Non-small Cell Lung CancerPhase 3INTerpath-014NCT07513376
A Clinical Trial of Adjuvant Intismeran (V940) With or Without Pembrolizumab Coformulated With Berahyaluronidase Alfa (MK-3475A) in High-Risk Stage I Non-Small Cell Lung Cancer (V940-014)
A Phase 3 study testing Intismeran and Pembrolizumab coformulated with berahyaluronidase alfa in people with Non-small Cell Lung Cancer, run by Merck Sharp & Dohme LLC at 124 sites in 20 countries.
Trial summary
Researchers are looking for new ways to treat high-risk, localized non-small cell lung cancer (NSCLC) that has been removed with surgery. People with high-risk, localized NSCLC are often treated with surgery. 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 and Pembrolizumab coformulated with berahyaluronidase alfa
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 876 participants
- Where
- 124 sitesin 20 countries
- Study dates
- 4 May 2026to 11 May 2038
- 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 a histological diagnosis of pathological Stage I (tumor ≤4 cm) non-small cell lung cancer (NSCLC) per American Joint Committee on Cancer (AJCC) 9th Edition with at least 1of the following high-risk pathologic features as assessed locally: tumor size >2cm, visceral pleural invasion, lymphovascular invasion, or high-grade histology
- Has undergone a complete surgical resection of the primary NSCLC
- Has not received other prior treatment outside of definitive surgery (including but not limited to chemotherapy, immunotherapy, targeted therapy, or radiotherapy) for their current Stage I NSCLC
- Has provided a tissue sample from recent surgery along with the required blood sample
- Human immunodeficiency virus (HIV)-infected participants must have well-controlled HIV on antiretroviral therapy (ART)
- 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
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- Has diagnosis of any 1 of the following: small cell lung cancer (SCLC) or, for mixed tumors, presence of small cell elements, neuroendocrine tumor with large cell components, sarcomatoid carcinoma, or two synchronous primary NSCLCs
- Has any clinically significant cardiovascular disease within 12 months before randomization, including a history of coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI), valvular heart disease requiring surgical intervention, New York Heart Association Class III-IV heart failure, unstable angina, myocardial infarction (MI), pulmonary hypertension, cardiovascular accident (CVA), or hemodynamically unstable cardiac arrhythmia
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has active autoimmune disease that has required systemic treatment in the past 2 years. Hormonal supplementation (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed
Show all 10Show fewer
- Has history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- Has active infection requiring systemic therapy other than those permitted in protocol
- Has history of stem cell/solid organ transplant
- Participants who have not adequately recovered from major surgery or have ongoing surgical complications
Trial locations and contacts
124 sites in 20 countries. Contact the study team or a site near you to ask about taking part.
124 sites in 20 countries
United States26 sites, 26 recruiting
- Recruiting
New York Oncology Hematology, P.C. ( Site 9000)
Albany, New York, 12206
Study Coordinator, 518-489-0044
- Recruiting
Charles George VA Medical Center ( Site 3233)
Asheville, North Carolina, 28805
Study Coordinator, 828-298-7911
- Recruiting
University of Colorado Cancer Center ( Site 3268)
Aurora, Colorado, 80045
Study Coordinator, 720-848-0300
- Recruiting
Billings Clinic ( Site 3255)
Billings, Montana, 59101
Study Coordinator, 406-435-7480
- Recruiting
UNC Lineberger Comprehensive Cancer Center ( Site 3250)
Chapel Hill, North Carolina, 27514
Study Coordinator, 919-966-4432
- Recruiting
Sanford Fargo Medical Center ( Site 3236)
Fargo, North Dakota, 58102
Study Coordinator, 701-234-7563
- Recruiting
Hematology Oncology Associates of Fredericksburg ( Site 3275)
Fredericksburg, Virginia, 22408
Study Coordinator, 540-371-0079
- Recruiting
UF Health Cancer Center ( Site 3257)
Gainesville, Florida, 32610
Study Coordinator, 352-273-8010
- Recruiting
Altru Health System ( Site 3254)
Grand Forks, North Dakota, 58201
Study Coordinator, 701-780-5400
- Recruiting
University of Texas-MD Anderson Cancer Center ( Site 3283)
Houston, Texas, 77030
Study Coordinator, 713-792-6363
- Recruiting
The University of Tennessee Medical Center ( Site 3223)
Knoxville, Tennessee, 37920
Study Coordinator, 865-305-8780
- Recruiting
Gundersen Health System ( Site 3200)
La Crosse, Wisconsin, 54601
Study Coordinator, 608-775-2385
- Recruiting
NHO Revive Research Institute, LLC ( Site 3218)
Lincoln, Nebraska, 68506
Study Coordinator, 402-484-4900
- Recruiting
West Virginia University ( Site 3237)
Morgantown, West Virginia, 26506
Study Coordinator, 304-598-4500
- Recruiting
Smilow Cancer Center at Yale-New Haven ( Site 3253)
New Haven, Connecticut, 06511
Study Coordinator, 203-688-4242
- Recruiting
Illinois Cancer Care ( Site 7000)
Peoria, Illinois, 61615
Study Coordinator, 309-240-6040
- Recruiting
Perelman Center for Advanced Medicine ( Site 3205)
Philadelphia, Pennsylvania, 19104
Study Coordinator, 267-275-3770
- Recruiting
WakeMed Raleigh Campus ( Site 3214)
Raleigh, North Carolina, 27610
Study Coordinator, 919-350-2873
- Recruiting
Renown Regional Medical Center-Renown Health Medical Oncology ( Site 3207)
Reno, Nevada, 89502
Study Coordinator, 775-982-4000
- Recruiting
UC Davis Comprehensive Cancer Center ( Site 3204)
Sacramento, California, 95817
Study Coordinator, 916-734-5959
- Recruiting
Fred Hutchinson Cancer Center ( Site 3202)
Seattle, Washington, 98109
Study Coordinator, 206-606-4801
- Recruiting
Sanford Cancer Center ( Site 3266)
Sioux Falls, South Dakota, 57104
Study Coordinator, 605-312-3250
- Recruiting
Avera Cancer Institute ( Site 3209)
Sioux Falls, South Dakota, 57105
Study Coordinator, 605-322-3000
- Recruiting
Washington University School of Medicine ( Site 3279)
St Louis, Missouri, 63110
Study Coordinator, 314-362-5000
- Recruiting
SUNY Upstate Medical University ( Site 3270)
Syracuse, New York, 13210
Study Coordinator, 315-464-8237
- Recruiting
White Plains Hospital ( Site 3213)
White Plains, New York, 10601
Study Coordinator, 914-849-7500
Spain9 sites, 9 recruiting
- Recruiting
Hospital Universitario de Badajoz ( Site 0305)
Badajoz, 06006
Study Coordinator, +34924218040
- Recruiting
Hospital de Cruces ( Site 0308)
Barakaldo, Bizkaia, 48903
Study Coordinator, +34946006399
- Recruiting
Hospital Universitari Vall d'Hebron ( Site 0300)
Barcelona, Catalonia, 08035
Study Coordinator, +34932746000
- Recruiting
ICO - Hospital Duran i Reynals ( Site 0301)
L'Hospitalet de Llobregat, Barcelona, 08908
Study Coordinator, +34932607744
- Recruiting
HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON ( Site 0307)
Madrid, 28009
Study Coordinator, +34915868115
- Recruiting
Hospital Clinico San Carlos ( Site 0303)
Madrid, 28040
Study Coordinator, +34913303000
- Recruiting
Hospital Virgen de la Victoria ( Site 0309)
Málaga, Malaga, 29010
Study Coordinator, +34671594566
- Recruiting
Hospital Universitario Virgen Macarena ( Site 0306)
Seville, 41007
Study Coordinator, +34955008000
- Recruiting
Hospital General de Valencia ( Site 0304)
Valencia, 46014
Study Coordinator, +34963187527
Netherlands8 sites, 8 recruiting
- Recruiting
Meander Medisch Centrum ( Site 4802)
Amersfoort, Utrecht, 3813 TZ
Study Coordinator, +31338507843
- Recruiting
Nederlands Kanker Instituut Antoni van Leeuwenhoek (NKI AVL) ( Site 4809)
Amsterdam, North Holland, 1066 CX
