Carcinoma, Squamous CellPhase 2/3INTerpath-007NCT06295809
A Study of (Neo)Adjuvant Intismeran Autogene (V940) and Pembrolizumab in Cutaneous Squamous Cell Carcinoma (V940-007)
A Phase 2/3 study testing Pembrolizumab, Intismeran autogene and Surgery in people with Carcinoma, Squamous Cell and Skin Neoplasms, run by Merck Sharp & Dohme LLC at 106 sites in 20 countries.
Trial summary
This is a two-part (Phase 2/Phase 3) study of intismeran autogene, an individualized neoantigen therapy (INT), plus pembrolizumab in participants with locally resectable advanced cutaneous squamous cell carcinoma (LA cSCC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Squamous Cell, Skin Neoplasms
- What is being tested?
- Pembrolizumab, Intismeran autogene and Surgery
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 106 sitesin 20 countries
- Study dates
- 18 Apr 2024to 5 Mar 2026
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
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
- Has a histologically confirmed diagnosis of resectable cSCC as the primary site of malignancy (metastatic skin involvement from another primary cancer or from an unknown primary cancer is not permitted).
- Has LA Stage II-IV (M0) cSCC without distant metastases.
- cSCC must be amenable to surgery (resectable) with curative intent.
- Has a formalin-fixed, paraffin-embedded (FFPE) tumor sample available or is able to provide one that is suitable for the Next-generation Sequencing (NGS) required for this study.
- For males, agrees to be abstinent from penile-vaginal intercourse OR agrees to use a highly effective contraceptive method while receiving adjuvant radiation therapy (RT), and for ≥3 months after the last dose of study intervention
- Is female and not pregnant/breastfeeding and at least one of the following applies during the study : is not a woman of childbearing potential (WOCBP), is a WOCBP and uses highly effective contraception (low user dependency method OR a user dependent hormonal method in combination with a barrier method) at least during use of intismeran autogene: 15 days, Pembrolizumab: 120 days, Adjuvant RT, if performed: 90 days after last exposure or is a WOCBP who is abstinent from heterosexual intercourse.
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- Has measurable disease per RECIST 1.1 as assessed by the local site investigator/radiology.
- Has a life expectancy of >3 months per investigator assessment.
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 14 days before randomization.
- Has adequate organ function.
- If hepatitis B surface antigen (HBsAg) positive, must have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization
- If there is a history of hepatitis C virus (HCV) infection, HCV viral load must be undetectable at screening
- If human immunodeficiency virus (HIV)-infected, must have well controlled HIV on antiretroviral therapy (ART)
Who cannot join
- Has any other histologic type of skin cancer other than invasive cSCC as well as mixed histology, eg, basal cell carcinoma that has not been definitively treated with surgery or radiation, Bowen's disease, Merkel cell carcinoma (MCC), or melanoma
- Has distant metastatic disease (M1), visceral and/or distant nodal
- Has received prior therapy with an anti-programmed cell death receptor 1 (anti-PD-1), anti-programmed cell death receptor ligand 1 (anti-PD-L1), or anti-programmed cell death receptor ligand 2 (anti-PD-L2) agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte associated protein 4 (CTLA-4), OX-40, CD137)
- Has received prior systemic anticancer therapy including investigational agents for cSCC before randomization
- Has received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
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- Has received transfusion of blood products (including platelets or red blood cells) or administration of colony stimulating factors (including granulocyte colony-stimulating factor, granulocyte macrophage colony-stimulating factor, or recombinant erythropoietin) within 2 weeks of the screening blood sample (including the NGS blood sample)
- Has received prior treatment with another cancer vaccine
- Has received prior radiotherapy to the index lesion (in-field lesion). Must have recovered from all radiation-related toxicities prior to randomization and not have had radiation pneumonitis
- Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration
- Has a 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 the first dose of study medication
- Has a known additional malignancy that is progressing or has required active treatment within the past 2 years
- History of chronic lymphocytic leukemia (CLL)
- History of central nervous system (CNS) metastases and/or carcinomatous meningitis
- Has severe hypersensitivity (≥Grade 3) to either intismeran autogene or pembrolizumab and/or any of its excipients
- Has an 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
- Has an active infection requiring systemic therapy
- Has HIV with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has concurrent active Hepatitis B (defined as HBsAg positive and/or detectable HBV DNA) and Hepatitis C virus (defined as anti-HCV Ab positive and detectable HCV RNA) infection
- Has had a myocardial infarction within 6 months of randomization
- History of allogeneic tissue/solid organ transplant
- Has not adequately recovered from major surgery or have ongoing surgical complications
Trial locations and contacts
106 sites in 20 countries.
