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RecruitingInterventionalPhase 3

A Phase 3 Randomized Double-blind Study of Adjuvant Pembrolizumab With or Without V940 in Participants With Resectable Stage II to IIIB (N2) NSCLC Not Achieving pCR After Receiving Neoadjuvant Pembrolizumab With Platinum-based Doublet Chemotherapy (INTerpath-009)

NCT ID: NCT06623422Sponsor: Merck Sharp & Dohme LLCLast updated: 2026-05-15

Summary

The goal of this study is to learn if people who receive intismeran autogene and pembrolizumab after surgery are cancer-free longer than people who receive placebo and pembrolizumab. Researchers want to know if giving intismeran autogene and pembrolizumab after surgery can help prevent the cancer from coming back in people with non-small cell lung cancer (NSCLC) whose tumors did not respond completely to treatment before surgery (neoadjuvant treatment).

Arms & interventions

  • BiologicalPembrolizumab

    IV Infusion

  • DrugCisplatin

    IV infusion

  • DrugCarboplatin

    IV infusion

  • DrugPemetrexed

    IV infusion

  • DrugGemcitabine

    IV infusion

  • DrugPaclitaxel

    IV infusion

  • BiologicalIntismeran autogene

    IM injection

  • 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 ~97 months

Secondary

  • Overall Survival (OS)

    Time frame: Up to ~129 months

  • Distant Metastasis-Free Survival (DMFS)

    Time frame: Up to ~129 months

  • Disease-Free Survival 2 (DFS2)

    Time frame: Up to ~129 months

  • Lung Cancer Specific Survival (LCSS)

    Time frame: Up to ~129 months

  • 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)

    Time frame: Baseline and up to ~129 months

  • Change from Baseline in the EORTC QLQ-C30 Physical Functioning (Items 1-5)

    Time frame: Baseline and up to ~129 months

  • Change from Baseline in the EORTC QLQ-C30 Role Functioning (Items 6 and 7)

    Time frame: Baseline and up to ~129 months

  • Number of participants with ≥1 adverse event (AE)

    Time frame: Up to ~129 months

  • Number of participants discontinuing from study therapy due to AE(s)

    Time frame: Up to ~129 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 histologically/cytologically confirmed diagnosis of previously untreated and pathologically confirmed resectable clinical Stage II, IIIA, or IIIB (N2) non-small cell lung cancer (NSCLC) \[American Joint Committee on Cancer (AJCC) 8th Edition\] * Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 7 days before the first dose of study intervention * Participants who have not achieved a pathological complete response (pCR) following completion of neoadjuvant chemotherapy and pembrolizumab followed by surgery will be eligible * Confirmation that epidermal growth factor receptor (EGFR)-directed therapy is not indicated as primary therapy (documentation of absence of tumor-activating EGFR mutations \[eg, DEL19 or L858R\]) * Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on anti-retroviral 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 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, or a pancoast tumor * Documentation by local test report indicating presence of anaplastic lymphoma kinase (ALK) gene rearrangements * Received prior neoadjuvant therapy for their current NSCLC diagnosis * Received prior therapy with an anti-programmed cell death 1 (PD-1), anti-programmed cell death ligand 1 (PD-L1), or anti-programmed cell-death ligand 2 (PD-L2) agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein \[CTLA-4\], OX-40, CD137) * Received prior systemic anticancer therapy including investigational agents other than what is specified in this protocol * Received prior treatment with a cancer vaccine * Received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids * Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention

Study locations (48)

Banner MD Anderson Cancer Center ( Site 0181)

Gilbert, Arizona, 85234

Recruiting
Study Coordinator · Contact

The University of Arizona Cancer Center - North Campus ( Site 0163)

Tucson, Arizona, 85719

Recruiting
Study Coordinator · Contact

Providence St. Jude Medical Center ( Site 0106)

Fullerton, California, 92835

Recruiting
Study Coordinator · Contact

VA Long Beach Healthcare System ( Site 0199)

Long Beach, California, 90822

Recruiting
Study Coordinator · Contact

USC Norris Comprehensive Cancer Center ( Site 0205)

Los Angeles, California, 90033

Recruiting
Study Coordinator · Contact

UCSF Medical Center at Mission Bay ( Site 0178)

San Francisco, California, 94158

Recruiting
Study Coordinator · Contact

University of Colorado Anschutz Medical Campus ( Site 0151)

Aurora, Colorado, 80045

Recruiting
Study Coordinator · Contact

UCHealth Memorial Hospital Central ( Site 0125)

Colorado Springs, Colorado, 80909

Recruiting
Study Coordinator · Contact

Banner MD Anderson Cancer Center at North Colorado Medical Center ( Site 0207)

Greeley, Colorado, 80631

Recruiting
Study Coordinator · Contact

Centura Health - St. Anthony North Health Campus ( Site 0189)

Westminster, Colorado, 80023

Recruiting
Study Coordinator · Contact

Yale University School of Medicine ( Site 0201)

New Haven, Connecticut, 06510

Recruiting
Study Coordinator · Contact

Eastern CT Hematology & Oncology Associates ( Site 0202)