Study Coordinator, +31205129111
- Recruiting
University Medical Center Groningen ( Site 4807)
Groningen, 9713 GZ
Study Coordinator, +31503614679
- Recruiting
Ziekenhuis St. Jansdal ( Site 4800)
Harderwijk, Gelderland, 3844 DG
Study Coordinator, +31341463742
- Recruiting
Frisius Medisch Centrum ( Site 4808)
Leeuwarden, Provincie Friesland, 8934 AD
Study Coordinator, +31503614679
- Recruiting
Radboudumc ( Site 4806)
Nijmegen, Gelderland, 6525 GA
Study Coordinator, +31243610353
- Recruiting
Elisabeth-TweeSteden Ziekenhuis ( Site 4801)
Tilburg, North Holland, 5022 GC
Study Coordinator, +31132213101
- Recruiting
Isala, locatie Zwolle ( Site 4804)
Zwolle, Overijssel, 8025 AB
Study Coordinator, 088-6243254
Turkey (Türkiye)8 sites, 8 recruiting
- Recruiting
Adana Medical Park Seyhan Hastanesi ( Site 4302)
Adana, 1140
Study Coordinator, +905056166338
- Recruiting
Hacettepe Universite Hastaneleri-oncology hospital ( Site 4300)
Ankara, 6230
Study Coordinator, +905523567926
- Recruiting
Atatürk Göğüs Hastalıkları Ve Göğüs Cerrahisi Eğitim Araştırma Hastanesi ( Site 4309)
Ankara, 6280
Study Coordinator, +905360653456
- Recruiting
Ankara Bilkent Sehir Hastanesi ( Site 4306)
Ankara, 6800
Study Coordinator, +903125526000
- Recruiting
İstinye Üniversitesi Liv Hospital-Topkapi ( Site 4307)
Istanbul, 34010
Study Coordinator, +90549872864
- Recruiting
KARTAL DR. LÜTF KIRDAR ETM VE ARATIRMA HASTANES. ( Site 4308)
Istanbul, 34890
Study Coordinator, +905367197395
- Recruiting
Ege Universitesi Hastanesi ( Site 4301)
Izmir, 35100
Study Coordinator, 905322202675
- Recruiting
Erciyes Universitesi Tıp Fakultesi Hastaneleri ( Site 4304)
Kayseri, 38039
Study Coordinator, +905388731881
Hungary7 sites, 7 recruiting
- Recruiting
Országos Onkológiai Intézet ( Site 4405)
Budapest, 1122
Study Coordinator, +3612248600
- Recruiting
Gyor- Moson- Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz ( Site 4404)
Győr, Győr-Moson-Sopron, 9024
Study Coordinator, +36 96 507 900
- Recruiting
Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 4406)
Kecskemét, Bács-Kiskun county, 6000
Study Coordinator, +3676516700/6719
- Recruiting
Borsod-Abaúj-Zemplén Vármegyei Központi Kórház És Egyetemi Oktatókórház ( Site 4409)
Miskolc, Borsod-Abauj Zemplen county, 3526
Study Coordinator, +36304835188
- Recruiting
Pecsi Tudomanyegyetem Klinikai Kozpont ( Site 4401)
Pécs, Baranya, 7623
Study Coordinator, +36 72 535890
- Recruiting
Nograd Varmegyei Szent Lazar Korhaz ( Site 4410)
Salgótarján, Nógrád megye, 3100
Study Coordinator, +3632522000
- Recruiting
Reformatus Pulmonologiai Centrum ( Site 4403)
Törökbálint, Pest County, 2045
Study Coordinator, +36 23 511 570
Chile6 sites, 6 recruiting
- Recruiting
Bradford Hill Norte ( Site 3705)
Antofagasta, 2520598
Study Coordinator, +5644232023631
- Recruiting
Clínica MEDS La Dehesa ( Site 3708)
Lo Barnechea, Region M. de Santiago, 7691236
Study Coordinator, +56229015945
- Recruiting
Centro de Oncología de Precisión ( Site 3706)
Santiago, Region M. de Santiago, 7500000
Study Coordinator, +56225189885
- Recruiting
FALP-UIDO ( Site 3701)
Santiago, Region M. de Santiago, 7500921
Study Coordinator, +56226062331
- Recruiting
Bradfordhill-Clinical Area ( Site 3700)
Santiago, Region M. de Santiago, 8420383
Study Coordinator, +56 229490970
- Recruiting
ONCOCENTRO APYS-ACEREY ( Site 3704)
Viña del Mar, Valparaiso, 2520598
Study Coordinator, +56323320860
Colombia6 sites, 6 recruiting
- Recruiting
Instituto Nacional De Cancerologia-Oncología Clínica ( Site 3804)
Bogota, Cundinamarca, 111151
Study Coordinator, +573108658288
- Recruiting
FUNDACION CTIC CENTRO DE TRATAMIENTO E INVESTIGACION SOBRE CANCER LUIS CARLOS SARMIENTO ANGULO ( Site 3806)
Bogotá, Bogota D.C., 110131
Study Coordinator, +573219198898
- Recruiting
Clínica Universitaria Colombia ( Site 3803)
Bogotá, Bogota D.C., 111321
Study Coordinator, +573016254437
- Recruiting
Promotora Médica Las Américas S.A. ( Site 3800)
Medellín, Antioquia, 050021
Study Coordinator, +570343421010
- Recruiting
Instituto Médico de Alta Tecnología S.A.S - IMAT S.A.S ( Site 3801)
Montería, Departamento de Córdoba, 230002
Study Coordinator, +576047862333
- Recruiting
Clinica Somer ( Site 3802)
Rionegro, Antioquia, 054040
Study Coordinator, +5746052626
Israel6 sites, 6 recruiting
- Recruiting
Rambam Health Care Campus ( Site 3303)
Haifa, 3109601
Study Coordinator, +97247772688
- Recruiting
Shaare Zedek Medical Center ( Site 3301)
Jerusalem, 9103102
Study Coordinator, +97226555999
- Recruiting
Hadassah Medical Center ( Site 3305)
Jerusalem, 9112001
Study Coordinator, +97226777333
- Recruiting
Meir medical center ( Site 3306)
Kfar Saba, 4428164
Study Coordinator, +97297472555
- Recruiting
Rabin Medical Center ( Site 3304)
Petah Tikva, 4941492
Study Coordinator, 972-3-9378086
- Recruiting
Sheba Medical Center ( Site 3302)
Ramat Gan, 5265601
Study Coordinator, +97235307096
Italy6 sites, 6 recruiting
- Recruiting
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII ( Site 2804)
Bergamo, Lombardy, 24127
Study Coordinator, +390352673694
- Recruiting
Azienda Ospedaliera Universitaria Careggi ( Site 2806)
Florence, Tuscany, 50134
Study Coordinator, 00390557947298
- Recruiting
Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 2800)
Milan, Lombardy, 20133
Study Coordinator, +390223903816
- Recruiting
Azienda Ospedaliero Universitaria Maggiore della Carità ( Site 2803)
Novara, 28100
Study Coordinator, 003903213732296
- Recruiting
AO Santa Maria della Misericordia ( Site 2809)
Perugia, Umbria, 06132
Study Coordinator, +390755782661
- Recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 2801)
Roma, 00168
Study Coordinator, +390630155202
South Korea6 sites, 6 recruiting
- Recruiting
Chungbuk National University Hospital ( Site 5201)
Cheongju-si, North Chungcheong, 28644
Study Coordinator, +82432696015
- Recruiting
National Cancer Center ( Site 5202)
Goyang-si, Kyonggi-do, 10408
Study Coordinator, +82-31-920-1676
- Recruiting
Seoul National University Bundang Hospital ( Site 5200)
Seongnam-si, Kyonggi-do, 13620
Study Coordinator, +82317877071
- Recruiting
Asan Medical Center ( Site 5205)
Seoul, 05505
Study Coordinator, +82230103214
- Recruiting
Samsung Medical Center ( Site 5206)
Seoul, 06351
Study Coordinator, +82-2-3410-1132
- Recruiting
The Catholic University Of Korea St. Vincent's Hospital ( Site 5203)
Suwon, Kyonggi-do, 16247
Study Coordinator, 82-31-249-7744
Taiwan5 sites, 5 recruiting
- Recruiting
Chang Gung Memorial Hospital at Kaohsiung ( Site 5302)
Kaohsiung City, 83301
Study Coordinator, +886 7-7317123
- Recruiting
China Medical University Hospital ( Site 5303)
Taichung, 40447
Study Coordinator, +886422052121
- Recruiting
Taichung Veterans General Hospital ( Site 5301)
Taichung, 407
Study Coordinator, +886423592525
- Recruiting
National Cheng Kung University Hospital ( Site 5300)
Tainan, 704
Study Coordinator, +88662353535
- Recruiting
Taipei Medical University Hospital ( Site 5305)
Taipei, 110
Study Coordinator, +886227372181
Canada4 sites, 4 recruiting
- Recruiting
Hamilton Health Sciences-Juravinski Cancer Centre ( Site 2506)
Hamilton, Ontario, L8V 5C2
Study Coordinator, 905-387-9495
- Recruiting
Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 2503)
Kingston, Ontario, K7L 2V7
Study Coordinator, 6135496666
- Recruiting
Centre Hospitalier de l'Université de Montréal ( Site 2501)
Montreal, Quebec, H2X 3E4
Study Coordinator, 5148908000x26832
- Recruiting
The Ottawa Hospital Cancer Centre ( Site 2508)
Ottawa, Ontario, K1H 8L6
Study Coordinator, 613-722-7000
Greece4 sites, 4 recruiting
- Recruiting
Errikos Dunant Hospital Center ( Site 5004)
Athens, Attica, 115 26
Study Coordinator, +302107470960
- Recruiting
THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 5001)
Athens, Attica, 115 27