106 sites in 20 countries
United States21 sites
Winship Cancer Institute, Emory University ( Site 1151)
Atlanta, Georgia, 30322
Massachusetts General Hospital ( Site 1162)
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute ( Site 1130)
Boston, Massachusetts, 02215
University of Virginia Health System ( Site 1115)
Charlottesville, Virginia, 22908
Inova Schar Cancer Institute ( Site 1108)
Fairfax, Virginia, 22031
John Theurer Cancer Center at Hackensack University Medical Center ( Site 1125)
Hackensack, New Jersey, 07601
University of Iowa-Holden Comprehensive Cancer Center ( Site 1118)
Iowa City, Iowa, 52242
University of Kentucky Chandler Medical Center ( Site 1101)
Lexington, Kentucky, 40536
USC/Norris Comprehensive Cancer Center ( Site 1112)
Los Angeles, California, 90033
University Hospital and UW Health Clinics ( Site 1119)
Madison, Wisconsin, 53792
Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 1160)
Mineola, New York, 11501
Atlantic Health System Morristown Medical Center ( Site 1136)
Morristown, New Jersey, 07960
Ochsner Clinic Foundation ( Site 1113)
New Orleans, Louisiana, 70121
Laura and Isaac Perlmutter Cancer Center ( Site 1121)
New York, New York, 10016
Hoag Memorial Hospital Presbyterian ( Site 1122)
Newport Beach, California, 92663
Stanford Cancer Center ( Site 1109)
Palo Alto, California, 94304
UPMC Hillman Cancer Center ( Site 1107)
Pittsburgh, Pennsylvania, 15232
Providence Portland Medical Center ( Site 1102)
Portland, Oregon, 97213
University of California Davis (UC Davis) Comprehensive Cancer Center ( Site 1103)
Sacramento, California, 95817
Avera Cancer Institute- Research ( Site 1161)
Sioux Falls, South Dakota, 57105
Washington University School of Medicine-Internal Medicine/Oncology ( Site 1100)
St Louis, Missouri, 63110
France9 sites
CHU de Bordeaux Hop St ANDRE ( Site 1902)
Bordeaux, Aquitaine, 33075
Centre Hospitalier Universitaire Dijon Bourgogne - Hôpital François Mitterrand ( Site 1904)
Dijon, Bourgogne-Franche-Comté, 21000
Hopital Claude Huriez - CHU de Lille ( Site 1907)
Lille, Nord, 59037
Assistance Publique Hôpitaux de Marseille - Hôpital de la Timone ( Site 1903)
Marseille, Bouches-du-Rhone, 13005
Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu-Onco-Dermatology ( Site 1910)
Nantes, Loire-Atlantique, 44093
Hôpital Saint-Louis ( Site 1906)
Paris, 75475
centre hospitalier lyon sud ( Site 1901)
Pierre-Bénite, Rhone, 69310
Institut Universitaire du Cancer Toulouse - Oncopole - CHU de TOULOUSE ( Site 1908)
Toulouse, Haute-Garonne, 31059
Gustave Roussy ( Site 1909)
Villejuif, Île-de-France Region, 94800
Germany8 sites
Klinikum Dortmund Klinikzentrum Mitte ( Site 2008)
Dortmund, North Rhine-Westphalia, 44137
Universitaetsklinikum Essen-Klinik für Dermatologie, Venerologie und Allergologie ( Site 2005)
Essen, North Rhine-Westphalia, 45147
NCT ( Site 2002)
Heidelberg, Baden-Wurttemberg, 69120
Universitätsklinikum Schleswig-Holstein-Dermatology ( Site 2012)
Lübeck, Schleswig-Holstein, 23538
Universitätsmedizin Johannes Gutenberg Universität Mainz ( Site 2007)
Mainz, Rhineland-Palatinate, 55131
klinikum rechts der isar der technischen universität münchen ( Site 2009)
München, Bavaria, 81675
Universitaetsklinikum Tuebingen-Hautklinik ( Site 2003)
Tübingen, Baden-Wurttemberg, 72076
Universitaetsklinikum Wuerzburg-Department of Dermatology ( Site 2001)
Würzburg, Bavaria, 97080
