A Study of Adjuvant Intismeran Autogene (V940) and Pembrolizumab in Renal Cell Carcinoma (V940-004).

NCT ID: NCT06307431

Last Updated: 2025-09-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

272 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-10

Study Completion Date

2032-06-08

Brief Summary

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The primary objective of the study is to compare intismeran autogene plus pembrolizumab to placebo plus pembrolizumab in participants with renal cell carcinoma (RCC) with respect to disease-free survival (DFS) as assessed by the investigator. The primary hypothesis is that intismeran autogene plus pembrolizumab is superior to placebo plus pembrolizumab with respect to DFS.

Detailed Description

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Conditions

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Renal Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Intismeran autogene + Pembrolizumab

Participants will receive intismeran autogene 1 mg via intramuscular (IM) injection every 3 weeks (Q3W) for up to 9 doses plus Pembrolizumab 400 mg via an intravenous (IV) infusion every 6 weeks (Q6W) for 9 cycles (up to \~54 weeks). Each cycle is 6 weeks.

Group Type EXPERIMENTAL

Intismeran autogene

Intervention Type BIOLOGICAL

IM injection

Pembrolizumab

Intervention Type BIOLOGICAL

IV infusion

Placebo + Pembrolizumab

Participants will receive placebo as an IM injection Q3W for up to 9 doses plus Pembrolizumab 400 mg via an IV infusion Q6W for 9 cycles (up to \~54 weeks). Each cycle is 6 weeks.

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type BIOLOGICAL

IV infusion

Placebo

Intervention Type BIOLOGICAL

IM injection

Interventions

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Intismeran autogene

IM injection

Intervention Type BIOLOGICAL

Pembrolizumab

IV infusion

Intervention Type BIOLOGICAL

Placebo

IM injection

Intervention Type BIOLOGICAL

Other Intervention Names

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mRNA-4157 V940 MK-3475 KEYTRUDA®

Eligibility Criteria

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Inclusion Criteria

* Has histologically or cytologically confirmed diagnosis of renal cell carcinoma (RCC) with clear cell or papillary histology.
* Has intermediate-high-risk, high-risk, or M1 no evidence of disease (NED) RCC as defined by the following pathological tumor-node metastasis and tumor grading:
* Intermediate-high-risk RCC: pT2 Gr4, N0, M0; pT3 Gr3/4, N0, M0
* High-risk RCC: pT4, N0, M0; pT any stage, N1, M0
* M1 NED RCC participants who present not only with the primary kidney tumor, but also solid, isolated, soft tissue metastases that can be completely resected at 1 of the following: the time of nephrectomy (synchronous), or ≤2 years from nephrectomy (metachronous)
* Has undergone complete resection of the primary tumor (partial or radical nephrectomy) and complete resection of solid, isolated, soft tissue metastatic lesion(s) in M1 NED participants.
* Must have undergone a nephrectomy and/or metastasectomy ≤12 weeks prior to randomization and recovered from surgery and any post-operative complications before randomization.
* Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 7 days before randomization.

Exclusion Criteria

* Has had a major surgery other than nephrectomy plus resection of preexisting metastases for M1 NED participants, within 4 weeks prior to randomization.
* Has residual thrombus post nephrectomy in the vena renalis or vena cava.
* Received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization.
* 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. Administration of killed vaccines is allowed.
* Received prior treatment with a cancer vaccine.
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy.
* Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
* Has a history of brain or bone metastatic lesions.
* Has severe hypersensitivity to study medication or any of the substances used to prepare the study medication.
* Has an active autoimmune disease that has required systemic treatment in the past 2 years
* Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
* Has an active infection requiring systemic therapy
* History of allogeneic tissue/solid organ transplant
* Has not adequately recovered from major surgery or has ongoing surgical complications
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ModernaTX, Inc.

INDUSTRY

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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City of Hope Comprehensive Cancer Center-Medical Oncology ( Site 0104)

Duarte, California, United States

Site Status

UCLA Hematology/Oncology - Westwood (Building 200 Suite 140)-Department of Urology/Institute of Uro

Los Angeles, California, United States

Site Status

UCSF Medical Center at Mission Bay ( Site 0108)

San Francisco, California, United States

Site Status

Yale-New Haven Hospital-Yale Cancer Center ( Site 0102)

New Haven, Connecticut, United States

Site Status

Beth Israel Deaconess Medical Center-Cancer Clinical Trials Office ( Site 0109)

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute-GU ( Site 0101)

Boston, Massachusetts, United States

Site Status

Memorial Sloan Kettering Cancer Center ( Site 0100)

New York, New York, United States

Site Status

Duke Cancer Institute ( Site 0106)

Durham, North Carolina, United States

Site Status

Abramson Cancer Center ( Site 0107)

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center ( Site 0111)

Philadelphia, Pennsylvania, United States

Site Status

UT Southwestern Medical Center ( Site 0110)

Dallas, Texas, United States

Site Status

Hospital Británico de Buenos Aires-Oncology ( Site 1106)

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Instituto Alexander Fleming-Alexander Fleming ( Site 1101)

Buenos Aires, Buenos Aires F.D., Argentina

Site Status

Asociación de Beneficencia Hospital Sirio Libanés ( Site 1110)

Buenos Aires, Buenos Aires F.D., Argentina

Site Status

Centro Privado de RMI Rio Cuarto ( Site 1104)

Río Cuarto, Córdoba Province, Argentina

Site Status

Fundacion Estudios Clinicos ( Site 1111)

Rosario, Santa Fe Province, Argentina

Site Status

Macquarie University-MQ Health Clinical Trials Unit ( Site 1502)