Study Coordinator, +302107700220
- Recruiting
University General Hospital ''Attikon'' - General Hospital of West Attica "H AGIA VARVARA" ( Site 5003)
Athens, Attica, 124 62
Study Coordinator, 302105832549
- Recruiting
European Interbalkan Medical Center-Oncology Department ( Site 5000)
Thessaloniki, 570 01
Study Coordinator, +302310400213
Poland4 sites, 4 recruiting
- Recruiting
Wojewodzki Szpital Specjalistyczny im. sw. Rafala w Czerwonej Gorze ( Site 4206)
Chęciny, Świętokrzyskie Voivodeship, 26-060
Study Coordinator, +48413465545wew256
- Recruiting
IP Clinic ( Site 4204)
Lodz, Łódź Voivodeship, 90-752
Study Coordinator, +48 48 42 208 97 98
- Recruiting
Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 4202)
Poznan, Greater Poland Voivodeship, 60-569
Study Coordinator, +48616654242
- Recruiting
Instytut Gruzlicy i Chorob Pluc w Warszawie ( Site 4200)
Warsaw, Masovian Voivodeship, 01-138
Study Coordinator, +48224312360
United Kingdom4 sites, 4 recruiting
- Recruiting
St Bartholomew's Hospital ( Site 0400)
London, London, City of, EC1A 7BE
Study Coordinator, 0203 765 8544
- Recruiting
University College London Hospitals ( Site 0406)
London, London, City of, NW1 2PG
Study Coordinator, +442034567890
- Recruiting
Charing Cross Hospital ( Site 0407)
London, London, City of, W6 8RF
Study Coordinator, 020 331 10291
- Recruiting
Singleton Hospital ( Site 0403)
Swansea, SA2 8QA
Study Coordinator, 01792205666
Australia3 sites, 3 recruiting
- Recruiting
Princess Alexandra Hospital ( Site 0503)
Brisbane, Queensland, 4102
Study Coordinator, 0731762111
- Recruiting
One Clinical Research ( Site 0501)
Nedlands, Western Australia, 6009
Study Coordinator, +61410565868
- Recruiting
Royal North Shore Hospital ( Site 0502)
St Leonards, New South Wales, 2065
Study Coordinator, +61299267111
Brazil3 sites, 3 recruiting
- Recruiting
Hospital de Clínicas de Passo Fundo ( Site 3601)
Pasos Fundo, Rio Grande do Sul, 99010-260
Study Coordinator, +5554981271411
- Recruiting
Hospital Samaritano De Sao Paulo ( Site 3612)
São Paulo, 01232-010
Study Coordinator, 551138215871
- Recruiting
Hospital Sírio Libanês ( Site 3611)
São Paulo, 01308-060
Study Coordinator, +5511994125414
France3 sites, 3 recruiting
- Recruiting
CHU GABRIEL MONTPIED ( Site 2608)
Clermont-Ferrand, Puy-de-Dome, 63000
Study Coordinator, +33473754440
- Recruiting
Centre Hospitalier Universitaire de Rennes - Hôpital Pontchaillou ( Site 2605)
Rennes, Brittany Region, 35000
Study Coordinator, +33299283738
- Recruiting
Hôpital Foch ( Site 2604)
Suresnes, Hauts-de-Seine, 92150
Study Coordinator, +33146252000
Germany3 sites, 3 recruiting
- Recruiting
Augusta-Kranken-Anstalt ( Site 2702)
Bochum, North Rhine-Westphalia, 44791
Study Coordinator, 00492345172453
- Recruiting
SRH Wald-Klinikum Gera ( Site 2700)
Gera, Thuringia, 07548
Study Coordinator, +493658280
- Recruiting
Thoraxklinik-Heidelberg gGmbH ( Site 2703)
Heidelberg, Baden-Wurttemberg, 69126
Study Coordinator, +4962213960
Japan3 sites, 3 recruiting
- Recruiting
Fukushima Medical University Hospital ( Site 5501)
Fukushima, 960-1295
Study Coordinator, +81-24-547-1111
- Recruiting
Hospital of the University of Occupational and Environmental Health, Japan ( Site 5516)
Kitakyushu, Fukuoka, 807-8556
Study Coordinator, +81-93-603-1611
- Recruiting
Yamagata University Hospital ( Site 5500)
Yamagata, 990-9585
Study Coordinator, +81-23-633-1122
About this study
Official title: A Phase 3, Randomized, Placebo-Controlled Study of Adjuvant Intismeran Autogene Plus Subcutaneous Pembrolizumab and Berahyaluronidase Alfa (MK-3475A) or Intismeran Autogene Monotherapy Versus Placebo in Participants With Completely Resected High-Risk Stage I Non-Small Cell Lung Cancer (INTerpath-014)
Researchers are looking for new ways to treat high-risk, localized non-small cell lung cancer (NSCLC) that has been removed with surgery.
