
- First submitted
- 27 Jun 2023
- Last updated
- 24 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Placebo- and Active-Comparator-Controlled Clinical Study of Adjuvant V940 (mRNA-4157) Plus Pembrolizumab Versus Adjuvant Placebo Plus Pembrolizumab in Participants With High-Risk Stage II-IV Melanoma (INTerpath-001)
- ClinicalTrials.gov ID
- NCT05933577
- Acronym / sponsor ID
- V940-001
- Conditions
- Melanoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,089 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- ModernaTX, Inc.
- Study start
- 19 Jul 2023 (actual)
- Primary completion
- 26 Oct 2029 (estimated)
- Study completion
- 26 Sep 2030 (estimated)
- First posted
- 6 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to learn if intismeran autogene which is an individualized neoantigen therapy (INT; formerly, called messenger ribonucleic acid [mRNA]-4157) with pembrolizumab (MK-3475) is safe and prevents cancer from returning in people with high-risk melanoma. Researchers want to know if intismeran autogene with pembrolizumab is better than receiving pembrolizumab alone at preventing the cancer from returning.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intismeran autogene + Pembrolizumab | Experimental | Biological: Intismeran autogene, Biological: PembrolizumabParticipants receive up to 9 doses of intismeran autogene via an intramuscular (IM) injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an intravenous (IV) infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner. |
| Placebo + Pembrolizumab | Active comparator | Biological: Pembrolizumab, Other: PlaceboParticipants receive up to 9 doses of dose matched placebo to intismeran autogene via an IM injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an IV infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Has surgically resected and histologically/pathologically confirmed diagnosis of Stage IIB or IIC, III, or IV cutaneous melanoma
- Has not received any prior systemic therapy for their melanoma beyond surgical resection
- No more than 13 weeks have passed between final surgical resection that rendered the participant disease-free and the first dose of pembrolizumab
- Is disease free at the time of providing documented consent for the study
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on anti-retroviral therapy (ART)
Key exclusion criteria (8 listed)
- Has ocular or mucosal melanoma
- Has cancer that has spread to other parts of the body and cannot be removed with surgery
- Has heart failure within the past 6 months
- Has received prior cancer therapy or another cancer vaccine
- Has another known cancer that that has spread to other parts of the body or has required treatment within the past 3 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intismeran autogeneAlso: mRNA-4157, Individualized neoantigen therapy, V940IM injection | Biological | Intismeran autogene + Pembrolizumab |
| PembrolizumabAlso: MK-3475, Keytruda®IV infusion | Biological | Intismeran autogene + Pembrolizumab, Placebo + Pembrolizumab |
| PlaceboAlso: Normal saline, DextroseIM injection | Other | Placebo + Pembrolizumab |
Primary outcome
Recurrence-Free Survival (RFS)
Time frame: Up to approximately 74 months
RFS is defined as the length of time from when the participant starts the study until either the cancer comes back, or the cancer spreads as assessed by the investigator, or death due to any cause.
7 secondary outcomes
Distant Metastasis-Free Survival (DMFS)
Time frame: Up to approximately 85 months
Overall-Survival (OS)
Time frame: Up to approximately 85 months
Number of Participants Who Experience an Adverse Event (AE)
Time frame: Up to approximately 68 weeks
Number of Participants Who Discontinue Study Treatment Due to an AE
Time frame: Up to approximately 56 weeks
Change from Baseline in the European Organization for Research and Treatment of Cancer (EORTC)-Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Combined Score
Time frame: Baseline and up to approximately 85 months
Change from Baseline in the EORTC QLQ-C30 Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30
Time frame: Baseline and up to approximately 85 months
Change from Baseline in the EORTC QLQ-C30 Role Functioning (Items 6 and 7) Combined Score on the EORTC QLQ-C30
Time frame: Baseline and up to approximately 85 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Sep 2025.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
165 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Intismeran autogene and Pembrolizumab in people with Melanoma, run by Merck Sharp & Dohme LLC at 165 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 24 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 165 sites in United States, Germany, France, Poland, United Kingdom and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recurrence-Free Survival (RFS) (time frame: Up to approximately 74 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Sep 2025.