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A personalized mRNA cancer vaccine developed by Moderna, given with Merck’s PD‑1 inhibitor Keytruda (pembrolizumab), cut the risk of melanoma recurrence or death by 49% at five years in a randomized Phase 2b trial (KEYNOTE‑942), investigators reported at ASCO and in the Journal of Clinical Oncology (June 2026). The study enrolled 157 patients with stage 3/4 disease after surgery: 107 received the intismeran autogene vaccine plus pembrolizumab and 50 received pembrolizumab alone.
After more than 60 months of follow‑up, 68.8% of the vaccine group remained cancer‑free versus about 49% in the control arm; the combination also reduced distant metastasis or death by 59% and showed higher overall survival (92.2% vs 71.3%). Side effects were generally manageable and similar to mRNA vaccine reactogenicity (fatigue, injection‑site pain, chills), with no grade 4–5 adverse events reported.
A larger Phase 3 program (~1,000 patients across the U.S. and Europe) is ongoing and readouts are expected within months; companies say they will seek regulatory approval if pivotal data confirm these results.








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