Norwich, Connecticut, 06360

Recruiting
Study Coordinator · Contact

The Oncology Institute of Hope and Innovation - Fort Lauderdale ( Site 0156)

Fort Lauderdale, Florida, 33316

Recruiting
Study Coordinator · Contact

Miami Cancer Institute at Baptist Health, Inc. ( Site 0214)

Miami, Florida, 33176

Recruiting
Study Coordinator · Contact

Beacon Cancer Care ( Site 0127)

Post Falls, Idaho, 83854

Recruiting
Study Coordinator · Contact

The University of Chicago Medical Center ( Site 0118)

Chicago, Illinois, 60637

Recruiting
Study Coordinator · Contact

Maryland Oncology Hematology (MOH) ( Site 8102)

Rockville, Maryland, 20850

Recruiting
Study Coordinator · Contact

Massachusetts General Hospital ( Site 0136)

Boston, Massachusetts, 02114

Recruiting
Study Coordinator · Contact

Dana Farber Cancer Hospital ( Site 0155)

Boston, Massachusetts, 02215

Recruiting
Study Coordinator · Contact

Ellis Fischel Cancer Center ( Site 0133)

Columbia, Missouri, 65212

Completed

Lake Regional Hospital-Cancer Center ( Site 0123)

Osage Beach, Missouri, 65065

Completed

Roswell Park Cancer Institute ( Site 0184)

Buffalo, New York, 14263

Recruiting
Study Coordinator · Contact

Hematology-Oncology Associates of CNY ( Site 0164)

East Syracuse, New York, 13057

Recruiting
Study Coordinator · Contact

The Blavatnik Family- Chelsea Medical Center at Mount Sinai ( Site 0216)

New York, New York, 10011

Recruiting
Study Coordinator · Contact

Icahn School of Medicine at Mount Sinai ( Site 0116)

New York, New York, 10029

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering Cancer Center ( Site 0137)

New York, New York, 10065

Recruiting
Study Coordinator · Contact

SUNY Upstate Cancer Center ( Site 0140)

Syracuse, New York, 13210

Recruiting
Study Coordinator · Contact

Montefiore Medical Center ( Site 0160)

The Bronx, New York, 10461

Recruiting
Study Coordinator · Contact

Westchester Medical Center ( Site 0196)

Valhalla, New York, 10595

Recruiting
Study Coordinator · Contact

Novant Health Weisiger Cancer Insititute ( Site 0266)

Charlotte, North Carolina, 28204

Recruiting
Study Coordinator · Contact

Novant Health Forsyth Medical Center ( Site 0166)

Winston-Salem, North Carolina, 27103

Recruiting
Study Coordinator · Contact

University of Cincinnati Medical Center ( Site 0119)

Cincinnati, Ohio, 45219

Recruiting
Study Coordinator · Contact

St. Lukes Hospital and Health Network ( Site 0186)

Bethlehem, Pennsylvania, 18015

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Study Coordinator · Contact

Thompson Cancer Survival Center ( Site 0168)

Knoxville, Tennessee, 37916

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Study Coordinator · Contact

Elliston Place Medical Oncology & Hematology ( Site 0215)

Nashville, Tennessee, 37203

Recruiting
Study Coordinator · Contact

Texas Oncology - DFW ( Site 8103)

Dallas, Texas, 75246

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Study Coordinator · Contact

UT Southwestern Medical Center ( Site 0190)

Dallas, Texas, 75390

Recruiting
Study Coordinator · Contact

Houston Methodist Cancer Center ( Site 0191)

Houston, Texas, 77030

Recruiting
Study Coordinator · Contact

MD Anderson Cancer Center ( Site 0150)

Houston, Texas, 77030

Recruiting
Study Coordinator · Contact

Memorial Hermann Cancer Center ( Site 0172)

Houston, Texas, 77030

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Study Coordinator · Contact

Michael E. DeBakey VA Medical Center ( Site 0197)

Houston, Texas, 77030

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Study Coordinator · Contact

O'Quinn Medical Tower at McNair Campus ( Site 0131)

Houston, Texas, 77030

Recruiting
Study Coordinator · Contact

The University of Texas Health Science Center at Tyler dba UT Health East Texas HOPE Cancer Center ( Site 0148)

Tyler, Texas, 75701

Recruiting
Study Coordinator · Contact

Virginia Cancer Specialists ( Site 0167)

Fairfax, Virginia, 22031

Recruiting
Study Coordinator · Contact

Virginia Oncology Associates (VOA) ( Site 8101)

Norfolk, Virginia, 23502

Recruiting
Study Coordinator · Contact

VCU Health Adult Outpatient Pavillion ( Site 0193)

Richmond, Virginia, 23219

Recruiting
Study Coordinator · Contact

Swedish Cancer Institute ( Site 0143)

Seattle, Washington, 98104

Recruiting
Study Coordinator · Contact

Virginia Mason Franciscan Health - St. Michael Cancer Center ( Site 0192)

Silverdale, Washington, 98383

Recruiting
Study Coordinator · Contact