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RecruitingInterventionalPhase 3

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)

NCT ID: NCT06077760Sponsor: Merck Sharp & Dohme LLCLast updated: 2026-06-12

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). 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.

Arms & interventions

  • BiologicalIntismeran autogene

    IM injection

  • BiologicalPembrolizumab

    IV infusion

  • OtherPlacebo

    IM injection

Outcome measures

Primary

  • 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.

    Time frame: Up to ~78 months

Secondary

  • 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

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: 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). Exclusion Criteria: 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. * 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.

Study locations (68)

Alaska Oncology and Hematology ( Site 0039)

Anchorage, Alaska, 99508

Recruiting
Study Coordinator · Contact

The University of Arizona Cancer Center - North Campus ( Site 0071)

Tucson, Arizona, 85719

Recruiting
Study Coordinator · Contact

YUMA REGIONAL MEDICAL CENTER CANCER CENTER ( Site 0020)

Yuma, Arizona, 85364

Completed

UCLA Clinical & Translational Research Center (CTRC) ( Site 0059)

Los Angeles, California, 90095

Recruiting
Study Coordinator · Contact

Hoag Memorial Hospital Presbyterian ( Site 4042)

Newport Beach, California, 92663

Recruiting
Study Coordinator · Contact

Hoag Memorial Hospital Presbyterian ( Site 4048)

Newport Beach, California, 92663

Recruiting
Study Coordinator · Contact

St. Joseph Hospital-The Center for Cancer Prevention and Treatment ( Site 0074)

Orange, California, 92868

Recruiting
Study Coordinator · Contact

University of California, Irvine (UCI) Health - UC Irvine Medical Center ( Site 0030)

Orange, California, 92868

Recruiting
Study Coordinator · Contact

UCHealth Memorial Hospital-Heme Onc ( Site 0052)

Colorado Springs, Colorado, 80909

Completed

George Washington University Medical Faculty Associates ( Site 4064)

Washington D.C., District of Columbia, 20037

Recruiting
Study Coordinator · Contact

Mayo Clinic Florida ( Site 4043)

Jacksonville, Florida, 32224

Recruiting
Study Coordinator · Contact

Miami Cancer Institute at Baptist Health, Inc. ( Site 4047)

Miami, Florida, 33176

Recruiting
Study Coordinator · Contact

Mid Florida Hematology and Oncology Center ( Site 0014)

Orange City, Florida, 32763

Recruiting
Study Coordinator · Contact

AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0013)

Orlando, Florida, 32804

Recruiting
Study Coordinator · Contact

Moffitt Cancer Center ( Site 0078)

Tampa, Florida, 33612

Recruiting
Study Coordinator · Contact

Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital ( Site 0012)

Marietta, Georgia, 30060

Completed

Southeastern Regional Medical Center ( Site 0098)

Newnan, Georgia, 30265

Recruiting
Study Coordinator · Contact

Beacon Cancer Care ( Site 0044)

Post Falls, Idaho, 83854

Completed

Illinois Cancer Care ( Site 7003)

Peoria, Illinois, 61615

Recruiting
Study Coordinator · Contact

University of Iowa-Holden Comprehensive Cancer Center ( Site 0062)

Iowa City, Iowa, 52242

Recruiting
Study Coordinator · Contact

Saint Elizabeth Healthcare ( Site 0092)

Edgewood, Kentucky, 41017

Recruiting
Study Coordinator · Contact

The University of Louisville, James Graham Brown Cancer Center ( Site 0037)

Louisville, Kentucky, 40202

Recruiting
Study Coordinator · Contact

LSU Health Baton Rouge North Clinic ( Site 4040)

Baton Rouge, Louisiana, 70805

Recruiting
Study Coordinator · Contact

Our Lady of the Lake RMC-Clinical Research ( Site 4050)

Baton Rouge, Louisiana, 70808

Recruiting
Study Coordinator · Contact

University of Michigan Clinical Trials Office ( Site 0058)

Ann Arbor, Michigan, 48109

Recruiting
Study Coordinator · Contact

Cancer and Hematology Centers of Western Michigan ( Site 4003)

Grand Rapids, Michigan, 49503

Recruiting
Study Coordinator · Contact

St. Vincent Frontier Cancer Center ( Site 0043)

Billings, Montana, 59102

Completed

NHO Revive Research Institute, LLC ( Site 4009)

Lincoln, Nebraska, 68506

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering - Basking Ridge ( Site 4056)

Basking Ridge, New Jersey, 07920

Recruiting
Study Coordinator · Contact

John Theurer Cancer Center at Hackensack University Medical Center ( Site 0036)

Hackensack, New Jersey, 07601

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering - Monmouth ( Site 4057)

Middletown, New Jersey, 07748

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering - Bergen ( Site 4059)

Montvale, New Jersey, 07645

Recruiting
Study Coordinator · Contact

Atlantic Health Morristown Medical Center ( Site 4018)

Morristown, New Jersey, 07960

Recruiting
Study Coordinator · Contact

New York Oncology Hematology, P.C. ( Site 4012)

Albany, New York, 12206

Recruiting
Study Coordinator · Contact

Memorial Sloan-Kettering Cancer Center at Commack ( Site 4055)

Commack, New York, 11725

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering - Westchester ( Site 4058)

Harrison, New York, 10604

Recruiting
Study Coordinator · Contact

Perlmutter Cancer Center at NYU Langone Hospital - Long Island-Clinical Research Department ( Site 0095)

Mineola, New York, 11501

Recruiting
Study Coordinator · Contact

The Blavatnik Family- Chelsea Medical Center at Mount Sinai ( Site 4053)

New York, New York, 10011

Recruiting
Study Coordinator · Contact

Laura and Isaac Perlmutter Cancer Center ( Site 0010)

New York, New York, 10016

Recruiting
Study Coordinator · Contact

Icahn School of Medicine at Mount Sinai ( Site 0034)

New York, New York, 10029

Recruiting
Study Coordinator · Contact

Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 0054)

New York, New York, 10032

Completed

Memorial Sloan Kettering Cancer Center ( Site 0029)

New York, New York, 10065

Recruiting
Study Coordinator · Contact

Stony Brook University-Cancer Center ( Site 0072)

Stony Brook, New York, 11794

Completed

Montefiore Medical Center- Montefiore Medical Park-Oncology ( Site 0080)

The Bronx, New York, 10461

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering - Nassau ( Site 4060)

Uniondale, New York, 11553

Recruiting
Study Coordinator · Contact

Novant Health Weisiger Cancer Insititute ( Site 4052)

Charlotte, North Carolina, 28204

Recruiting
Study Coordinator · Contact

Novant Health Oncology Specialists ( Site 4045)

Winston-Salem, North Carolina, 27103

Recruiting
Study Coordinator · Contact

Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 0063)

Fargo, North Dakota, 58102

Recruiting
Study Coordinator · Contact

Altru Health System ( Site 0040)

Grand Forks, North Dakota, 58201

Recruiting
Study Coordinator · Contact

Summa Health ( Site 4011)

Akron, Ohio, 44304

Completed

University of Cincinnati Medical Center-University of Cincinnati Cancer Center ( Site 0028)

Cincinnati, Ohio, 45220

Completed

University Hospitals Cleveland Medical Center ( Site 0023)

Cleveland, Ohio, 44106

Recruiting
Study Coordinator · Contact

OSU Brain and Spine Hospital ( Site 0016)

Columbus, Ohio, 43210

Recruiting
Study Coordinator · Contact

Good Samaritan Regional Medical Center-Samaritan Pastega Regional Cancer Center ( Site 0082)

Corvallis, Oregon, 97330

Recruiting
Study Coordinator · Contact

Thomas Jefferson University - Clinical Research Institute ( Site 0006)

Philadelphia, Pennsylvania, 19107

Recruiting
Study Coordinator · Contact

Medical University of South Carolina-Hollings Cancer Center ( Site 0050)

Charleston, South Carolina, 29425

Recruiting
Study Coordinator · Contact

Sanford Cancer Center ( Site 0075)

Sioux Falls, South Dakota, 57104

Completed

Greco-Hainsworth Centers for Research ( Site 4034)

Chattanooga, Tennessee, 37421

Recruiting
Study Coordinator · Contact

Thompson Cancer Survival Center ( Site 0097)

Knoxville, Tennessee, 37916

Recruiting
Study Coordinator · Contact

Baptist Cancer Center ( Site 4049)

Memphis, Tennessee, 38120

Recruiting
Study Coordinator · Contact

One Oncology - Tennessee Oncology ( Site 4019)

Nashville, Tennessee, 37203

Recruiting
Study Coordinator · Contact

SCRI Oncology Partners ( Site 7001)

Nashville, Tennessee, 37203

Recruiting
Study Coordinator · Contact

UT Southwestern Medical Center ( Site 0061)

Dallas, Texas, 75390

Recruiting
Study Coordinator · Contact

Inova Schar Cancer Institute ( Site 0003)

Fairfax, Virginia, 22031

Recruiting
Study Coordinator · Contact

Virginia Cancer Specialists (VCS) ( Site 4004)

Fairfax, Virginia, 22031

Recruiting
Study Coordinator · Contact

Swedish Medical Center-Swedish Cancer Institute ( Site 0088)

Seattle, Washington, 98104

Recruiting
Study Coordinator · Contact

Fred Hutchinson Cancer Center ( Site 0002)

Seattle, Washington, 98109

Recruiting
Study Coordinator · Contact

Edwards Comprehensive Cancer Center ( Site 4015)

Huntington, West Virginia, 25701

Recruiting
Study Coordinator · Contact