Non-small Cell Lung CancerPhase 3INTerpath-002NCT06077760
A Study of Intismeran Autogene (V940) Plus Pembrolizumab (MK-3475) Versus Placebo Plus Pembrolizumab in Participants With Non-small Cell Lung Cancer (V940-002)
A Phase 3 study testing Intismeran autogene and Pembrolizumab in people with Non-small Cell Lung Cancer, run by Merck Sharp & Dohme LLC at 229 sites in 33 countries.
Trial summary
The goal of this study is to evaluate intismeran autogene plus pembrolizumab versus placebo plus pembrolizumab for the adjuvant treatment of margin negative, completely resected Stage II, IIIA, IIIB (with nodal involvement [N2]) non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-small Cell Lung Cancer
- 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
- 868 participants
- Where
- 229 sitesin 33 countries
- Study dates
- 6 Dec 2023to 21 Dec 2035
- 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 undergone margin negative, completely resected non-small cell lung cancer (NSCLC), and has pathological Stage II, IIIA, IIIB (N2) squamous or nonsquamous tumor, node, metastasis (TNM) staging per American Joint Committee on Cancer (AJCC) Eighth Edition guidelines.
- Has no evidence of disease before randomization.
- Has received at least one dose of adjuvant treatment with standard of care platinum doublet chemotherapy.
- No more than 24 weeks have elapsed between surgical resection of curative intent and the first dose of pembrolizumab.
- Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization.
- Participants with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening.
- 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:
- Diagnosis of small cell lung cancer (SCLC) or, for mixed tumors, presence of small cell elements, or has a neuroendocrine tumor with large cell components or a sarcomatoid carcinoma.
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
- Received prior neoadjuvant therapy for their current NSCLC diagnosis.
- Received or is a candidate to receive radiotherapy for their current NSCLC diagnosis.
- Received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-PD-ligand 1 (L1), or anti-PD-L2 agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor.
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- Received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization.
- Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed.
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration.
- Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study medication.
- Known additional malignancy that is progressing or has required active treatment within the past 5 years.
- Active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed.
- History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
- Active infection requiring systemic therapy.
Trial locations and contacts
229 sites in 33 countries.
229 sites in 33 countries
United States68 sites
Summa Health ( Site 4011)
Akron, Ohio, 44304
New York Oncology Hematology, P.C. ( Site 4012)
Albany, New York, 12206
Alaska Oncology and Hematology ( Site 0039)
Anchorage, Alaska, 99508
University of Michigan Clinical Trials Office ( Site 0058)
Ann Arbor, Michigan, 48109
Memorial Sloan Kettering - Basking Ridge ( Site 4056)
Basking Ridge, New Jersey, 07920
LSU Health Baton Rouge North Clinic ( Site 4040)
Baton Rouge, Louisiana, 70805
Our Lady of the Lake ( Site 4050)
Baton Rouge, Louisiana, 70808
St. Vincent Frontier Cancer Center ( Site 0043)
Billings, Montana, 59102
Medical University of South Carolina-Hollings Cancer Center ( Site 0050)
Charleston, South Carolina, 29425
Novant Health Weisiger Cancer Insititute ( Site 4052)
Charlotte, North Carolina, 28204
Greco-Hainsworth Centers for Research ( Site 4034)
Chattanooga, Tennessee, 37421
University of Cincinnati Medical Center-University of Cincinnati Cancer Center ( Site 0028)
Cincinnati, Ohio, 45220
University Hospitals Cleveland Medical Center ( Site 0023)
Cleveland, Ohio, 44106
UCHealth Memorial Hospital-Heme Onc ( Site 0052)
Colorado Springs, Colorado, 80909
OSU Brain and Spine Hospital ( Site 0016)
Columbus, Ohio, 43210
Memorial Sloan-Kettering Cancer Center at Commack ( Site 4055)
Commack, New York, 11725
Good Samaritan Regional Medical Center-Samaritan Pastega Regional Cancer Center ( Site 0082)
Corvallis, Oregon, 97330
UT Southwestern Medical Center ( Site 0061)
Dallas, Texas, 75390
Saint Elizabeth Healthcare ( Site 0092)
Edgewood, Kentucky, 41017
Inova Schar Cancer Institute ( Site 0003)
Fairfax, Virginia, 22031
Virginia Cancer Specialists (VCS) ( Site 4004)
Fairfax, Virginia, 22031
Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 0063)
Fargo, North Dakota, 58102
Altru Health System ( Site 0040)
Grand Forks, North Dakota, 58201
Cancer and Hematology Centers of Western Michigan ( Site 4003)
Grand Rapids, Michigan, 49503
John Theurer Cancer Center at Hackensack University Medical Center ( Site 0036)
Hackensack, New Jersey, 07601
Memorial Sloan Kettering - Westchester ( Site 4058)
Harrison, New York, 10604
Edwards Comprehensive Cancer Center ( Site 4015)
Huntington, West Virginia, 25701
University of Iowa-Holden Comprehensive Cancer Center ( Site 0062)
Iowa City, Iowa, 52242
Mayo Clinic Florida ( Site 4043)
Jacksonville, Florida, 32224
Thompson Cancer Survival Center ( Site 0097)
Knoxville, Tennessee, 37916
NHO Revive Research Institute, LLC ( Site 4009)
Lincoln, Nebraska, 68506
UCLA Clinical & Translational Research Center (CTRC) ( Site 0059)
Los Angeles, California, 90095
The University of Louisville, James Graham Brown Cancer Center ( Site 0037)
Louisville, Kentucky, 40202
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital ( Site 0012)
Marietta, Georgia, 30060
Baptist Cancer Center ( Site 4049)
Memphis, Tennessee, 38120
Miami Cancer Institute at Baptist Health, Inc. ( Site 4047)
Miami, Florida, 33176
Memorial Sloan Kettering - Monmouth ( Site 4057)
Middletown, New Jersey, 07748
Perlmutter Cancer Center at NYU Langone Hospital - Long Island-Clinical Research Department ( Site 0095)
Mineola, New York, 11501
Memorial Sloan Kettering - Bergen ( Site 4059)
Montvale, New Jersey, 07645
Atlantic Health Morristown Medical Center ( Site 4018)
Morristown, New Jersey, 07960
One Oncology - Tennessee Oncology ( Site 4019)
Nashville, Tennessee, 37203
SCRI Oncology Partners ( Site 7001)
Nashville, Tennessee, 37203
The Blavatnik Family- Chelsea Medical Center at Mount Sinai ( Site 4053)
New York, New York, 10011
Laura and Isaac Perlmutter Cancer Center ( Site 0010)
New York, New York, 10016
Icahn School of Medicine at Mount Sinai ( Site 0034)
New York, New York, 10029
Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 0054)
New York, New York, 10032
Memorial Sloan Kettering Cancer Center ( Site 0029)
New York, New York, 10065
Southeastern Regional Medical Center ( Site 0098)
Newnan, Georgia, 30265
Hoag Memorial Hospital Presbyterian ( Site 4042)
Newport Beach, California, 92663
Hoag Memorial Hospital Presbyterian ( Site 4048)
Newport Beach, California, 92663
St. Joseph Hospital-The Center for Cancer Prevention and Treatment ( Site 0074)
Orange, California, 92868
University of California, Irvine (UCI) Health - UC Irvine Medical Center ( Site 0030)
Orange, California, 92868
Mid Florida Hematology and Oncology Center ( Site 0014)
Orange City, Florida, 32763
AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0013)
Orlando, Florida, 32804
Illinois Cancer Care ( Site 7003)
Peoria, Illinois, 61615
Thomas Jefferson University - Clinical Research Institute ( Site 0006)
Philadelphia, Pennsylvania, 19107
Beacon Cancer Care ( Site 0044)
Post Falls, Idaho, 83854
Swedish Medical Center-Swedish Cancer Institute ( Site 0088)
Seattle, Washington, 98104
Fred Hutchinson Cancer Center ( Site 0002)
Seattle, Washington, 98109
Sanford Cancer Center ( Site 0075)
Sioux Falls, South Dakota, 57104
Stony Brook University-Cancer Center ( Site 0072)
Stony Brook, New York, 11794
Moffitt Cancer Center ( Site 0078)
Tampa, Florida, 33612
Montefiore Medical Center- Montefiore Medical Park-Oncology ( Site 0080)
The Bronx, New York, 10461
The University of Arizona Cancer Center - North Campus ( Site 0071)
Tucson, Arizona, 85719
Memorial Sloan Kettering - Nassau ( Site 4060)
Uniondale, New York, 11553
George Washington University Medical Faculty Associates ( Site 4064)
Washington D.C., District of Columbia, 20037
Novant Health Oncology Specialists ( Site 4045)
Winston-Salem, North Carolina, 27103
YUMA REGIONAL MEDICAL CENTER CANCER CENTER ( Site 0020)
Yuma, Arizona, 85364
Japan11 sites
Hyogo Cancer Center ( Site 3809)
Akashi, Hyōgo, 673-8558
Kansai Medical University Hospital ( Site 3806)
Hirakata, Osaka, 573-1191
Hirosaki University Hospital ( Site 3808)
Hirosaki, Aomori, 036-8563
Hiroshima University Hospital ( Site 3804)
Hiroshima, 734-8551
National Cancer Center Hospital East ( Site 3800)
Kashiwa, Chiba, 277-8577
St. Marianna University Hospital ( Site 3802)
Kawasaki, Kanagawa, 216-8511
Nagoya University Hospital ( Site 3810)
Nagoya, Aichi-ken, 466-8560
Okayama University Hospital ( Site 3807)
Okayama, 700-8558
Kindai University Hospital ( Site 3803)
Sakai, Osaka, 590-0197
Sendai Kousei Hospital ( Site 3805)
Sendai, Miyagi, 981-0914
Kanagawa Cancer Center ( Site 3801)
Yokohama, Kanagawa, 241-8515
Germany10 sites
Helios Klinikum Emil von Behring Berlin-Zehlendorf-Lungenklinik Heckeshorn ( Site 1208)
Berlin, 14165
Augusta-Kranken-Anstalt ( Site 1213)
Bochum, North Rhine-Westphalia, 44791
Klinikum Esslingen-Klinik für Kardiologie und Pneumologie ( Site 1201)
Esslingen am Neckar, Baden-Wurttemberg, 73730
Asklepios Klinik Gauting GmbH-Oncology ( Site 1209)
Gauting, Bavaria, 82131
SRH Wald-Klinikum Gera-Lungenkrebszentrum ( Site 1200)
Gera, Thuringia, 07548
LungenClinic Grosshansdorf-Onkologie ( Site 1203)
Großhansdorf, Schleswig-Holstein, 22927
Klinikverbund Allgäu gGmbH ( Site 1205)
Kempten (Allgäu), Bavaria, 87439
Gemeinschaftspraxis für Hämatologie und Onkologie Münster ( Site 1202)
Münster, North Rhine-Westphalia, 48153
Brüderkrankenhaus St. Josef Paderborn-Klinik für Hämatologie und Onkologie ( Site 1214)
Paderborn, North Rhine-Westphalia, 33098
Universitaetsklinikum Regensburg ( Site 1204)
Regensburg, Bavaria, 93053
Italy10 sites
CRO-IRCCS-Clinical Oncology ( Site 1510)
Aviano, Friuli Venezia Giulia, 33081
Instituto Tumori Giovanni Paolo II-SSD Oncologia Medica per la Patologia Toracica ( Site 1507)
Bari, Apulia, 70124
AOU Policlinico G. Rodolico - San Marco di Catania ( Site 1503)
Catania, 95123
Azienda Ospedaliera Santa Croce e Carle ( Site 1500)
Cuneo, 12100
Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 1504)
Milan, Lombardy, 20133
ASST Grande Ospedale Metropolitano Niguarda-Oncologia Falck ( Site 1511)
Milan, Milano, 20162
A.O.R.N. Ospedale dei Colli - Monaldi V.-U.O.C Pneumologia Oncologica DH PNL ONC ( Site 1508)
Naples, Napoli, 80131
Azienda Ospedaliero Universitaria Maggiore della Carità ( Site 1502)
Novara, 28100
AO Santa Maria della Misericordia-Oncology Department ( Site 1501)
Perugia, Umbria, 06132
P.O. "S. Maria della Misericordia" Azienda Sanitaria Univers-Oncology Department ( Site 1506)
Udine, Friuli Venezia Giulia, 33100
Brazil9 sites
Fundação Pio XII - Hospital de Câncer de Barretos ( Site 3004)
Barretos, São Paulo, 14784400
CRIO - CENTRO REGIONAL INTEGRADO DE ONCOLOGIA-Pesquisa Clínica ( Site 3007)
Fortaleza, Ceará, 60336232
Liga Norte Riograndense Contra o Câncer ( Site 3001)
Natal, Rio Grande do Norte, 59062-000
Irmandade da Santa Casa de Misericórdia de Porto Alegre ( Site 3003)
Porto Alegre, Rio Grande do Sul, 90050-170
Hospital Nossa Senhora da Conceição ( Site 3002)
Porto Alegre, Rio Grande do Sul, 91350-200
Instituto Nacional de Câncer - INCA ( Site 3000)
Rio de Janeiro, 20230-130
Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 3013)
São José do Rio Preto, São Paulo, 15090000
Hospital Samaritano De Sao Paulo ( Site 3006)
São Paulo, 01232-010
ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 3005)
São Paulo, 01246-000
Mexico9 sites
Unidad de Mastologia Avanzada de Chihuahua S.A de C.V ( Site 3402)
Chihuahua City, 31123
Mediadvance Clinical ( Site 3404)
Chihuahua City, 31203
Arké SMO S.A. de C.V. ( Site 3415)
Distrito Federal, 6700
CIO - Centro de Inmuno-Oncología de Occidente ( Site 3403)
Guadalajara, Jalisco, 44630
Clinica Oncologica Especializada ( Site 3410)
Mexico City, Mexico City, 3240
Hospital Universitario "Dr. Jose Eleuterio Gonzalez"-Hematologia and Oncologia ( Site 3408)
Monterrey, Nuevo León, 66460
Oaxaca Site Management Organization S.C. ( Site 3407)
Oaxaca City, 68000
Centro de Investigacion Clinica de Oaxaca ( Site 3401)
Oaxaca City, 68020
Grupo Ollin Care ( Site 3414)
Pachuca, Hidalgo, 42000
France8 sites
Institut de Cancérologie de l'Ouest ( Site 1101)
Angers, Maine-et-Loire, 49055
Centre Hospitalier Universitaire de Caen - Hôpital Côte de Nacre ( Site 1107)
Caen, Calvados, 14000
CHU GABRIEL MONTPIED ( Site 1105)
Clermont-Ferrand, Puy-de-Dome, 63000
Assistance Publique Hôpitaux de Marseille - Hôpital Nord ( Site 1108)
Marseille, Bouches-du-Rhone, 13915
Hôpital Arnaud de Villeneuve - CHU Montpellier ( Site 1102)
Montpellier, Herault, 34090
Hopitaux Universitaires Paris Centre-Hopital Cochin ( Site 1104)
Paris, 75014
CHU Bordeaux Haut-Leveque ( Site 1106)
Pessac, Aquitaine, 33600
Nouvel Hôpital Civil (NHC)-Service de pneumologie ( Site 1100)
Strasbourg, Alsace, 67091
Poland8 sites
Bialostockie Centrum Onkologii ( Site 2005)
Bialystok, Podlaskie Voivodeship, 15-027
Centrum Onkologii im. Prof. Franciszka Lukaszczyka ( Site 2003)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Uniwersyteckie Centrum Kliniczne ( Site 2013)
Gdansk, Pomeranian Voivodeship, 80-952
Krakowski Szpital Specjalistyczny im. Jana Pawła II-Oddział Kliniczny Chirurgii Klatki Piersiowej i ( Site 2011)
Krakow, Lesser Poland Voivodeship, 30-002
Warmińsko - Mazurskie Centrum Chorób Płuc w Olsztynie-Oddzial Onkologii z Pododdzialem Chemioterapii ( Site 2008)
Olsztyn, Warmian-Masurian Voivodeship, 10-357
Wielkopolskie Centrum Pulmonologii i Torakochirurgii-Oddzial Onkologii Klinicznej z Pododdzialem Dz ( Site 2002)
Poznan, Greater Poland Voivodeship, 60-569
Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 2001)
Przemyśl, Podkarpackie Voivodeship, 37-700
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworow Pluca i Klatki Pier ( Site 2000)
Warsaw, Masovian Voivodeship, 02-781
South Korea8 sites
Chungbuk National University Hospital-Internal medicine ( Site 0402)
Cheongju-si, North Chungcheong, 28644
Keimyung University Dongsan Hospital CRC room 1 ( Site 0407)
Daegu, Taegu-Kwangyokshi, 42601
National Cancer Center-Lung Cancer Center ( Site 0403)
Goyang-si, Kyonggi-do, 10408
Seoul National University Bundang Hospital-Medical Oncology ( Site 0404)
Seongnam, Kyonggi-do, 13620
Seoul National University Hospital ( Site 0400)
Seoul, 03080
Asan Medical Center-Department of Oncology ( Site 0405)
Seoul, 05505
Samsung Medical Center ( Site 0401)
Seoul, 06351
The Catholic University Of Korea St. Vincent's Hospital-Medical Oncology ( Site 0406)
Suwon, Kyonggi-do, 16247
Taiwan7 sites
Changhua Christian Hospital ( Site 0504)
Changhua, 50006
National Taiwan University Hospital - Hsinchu branch ( Site 0501)
Hsinchu, 300
Taichung Veterans General Hospital-Chest ( Site 0503)
Taichung, 40705
National Cheng Kung University Hospital-Clinical Trial Center ( Site 0505)
Tainan, 704
National Taiwan University Hospital-Oncology ( Site 0506)
Taipei, 10002
Taipei Medical University Hospital ( Site 0502)
Taipei, 110301
National Taiwan University Cancer Center (NTUCC) ( Site 0500)
Taipei City, Taipei, 106
Turkey (Türkiye)7 sites
Hacettepe Universite Hastaneleri-oncology hospital ( Site 2100)
