A Study of Intismeran Autogene (V940) Plus Pembrolizumab (MK-3475) Versus Placebo Plus Pembrolizumab in Participants With Non-small Cell Lung Cancer (V940-002)

Purpose

The goal of this study is to evaluate intismeran autogene plus pembrolizumab versus placebo plus pembrolizumab for the adjuvant treatment of margin negative, completely resected Stage II, IIIA, IIIB (with nodal involvement [N2]) non-small cell lung cancer (NSCLC). The primary hypothesis is that intismeran autogene plus pembrolizumab is superior to placebo plus pembrolizumab with respect to disease-free survival (DFS) as assessed by the investigator.

Condition

  • Non-small Cell Lung Cancer

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

The main inclusion criteria include but are not limited to the following: - Has undergone margin negative, completely resected non-small cell lung cancer (NSCLC), and has pathological Stage II, IIIA, IIIB (N2) squamous or nonsquamous tumor, node, metastasis (TNM) staging per American Joint Committee on Cancer (AJCC) Eighth Edition guidelines. - Has no evidence of disease before randomization. - Has received at least one dose of adjuvant treatment with standard of care platinum doublet chemotherapy. - No more than 24 weeks have elapsed between surgical resection of curative intent and the first dose of pembrolizumab. - Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization. - Participants with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening. - Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on anti-retroviral therapy (ART).

Exclusion Criteria

The main exclusion criteria include but are not limited to the following: - Diagnosis of small cell lung cancer (SCLC) or, for mixed tumors, presence of small cell elements, or has a neuroendocrine tumor with large cell components or a sarcomatoid carcinoma. - HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease. - Received prior neoadjuvant therapy for their current NSCLC diagnosis. - Received or is a candidate to receive radiotherapy for their current NSCLC diagnosis. - Received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-PD-ligand 1 (L1), or anti-PD-L2 agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor. - Received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization. - Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed. - Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration. - 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 to the first dose of study medication. - Known additional malignancy that is progressing or has required active treatment within the past 5 years. - 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. - Active infection requiring systemic therapy.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Intismeran autogene + Pembrolizumab
Participants will receive 1 mg of intismeran autogene via intramuscular (IM) injection once every 3 weeks for 9 doses PLUS 400 mg of pembrolizumab via intravenous (IV) infusion once every 6 weeks for up to 9 doses until disease recurrence or unacceptable toxicity or for a total treatment duration of up to approximately 1 year, whichever is sooner.
  • Biological: Intismeran autogene
    IM injection
    Other names:
    • mRNA-4157
    • V940
  • Biological: Pembrolizumab
    IV infusion
    Other names:
    • MK-3475
    • KEYTRUDA®
Active Comparator
Placebo + Pembrolizumab
Participants will receive intismeran autogene-matched placebo via IM injection once every 3 weeks for 9 doses PLUS 400 mg of pembrolizumab via IV infusion once every 6 weeks for up to 9 doses until disease recurrence or unacceptable toxicity or for a total treatment duration of up to approximately 1 year, whichever is sooner.
  • Biological: Pembrolizumab
    IV infusion
    Other names:
    • MK-3475
    • KEYTRUDA®
  • Other: Placebo
    IM injection

Recruiting Locations

Alaska Oncology and Hematology ( Site 0039)
Anchorage, Alaska 99508
Contact:
Study Coordinator
907-257-9851

The University of Arizona Cancer Center - North Campus ( Site 0071)
Tucson, Arizona 85719
Contact:
Study Coordinator
520-694-2873

UCLA Clinical & Translational Research Center (CTRC) ( Site 0059)
Los Angeles, California 90095
Contact:
Study Coordinator
310-267-9099

Hoag Memorial Hospital Presbyterian ( Site 4042)
Newport Beach, California 92663
Contact:
Study Coordinator
949-764-4060

Hoag Memorial Hospital Presbyterian ( Site 4048)
Newport Beach, California 92663
Contact:
Study Coordinator
949-764-4060

St. Joseph Hospital-The Center for Cancer Prevention and Treatment ( Site 0074)
Orange, California 92868
Contact:
Study Coordinator
714-541-6622

University of California, Irvine (UCI) Health - UC Irvine Medical Center ( Site 0030)
Orange, California 92868
Contact:
Study Coordinator
818-426-7690

George Washington University Medical Faculty Associates ( Site 4064)
Washington D.C., District of Columbia 20037
Contact:
Study Coordinator
202-741-2210

Mayo Clinic Florida ( Site 4043)
Jacksonville, Florida 32224
Contact:
Study Coordinator
855-776-0015

Miami Cancer Institute at Baptist Health, Inc. ( Site 4047)
Miami, Florida 33176
Contact:
Study Coordinator
786-596-2000

Mid Florida Hematology and Oncology Center ( Site 0014)
Orange City, Florida 32763
Contact:
Study Coordinator
386-538-3169

AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0013)
Orlando, Florida 32804
Contact:
Study Coordinator
407-303-2024

Moffitt Cancer Center ( Site 0078)
Tampa, Florida 33612
Contact:
Study Coordinator
813-580-7073

Southeastern Regional Medical Center ( Site 0098)
Newnan, Georgia 30265
Contact:
Study Coordinator
770-400-6305

Illinois Cancer Care ( Site 7003)
Peoria, Illinois 61615
Contact:
Study Coordinator
309-243-3605

University of Iowa-Holden Comprehensive Cancer Center ( Site 0062)
Iowa City, Iowa 52242
Contact:
Study Coordinator
319-356-1616

Saint Elizabeth Healthcare ( Site 0092)
Edgewood, Kentucky 41017
Contact:
Study Coordinator
859-301-4737

The University of Louisville, James Graham Brown Cancer Center ( Site 0037)
Louisville, Kentucky 40202
Contact:
Study Coordinator
502-562-3919

LSU Health Baton Rouge North Clinic ( Site 4040)
Baton Rouge, Louisiana 70805
Contact:
Study Coordinator
225-358-2312

Our Lady of the Lake RMC-Clinical Research ( Site 4050)
Baton Rouge, Louisiana 70808
Contact:
Study Coordinator
225-358-2312

University of Michigan Clinical Trials Office ( Site 0058)
Ann Arbor, Michigan 48109
Contact:
Study Coordinator
800-865-1125

Cancer and Hematology Centers of Western Michigan ( Site 4003)
Grand Rapids, Michigan 49503
Contact:
Study Coordinator
616-954-9800

NHO Revive Research Institute, LLC ( Site 4009)
Lincoln, Nebraska 68506
Contact:
Study Coordinator
284-564-1485

Memorial Sloan Kettering - Basking Ridge ( Site 4056)
Basking Ridge, New Jersey 07920
Contact:
Study Coordinator
646-888-4409

John Theurer Cancer Center at Hackensack University Medical Center ( Site 0036)
Hackensack, New Jersey 07601
Contact:
Study Coordinator
551-996-5855

Memorial Sloan Kettering - Monmouth ( Site 4057)
Middletown, New Jersey 07748
Contact:
Study Coordinator
646-888-4409

Memorial Sloan Kettering - Bergen ( Site 4059)
Montvale, New Jersey 07645
Contact:
Study Coordinator
646-888-4409

Atlantic Health Morristown Medical Center ( Site 4018)
Morristown, New Jersey 07960
Contact:
Study Coordinator
973-971-6283

New York Oncology Hematology, P.C. ( Site 4012)
Albany, New York 12206
Contact:
Study Coordinator
518-489-0044

Memorial Sloan-Kettering Cancer Center at Commack ( Site 4055)
Commack, New York 11725
Contact:
Study Coordinator
646-888-4409

Memorial Sloan Kettering - Westchester ( Site 4058)
Harrison, New York 10604
Contact:
Study Coordinator
646-888-4409

Perlmutter Cancer Center at NYU Langone Hospital - Long Island-Clinical Research Department ( Site 0095)
Mineola, New York 11501
Contact:
Study Coordinator
409-543-5553

The Blavatnik Family- Chelsea Medical Center at Mount Sinai ( Site 4053)
New York, New York 10011
Contact:
Study Coordinator
888-577-8839

Laura and Isaac Perlmutter Cancer Center ( Site 0010)
New York, New York 10016
Contact:
Study Coordinator
409-543-5553

Icahn School of Medicine at Mount Sinai ( Site 0034)
New York, New York 10029
Contact:
Study Coordinator
888-577-8839

Memorial Sloan Kettering Cancer Center ( Site 0029)
New York, New York 10065
Contact:
Study Coordinator
212-639-2000

Montefiore Medical Center- Montefiore Medical Park-Oncology ( Site 0080)
The Bronx, New York 10461
Contact:
Study Coordinator
718-405-8404

Memorial Sloan Kettering - Nassau ( Site 4060)
Uniondale, New York 11553
Contact:
Study Coordinator
646-888-4409

Novant Health Weisiger Cancer Insititute ( Site 4052)
Charlotte, North Carolina 28204
Contact:
Study Coordinator
980-302-6000

Novant Health Oncology Specialists ( Site 4045)
Winston-Salem, North Carolina 27103
Contact:
Study Coordinator
336-277-8800

Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 0063)
Fargo, North Dakota 58102
Contact:
Study Coordinator
701-234-6161

Altru Health System ( Site 0040)
Grand Forks, North Dakota 58201
Contact:
Study Coordinator
701-780-5400

University Hospitals Cleveland Medical Center ( Site 0023)
Cleveland, Ohio 44106
Contact:
Study Coordinator
800-641-2422

OSU Brain and Spine Hospital ( Site 0016)
Columbus, Ohio 43210
Contact:
Study Coordinator
614-366-6174

Good Samaritan Regional Medical Center-Samaritan Pastega Regional Cancer Center ( Site 0082)
Corvallis, Oregon 97330
Contact:
Study Coordinator
541-768-7169

Thomas Jefferson University - Clinical Research Institute ( Site 0006)
Philadelphia, Pennsylvania 19107
Contact:
Study Coordinator
215-600-9151

Medical University of South Carolina-Hollings Cancer Center ( Site 0050)
Charleston, South Carolina 29425
Contact:
Study Coordinator
843-792-9300

Greco-Hainsworth Centers for Research ( Site 4034)
Chattanooga, Tennessee 37421
Contact:
Study Coordinator
423-698-1844

Thompson Cancer Survival Center ( Site 0097)
Knoxville, Tennessee 37916
Contact:
Study Coordinator
865-331-1812

Baptist Cancer Center ( Site 4049)
Memphis, Tennessee 38120
Contact:
Study Coordinator
901-226-1485

One Oncology - Tennessee Oncology ( Site 4019)
Nashville, Tennessee 37203
Contact:
Study Coordinator
731-267-3491

SCRI Oncology Partners ( Site 7001)
Nashville, Tennessee 37203
Contact:
Study Coordinator
615-329-7640

UT Southwestern Medical Center ( Site 0061)
Dallas, Texas 75390
Contact:
Study Coordinator
214-648-3111

Inova Schar Cancer Institute ( Site 0003)
Fairfax, Virginia 22031
Contact:
Study Coordinator
571-472-4724

Virginia Cancer Specialists (VCS) ( Site 4004)
Fairfax, Virginia 22031
Contact:
Study Coordinator
730-280-5390

Swedish Medical Center-Swedish Cancer Institute ( Site 0088)
Seattle, Washington 98104
Contact:
Study Coordinator
206-386-2323

Fred Hutchinson Cancer Center ( Site 0002)
Seattle, Washington 98109
Contact:
Study Coordinator
206-606-4801

Edwards Comprehensive Cancer Center ( Site 4015)
Huntington, West Virginia 25701
Contact:
Study Coordinator
304-399-6521

More Details

Status
Recruiting
Sponsor
Merck Sharp & Dohme LLC

Study Contact

Toll Free Number
1-888-577-8839
Trialsites@msd.com