Personalized mRNA Cancer Vaccines

Developing StoryLast updated MAY 11
SUMMARY

Moderna and Merck discontinued a Phase 2/3 adaptive study of their mRNA cancer vaccine, mRNA-4157 (V940), combined with Keytruda for skin squamous cell cancer on May 8, 2026, stopping enrollment and not proceeding to Phase 3 for this indication. As of May 8, 2026: Other studies involving mRNA-4157 for melanoma and different tumor types are continuing. This decision follows promising five-year follow-up data released on January 21, 2026, showing mRNA-4157/V940 demonstrated a nearly 50% lower risk of recurrence or death in melanoma patients compared to standard therapies. Additionally, a personalized mRNA vaccine for pancreatic cancer showed significant promise in a Phase 1 study, with seven out of eight patients who mounted an immune response remaining alive six years later as of April 27, 2026. Australia is also launching the world-first PaedNEO-VAX clinical trial to treat children with advanced or treatment-resistant brain tumors using personalized mRNA vaccines, as announced on February 2, 2026.

Timeline

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Timeline of developments

May 2026 2 developments

  1. Moderna and Merck have discontinued a Phase 2/3 adaptive study of their mRNA cancer vaccine, mRNA-4157 (V940), combined with Keytruda for skin squamous cell cancer.

    Moderna and Merck have discontinued a Phase 2/3 adaptive study of their mRNA cancer vaccine, mRNA-4157 (V940), combined with Keytruda for skin squamous cell cancer. The companies have stopped enrollment and will not proceed to Phase 3 for this indication. Other studies involving mRNA-4157 for melanoma and different tumor types are continuing.

  2. Recent research is exploring novel methods to enhance mRNA cancer vaccine effectiveness, including a role for non-immune cells and technology to precisely control mRNA expression.

    Recent research is exploring novel methods to enhance mRNA cancer vaccine effectiveness, including a role for non-immune cells and technology to precisely control mRNA expression. These advancements aim to improve the efficacy of personalized cancer vaccines, while existing data continues to show a 49% reduction in recurrence or death risk for high-risk melanoma patients treated with intisomeran autogene (mRNA-4157) and Keytruda.

April 2026 1 developments

  1. A personalized mRNA vaccine for pancreatic cancer has shown significant promise in a Phase 1 study, …

    A personalized mRNA vaccine for pancreatic cancer has shown significant promise in a Phase 1 study, with seven out of eight patients who mounted an immune response remaining alive six years later and exhibiting a lower recurrence rate. This approach tailors the vaccine to individual tumor mutations to train the immune system against cancer cells.

March 2026 1 developments

  1. A new analysis of federal funding for RNA vaccine research reveals significant investment in areas i…

    A new analysis of federal funding for RNA vaccine research reveals significant investment in areas including cancer and melanoma, indicating a growing focus on RNA technology for therapeutic applications beyond infectious diseases. The National Cancer Institute has awarded grants for solid tumors and melanoma, suggesting a potential for new treatments.

February 2026 4 developments

  1. Moderna announced an update on their ongoing Phase 2 study, INTerpath-013, for V940 (mRNA-4157), an mRNA-based cancer vaccine.

    Moderna announced an update on their ongoing Phase 2 study, INTerpath-013, for V940 (mRNA-4157), an mRNA-based cancer vaccine. The vaccine is being tested in combination with Merck's Keytruda and standard chemotherapy as a first-line treatment for patients with metastatic squamous non-small cell lung cancer who have not received prior treatment.

  2. New five-year follow-up data from the KEYNOTE-942/mRNA-4157-P201 study shows that patients treated w…

    New five-year follow-up data from the KEYNOTE-942/mRNA-4157-P201 study shows that patients treated with the personalized cancer vaccine intismeran autogene combined with Keytruda experienced a 49% lower risk of recurrence or death compared to those receiving Keytruda alone. These results demonstrate sustained protection and reinforce the promise of mRNA cancer vaccines.

  3. Australia is launching the world-first PaedNEO-VAX clinical trial to treat children with advanced or…

    Australia is launching the world-first PaedNEO-VAX clinical trial to treat children with advanced or treatment-resistant brain tumors using personalized mRNA vaccines, which will be customized based on each child's unique cancer markers.

  4. Newly formed French biotech Kahimmune Therapeutics has secured an exclusive license for a 'dark-geno…

    Newly formed French biotech Kahimmune Therapeutics has secured an exclusive license for a 'dark-genome' cancer vaccine platform, aiming to develop shared mRNA cancer vaccines initially for colorectal and pancreatic cancer.

January 2026 2 developments

  1. Moderna provides an update on its ongoing Phase 3 clinical study for mRNA-4157 in non-small cell lung cancer, confirming the trial is actively recruiting patients.

    Moderna provides an update on its ongoing Phase 3 clinical study for mRNA-4157 in non-small cell lung cancer, confirming the trial is actively recruiting patients. [5]

  2. Moderna and Merck announce 5-year follow-up data for mRNA-4157/V940, demonstrating sustained protect…

    Moderna and Merck announce 5-year follow-up data for mRNA-4157/V940, demonstrating sustained protection and a nearly 50% lower risk of recurrence or death in melanoma patients compared to standard therapies. [3, 17, 23]

March 2025 1 developments

  1. A personalized mRNA pancreatic cancer vaccine, autogene cevumeran, shows sustained immune activity i…

    A personalized mRNA pancreatic cancer vaccine, autogene cevumeran, shows sustained immune activity in a Phase 1 trial, activating tumor-specific immune cells that persisted for up to nearly four years in some patients. [9]

January 2025 1 developments

  1. Russia announced its first mRNA-based cancer vaccine, which is expected to be available by early 202…

    Russia announced its first mRNA-based cancer vaccine, which is expected to be available by early 2025 and aims to revolutionize cancer treatment by triggering an immune response against cancer cells.

June 2024 1 developments

  1. Moderna presents 3-year follow-up data for mRNA-4157 (V940) in combination with Keytruda at the Amer…

    Moderna presents 3-year follow-up data for mRNA-4157 (V940) in combination with Keytruda at the American Society of Clinical Oncology (ASCO) meeting, showing sustained improvement in melanoma patients. [2]

May 2024 1 developments

  1. NHS England launches its Cancer Vaccine Launch Pad, with the first patient in England receiving a personalized mRNA vaccine for bowel cancer as part of a clinical trial.

    NHS England launches its Cancer Vaccine Launch Pad, with the first patient in England receiving a personalized mRNA vaccine for bowel cancer as part of a clinical trial. [21]

July 2023 1 developments

  1. Moderna and Merck initiate a pivotal Phase 3 study (V940-001) evaluating mRNA-4157 in combination wi…

    Moderna and Merck initiate a pivotal Phase 3 study (V940-001) evaluating mRNA-4157 in combination with pembrolizumab for the adjuvant treatment of patients with resected high-risk stage IIB-IV melanoma. [16]

February 2023 2 developments

  1. The FDA has granted a breakthrough therapy designation to the investigational personalized mRNA cancer vaccine mRNA-4157/V940, when used in combination with pembrolizumab.

    The FDA has granted a breakthrough therapy designation to the investigational personalized mRNA cancer vaccine mRNA-4157/V940, when used in combination with pembrolizumab. This designation is for the adjuvant treatment of patients diagnosed with high-risk melanoma following complete resection. The decision was based on previously presented data.

  2. The U.S. Food and Drug Administration (FDA) grants mRNA-4157/V940 Breakthrough Therapy designation, …

    The U.S. Food and Drug Administration (FDA) grants mRNA-4157/V940 Breakthrough Therapy designation, accelerating its development and review process. [16]

December 2022 1 developments

  1. Moderna and Merck announce that their personalized mRNA cancer vaccine, mRNA-4157/V940, met its prim…

    Moderna and Merck announce that their personalized mRNA cancer vaccine, mRNA-4157/V940, met its primary efficacy endpoint in a Phase 2b trial for melanoma, demonstrating a 44% reduction in the risk of recurrence or death when combined with Keytruda. [4, 7, 16]

October 2021 1 developments

  1. BioNTech doses the first patient in a Phase 2 trial for its personalized mRNA cancer vaccine (BNT122/autogene cevumeran) for high-risk colorectal cancer.

    BioNTech doses the first patient in a Phase 2 trial for its personalized mRNA cancer vaccine (BNT122/autogene cevumeran) for high-risk colorectal cancer. [13]

November 2020 1 developments

  1. Moderna announces interim data from a multi-cancer Phase 1 trial for mRNA-4157, indicating that the vaccine in combination with Keytruda is well-tolerated.

    Moderna announces interim data from a multi-cancer Phase 1 trial for mRNA-4157, indicating that the vaccine in combination with Keytruda is well-tolerated. [12]

January 2019 1 developments

  1. Moderna and Merck jointly initiate clinical trials for mRNA-4157/V940 in combination with Merck's immunotherapy drug Keytruda (pembrolizumab) for resected stage IIIB-IV melanoma.

    Moderna and Merck jointly initiate clinical trials for mRNA-4157/V940 in combination with Merck's immunotherapy drug Keytruda (pembrolizumab) for resected stage IIIB-IV melanoma. [16]

May 2018 1 developments

  1. Moderna and Merck announce a collaboration for the further development of the investigational personalized mRNA cancer vaccine, mRNA-4157/V940.

    Moderna and Merck announce a collaboration for the further development of the investigational personalized mRNA cancer vaccine, mRNA-4157/V940. [16]

July 2017 1 developments

  1. BioNTech publishes results from the first clinical trial for an mRNA-based individualized vaccine, d…

    BioNTech publishes results from the first clinical trial for an mRNA-based individualized vaccine, demonstrating that all 13 melanoma patients in the study developed an immune response against their specific tumor antigens. [29]