Ankara, 06230
Memorial Ankara Hastanesi-Medical Oncology ( Site 2103)
Ankara, 06520
Liv Hospital Ankara-Oncology ( Site 2104)
Ankara, 06680
Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 2101)
Ankara, 06800
Ege Universitesi Hastanesi-Chest Diseases Department ( Site 2107)
Bornova, İzmir, 35100
TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 2102)
Istanbul, 34722
Medipol Mega Universite Hastanesi-oncology ( Site 2105)
Stanbul, Istanbul, 34214
Argentina6 sites
Clinica Adventista Belgrano-Oncology ( Site 2901)
Caba., Buenos Aires, C1430EGF
Hospital Italiano de Buenos Aires-Clinical Oncology ( Site 2912)
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1199ABB
Instituto Alexander Fleming ( Site 2911)
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1426ANZ
Instituto de Investigaciones Clínicas Mar del Plata ( Site 2908)
Mar del Plata, Buenos Aires, B7600FZO
Fundacion Estudios Clinicos-Oncology ( Site 2907)
Rosario, Santa Fe Province, S2000DEJ
Sanatorio Parque ( Site 2904)
Rosario, Santa Fe Province, S2000DSV
Spain6 sites
Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 2400)
Barcelona, 08035
Institut Català d'Oncologia - L'Hospitalet-Medical Oncology ( Site 2401)
L'Hospitalet de Llobregat, Barcelona, 08908
HOSPITAL UNIVERSITARIO PUERTA DE HIERRO MAJADAHONDA-Medical Oncology ( Site 2403)
Majadahonda, Madrid, Comunidad de, 28222
Hospital Quirón Málaga ( Site 2405)
Málaga, Malaga, 29004
HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID-ONCOLOGIA MEDICA ( Site 2402)
Pozuelo de Alarcón, Madrid, 28223
Hospital Universitario Virgen Macarena-Unidad de Investigación Oncológica ( Site 2404)
Seville, 41009
Canada5 sites
William Osler Health System ( Site 0101)
Brampton, Ontario, L6R 3J7
Cross Cancer Institute ( Site 0105)
Edmonton, Alberta, T6G 1Z2
Centre Hospitalier de l'Université de Montréal ( Site 0104)
Montreal, Quebec, H2X 3E4
McGill University Health Centre ( Site 0100)
Montreal, Quebec, H4A 3J1
Princess Margaret Cancer Centre ( Site 0102)
Toronto, Ontario, M5G 2M9
Chile5 sites
Orlandi Oncologia-Oncology ( Site 3102)
Santiago, Region M. de Santiago, 7500713
FALP-UIDO ( Site 3100)
Santiago, Region M. de Santiago, 7500921
Pontificia Universidad Catolica de Chile ( Site 3104)
Santiago, Region M. de Santiago, 832000
Bradfordhill-Clinical Area ( Site 3103)
Santiago, Region M. de Santiago, 8420383
ONCOCENTRO APYS ( Site 3105)
Viña del Mar, Valparaiso, 2520598
Hungary5 sites
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz - Pulmonologia Osztaly ( Site 1404)
Győr, Győr-Moson-Sopron, 9024
Somogy Varmegyei Kaposi Mor Oktato Korhaz -Onkologiai Kozpont ( Site 1407)
Kaposvár, Somogy County, 7400
Bacs-Kiskun Varmegyei Oktatokorhaz-Onkoradiologiai Kozpont ( Site 1401)
Kecskemét, Bács-Kiskun county, 6000
Pécsi Tudományegyetem Klinikai Központ-Onkoterápiás Intézet ( Site 1402)
Pécs, Baranya, 7624
Reformatus Pulmonologiai Centrum ( Site 1405)
Törökbálint, Pest County, 2045
Malaysia5 sites
Hospital Pulau Pinang ( Site 3505)
George Town, Pulau Pinang, 10450
Hospital Tengku Ampuan Afzan ( Site 3504)
Kuantan, Pahang, 25100
Sarawak General Hospital ( Site 3500)
Kuching, Sarawak, 93586
University Malaya Medical Centre ( Site 3502)
Lembah Pantai, Kuala Lumpur, 59100
National Cancer Institute-Radiotherapy and Oncology ( Site 3506)
Putrajaya, Kuala Lumpur, 62250
Belgium4 sites
AZORG Campus Aalst-Moorselbaan ( Site 0604)
Aalst, Oost-Vlaanderen, 9300
Antwerp University Hospital-Thoracic Oncology ( Site 0603)
Edegem, Antwerpen, 2650
VITAZ ( Site 0600)
Sint-Niklaas, Oost-Vlaanderen, 9100
Université Catholique de Louvain-Namur - Centre Hospitalier Universitaire Dinant-Godinne - Site Godi ( Site 0602)
Yvoir, Namur, 5530
Czechia4 sites
Masarykuv onkologicky ustav-Klinika komplexni onkologicke pece ( Site 0700)
Brno, Brno-mesto, 656 53
Fakultni nemocnice Olomouc-Klinika plicnich nemoci a tuberkulozy ( Site 0701)
Olomouc, 779 00
Nemocnice AGEL Ostrava - Vitkovice a.s.-Plicni odd ( Site 0702)
Ostrava, Ostrava Mesto, 703 00
Vseobecna fakultni nemocnice v Praze ( Site 0703)
Prague, 12808
Finland4 sites
Oulun yliopistollinen sairaala-Oncology and Hematology ( Site 1003)
Oulu, North Ostrobothnia, 90220
Tampereen yliopistollinen sairaala-Oncology ( Site 1001)
Tampere, Pirkanmaa, 33520
Turku University Hospital-The Department of Pulmonary Medicine ( Site 1000)
Turku, Southwest Finland, 20520
Vaasan Keskussairaala-Department of Clinical Oncology ( Site 1004)
Vaasa, Pohjanmaa, 65130
Slovakia4 sites
Fakultna nemocnica s poliklinikou F.D.Roosevelta Banska Bystrica ( Site 2202)
Banská Bystrica, Banská Bystrica Region, 97517
Univerzitná nemocnica Bratislava - Nemocnica Ružinov ( Site 2201)
Bratislava, Bratislava Region, 826 06
Nemocnica BORY a. s. ( Site 2205)
Bratislava, Bratislava Region, 841 03
Vychodoslovensky Onkologicky ustav a.s. ( Site 2200)
Košice, Košice Region, 041 91
Australia3 sites
Peter MacCallum Cancer Centre-Parkville Cancer Clinical Trials Unit (PCCTU) ( Site 0203)
Melbourne, Victoria, 3000
St Vincent's Hospital-Oncology Clinical Trials ( Site 0202)
Melbourne, Victoria, 3065
One Clinical Research ( Site 0200)
Nedlands, Western Australia, 6009
Greece3 sites
Errikos Dunant Hospital Center-Fourth Department of Oncology and Clinical Trials Unit ( Site 1301)
Athens, Attica, 115 26
THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA"-3rd Dept of Internal Medicine and Laboratory, Oncol ( Site 1300)
Athens, Attica, 115 27
European Interbalkan Medical Center-Oncology Department ( Site 1302)
Thessaloniki, 570 01
Norway3 sites
Drammen Sykehus, Vestre Viken HF ( Site 1903)
Drammen, Buskerud, 3004
Akershus Universitetssykehus-Avdeling for lungesykdommer ( Site 1900)
Lørenskog, Akershus, 1478
Stavanger Universitetssykehus ( Site 1901)
Stavanger, Rogaland, 4011
Philippines3 sites
Metro Davao Medical and Research Center ( Site 3602)
Davao City, Davao Del Sur, 8000
ST. LUKE'S MEDICAL CENTER ( Site 3606)
Quezon City, National Capital Region, 1102
CARDINAL SANTOS MEDICAL CENTER-Research Room ( Site 3601)
San Juan City, Metro Manila, National Capital Region, 1502
Costa Rica2 sites
CIMCA ( Site 3300)
San José, Provincia de San José, 10103
ICIMED ( Site 3301)
San José, 10108
Denmark2 sites
Rigshospitalet ( Site 0801)
Copenhagen, Capital Region, 2100
Odense Universitetshospital ( Site 0800)
Odense, Region Syddanmark, 5000
Estonia2 sites
North Estonia Medical Centre Foundation-Chemotherapy ( Site 0901)
Tallinn, Harju, 13419
Tartu University Hospital-Radiotherapy and oncology ( Site 0900)
Tartu, Tartu, 50406
Lithuania2 sites
Hospital of Lithuanian University of Health Sciences Kauno klinikos-Pulmonology ( Site 1701)
Kaunas, Kaunas County, 50161
Vilnius University Hospital Santaros Clinics Affiliate - National Cancer Center ( Site 1700)
Vilnius, LT-08406
New Zealand2 sites
Harbour Cancer & Wellness ( Site 0301)
Auckland, 1023
New Zealand Clinical Research (Christchurch) ( Site 0300)
Christchurch, Canterbury, 8011
Portugal2 sites
Unidade Local de Saude de Santa Maria - Hospital Pulido Valente ( Site 2703)
Lisbon, Lisbon District, 1769-001
Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 2702)
Porto, 4200-072
Latvia1 site
RIGA EAST UNIVERSITY HOSPITAL ,Oncology Centre of Latvia ( Site 1600)
Riga, LV1079
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 Resected Stage II, IIIA, IIIB (N2) Non-small Cell Lung Cancer (INTerpath-002)
The goal of this study is to evaluate intismeran autogene plus pembrolizumab versus placebo plus pembrolizumab for the adjuvant treatment of margin negative, completely resected Stage II, IIIA, IIIB (with nodal involvement [N2]) non-small cell lung cancer (NSCLC). The primary hypothesis is that intismeran autogene plus pembrolizumab is superior to placebo plus pembrolizumab with respect to disease-free survival (DFS) as assessed by the investigator.
- Conditions
- Non-small Cell Lung Cancer
- Being tested
- Intismeran autogene, Pembrolizumab, Placebo
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
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, V940
IM injection
PembrolizumabBiological
Also called MK-3475, KEYTRUDA®
IV infusion
PlaceboOther
IM injection
| Study group | Role | What they receive |
|---|---|---|
| Intismeran autogene + Pembrolizumab | Experimental | Participants will receive 1 mg of intismeran autogene via intramuscular (IM) injection once every 3 weeks for 9 doses PLUS 400 mg of pembrolizumab via intravenous (IV) infusion once every 6 weeks for up to 9 doses until disease recurrence or unacceptable toxicity or for a total treatment duration of up to approximately 1 year, whichever is sooner. Receives: Biological: Intismeran autogene; Biological: Pembrolizumab |
| Placebo + Pembrolizumab | Active comparator | Participants will receive intismeran autogene-matched placebo via IM injection once every 3 weeks for 9 doses PLUS 400 mg of pembrolizumab via IV infusion once every 6 weeks for up to 9 doses until disease recurrence or unacceptable toxicity or for a total treatment duration of up to approximately 1 year, 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.
Disease- Free Survival (DFS)
DFS is defined as the time from randomization to any recurrence (local, locoregional, regional or distant), occurrence of new primary NSCLC, as assessed by the investigator, or death due to any cause, whichever occurs first.
Measured: Up to ~78 months
Secondary outcomes (11)
Overall Survival (OS)
OS is defined as the time from randomization to death due to any cause.
Measured: Up to ~12 years
Distant Metastasis-Free Survival (DMFS)
DMFS is defined as the time from randomization to the first diagnosis of a distant metastasis as assessed by the investigator, or death due to any cause, whichever occurs first.
Measured: Up to ~12 years
Lung Cancer Specific Survival (LCSS)
LCSS is defined as the time from randomization to death due to lung cancer.
Measured: Up to ~12 years
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. The change from baseline in global health status/quality of life (EORTC QLQ-C30 Items 29 and 30) combined score will be presented.
Measured: Baseline and up to ~12 years
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 worse 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 ~12 years
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). Using linear transformation, raw scores will be standardized, so that scores range from 0 to 100. Higher scores indicate a worse level of role functioning. The change from baseline in role functioning (EORTC QLQ-C30 Items 6 and 7) combined score will be presented.
Measured: Baseline and up to ~12 years
Change from Baseline in the EORTC QLQ-C30 Dyspnea (Item 8) 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 question "Were you short of breath?" 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 worse level of dyspnea. The change from baseline in dyspnea (EORTC QLQ-C30 Item 8) score will be presented.
Measured: Baseline and up to ~12 years
Change from Baseline in the EORTC QLQ-Lung Cancer Questionnaire (LC24) Coughing (Items 31 and 52) Combined Score on the EORTC QLQ-LC24
The EORTC QLQ-LC24 is a lung cancer specific health-related quality of life questionnaire. Participant responses to questions about coughing 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. A higher score indicates more coughing. The change from baseline in coughing (EORTC QLQ-LC24 Items 31 and 52) combined score will be presented.
Measured: Baseline and up to ~12 years
Change from Baseline in the EORTC QLQ-LC24 Chest Pain (Item 40) Score on the EORTC QLQ-LC24
The EORTC QLQ-LC24 is a lung cancer specific health-related quality of life questionnaire. Participant responses to the question "Have you had pain in your chest?" 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. A higher score indicates more chest pain. The change from baseline in chest pain (EORTC QLQ-LC24 Item 40) score will be presented.
Measured: Baseline and up to ~12 years
Number of Participants Who Experience an Adverse Event (AE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to ~15 months
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to ~12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Oct 2023
- Study start6 Dec 2023
- Primary completion25 Jun 2030 (estimated)
- Study completion21 Dec 2035 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-small Cell Lung CancerStudies 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 868 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
- NCT06077760
- Sponsor's protocol ID
- V940-002
- Other IDs
- 2023-504923-20-00, U1111-1290-3969, jRCT2061240063, PHRR240705-007252, 2023
- Acronym
- INTerpath-002
- Status last verified
- Sep 2026
- First submitted
- 5 Oct 2023
- Last updated
- 18 Sep 2026
- 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 18 Sep 2026. 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 Resected Stage II, IIIA, IIIB (N2) Non-small Cell Lung Cancer (INTerpath-002)
- ClinicalTrials.gov ID
- NCT06077760
- Acronym / sponsor ID
- INTerpath-002 / V940-002
- Conditions
- Non-small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 868 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- ModernaTX, Inc.
- Study start
- 6 Dec 2023 (actual)
- Primary completion
- 25 Jun 2030 (estimated)
- Study completion
- 21 Dec 2035 (estimated)
- First posted
- 11 Oct 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 goal of this study is to evaluate intismeran autogene plus pembrolizumab versus placebo plus pembrolizumab for the adjuvant treatment of margin negative, completely resected Stage II, IIIA, IIIB (with nodal involvement [N2]) non-small cell lung cancer (NSCLC). The primary hypothesis is that intismeran autogene plus pembrolizumab is superior to placebo plus pembrolizumab with respect to disease-free survival (DFS) as assessed by the investigator.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intismeran autogene + Pembrolizumab | Experimental | Biological: Intismeran autogene, Biological: PembrolizumabParticipants will receive 1 mg of intismeran autogene via intramuscular (IM) injection once every 3 weeks for 9 doses PLUS 400 mg of pembrolizumab via intravenous (IV) infusion once every 6 weeks for up to 9 doses until disease recurrence or unacceptable toxicity or for a total treatment duration of up to approximately 1 year, whichever is sooner. |
| Placebo + Pembrolizumab | Active comparator | Biological: Pembrolizumab, Other: PlaceboParticipants will receive intismeran autogene-matched placebo via IM injection once every 3 weeks for 9 doses PLUS 400 mg of pembrolizumab via IV infusion once every 6 weeks for up to 9 doses until disease recurrence or unacceptable toxicity or for a total treatment duration of up to approximately 1 year, 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 (8 listed)
- Has undergone margin negative, completely resected non-small cell lung cancer (NSCLC), and has pathological Stage II, IIIA, IIIB (N2) squamous or nonsquamous tumor, node, metastasis (TNM) staging per American Joint Committee on Cancer (AJCC) Eighth Edition guidelines.
- Has no evidence of disease before randomization.
- Has received at least one dose of adjuvant treatment with standard of care platinum doublet chemotherapy.
- No more than 24 weeks have elapsed between surgical resection of curative intent and the first dose of pembrolizumab.
- Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization.
Key exclusion criteria (14 listed)
- Diagnosis of small cell lung cancer (SCLC) or, for mixed tumors, presence of small cell elements, or has a neuroendocrine tumor with large cell components or a sarcomatoid carcinoma.
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
- Received prior neoadjuvant therapy for their current NSCLC diagnosis.
- Received or is a candidate to receive radiotherapy for their current NSCLC diagnosis.
- Received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-PD-ligand 1 (L1), or anti-PD-L2 agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor.
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, V940IM injection | Biological | Intismeran autogene + Pembrolizumab |
| PembrolizumabAlso: MK-3475, KEYTRUDA®IV infusion | Biological | Intismeran autogene + Pembrolizumab, Placebo + Pembrolizumab |
| PlaceboIM injection | Other | Placebo + Pembrolizumab |
Primary outcome
Disease- Free Survival (DFS)
Time frame: Up to ~78 months
DFS is defined as the time from randomization to any recurrence (local, locoregional, regional or distant), occurrence of new primary NSCLC, as assessed by the investigator, or death due to any cause, whichever occurs first.
11 secondary outcomes
Overall Survival (OS)
Time frame: Up to ~12 years
Distant Metastasis-Free Survival (DMFS)
Time frame: Up to ~12 years
Lung Cancer Specific Survival (LCSS)
Time frame: Up to ~12 years
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 ~12 years
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 ~12 years
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 ~12 years
Change from Baseline in the EORTC QLQ-C30 Dyspnea (Item 8) Score on the EORTC QLQ-C30
Time frame: Baseline and up to ~12 years
Change from Baseline in the EORTC QLQ-Lung Cancer Questionnaire (LC24) Coughing (Items 31 and 52) Combined Score on the EORTC QLQ-LC24
Time frame: Baseline and up to ~12 years
Change from Baseline in the EORTC QLQ-LC24 Chest Pain (Item 40) Score on the EORTC QLQ-LC24
Time frame: Baseline and up to ~12 years
Number of Participants Who Experience an Adverse Event (AE)
Time frame: Up to ~15 months
Number of Participants Who Discontinue Study Treatment Due to an AE
Time frame: Up to ~12 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 18 Sep 2026.
- 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
229 sites in 33 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 Non-small Cell Lung Cancer, run by Merck Sharp & Dohme LLC at 229 sites in 33 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 8 inclusion and 14 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 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 229 sites in United States, Japan, Germany, Italy, Brazil and 28 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?
Disease- Free Survival (DFS) (time frame: Up to ~78 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 18 Sep 2026.