New mRNA vaccine combo aims to prevent lung cancer recurrence in High-Risk patients
NCT ID NCT07513376
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 19 times
Summary
This phase 3 trial tests whether a personalized mRNA cancer vaccine (intismeran) alone or combined with an immunotherapy drug (pembrolizumab) can prevent non-small cell lung cancer from coming back after complete surgical removal. About 876 people with high-risk stage I lung cancer will be randomly assigned to receive the vaccine, the combination, or a placebo. The study aims to see if these treatments improve disease-free survival compared to placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- intismeran (mRNA cancer vaccine) and pembrolizumab (immunotherapy)
- What this could lead to
- If successful, this could offer a new way to prevent early-stage lung cancer from coming back after surgery, potentially improving long-term survival.
- What could go wrong
- This is a large phase 3 trial, but the treatment is experimental. It may not work better than placebo, and side effects from immunotherapy or the vaccine could be serious.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 876 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
May 2026
- Expected to finish
-
May 2038
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has a histological diagnosis of pathological Stage I (tumor ≤4 cm) non-small cell lung cancer (NSCLC) per American Joint Committee on Cancer (AJCC) 9th Edition with at least 1of the following high-risk pathologic features as assessed locally: tumor size \>2cm, visceral pleural invasion, lymphovascular invasion, or high-grade histology * Has undergone a complete surgical resection of the primary NSCLC * Has not received other prior treatment outside of definitive surgery (including but not limited to chemotherapy, immunotherapy, targeted therapy, or radiotherapy) for their current Stage I NSCLC * Has provided a tissue sample from recent surgery along with the required blood sample * Human immunodeficiency virus (HIV)-infected participants must have well-controlled HIV on antiretroviral therapy (ART) * 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 Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has diagnosis of any 1 of the following: small cell lung cancer (SCLC) or, for mixed tumors, presence of small cell elements, neuroendocrine tumor with large cell components, sarcomatoid carcinoma, or two synchronous primary NSCLCs * Has any clinically significant cardiovascular disease within 12 months before randomization, including a history of coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI), valvular heart disease requiring surgical intervention, New York Heart Association Class III-IV heart failure, unstable angina, myocardial infarction (MI), pulmonary hypertension, cardiovascular accident (CVA), or hemodynamically unstable cardiac arrhythmia * HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease * Has known additional malignancy that is progressing or has required active treatment within the past 3 years * Has active autoimmune disease that has required systemic treatment in the past 2 years. Hormonal supplementation (eg, thyroxine, insulin, or physiologic corticosteroid) is allowed * Has history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease * Has active infection requiring systemic therapy other than those permitted in protocol * Has history of stem cell/solid organ transplant * Participants who have not adequately recovered from major surgery or have ongoing surgical complications
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Non-small cell lung cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The study's own enquiry address
This study publishes an address for enquiries. See it below .
-
The places running it
93 sites in 18 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
-
Contact
Email: •••••@•••••
Locations
-
Adana Medical Park Seyhan Hastanesi ( Site 4302)
RECRUITINGAdana, 1140, Turkey (Türkiye)
-
Altru Health System ( Site 3254)
RECRUITINGGrand Forks, North Dakota, 58201, United States
-
Ankara Bilkent Sehir Hastanesi ( Site 4306)
RECRUITINGAnkara, 6800, Turkey (Türkiye)
-
Asan Medical Center ( Site 5205)
RECRUITINGSeoul, 05505, South Korea
-
Atatürk Göğüs Hastalıkları Ve Göğüs Cerrahisi Eğitim Araştırma Hastanesi ( Site 4309)
RECRUITINGAnkara, 6280, Turkey (Türkiye)
-
Augusta-Kranken-Anstalt ( Site 2702)
RECRUITINGBochum, North Rhine-Westphalia, 44791, Germany
-
Avera Cancer Institute ( Site 3209)
RECRUITINGSioux Falls, South Dakota, 57105, United States
-
Azienda Ospedaliera Universitaria Careggi ( Site 2806)
RECRUITINGFlorence, Tuscany, 50134, Italy
-
Azienda Ospedaliero Universitaria Maggiore della Carità ( Site 2803)
RECRUITINGNovara, 28100, Italy
-
Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 4406)
RECRUITINGKecskemét, Bács-Kiskun county, 6000, Hungary
-
Billings Clinic ( Site 3255)
RECRUITINGBillings, Montana, 59101, United States
-
Borsod-Abaúj-Zemplén Vármegyei Központi Kórház És Egyetemi Oktatókórház ( Site 4409)
RECRUITINGMiskolc, Borsod-Abauj Zemplen county, 3526, Hungary
-
CHU GABRIEL MONTPIED ( Site 2608)
RECRUITINGClermont-Ferrand, Puy-de-Dome, 63000, France
-
Centre Hospitalier de l'Université de Montréal ( Site 2501)
RECRUITINGMontreal, Quebec, H2X 3E4, Canada
-
Chang Gung Memorial Hospital at Kaohsiung ( Site 5302)
RECRUITINGKaohsiung City, 83301, Taiwan
-
Charles George VA Medical Center ( Site 3233)
RECRUITINGAsheville, North Carolina, 28805, United States
-
China Medical University Hospital ( Site 5303)
RECRUITINGTaichung, 40447, Taiwan
-
Chungbuk National University Hospital ( Site 5201)
RECRUITINGCheongju-si, North Chungcheong, 28644, South Korea
-
Ege Universitesi Hastanesi ( Site 4301)
RECRUITINGIzmir, 35100, Turkey (Türkiye)
-
Elisabeth-TweeSteden Ziekenhuis ( Site 4801)
RECRUITINGTilburg, North Holland, 5022 GC, Netherlands
-
Erciyes Universitesi Tıp Fakultesi Hastaneleri ( Site 4304)
RECRUITINGKayseri, 38039, Turkey (Türkiye)
-
Errikos Dunant Hospital Center ( Site 5004)
RECRUITINGAthens, Attica, 115 26, Greece
-
European Interbalkan Medical Center-Oncology Department ( Site 5000)
RECRUITINGThessaloniki, 570 01, Greece
-
Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 2800)
RECRUITINGMilan, Lombardy, 20133, Italy
-
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 2801)
RECRUITINGRoma, 00168, Italy
-
Frisius Medisch Centrum ( Site 4808)
RECRUITINGLeeuwarden, Provincie Friesland, 8934 AD, Netherlands
-
Fukushima Medical University Hospital ( Site 5501)
RECRUITINGFukushima, 960-1295, Japan
-
HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON ( Site 0307)
RECRUITINGMadrid, 28009, Spain
-
Hacettepe Universite Hastaneleri-oncology hospital ( Site 4300)
RECRUITINGAnkara, 6230, Turkey (Türkiye)
-
Hadassah Medical Center ( Site 3305)
RECRUITINGJerusalem, 9112001, Israel
-
Hamilton Health Sciences-Juravinski Cancer Centre ( Site 2506)
RECRUITINGHamilton, Ontario, L8V 5C2, Canada
-
Hematology Oncology Associates of Fredericksburg ( Site 3275)
RECRUITINGFredericksburg, Virginia, 22408, United States
-
Hospital Clinico San Carlos ( Site 0303)
RECRUITINGMadrid, 28040, Spain
-
Hospital Sírio Libanês ( Site 3611)
RECRUITINGSão Paulo, 01308-060, Brazil
-
Hospital Universitari Vall d'Hebron ( Site 0300)
RECRUITINGBarcelona, Catalonia, 08035, Spain
-
Hospital Universitario Virgen Macarena ( Site 0306)
RECRUITINGSeville, 41007, Spain
-
Hospital Universitario de Badajoz ( Site 0305)
RECRUITINGBadajoz, 06006, Spain
-
Hospital Virgen de la Victoria ( Site 0309)
RECRUITINGMálaga, Malaga, 29010, Spain
-
Hospital de Cruces ( Site 0308)
RECRUITINGBarakaldo, Bizkaia, 48903, Spain
-
Hôpital Foch ( Site 2604)
RECRUITINGSuresnes, Hauts-de-Seine, 92150, France
-
ICO - Hospital Duran i Reynals ( Site 0301)
RECRUITINGL'Hospitalet de Llobregat, Barcelona, 08908, Spain
-
IP Clinic ( Site 4204)
RECRUITINGLodz, Łódź Voivodeship, 90-752, Poland
-
Illinois Cancer Care ( Site 7000)
RECRUITINGPeoria, Illinois, 61615, United States
-
Instytut Gruzlicy i Chorob Pluc w Warszawie ( Site 4200)
RECRUITINGWarsaw, Masovian Voivodeship, 01-138, Poland
-
Isala, locatie Zwolle ( Site 4804)
RECRUITINGZwolle, Overijssel, 8025 AB, Netherlands
-
KARTAL DR. LÜTF KIRDAR ETM VE ARATIRMA HASTANES. ( Site 4308)
RECRUITINGIstanbul, 34890, Turkey (Türkiye)
-
Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 2503)
RECRUITINGKingston, Ontario, K7L 2V7, Canada
-
Meander Medisch Centrum ( Site 4802)
RECRUITINGAmersfoort, Utrecht, 3813 TZ, Netherlands
-
Meir medical center ( Site 3306)
RECRUITINGKfar Saba, 4428164, Israel
-
NHO Revive Research Institute, LLC ( Site 3218)
RECRUITINGLincoln, Nebraska, 68506, United States
-
National Cancer Center ( Site 5202)
RECRUITINGGoyang-si, Kyonggi-do, 10408, South Korea
-
National Cheng Kung University Hospital ( Site 5300)
RECRUITINGTainan, 704, Taiwan
-
Nederlands Kanker Instituut Antoni van Leeuwenhoek (NKI AVL) ( Site 4809)
RECRUITINGAmsterdam, North Holland, 1066 CX, Netherlands
-
New York Oncology Hematology, P.C. ( Site 9000)
RECRUITINGAlbany, New York, 12206, United States
-
Nograd Varmegyei Szent Lazar Korhaz ( Site 4410)
RECRUITINGSalgótarján, Nógrád megye, 3100, Hungary
-
One Clinical Research ( Site 0501)
RECRUITINGNedlands, Western Australia, 6009, Australia
-
Országos Onkológiai Intézet ( Site 4405)
RECRUITINGBudapest, 1122, Hungary
-
Pecsi Tudomanyegyetem Klinikai Kozpont ( Site 4401)
RECRUITINGPécs, Baranya, 7623, Hungary
-
Perelman Center for Advanced Medicine ( Site 3205)
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
-
Princess Alexandra Hospital ( Site 0503)
RECRUITINGBrisbane, Queensland, 4102, Australia
-
Rabin Medical Center ( Site 3304)
RECRUITINGPetah Tikva, 4941492, Israel
-
Radboudumc ( Site 4806)
RECRUITINGNijmegen, Gelderland, 6525 GA, Netherlands
-
Rambam Health Care Campus ( Site 3303)
RECRUITINGHaifa, 3109601, Israel
-
Reformatus Pulmonologiai Centrum ( Site 4403)
RECRUITINGTörökbálint, Pest County, 2045, Hungary
-
Renown Regional Medical Center-Renown Health Medical Oncology ( Site 3207)
RECRUITINGReno, Nevada, 89502, United States
-
Royal North Shore Hospital ( Site 0502)
RECRUITINGSt Leonards, New South Wales, 2065, Australia
-
Samsung Medical Center ( Site 5206)
RECRUITINGSeoul, 06351, South Korea
-
Sanford Cancer Center ( Site 3266)
RECRUITINGSioux Falls, South Dakota, 57104, United States
-
Sanford Fargo Medical Center ( Site 3236)
RECRUITINGFargo, North Dakota, 58102, United States
-
Seoul National University Bundang Hospital ( Site 5200)
RECRUITINGSeongnam-si, Kyonggi-do, 13620, South Korea
-
Shaare Zedek Medical Center ( Site 3301)
RECRUITINGJerusalem, 9103102, Israel
-
Sheba Medical Center ( Site 3302)
RECRUITINGRamat Gan, 5265601, Israel
-
Singleton Hospital ( Site 0403)
RECRUITINGSwansea, SA2 8QA, United Kingdom
-
Smilow Cancer Center at Yale-New Haven ( Site 3253)
RECRUITINGNew Haven, Connecticut, 06511, United States
-
St Bartholomew's Hospital ( Site 0400)
RECRUITINGLondon, London, City of, EC1A 7BE, United Kingdom
-
THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 5001)
RECRUITINGAthens, Attica, 115 27, Greece
-
Taichung Veterans General Hospital ( Site 5301)
RECRUITINGTaichung, 407, Taiwan
-
Taipei Medical University Hospital ( Site 5305)
RECRUITINGTaipei, 110, Taiwan
-
The Catholic University Of Korea St. Vincent's Hospital ( Site 5203)
RECRUITINGSuwon, Kyonggi-do, 16247, South Korea
-
The University of Tennessee Medical Center ( Site 3223)
RECRUITINGKnoxville, Tennessee, 37920, United States
-
Thoraxklinik-Heidelberg gGmbH ( Site 2703)
RECRUITINGHeidelberg, Baden-Wurttemberg, 69126, Germany
-
UC Davis Comprehensive Cancer Center ( Site 3204)
RECRUITINGSacramento, California, 95817, United States
-
UNC Lineberger Comprehensive Cancer Center ( Site 3250)
RECRUITINGChapel Hill, North Carolina, 27514, United States
-
University General Hospital ''Attikon'' - General Hospital of West Attica "H AGIA VARVARA" ( Site 5003)
RECRUITINGAthens, Attica, 124 62, Greece
-
University Medical Center Groningen ( Site 4807)
RECRUITINGGroningen, 9713 GZ, Netherlands
-
University of Colorado Cancer Center ( Site 3268)
RECRUITINGAurora, Colorado, 80045, United States
-
WakeMed Raleigh Campus ( Site 3214)
RECRUITINGRaleigh, North Carolina, 27610, United States
-
West Virginia University ( Site 3237)
RECRUITINGMorgantown, West Virginia, 26506, United States
-
White Plains Hospital ( Site 3213)
RECRUITINGWhite Plains, New York, 10601, United States
-
Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 4202)
RECRUITINGPoznan, Greater Poland Voivodeship, 60-569, Poland
-
Wojewodzki Szpital Specjalistyczny im. sw. Rafala w Czerwonej Gorze ( Site 4206)
RECRUITINGChęciny, Świętokrzyskie Voivodeship, 26-060, Poland
-
Ziekenhuis St. Jansdal ( Site 4800)
RECRUITINGHarderwijk, Gelderland, 3844 DG, Netherlands
-
İstinye Üniversitesi Liv Hospital-Topkapi ( Site 4307)
RECRUITINGIstanbul, 34010, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo targets stubborn KRAS lung cancer
- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer