V940 + Pembrolizumab for Kidney Cancer

(INTerpath-004 Trial)

Not currently recruiting at 78 trial locations
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Overseen ByToll Free Number
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Merck Sharp & Dohme LLC
Must be taking: Pembrolizumab
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment for kidney cancer, specifically targeting patients with renal cell carcinoma (RCC). The researchers aim to determine if adding intismeran autogene (also known as V940, an experimental treatment) to pembrolizumab, an existing cancer treatment, can extend the time patients live without cancer recurrence compared to pembrolizumab with a placebo. Candidates for this study include individuals who have had kidney cancer surgically removed and show no signs of metastasis. The trial compares the effects of the experimental treatment against the placebo to assess which is more effective in preventing cancer recurrence. As a Phase 2 trial, this research focuses on evaluating the treatment's effectiveness in an initial, smaller group of participants.

Will I have to stop taking my current medications?

The trial protocol does not specify if you need to stop taking your current medications. However, if you are on systemic anticancer therapy, steroids, or have received a live vaccine recently, you may need to stop those before joining the trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that the combination of intismeran autogene (also known as V940) and pembrolizumab is generally safe. A study on this combination found that side effects were usually mild and manageable for patients. No unexpected serious side effects occurred, indicating that the treatment is relatively safe for participants.

Pembrolizumab is already approved for treating several types of cancer, and its safety profile is well-known. It has been widely used and is considered safe for most patients, although, like all treatments, it can have side effects.

Overall, early results for intismeran autogene combined with pembrolizumab are positive regarding safety. While side effects can occur, they have usually been mild and not severe in the studies conducted so far.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the combination of V940 (intismeran autogene) and Pembrolizumab for kidney cancer because it introduces a novel approach to treatment. Unlike traditional therapies that primarily use surgery, radiation, or chemotherapy, this treatment harnesses the power of immunotherapy. Pembrolizumab is a well-known immune checkpoint inhibitor that helps the immune system recognize and attack cancer cells. The exciting part is the addition of V940, an investigational therapeutic that may enhance the immune response even further. This combination aims to offer a more targeted approach to treating kidney cancer, potentially resulting in better outcomes for patients.

What evidence suggests that this trial's treatments could be effective for kidney cancer?

In this trial, participants will receive either a combination of intismeran autogene with pembrolizumab or a placebo with pembrolizumab. Research has shown that combining intismeran autogene with pembrolizumab may help treat renal cell carcinoma, a type of kidney cancer. One study found that this combination reduced the risk of the cancer returning or causing death by 49%. It also decreased the chance of the cancer spreading to other parts of the body or leading to death by 62% compared to using pembrolizumab alone. These findings suggest that this treatment could improve outcomes for people with this type of cancer.12467

Who Is on the Research Team?

MD

Medical Director

Principal Investigator

Merck Sharp & Dohme LLC

Are You a Good Fit for This Trial?

This trial is for adults with a specific kidney cancer (clear cell or papillary renal cell carcinoma). They should be at intermediate-high risk, have had surgery to remove the tumor and any isolated metastases within the last 12 weeks, and be in good physical condition (ECOG status of 0 or 1).

Inclusion Criteria

My kidney cancer is confirmed to be either clear cell or papillary type.
My kidney cancer is at an intermediate to high risk level or I have no signs of disease after metastasis.
I had surgery to remove my primary cancer and any solid metastatic tumors.
See 2 more

Exclusion Criteria

I haven't had cancer treatment or experimental drugs in the last 4 weeks.
I haven't had radiotherapy or needed steroids for side effects in the last 2 weeks.
I have not received a live vaccine in the last 30 days.
See 12 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive V940 or placebo plus Pembrolizumab for up to 54 weeks

54 weeks
9 visits (in-person) every 6 weeks

Follow-up

Participants are monitored for disease-free survival and overall survival

43 months

Long-term follow-up

Participants are monitored for overall survival and distant metastasis-free survival

96 months

What Are the Treatments Tested in This Trial?

Interventions

  • Pembrolizumab
  • V940
Trial Overview The study aims to see if adding V940 to pembrolizumab improves disease-free survival compared to using pembrolizumab with a placebo. Participants will randomly receive either the combination of V940 and pembrolizumab or a placebo plus pembrolizumab.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Intismeran autogene + PembrolizumabExperimental Treatment2 Interventions
Group II: Placebo + PembrolizumabActive Control2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Merck Sharp & Dohme LLC

Lead Sponsor

Trials
4,096
Recruited
5,232,000+
Chirfi Guindo profile image

Chirfi Guindo

Merck Sharp & Dohme LLC

Chief Marketing Officer since 2022

Degree in Engineering from Ecole Centrale de Paris, MBA from New York University Stern School of Business

Robert M. Davis profile image

Robert M. Davis

Merck Sharp & Dohme LLC

Chief Executive Officer since 2021

JD from Northwestern University Pritzker School of Law, MBA from Northwestern University Kellogg Graduate School of Management, Bachelor's in Finance from Miami University

ModernaTX, Inc.

Industry Sponsor

Trials
127
Recruited
66,790,000+

Dr. Stephen Hoge

ModernaTX, Inc.

Chief Medical Officer

MD from Harvard Medical School

Stéphane Bancel profile image

Stéphane Bancel

ModernaTX, Inc.

Chief Executive Officer since 2011

MBA from Harvard Business School, MSc in Engineering from École Centrale Paris

Published Research Related to This Trial

In a phase II trial involving 15 patients with resectable non-small cell lung cancer (NSCLC), neoadjuvant treatment with pembrolizumab showed a major pathologic response in 27% of patients, indicating promising antitumor activity before surgery.
The treatment was found to be feasible and safe, with only 33% of patients experiencing moderate adverse events, and no postoperative mortality, suggesting that pembrolizumab does not compromise surgical outcomes.
Neoadjuvant anti-programmed death-1 immunotherapy by pembrolizumab in resectable non-small cell lung cancer: First clinical experience.Eichhorn, F., Klotz, LV., Kriegsmann, M., et al.[2022]
Pembrolizumab (Keytruda) effectively blocks the PD-1 pathway, enhancing T-cell activity against tumors, which supports its role in promoting tumor regression and immune rejection.
Preclinical studies in cynomolgus monkeys showed that pembrolizumab has a favorable safety profile with no significant toxicological findings, aligning with its demonstrated safety and efficacy in human clinical trials.
Biophysical and Immunological Characterization and In Vivo Pharmacokinetics and Toxicology in Nonhuman Primates of the Anti-PD-1 Antibody Pembrolizumab.Hutchins, B., Starling, GC., McCoy, MA., et al.[2021]
The combination of axitinib and pembrolizumab shows a high response rate of 73% in patients with previously untreated advanced renal cell carcinoma, indicating strong efficacy for this treatment regimen.
This finding suggests that the dual approach of targeting both tumor growth and immune response may be effective in managing advanced kidney cancer.
Axitinib plus Pembrolizumab Is Effective in Renal Cell Carcinoma.[2019]

Citations

NCT06307431 | A Study of Adjuvant Intismeran Autogene ...The primary objective of the study is to compare intismeran autogene plus pembrolizumab to placebo plus pembrolizumab in participants with renal cell carcinoma ...
ASCO GU 2025: INTerpath-004: A Phase 2, Randomized, ...In the phase 2 KEYNOTE-942 study, adjuvant pembrolizumab combined with V940 (mRNA-4157) demonstrated a manageable safety profile and a clinically meaningful ...
A Phase 2, Randomized, Double-blind, Clinical Study of ...The primary objective of the study is to compare intismeran autogene plus pembrolizumab to placebo plus pembrolizumab in participants with renal cell carcinoma ...
Moderna & Merck Announce 3-Year Data For mRNA-4157 ...mRNA-4157 (V940) in combination with KEYTRUDA reduced the risk of recurrence or death by 49% and the risk of distant metastasis or death by 62% compared to ...
45 INTerpath-004: A phase 2, randomized, double-blind ...V940 plus pembrolizumab showed improved clinical outcomes ... Recruitment is ongoing. Keywords: pembrolizumab, adjuvant, renal cell carcinoma, neoantigen therapy ...
A Clinical Study of Intismeran Autogene (V940) Plus ...V940-001 is a Phase 3 global, randomized, double-blind, placebo- and active-comparator-controlled study designed to evaluate the safety and efficacy of V940 ( ...
Highlighting Beneficial Adjuvant/Neoadjuvant Strategies ...References. A study of adjuvant intismeran autogene (V940) and pembrolizumab in renal cell carcinoma (V940-004). (INTerpath-004).
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