People with high-risk, localized NSCLC are often treated with surgery. Researchers want to learn if participants can receive 1 or 2 trial treatments to help prevent NSCLC from coming back after surgery. One trial medicine is intismeran (also called V940/mRNA-4157) and the other is subcutaneous pembrolizumab (also called SC pembrolizumab and MK-3475A). Intismeran is designed to help a person's immune system attack their specific cancer. SC pembrolizumab is an immunotherapy treatment which helps the immune system fight cancer.
The main purpose of this study is to evaluate whether adjuvant intismeran autogene (V940) in combination with SC pembrolizumab and berahyaluronidase alfa (MK-3475A) or intismeran monotherapy improves disease-free survival (DFS) compared with placebo in participants with completely resected high-risk Stage I NSCLC.
- Conditions
- Non-small Cell Lung Cancer
- Being tested
- Intismeran, Pembrolizumab coformulated with berahyaluronidase alfa, 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.
IntismeranBiological
Also called V940, mRNA-4157
IM injection
Pembrolizumab coformulated with berahyaluronidase alfaBiological
Also called MK-3475A
SC injection
PlaceboOther
IM injection
| Study group | Role | What they receive |
|---|---|---|
| Arm A: Intismeran + Pembrolizumab with Berahyaluronidase Alfa | Experimental | Participants will receive intismeran 1 mg via intramuscular (IM) injection plus pembrolizumab coformulated with berahyaluronidase alfa 790 mg via subcutaneous (SC) injection. Receives: Biological: Intismeran; Biological: Pembrolizumab coformulated with berahyaluronidase alfa |
| Arm B: Intismeran | Experimental | Participants will receive intismeran 1 mg via IM injection. Receives: Biological: Intismeran |
| Arm C: Placebo | Placebo comparator | Participants will receive dose-matched placebo via IM injection. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-Free Survival (DFS) as Assessed by Blinded Independent Central Review (BICR) in Participants With Nonsquamous Non-Small Cell Lung Cancer (NSCLC) in Arm A and Arm C
DFS is defined as the time from randomization to any recurrence (local, locoregional, regional, or distant) by BICR, or death due to any cause, whichever occurs first.
Measured: Up to approximately 98 months
Secondary outcomes (8)
DFS as Assessed by BICR
DFS is defined as the time from randomization to any recurrence (local, locoregional, regional, or distant) by BICR, or death due to any cause, whichever occurs first.
Measured: Up to approximately 98 months
Distant Metastasis-Free Survival (DMFS)
DMFS is defined as the time from randomization to the first diagnosis of a distant metastasis by BICR or death due to any cause, whichever occurs first. Distant metastasis refers to cancer that has spread from the original (primary) tumor to distant organs or distant lymph nodes.
Measured: Up to approximately 111 months
Overall Survival (OS)
OS is defined as the time from randomization to death due to any cause.
Measured: Up to approximately 123 months
Number Participants Who Experience an Adverse Events (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. The number of participants who experience an AE will be reported.
Measured: Up to approximately 144 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. The number of participants who discontinue study intervention due to an AE will be reported.
