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ASCO 2026 | KEYNOTE-942: 5 year update of intismeran and pembrolizumab in melanoma

Matteo Carlino, FRACP, PhD, The University of Sydney and Westmead Hospital, Sydney, Australia, presents 5-year follow-up results from KEYNOTE-942 (NCT03897881), a Phase IIb study evaluating intismeran autogene (intismeran), an mRNA-based individualized neoantigen therapy, plus pembrolizumab versus pembrolizumab alone in resected high-risk melanoma. Results demonstrated sustained and durable reductions in recurrence-free and distant metastasis-free survival risk with the combination. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

Keynote 942 is a randomized phase 2 patient study in patients with resected high-risk melanoma. The standard treatment for such patients is adjuvant therapy with a drug such as pembrolizumab, and the trial randomized patients to a combination of intismeran, which is a personalized neoantigen therapy, plus pembrolizumab versus pembrolizumab alone. What we hoped would happen and what the results, I think, show is that the intismeran leads to an anti-tumor T-cell response against those neoantigens, leading to a reduction in the risk of relapse and an improvement in the distant metastasis-free survival...

Keynote 942 is a randomized phase 2 patient study in patients with resected high-risk melanoma. The standard treatment for such patients is adjuvant therapy with a drug such as pembrolizumab, and the trial randomized patients to a combination of intismeran, which is a personalized neoantigen therapy, plus pembrolizumab versus pembrolizumab alone. What we hoped would happen and what the results, I think, show is that the intismeran leads to an anti-tumor T-cell response against those neoantigens, leading to a reduction in the risk of relapse and an improvement in the distant metastasis-free survival.

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