Macquarie University, New South Wales, Australia

Site Status

Westmead Hospital ( Site 1501)

Westmead, New South Wales, Australia

Site Status

Royal Brisbane and Women's Hospital-Medical Oncology Clinical Trials Unit, Cancer Care Services ( Si

Brisbane, Queensland, Australia

Site Status

Fiona Stanley Hospital-Medical Oncology ( Site 1503)

Murdoch, Western Australia, Australia

Site Status

BC Cancer Vancouver ( Site 0005)

Vancouver, British Columbia, Canada

Site Status

CHU de Quebec - Université Laval - Hotel Dieu de Quebec ( Site 0008)

Québec, Quebec, Canada

Site Status

FALP-UIDO ( Site 1202)

Santiago, Region M. de Santiago, Chile

Site Status

Pontificia Universidad Catolica de Chile-Centro del Cáncer ( Site 1205)

Santiago, Region M. de Santiago, Chile

Site Status

Bradfordhill-Clinical Area ( Site 1201)

Santiago, Region M. de Santiago, Chile

Site Status

ONCOCENTRO APYS-ACEREY ( Site 1200)

Viña del Mar, Región de Valparaíso, Chile

Site Status

CENTRE LEON BERARD ( Site 0305)

Lyon Cedex08, Auvergne-Rhône-Alpes, France

Site Status

CHU Besançon ( Site 0302)

Besançon, Doubs, France

Site Status

Institut Claudius Regaud ( Site 0303)

Toulouse, Haute-Garonne, France

Site Status

Hôpital Européen Georges Pompidou ( Site 0300)

Paris, , France

Site Status

Gustave Roussy ( Site 0304)

Villejuif, Île-de-France Region, France

Site Status

Klinikum Stuttgart - Katharinenhospital ( Site 0400)

Stuttgart, Baden-Wurttemberg, Germany

Site Status

klinikum rechts der isar der technischen universität münchen-Urologische Klinik und Poliklinik ( Sit

Munich, Bavaria, Germany

Site Status

Universitaetsklinikum Carl Gustav Carus Dresden-Klinik und Poliklinik für Urologie ( Site 0405)

Dresden, Saxony, Germany

Site Status

Universitätsklinikum Jena ( Site 0402)

Jena, Thuringia, Germany

Site Status

Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0401)

Berlin, , Germany

Site Status

Asklepios Altona-Department of Urology ( Site 0410)

Hamburg, , Germany

Site Status

Fondazione Policlinico Universitario Agostino Gemelli IRCCS -Medical Oncology ( Site 0501)

Rome, Lazio, Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 0500)

Milan, Lombardy, Italy

Site Status

Azienda Ospedaliera Universitaria Careggi-SOD ONCOLOGIA MEDICA ( Site 0504)

Florence, Tuscany, Italy

Site Status

Azienda Ospedaliero Universitaria di Parma ( Site 0503)

Parma, , Italy

Site Status

Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 0701)

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Moczowego ( S

Warsaw, Masovian Voivodeship, Poland

Site Status

Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie-Oddzial Dzienny Chemioterapii ( Site 0702)

Koszalin, West Pomeranian Voivodeship, Poland

Site Status

Seoul National University Hospital ( Site 1600)

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System ( Site 1603)

Seoul, , South Korea

Site Status

Asan Medical Center ( Site 1602)

Seoul, , South Korea

Site Status

Samsung Medical Center ( Site 1601)

Seoul, , South Korea

Site Status

Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 0801)

Madrid, Madrid, Comunidad de, Spain

Site Status

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 0800)

Barcelona, , Spain

Site Status

HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Medical Oncology ( Site 0802)

Seville, , Spain

Site Status

Chang Gung Memorial Hospital at Kaohsiung-Oncology and Hematology ( Site 1701)

Kaohsiung Niao Sung Dist, Kaohsiung, Taiwan

Site Status

China Medical University Hospital-Department of Urology ( Site 1702)

Taichung, , Taiwan

Site Status

Taichung Veterans General Hospital ( Site 1704)

Taichung, , Taiwan

Site Status

Taipei Veterans General Hospital ( Site 1703)

Taipei, , Taiwan

Site Status

Hacettepe Universite Hastaneleri-oncology hospital ( Site 0901)

Ankara, , Turkey (Türkiye)

Site Status

Ankara Universitesi Tip Fakultesi Hastanesi-Oncology ( Site 0902)

Ankara, , Turkey (Türkiye)

Site Status

Ege Universitesi Hastanesi-Medical Oncology ( Site 0903)

Izmir, , Turkey (Türkiye)

Site Status

Addenbrooke's Hospital ( Site 1004)

Cambridge, Cambridgeshire, United Kingdom

Site Status

Gartnavel General Hospital-Clinical Trials Unit ( Site 1002)

Glasgow, Glasgow City, United Kingdom

Site Status

St Bartholomew's Hospital ( Site 1000)

London, London, City of, United Kingdom

Site Status

Western General Hospital ( Site 1003)

Edinburgh, Midlothian, United Kingdom

Site Status

The Christie NHS Foundation Trust ( Site 1001)

Manchester, , United Kingdom

Site Status

Countries

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United States Argentina Australia Canada Chile France Germany Italy Poland South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

Related Links

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Other Identifiers

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2023-505177-32-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1291-1851

Identifier Type: REGISTRY

Identifier Source: secondary_id

V940-004

Identifier Type: OTHER

Identifier Source: secondary_id

V940-004

Identifier Type: -

Identifier Source: org_study_id

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