Measured: Up to approximately 144 months
Change From Baseline in European Organization for Research and Treatment (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Combined Global Health Status / Quality of Life (Items 29 & 30) Scale Combined Score
EORTC QLQ-C30 is a questionnaire to assess the overall quality of life (QoL) of cancer patients. Participant responses to questions regarding Global Health Status (GHS; "How would you rate your overall health during the past week?") and QoL ("How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1= Very poor to 7=Excellent). The combined score of GHS (Item 29) and QoL (Item 30) is computed by averaging the raw scores of the 2 items and then applying a linear transformation to standardize the average score, so that the combined scores range from 0-100. A higher score indicates a better outcome. 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 approximately 36 months
Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Score
EORTC QLQ-C30 is a questionnaire to assess the overall QoL of cancer patients. Participant responses to 5 questions about their physical functioning (Items 1 to 5) are scored on a 4-point scale (1=Not at All to 4=Very Much). The combined score of items 1 to 5 was computed by averaging the raw scores of the 5 items and then applying a linear transformation to standardize the average score, so that the combined scores range from 0-100. A higher score indicates a better outcome. The change from baseline in EORTC QLQ-C30 physical functioning (Items 1-5) combined score will be presented.
Measured: Baseline and up to approximately 36 months
Change From Baseline in Role Functioning (EORTC QLQ-C30 Items 6-7) Score
EORTC QLQ-C30 is a questionnaire to assess the overall QoL 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. A higher score indicates 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 approximately 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Apr 2026
- Study start4 May 2026
- Primary completion22 Aug 2034 (estimated)
- Study completion11 May 2038 (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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 876 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
- NCT07513376
- Sponsor's protocol ID
- V940-014
- Other IDs
- V940-014, U1111-1323-9950, 2025-522643-18-00, jRCT2021260028, 2025
- Acronym
- INTerpath-014
- Status last verified
- Oct 2026
- First submitted
- 1 Apr 2026
- Last updated
- 30 Oct 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 30 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Placebo-Controlled Study of Adjuvant Intismeran Autogene Plus Subcutaneous Pembrolizumab and Berahyaluronidase Alfa (MK-3475A) or Intismeran Autogene Monotherapy Versus Placebo in Participants With Completely Resected High-Risk Stage I Non-Small Cell Lung Cancer (INTerpath-014)
- ClinicalTrials.gov ID
- NCT07513376
- Acronym / sponsor ID
- INTerpath-014 / V940-014
- Conditions
- Non-small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 876 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- ModernaTX, Inc.
- Study start
- 4 May 2026 (actual)
- Primary completion
- 22 Aug 2034 (estimated)
- Study completion
- 11 May 2038 (estimated)
- First posted
- 7 Apr 2026 (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.
Researchers are looking for new ways to treat high-risk, localized non-small cell lung cancer (NSCLC) that has been removed with surgery.
People with high-risk, localized NSCLC are often treated with surgery. Researchers want to learn if participants can receive 1 or 2 trial treatments to help prevent NSCLC from coming back after surgery. One trial medicine is intismeran (also called V940/mRNA-4157) and the other is subcutaneous pembrolizumab (also called SC pembrolizumab and MK-3475A). Intismeran is designed to help a person's immune system attack their specific cancer. SC pembrolizumab is an immunotherapy treatment which helps the immune system fight cancer.
The main purpose of this study is to evaluate whether adjuvant intismeran autogene (V940) in combination with SC pembrolizumab and berahyaluronidase alfa (MK-3475A) or intismeran monotherapy improves disease-free survival (DFS) compared with placebo in participants with completely resected high-risk Stage I NSCLC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A: Intismeran + Pembrolizumab with Berahyaluronidase Alfa | Experimental | Biological: Intismeran, Biological: Pembrolizumab coformulated with berahyaluronidase alfaParticipants will receive intismeran 1 mg via intramuscular (IM) injection plus pembrolizumab coformulated with berahyaluronidase alfa 790 mg via subcutaneous (SC) injection. |
| Arm B: Intismeran | Experimental | Biological: IntismeranParticipants will receive intismeran 1 mg via IM injection. |
| Arm C: Placebo | Placebo comparator | Other: PlaceboParticipants will receive dose-matched placebo via IM injection. |
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 a histological diagnosis of pathological Stage I (tumor ≤4 cm) non-small cell lung cancer (NSCLC) per American Joint Committee on Cancer (AJCC) 9th Edition with at least 1of the following high-risk pathologic features as assessed locally: tumor size >2cm, visceral pleural invasion, lymphovascular invasion, or high-grade histology
- Has undergone a complete surgical resection of the primary NSCLC
- Has not received other prior treatment outside of definitive surgery (including but not limited to chemotherapy, immunotherapy, targeted therapy, or radiotherapy) for their current Stage I NSCLC
- Has provided a tissue sample from recent surgery along with the required blood sample
- Human immunodeficiency virus (HIV)-infected participants must have well-controlled HIV on antiretroviral therapy (ART)
Key exclusion criteria (10 listed)
- Has diagnosis of any 1 of the following: small cell lung cancer (SCLC) or, for mixed tumors, presence of small cell elements, neuroendocrine tumor with large cell components, sarcomatoid carcinoma, or two synchronous primary NSCLCs
- Has any clinically significant cardiovascular disease within 12 months before randomization, including a history of coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI), valvular heart disease requiring surgical intervention, New York Heart Association Class III-IV heart failure, unstable angina, myocardial infarction (MI), pulmonary hypertension, cardiovascular accident (CVA), or hemodynamically unstable cardiac arrhythmia
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has active autoimmune disease that has required systemic treatment in the past 2 years. Hormonal supplementation (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed
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 |
|---|---|---|
| IntismeranAlso: V940, mRNA-4157IM injection | Biological | Arm A: Intismeran + Pembrolizumab with Berahyaluronidase Alfa, Arm B: Intismeran |
| Pembrolizumab coformulated with berahyaluronidase alfaAlso: MK-3475ASC injection | Biological | Arm A: Intismeran + Pembrolizumab with Berahyaluronidase Alfa |
| PlaceboIM injection | Other | Arm C: Placebo |
Primary outcome
Disease-Free Survival (DFS) as Assessed by Blinded Independent Central Review (BICR) in Participants With Nonsquamous Non-Small Cell Lung Cancer (NSCLC) in Arm A and Arm C
Time frame: Up to approximately 98 months
DFS is defined as the time from randomization to any recurrence (local, locoregional, regional, or distant) by BICR, or death due to any cause, whichever occurs first.
8 secondary outcomes
DFS as Assessed by BICR
Time frame: Up to approximately 98 months
Distant Metastasis-Free Survival (DMFS)
Time frame: Up to approximately 111 months
Overall Survival (OS)
Time frame: Up to approximately 123 months
Number Participants Who Experience an Adverse Events (AE)
Time frame: Up to approximately 144 months
Number of Participants Who Discontinue Study Treatment Due to an AE
Time frame: Up to approximately 144 months
Change From Baseline in European Organization for Research and Treatment (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) Combined Global Health Status / Quality of Life (Items 29 & 30) Scale Combined Score
Time frame: Baseline and up to approximately 36 months
Change From Baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) Score
Time frame: Baseline and up to approximately 36 months
Change From Baseline in Role Functioning (EORTC QLQ-C30 Items 6-7) Score
Time frame: Baseline and up to approximately 36 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 30 Oct 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Plain Language SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Related trials for Non-small Cell Lung Cancer
RecruitingPhase 1/2
Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
Solid Tumor, Non-Small Cell Lung Cancer
RecruitingObservational study
A Prospective ,Multicenter ,Non-interventional ,Real-world Study Observing Changes in Molecular Markers Osimertinib Targeted Therapy in EGFRm NSCLC
Non Small Cell Lung Cancer
RecruitingPhase 3
A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)
Non-Small Cell Lung Cancer (NSCLC)
Active, not recruitingPhase 2
Datopotamab Deruxtecan (Dato-DXd, DS-1062a) in Advanced and/or Unresectable Non-Small Cell Lung Cancer
Metastatic Lung Cancer, Advanced Non Small Cell Lung Cancer
Not yet recruitingPhase 1/2
STAR0602 With Nivolumab in Non Small Cell Lung Cancer and in Metastatic Castrate-Resistant Prostate Cancer, and STAR0602 Alone in Thymic Carcinoma
NSCLC, Non-Small Cell Lung Cancer
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.
Medical Director study director
Merck Sharp & Dohme LLC
124 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Intismeran and Pembrolizumab coformulated with berahyaluronidase alfa in people with Non-small Cell Lung Cancer, run by Merck Sharp & Dohme LLC at 124 sites in 20 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 10 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: looking for participants now, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 124 sites in United States, Spain, Netherlands, Turkey (Türkiye), Hungary and 15 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. Some participants in this study may receive a placebo. 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?
Contact Toll Free Number (1-888-577-8839, Trialsites@msd.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-Free Survival (DFS) as Assessed by Blinded Independent Central Review (BICR) in Participants With Nonsquamous Non-Small Cell Lung Cancer (NSCLC) in Arm A and Arm C (time frame: Up to approximately 98 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 30 Oct 2026; AzTrials last refreshed its copy on 8 Nov 2026.