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Intismeran Autogene Plus Pembrolizumab Versus Pembrolizumab Alone in High-Risk Resected Melanoma: 5-Year Update of the Randomized Phase 2b KEYNOTE-942 Study - PubMed

4 hours ago
  • #melanoma
  • #immunotherapy
  • #clinical trial
  • Intismeran (mRNA-based individualized neoantigen therapy) plus pembrolizumab showed sustained improvement in recurrence-free survival compared to pembrolizumab alone in resected high-risk melanoma after 5 years, with a hazard ratio of 0.510.
  • The combination also improved distant metastasis-free survival with a hazard ratio of 0.411 and showed a favorable trend in overall survival versus pembrolizumab alone, based on data from the phase 2b KEYNOTE-942 study.
  • Safety remained manageable with no new safety signals, and immunological analyses indicated increased T-cell receptor clonality and novel clonotypes with intismeran plus pembrolizumab, correlating with better outcomes in patients without recurrence.