Spain8 sites
Centro Oncologico de Galicia ( Site 2806)
A Coruña, Galicia, 15009
Hospital Germans Trias i Pujol-Instituto Catalán de Oncología de Badalona ( Site 2804)
Badalona, Barcelona, 08916
HOSPITAL CLÍNIC DE BARCELONA-ICHMO- Clinic Institut of Haematological and Oncological diseases ( Sit
Barcelona, Catalonia, 08036
Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 2803)
Barcelona, 08035
Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 2801)
Madrid, Madrid, Comunidad de, 28034
Clinica Universidad de Navarra-Medical Oncology ( Site 2807)
Madrid, 28027
H.R.U Malaga - Hospital General ( Site 2805)
Málaga, Malaga, 29010
Hospital General Universitario de Valencia-oncology service ( Site 2802)
Valencia, Valenciana, Comunitat, 46014
Australia7 sites
Sunshine Coast University Hospital-Medical Oncology ( Site 3212)
Birtinya, Queensland, 4575
Royal Brisbane and Women's Hospital-Medical Oncology Clinical Trials Unit, Cancer Care Services ( Si
Brisbane, Queensland, 4029
Gold Coast University Hospital-Cancer and Blood Disorders Clinical Trial Team ( Site 3207)
Gold Coast, Queensland, 4215
Gallipoli Medical Research Ltd-GMRF CTU ( Site 3206)
Greenslopes, Queensland, 4120
Austin Health ( Site 3209)
Heidelberg, Victoria, 3084
One Clinical Research ( Site 3211)
Nedlands, Western Australia, 6009
Melanoma Institute Australia-Clinical Trials Unit ( Site 3205)
Wollstonecraft, New South Wales, 2065
Brazil7 sites
ANIMI - Unidade de Tratamento Oncologico ( Site 1312)
Lages, Santa Catarina, 88501001
Hospital de Cancer de Londrina-Clinical Research Unit ( Site 1316)
Londrina, Paraná, 86015-520
Associação Hospitalar Beneficente São Vicente de Paulo-Instituto do Câncer ( Site 1309)
Passo Fundo, Rio Grande do Sul, 99010-080
Hospital Nossa Senhora da Conceição-Centro Integrado de Pesquisa em Oncologia ( Site 1300)
Porto Alegre, Rio Grande do Sul, 91350-200
Clinica Amo - Rio Vermelho-INSTITUTO ETICA ( Site 1315)
Salvador, Estado de Bahia, 41950-640
Fundação Faculdade Regional de Medicina de São José do Rio Preto-Centro Integrado de Pesquisa ( Site
São José do Rio Preto, São Paulo, 15090-000
IPITEC ( Site 1313)
São Paulo, São Paulo, 01223-001
Italy6 sites
Instituto Tumori Giovanni Paolo II ( Site 2301)
Bari, Apulia, 70124
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII-UOC Oncologia ( Site 2305)
Bergamo, 24127
Ospedale San Martino-Oncologia Medica 2 ( Site 2303)
Genoa, Liguria, 16132
Istituto Nazionale Tumori IRCCS Fondazione Pascale-s.c. melanoma, immunoterapia oncologica e terapi
Naples, 80131
Istituto Clinico Humanitas-U.O di Oncologia medica ed Ematologia ( Site 2304)
Rozzano, Milano, 20089
Azienda Ospedaliero Universitaria Senese ( Site 2302)
Siena, Tuscany, 53100
Argentina5 sites
Sanatorio Finochietto ( Site 1202)
Buenos Aires, C1187AAN
Investigaciones Clinicas Moleculares (ICM) ( Site 1212)
CABA, C1425BGH
Hospital Italiano de Córdoba ( Site 1204)
Córdoba, X5004BAL
Instituto de Investigaciones Clínicas Mar del Plata ( Site 1213)
Mar del Plata, Buenos Aires, 7600
Fundacion Estudios Clinicos-Oncology ( Site 1205)
Rosario, Santa Fe Province, S2000DEJ
Poland5 sites
Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 2501)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 2506)
Gdansk, Pomeranian Voivodeship, 80-952
Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zakl-Klinika Onkologii Klinicznej, Dzial Ch
Kielce, Świętokrzyskie Voivodeship, 25-734
Centrum Medyczne HCP ( Site 2505)
Poznan, Greater Poland Voivodeship, 61-485
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie (
Warsaw, Masovian Voivodeship, 02-781
Chile4 sites
FALP-UIDO ( Site 1401)
Santiago, Region M. de Santiago, 7500921
Clínica Alemana de Santiago-Gynecology and Obstetrics ( Site 1410)
Santiago, Region M. de Santiago, 7650568
James Lind Centro de Investigacion del Cancer ( Site 1411)
Temuco, Araucania, 4800827
CIDO SpA-Oncology ( Site 1405)
Temuco, Araucania, 4810218
Hungary4 sites
Debreceni Egyetem Klinikai Kozpont-Bőrgyógyászati Klinika ( Site 2102)
Debrecen, 4032
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz- Onkoradiologiai Osztaly ( Site 2110)
Győr, 9024
Pécsi Tudományegyetem Klinikai Központ-Bőr-, Nemikórtani és Onkodermatológiai Klinika ( Site 2100)
Pécs, Baranya, 7632
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Közpo-Department of Dermatology and Allergol
Szeged, Csongrád megye, 6720
Israel4 sites
Emek Medical Center ( Site 2203)
Afula, 1834111
Hadassah Medical Center ( Site 2201)
Jerusalem, 9112001
Rabin Medical Center ( Site 2202)
Petah Tikva, 4941492
Sheba Medical Center ( Site 2200)
Ramat Gan, 5265601
Romania4 sites
Spitalul Universitar de Urgență Elias ( Site 2600)
Bucharest, Bucharest, 011461
Centrul de Oncologie Sfantul Nectarie-Medical ( Site 2601)
Craiova, Dolj, 200542
SC Radiotherapy Center Cluj SRL-Oncologie Medicala ( Site 2602)
Florești, Cluj, 407280
Sigmedical Services SRL ( Site 2603)
Suceava, 720214
United Kingdom4 sites
Addenbrooke's Hospital-Cambridge Cancer Trials Centre ( Site 3103)
Cambridge, Cambridgeshire, CB2 2QQ
Castle Hill Hospital ( Site 3102)
Cottingham, East Riding Of Yorkshire, HU16 5JQ
Derriford Hospital-Oncology ( Site 3104)
Plymouth, Devon, Pl6 8DH
Singleton Hospital-South West Wales Cancer Institute ( Site 3100)
Swansea, SA2 8QA
Colombia3 sites
Fundación Valle del Lili ( Site 1502)
Cali, Valle del Cauca Department, 760032
Fundacion Colombiana de Cancerología Clinica Vida ( Site 1501)
Medellín, Antioquia, 050030
Oncologos del Occidente ( Site 1504)
Pereira, Risaralda Department, 660001
Belgium2 sites
Cliniques universitaires Saint-Luc ( Site 1701)
Brussels, Bruxelles-Capitale, Region de, 1200
UZ Gent-Medical oncology ( Site 1702)
Ghent, Oost-Vlaanderen, 9000
Canada2 sites
Jewish General Hospital ( Site 1009)
Montreal, Quebec, H3T 1E2
Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer
Sherbrooke, Quebec, J1H 5H4
Czechia1 site
Vseobecna fakultni nemocnice v Praze-Department of Dermatology ( Site 1800)
Prague, Praha 2, 12808
Norway1 site
Oslo universitetssykehus, Radiumhospitalet ( Site 2400)
Oslo, 0379
About this study
Official title: A Phase 2/3, Adaptive, Randomized, Open-label, Clinical Study to Evaluate Neoadjuvant and Adjuvant Intismeran Autogene (mRNA-4157) in Combination With Pembrolizumab (MK-3475) Versus Standard of Care, and Pembrolizumab Monotherapy in Participants With Resectable Locally Advanced Cutaneous Squamous Cell Carcinoma (LA cSCC) (INTerpath-007)
This is a two-part (Phase 2/Phase 3) study of intismeran autogene, an individualized neoantigen therapy (INT), plus pembrolizumab in participants with locally resectable advanced cutaneous squamous cell carcinoma (LA cSCC). Phase 2 has three arms intismeran autogene plus pembrolizumab given as neoadjuvant and adjuvant treatment with standard of care (SOC), standard of care (surgical resection with/without adjuvant radiation therapy (RT) only at investigator's discretion) and pembrolizumab monotherapy given as neoadjuvant and adjuvant treatment with SOC. This phase will assess the safety and efficacy of intismeran autogene in combination with pembrolizumab as neoadjuvant and adjuvant therapy in participants with resectable LA cSCC as compared to standard of care SOC only. The primary hypothesis is that intismeran autogene plus pembrolizumab with SOC is superior to SOC only with respect to event free survival (EFS) as assessed by the investigator. Phase 3 expansion will be determined by prespecified Go-No-Go decision in which 412 additional participants will be randomized to intismeran autogene plus pembrolizumab with SOC and SOC only, without changing the inclusion/exclusion criteria for the additional enrollment or study endpoints.
As of Amendment 04, enrollment was stopped and there will be no Phase 3 expansion.
- Conditions
- Carcinoma, Squamous Cell, Skin Neoplasms
- Being tested
- Pembrolizumab, Intismeran autogene, Surgery
- Keywords
- pembrolizumab
- Medical subject headings
- Carcinoma, Squamous Cell, Skin Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PembrolizumabBiological
Also called MK-3475, Keytruda®
IV Infusion
Intismeran autogeneBiological
Also called mRNA-4157, V940
IM injection
SurgeryProcedure or surgery
Local resection of cancerous lesions of the skin
| Study group | Role | What they receive |
|---|---|---|
| Pembrolizumab plus Intismeran autogene with SOC | Experimental | Participants will receive intismeran autogene 1 mg intramuscular (IM) injection every 3 weeks (q3w) for up to 6 weeks and pembrolizumab 400 mg intravenous (IV) infusion every 6 weeks (q6w) up to 12 weeks as neoadjuvant therapy prior to surgery; followed by intismeran autogene 1 mg IM injection q3w up to 21 weeks. Receives: Biological: Pembrolizumab; Biological: Intismeran autogene; Procedure: Surgery |
| Standard of Care (SOC) | Active comparator | Participants will receive surgical resection as per local guidelines with/without adjuvant radiation therapy (RT) at investigator's discretion. Receives: Procedure: Surgery |
| Pembrolizumab with SOC | Experimental | Participants will receive pembrolizumab 400 mg IV infusion q6w up to 12 weeks as neoadjuvant therapy prior to surgery. Receives: Biological: Pembrolizumab; Procedure: Surgery |
What is being measured
The primary outcome is the main question the study is designed to answer.
Event Free Survival (EFS)
EFS is defined as the time from randomization to any of the following events as assessed by the investigator: progression of disease that precludes surgery, or inability to undergo R0 or R1 surgical resection; disease recurrence (local, regional, or distant); new primary high-risk cSCC; death due to any cause. EFS will be presented.
Measured: Up to ~22 months
Secondary outcomes (8)
Overall response rate (ORR)
ORR is defined as the proportion of participants who have a complete response (CR) or partial response (PR). ORR will be presented.
Measured: Up to ~22 months
Freedom from surgery (FFS) rate
FFS rate is defined as the proportion of participants with clinical CR with no residual tumor on clinical exam and imaging with the confirmation of negative biopsy. FFS rate will be presented.
Measured: Up to ~22 months
Pathologic complete response (pCR) rate
pCR rate is defined as the proportion of participants who have complete absence of viable tumor in the surgical resection specimen. The pCR rate will be presented.
Measured: Up to ~22 months
Major pathologic response (mPR) rate
mPR rate is defined as the proportion of participants who have ≤10% of viable tumor cells in the surgical resection specimen. The mPR rate will be presented.
Measured: Up to ~22 months
Disease-specific survival (DSS)
DSS is defined as time from randomization to death due to progression of cancer under study. DSS will be presented.
Measured: Up to ~22 months
Overall Survival (OS)
OS is defined as the time from the date of randomization to death due to any cause. The OS will be reported for all participants.
Measured: Up to ~22 months
Percentage of participants who experience an adverse event (AE)
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who experience an AE will be reported.
Measured: Up to ~22 months
Percentage of participants who discontinue study intervention due to AEs
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinue intervention due to an AE will be reported.
Measured: Up to ~22 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2024
- Study start18 Apr 2024
- Primary completion5 Mar 2026
- Study completion5 Mar 2026
Why it stopped: Business reasons
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Carcinoma, Squamous CellStudies 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 46 participants (actual)
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
- NCT06295809
- Sponsor's protocol ID
- V940-007
- Other IDs
- 2023-505712-37-00, U1111-1292-3589, V940, 2023
- Acronym
- INTerpath-007
- Status last verified
- Apr 2026
- First submitted
- 29 Feb 2024
- Last updated
- 8 May 2026
- Results posted
- No
- Data monitoring committee
- No
- 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 8 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Adaptive, Randomized, Open-label, Clinical Study to Evaluate Neoadjuvant and Adjuvant Intismeran Autogene (mRNA-4157) in Combination With Pembrolizumab (MK-3475) Versus Standard of Care, and Pembrolizumab Monotherapy in Participants With Resectable Locally Advanced Cutaneous Squamous Cell Carcinoma (LA cSCC) (INTerpath-007)
- ClinicalTrials.gov ID
- NCT06295809
- Acronym / sponsor ID
- INTerpath-007 / V940-007
- Conditions
- Carcinoma, Squamous Cell, Skin Neoplasms
- Keywords
- pembrolizumab
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Business reasons
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- ModernaTX, Inc.
- Study start
- 18 Apr 2024 (actual)
- Primary completion
- 5 Mar 2026 (actual)
- Study completion
- 5 Mar 2026 (actual)
- First posted
- 6 Mar 2024 (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.
This is a two-part (Phase 2/Phase 3) study of intismeran autogene, an individualized neoantigen therapy (INT), plus pembrolizumab in participants with locally resectable advanced cutaneous squamous cell carcinoma (LA cSCC). Phase 2 has three arms intismeran autogene plus pembrolizumab given as neoadjuvant and adjuvant treatment with standard of care (SOC), standard of care (surgical resection with/without adjuvant radiation therapy (RT) only at investigator's discretion) and pembrolizumab monotherapy given as neoadjuvant and adjuvant treatment with SOC. This phase will assess the safety and efficacy of intismeran autogene in combination with pembrolizumab as neoadjuvant and adjuvant therapy in participants with resectable LA cSCC as compared to standard of care SOC only. The primary hypothesis is that intismeran autogene plus pembrolizumab with SOC is superior to SOC only with respect to event free survival (EFS) as assessed by the investigator. Phase 3 expansion will be determined by prespecified Go-No-Go decision in which 412 additional participants will be randomized to intismeran autogene plus pembrolizumab with SOC and SOC only, without changing the inclusion/exclusion criteria for the additional enrollment or study endpoints.
As of Amendment 04, enrollment was stopped and there will be no Phase 3 expansion.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Pembrolizumab plus Intismeran autogene with SOC | Experimental | Biological: Pembrolizumab, Biological: Intismeran autogene, Procedure: SurgeryParticipants will receive intismeran autogene 1 mg intramuscular (IM) injection every 3 weeks (q3w) for up to 6 weeks and pembrolizumab 400 mg intravenous (IV) infusion every 6 weeks (q6w) up to 12 weeks as neoadjuvant therapy prior to surgery; followed by intismeran autogene 1 mg IM injection q3w up to 21 weeks. |
| Standard of Care (SOC) | Active comparator | Procedure: SurgeryParticipants will receive surgical resection as per local guidelines with/without adjuvant radiation therapy (RT) at investigator's discretion. |
| Pembrolizumab with SOC | Experimental | Biological: Pembrolizumab, Procedure: SurgeryParticipants will receive pembrolizumab 400 mg IV infusion q6w up to 12 weeks as neoadjuvant therapy prior to surgery. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Has a histologically confirmed diagnosis of resectable cSCC as the primary site of malignancy (metastatic skin involvement from another primary cancer or from an unknown primary cancer is not permitted).
- Has LA Stage II-IV (M0) cSCC without distant metastases.
- cSCC must be amenable to surgery (resectable) with curative intent.
- Has a formalin-fixed, paraffin-embedded (FFPE) tumor sample available or is able to provide one that is suitable for the Next-generation Sequencing (NGS) required for this study.
- For males, agrees to be abstinent from penile-vaginal intercourse OR agrees to use a highly effective contraceptive method while receiving adjuvant radiation therapy (RT), and for ≥3 months after the last dose of study intervention
Key exclusion criteria (23 listed)
- Has any other histologic type of skin cancer other than invasive cSCC as well as mixed histology, eg, basal cell carcinoma that has not been definitively treated with surgery or radiation, Bowen's disease, Merkel cell carcinoma (MCC), or melanoma
- Has distant metastatic disease (M1), visceral and/or distant nodal
- Has received prior therapy with an anti-programmed cell death receptor 1 (anti-PD-1), anti-programmed cell death receptor ligand 1 (anti-PD-L1), or anti-programmed cell death receptor ligand 2 (anti-PD-L2) agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte associated protein 4 (CTLA-4), OX-40, CD137)
- Has received prior systemic anticancer therapy including investigational agents for cSCC before randomization
- Has received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
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 |
|---|---|---|
| PembrolizumabAlso: MK-3475, Keytruda®IV Infusion | Biological | Pembrolizumab plus Intismeran autogene with SOC, Pembrolizumab with SOC |
| Intismeran autogeneAlso: mRNA-4157, V940IM injection | Biological | Pembrolizumab plus Intismeran autogene with SOC |
| SurgeryLocal resection of cancerous lesions of the skin | Procedure or surgery | Pembrolizumab plus Intismeran autogene with SOC, Pembrolizumab with SOC, Standard of Care (SOC) |
Primary outcome
Event Free Survival (EFS)
Time frame: Up to ~22 months
EFS is defined as the time from randomization to any of the following events as assessed by the investigator: progression of disease that precludes surgery, or inability to undergo R0 or R1 surgical resection; disease recurrence (local, regional, or distant); new primary high-risk cSCC; death due to any cause. EFS will be presented.
8 secondary outcomes
Overall response rate (ORR)
Time frame: Up to ~22 months
Freedom from surgery (FFS) rate
Time frame: Up to ~22 months
Pathologic complete response (pCR) rate
Time frame: Up to ~22 months
Major pathologic response (mPR) rate
Time frame: Up to ~22 months
Disease-specific survival (DSS)
Time frame: Up to ~22 months
Overall Survival (OS)
Time frame: Up to ~22 months
Percentage of participants who experience an adverse event (AE)
Time frame: Up to ~22 months
Percentage of participants who discontinue study intervention due to AEs
Time frame: Up to ~22 months
Results and safety
The study was stopped early (reason given: Business reasons). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 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
106 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Pembrolizumab, Intismeran autogene and Surgery in people with Carcinoma, Squamous Cell and Skin Neoplasms, run by Merck Sharp & Dohme LLC at 106 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 13 inclusion and 23 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: stopped early, as of the sponsor's last update on 8 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 106 sites in United States, France, Germany, Spain, Australia 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
The study was stopped early (reason given: Business reasons). Results are not available in the source record.
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?
Event Free Survival (EFS) (time frame: Up to ~22 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 8 May 2026.