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Moderna looks to a subcutaneous Keytruda combo

Moderna, awaiting key phase 3 data with its Merck & Co-partnered neoantigen immunotherapy intismeran autogene in adjuvant melanoma, is continuing to branch out. A new study, Interpath-014, will test the project alongside subcutaneous Keytruda Qlex in adjuvant NSCLC, according to a new clinicaltrials.gov listing. The study adds to two ongoing adjuvant NSCLC phase 3s: Interpath-002, in patients without prior neoadjuvant therapy; and Interpath-009, in those who didn’t completely respond to neoadjuvant Keytruda plus chemo. Unlike Interpath-014, both use IV Keytruda. In addition, Interpath-002 and 009 are recruiting stage II-IIIB patients, while Interpath-014 will enrol those with earlier stage I disease. This might help explain why the new study will compare inti-gene, with or without Keytruda, versus placebo; Interpath-002 and 009 are testing an inti-gene/Keytruda combo versus Keytruda alone. Interpath-014 is set to start in May. A big readout for inti-gene is looming, from the Interpath-001 trial in adjuvant melanoma. Data are expected in 2026, and Moderna’s stock has climbed in anticipation of a positive result. However, Moderna seemed to raise doubts about the timing of the readout in its fourth-quarter press release, saying it expects the Interpath-001 results “potentially in 2026”.

 

Phase 3 trials of Moderna/Merck & Co’s intismeran autogene

Trial nameSettingRegimenPrimary endpointNote
Interpath-001Adjuvant melanoma+ Keytruda, vs KeytrudaRFSData “potentially” in 2026
Interpath-002Adjuvant stage II-IIIB NSCLC (no prior neoadjuvant therapy)+ Keytruda, vs KeytrudaDFSCompletes Jun 2030
Interpath-007*(Neo)adjuvant cutaneous squamous cell carcinoma+ Keytruda, vs SOC +/- KeytrudaEFSEnrolment stopped; no phase 3 expansion
Interpath-009Adjuvant stage II-IIIB NSCLC (pts not in pCR after neoadjuvant Keytruda + chemo)+ Keytruda, vs KeytrudaDFSCompletes May 2033
Interpath-014Adjuvant stage I NSCLC+/- SC Keytruda Qlex, vs placeboDFSTo start May 2026

Note: *phase 2/3. Source: OncologyPipeline & clinicaltrials.gov.

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