NCT06305767Active, not recruitingPhase 1/2
A Clinical Study of Intismeran Autogene (V940) Treatment and Pembrolizumab in People With Bladder Cancer (V940-005/INTerpath-005)
A Phase 1/2 Study of V940 Plus Pembrolizumab With or Without Enfortumab Vedotin in Muscle-Invasive Urothelial Carcinoma (MIUC) (INTerpath-005)
Source: ClinicalTrials.gov · Last updated 13 Jan 2026
Brief summary (registry, in English)
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.
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 1/2
- Study type
- Interventional
- Enrollment
- 230 (estimated)
- First submitted
- 5 Mar 2024
- Start date
- 28 Mar 2024
- Primary completion date
- 23 Apr 2027
- Lead sponsor
- Merck Sharp & Dohme LLC
- Diseases
- Bladder cancer
- NCT number
- NCT06305767
- EU CT number
- 2023-505658-17-00
What you commit to
- Study type: Interventional · Phase 1/2
- Planned participants: 230
- From 28 Mar 2024 to the primary completion date, 23 Apr 2027
- 74 sites in 16 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
- Has known additional malignancy that is progressing or has required active treatment ≤3 years prior to study randomization
- Has received prior systemic anticancer therapy
- Has received prior neoadjuvant therapy, with the exception of neoadjuvant cisplatin-based chemotherapy for MIUC
- Has received any prior systemic treatment, cancer vaccine treatment, chemoradiation, and/or radiation therapy treatment for MIBC
Other illness
- Has current pneumonitis/interstitial lung disease
- Has active infection requiring systemic therapy
- Has active hepatitis B and hepatitis C virus infection
- Adjuvant Cohort:
- Has severe hypersensitivity to either intismeran autogene or pembrolizumab (MK-3475) and/or any of their excipients
- Perioperative Cohort:
- Has severe hypersensitivity to either intismeran autogene, pembrolizumab, or EV and/or any of their excipients
Other
- The main exclusion criteria include but are not limited to the following:
- Has ongoing sensory or motor neuropathy
- Has active keratitis or corneal ulcerations
Who the study is looking for
- The main inclusion criteria include but are not limited to the following:
- Has a histological diagnosis of urothelial carcinoma (UC)
- Must provide blood samples per protocol, to enable intismeran autogene production, and circulating tumor deoxyribonucleic acid testing
- Has an Eastern Cooperative Oncology Group performance status of 0 to 2 assessed within 7 days before randomization
- Must provide a formalin-fixed paraffin-embedded tumor tissue sample for next generation sequencing
- Adjuvant Cohort:
- Has MIUC
- Has high-risk pathologic disease after radical resection
- For participants who have not received cisplatin-based neoadjuvant chemotherapy, are ineligible to receive cisplatin according to protocol pre-defined criteria
- Perioperative Cohort:
- Has MIBC
- Is deemed eligible for RC and PLND and agrees to undergo curative intent standard RC and PLND and neoadjuvant and adjuvant treatment per protocol
- Is ineligible to receive cisplatin according to protocol pre-defined criteria
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (74)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Macquarie University-MQ Health Clinical Trials Unit ( Site 1803) Coordinator of this site? Confirm its status | Macquarie University | Australia | Unknown status |
| One Clinical Research ( Site 1807) Coordinator of this site? Confirm its status | Nedlands | Australia | Unknown status |
| Mater Misericordiae Limited ( Site 1808) Coordinator of this site? Confirm its status | South Brisbane | Australia | Unknown status |
| Westmead Hospital ( Site 1802) Coordinator of this site? Confirm its status | Westmead | Australia | Unknown status |
| Centre Hospitalier de l'Université de Montréal ( Site 0005) Coordinator of this site? Confirm its status | Montreal | Canada | Unknown status |
| Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0001) Coordinator of this site? Confirm its status | Québec | Canada | Unknown status |
| Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer ( Site 0002) Coordinator of this site? Confirm its status | Sherbrooke | Canada | Unknown status |
| Princess Margaret Cancer Centre ( Site 0003) Coordinator of this site? Confirm its status | Toronto | Canada | Unknown status |
| BC Cancer Vancouver ( Site 0004) Coordinator of this site? Confirm its status | Vancouver | Canada | Unknown status |
| Bradfordhill-Clinical Area ( Site 1501) Coordinator of this site? Confirm its status | Recoleta, Santiago | Chile | Unknown status |
| FALP ( Site 1500) Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Pontificia Universidad Catolica de Chile ( Site 1503) Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| CIDO SpA ( Site 1509) Coordinator of this site? Confirm its status | Temuco | Chile | Unknown status |
| ONCOCENTRO APYS-ACEREY ( Site 1506) Coordinator of this site? Confirm its status | Viña del Mar | Chile | Unknown status |
| Instituto Nacional De Cancerologia-Oncología Clínica ( Site 1606) Coordinator of this site? Confirm its status | Bogota | Colombia | Unknown status |
| Clínica Universitaria Colombia ( Site 1600) Coordinator of this site? Confirm its status | Bogotá | Colombia | Unknown status |
| Fundacion Valle del Lili- CIC-Oncology CIC ( Site 1608) Coordinator of this site? Confirm its status | Cali | Colombia | Unknown status |
| Sociedad De Oncologia Y Hematologia Del Cesar-Oncology ( Site 1605) Coordinator of this site? Confirm its status | Valledupar | Colombia | Unknown status |
| Charite Universitaetsmedizin Berlin KöR Coordinator of this site? Confirm its status | Berlin | Germany | Active, not recruiting |
| Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR Coordinator of this site? Confirm its status | Dresden | Germany | Active, not recruiting |
| Universitaetsklinikum Halle (Saale) AöR Coordinator of this site? Confirm its status | Halle Saale | Germany | Active, not recruiting |
| Klinikum rechts der Isar der TU Muenchen AöR Coordinator of this site? Confirm its status | Munich | Germany | Active, not recruiting |
| Universitaetsklinikum Regensburg AöR Coordinator of this site? Confirm its status | Regensburg | Germany | Active, not recruiting |
| Institut Catala d'Oncologia Coordinator of this site? Confirm its status | Badalona | Spain | Active, not recruiting |
| Hospital Universitari Vall d'Hebron Coordinator of this site? Confirm its status | Barcelona | Spain | Active, not recruiting |
| Hospital Universitario Ramón y Cajal Coordinator of this site? Confirm its status | Madrid | Spain | Active, not recruiting |
| Hospital Universitario Quironsalud Madrid Coordinator of this site? Confirm its status | Pozuelo de Alarcón | Spain | Active, not recruiting |
| University Hospital Virgen Del Rocio S.L. Coordinator of this site? Confirm its status | Sevilla | Spain | Active, not recruiting |
| Institut de Cancerologie de L'Ouest Coordinator of this site? Confirm its status | Angers | France | Active, not recruiting |
| Centre Hospitalier Universitaire De Lille Coordinator of this site? Confirm its status | Lille Cedex | France | Active, not recruiting |
| Assistance Publique Hopitaux de Paris Coordinator of this site? Confirm its status | Paris | France | Active, not recruiting |
| Institut Universitaire Du Cancer Toulouse-Oncopole Coordinator of this site? Confirm its status | Toulouse Cedex 9 | France | Active, not recruiting |
| Institut Gustave Roussy Coordinator of this site? Confirm its status | Villejuif | France | Active, not recruiting |
| Gartnavel General Hospital-Clinical Trials Unit ( Site 1301) Coordinator of this site? Confirm its status | Glasgow | United Kingdom | Unknown status |
| Royal Free Hospital ( Site 1300) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 1302) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| The Christie NHS Foundation Trust ( Site 1306) Coordinator of this site? Confirm its status | Manchester | United Kingdom | Unknown status |
| Torbay Hospital ( Site 1303) Coordinator of this site? Confirm its status | Torquay | United Kingdom | Unknown status |
| IRCCS Ospedale Policlinico San Martino Coordinator of this site? Confirm its status | Genoa | Italy | Active, not recruiting |
| Ospedale San Raffaele S.r.l. Coordinator of this site? Confirm its status | Milan | Italy | Active, not recruiting |
| Fondazione IRCCS - Istituto Nazionale dei Tumori Coordinator of this site? Confirm its status | Milan | Italy | Active, not recruiting |
| Azienda Ospedaliera di Rilievo Nazionale Antonio Cardarelli Coordinator of this site? Confirm its status | Naples | Italy | Active, not recruiting |
| Fondazione Policlinico Universitario Agostino Gemelli IRCCS Coordinator of this site? Confirm its status | Rome | Italy | Active, not recruiting |
| Korea University Anam Hospital ( Site 2002) Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Samsung Medical Center-Urology ( Site 2001) Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Seoul National University Hospital-Urology ( Site 2000) Coordinator of this site? Confirm its status | Seoul | South Korea | Unknown status |
| Auckland City Hospital ( Site 1901) Coordinator of this site? Confirm its status | Auckland | New Zealand | Unknown status |
| IPOR Instituto Peruano de Oncología & Radioterapia ( Site 1702) Coordinator of this site? Confirm its status | Lima | Peru | