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ACTIVE NOT RECRUITING
NCT06305767
PHASE1/PHASE2

A Clinical Study of Intismeran Autogene (V940) Treatment and Pembrolizumab in People With Bladder Cancer (V940-005/INTerpath-005)

Sponsor: Merck Sharp & Dohme LLC

View on ClinicalTrials.gov

Summary

Researchers are looking for new ways to treat people with high-risk muscle-invasive urothelial carcinoma (MIUC). Urothelial carcinoma is a type of bladder cancer that begins in cells that line the inside of the bladder and other parts of the urinary tract, such as part of the kidneys, ureters, and urethra. People with MIUC usually have chemotherapy before surgery, then surgery to remove the cancer. Chemotherapy is a type of medicine to destroy cancer cells or stop them from growing. After surgery, some people receive more treatment to prevent cancer from returning. Pembrolizumab is an immunotherapy, which is a treatment that helps the immune system fight cancer. Enfortumab vedotin (EV) is an antibody drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. Researchers want to learn if giving intismeran autogene (the study treatment) with pembrolizumab can prevent MIUC from returning after surgery. Intismeran autogene (also called mRNA-4157) is designed to treat each person's cancer by helping the person's immune system identify and kill cancer cells based on certain proteins found on those cancer cells. The goals of this study are to learn if people who receive intismeran autogene and pembrolizumab are alive and cancer free longer than those who receive placebo and pembrolizumab, and to learn about the safety of intismeran autogene, pembrolizumab, and EV, and if people tolerate them.

Official title: A Phase 1/2 Study of V940 Plus Pembrolizumab With or Without Enfortumab Vedotin in Muscle-Invasive Urothelial Carcinoma (MIUC) (INTerpath-005)

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

230

Start Date

2024-03-28

Completion Date

2031-10-20

Last Updated

2026-01-13

Healthy Volunteers

No

Conditions

Interventions

BIOLOGICAL

Pembrolizumab

Administered via intravenous (IV) infusion at a dose of 400 mg on Day 1 of every 6-week cycle for up to 9 adjuvant cycles for Adjuvant Cohort participants, or at a dose of 200 mg on Day 1 of every cycle for up to four 3-week neoadjuvant cycles and up to thirteen 3-week adjuvant cycles for Perioperative Cohort participants.

BIOLOGICAL

Intismeran autogene

Administered via intramuscular (IM) injection at a dose of 1 mg every 3 weeks for a total of up to 9 adjuvant doses for Adjuvant Cohort participants, or at a dose of 1 mg every 3 weeks for a total of up to 9 doses in the neoadjuvant and adjuvant periods for Perioperative Cohort participants.

OTHER

Placebo

Intismeran autogene diluent only (saline and/or dextrose) administered via IM injection Q3W for up to 9 doses.

BIOLOGICAL

Enfortumab Vedotin

Administered via IV infusion at a dose of 1.25 mg/kg on Day 1 and Day 8 of every cycle for up to four 3-week neoadjuvant cycles and up to five 3-week adjuvant cycles for Perioperative Cohort participants.

PROCEDURE

Surgery (RC plus PLND)

Curative intent surgery (RC plus PLND) will be administered to all participants in the Perioperative Cohort and will be done in accordance with the American Urological Association/American Society for Radiation Oncology/American Society of Clinical Oncology/Society of Urologic Oncology guidelines. RC plus PLND will be performed within 6 weeks of the last dose of neoadjuvant intismeran autogene plus pembrolizumab plus EV treatment. Adjuvant intismeran autogene plus pembrolizumab plus EV treatment will begin within 8 weeks of completing RC plus PLND.

Locations (74)

UCLA Hematology/Oncology - Westwood (Building 200 Suite 140)-Department of Urology/Institute of Uro ( Site 0104)

Los Angeles, California, United States

AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0102)

Orlando, Florida, United States

University of Chicago Medical Center ( Site 0109)

Chicago, Illinois, United States

University of Iowa ( Site 0110)

Iowa City, Iowa, United States

Icahn School of Medicine at Mount Sinai ( Site 0101)

New York, New York, United States

Duke Cancer Institute ( Site 0107)

Durham, North Carolina, United States

Cleveland Clinic Main ( Site 0100)

Cleveland, Ohio, United States

Fox Chase Cancer Center ( Site 0106)

Philadelphia, Pennsylvania, United States

UT Southwestern Medical Center ( Site 0103)

Dallas, Texas, United States

Houston Methodist Hospital-Department of Urology ( Site 0111)

Houston, Texas, United States

Macquarie University-MQ Health Clinical Trials Unit ( Site 1803)

Macquarie University, New South Wales, Australia

Westmead Hospital ( Site 1802)

Westmead, New South Wales, Australia

Mater Misericordiae Limited ( Site 1808)

South Brisbane, Queensland, Australia

One Clinical Research ( Site 1807)

Nedlands, Western Australia, Australia

BC Cancer Vancouver ( Site 0004)

Vancouver, British Columbia, Canada

Princess Margaret Cancer Centre ( Site 0003)

Toronto, Ontario, Canada

Centre Hospitalier de l'Université de Montréal ( Site 0005)

Montreal, Quebec, Canada

Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0001)

Québec, Quebec, Canada

Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer ( Site 0002)

Sherbrooke, Quebec, Canada

Bradfordhill-Clinical Area ( Site 1501)

Recoleta, Santiago, Region M. de Santiago, Chile

FALP ( Site 1500)

Santiago, Region M. de Santiago, Chile

Pontificia Universidad Catolica de Chile ( Site 1503)

Santiago, Region M. de Santiago, Chile

CIDO SpA ( Site 1509)

Temuco, Región de la Araucanía, Chile

ONCOCENTRO APYS-ACEREY ( Site 1506)

Viña del Mar, Región de Valparaíso, Chile

Clínica Universitaria Colombia ( Site 1600)

Bogotá, Bogota D.C., Colombia

Sociedad De Oncologia Y Hematologia Del Cesar-Oncology ( Site 1605)

Valledupar, Cesar Department, Colombia

Instituto Nacional De Cancerologia-Oncología Clínica ( Site 1606)

Bogota, Cundinamarca, Colombia

Fundacion Valle del Lili- CIC-Oncology CIC ( Site 1608)

Cali, Valle del Cauca Department, Colombia

Oncopole Claudius Regaud ( Site 0302)

Toulouse, Haute-Garonne, France

Institut de Cancérologie de l'Ouest ( Site 0300)

Angers, Maine-et-Loire, France

Hopital Claude Huriez - CHU de Lille ( Site 0301)

Lille, Nord, France

Hôpital Saint-Louis ( Site 0304)

Paris, France

Gustave Roussy ( Site 0303)

Villejuif, Île-de-France Region, France

klinikum rechts der isar der technischen universität münchen-Urologische Klinik und Poliklinik ( Site 0401)

Munich, Bavaria, Germany

Caritas-Krankenhaus St. Josef-Klinik fuer Urologie ( Site 0404)

Regensburg, Bavaria, Germany

Universitaetsklinikum Carl Gustav Carus Dresden-Klinik und Poliklinik für Urologie ( Site 0405)

Dresden, Saxony, Germany

Universitätsklinikum Halle-Universitätsklinik und Poliklinik für Urologie ( Site 0402)

Halle, Saxony-Anhalt, Germany

Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0400)

Berlin, Germany

Fondazione Policlinico Universitario Agostino Gemelli IRCCS -Medical Oncology ( Site 0504)

Rome, Lazio, Italy

Ospedale San Martino-U.O. Oncologia Medica 1 ( Site 0500)

Genoa, Liguria, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 0502)

Milan, Lombardy, Italy

Azienda Ospedaliera Di Rilievo Nazionale A. Cardarelli-UOSC Oncologia ( Site 0503)

Naples, Napoli, Italy

Ospedale San Raffaele-Oncologia Medica ( Site 0501)

Milan, Italy

Auckland City Hospital ( Site 1901)

Auckland, New Zealand

IPOR Instituto Peruano de Oncología & Radioterapia ( Site 1702)

Lima, Peru

Oncosalud ( Site 1701)

Lima, Peru

Hospital Militar Central Luis Arias Schereiber ( Site 1700)

Lima, Peru

Clinical Research Center Spółka z ograniczoną odpowiedzialnością MEDIC-R Sp.k ( Site 0805)

Poznan, Greater Poland Voivodeship, Poland

Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 0801)

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Moczowego ( Site 0800)

Warsaw, Masovian Voivodeship, Poland

Oddzial Onkologii Klinicznej z Pododdzialem Chemioterapii Jednodniowej ( Site 0802)

Koszalin, West Pomeranian Voivodeship, Poland

Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zaklad Opieki Zdrowotnej ( Site 0806)

Kielce, Świętokrzyskie Voivodeship, Poland

Korea University Anam Hospital ( Site 2002)

Seoul, South Korea

Seoul National University Hospital-Urology ( Site 2000)

Seoul, South Korea

Samsung Medical Center-Urology ( Site 2001)

Seoul, South Korea

Hospital Germans Trias i Pujol-Instituto Catalán de Oncología de Badalona ( Site 1006)

Badalona, Barcelona, Spain

HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID-ONCOLOGIA MEDICA ( Site 1003)

Pozuelo de Alarcón, Madrid, Spain

Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 1005)

Madrid, Madrid, Comunidad de, Spain

Hospital Universitari Vall d'Hebron-Oncology ( Site 1002)

Barcelona, Spain

HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Medical Oncology ( Site 1001)

Seville, Spain

Karolinska Universitetssjukhuset Solna ( Site 1101)

Stockholm, Stockholm County, Sweden

Akademiska sjukhuset-Blod- och tumörsjukdomar ( Site 1102)

Uppsala, Uppsala County, Sweden

Hacettepe Universite Hastaneleri-oncology hospital ( Site 1200)

Ankara, Turkey (Türkiye)

Memorial Ankara Hastanesi-Medical Oncology ( Site 1204)

Ankara, Turkey (Türkiye)

Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 1201)

Ankara, Turkey (Türkiye)

Koc Universitesi Hastanesi ( Site 1206)

Istanbul, Turkey (Türkiye)

T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Baki-Istanbul Bakirkoy Sadi Konuk Training ( Site 1205)

Istanbul, Turkey (Türkiye)

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 1202)

Istanbul, Turkey (Türkiye)

Ege Universitesi Hastanesi-Medical Oncology ( Site 1203)

Izmir, Turkey (Türkiye)

Torbay Hospital ( Site 1303)

Torquay, Devon, United Kingdom

Royal Free Hospital ( Site 1300)

London, England, United Kingdom

Gartnavel General Hospital-Clinical Trials Unit ( Site 1301)

Glasgow, Glasgow City, United Kingdom

St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 1302)

London, London, City of, United Kingdom

The Christie NHS Foundation Trust ( Site 1306)

Manchester, United Kingdom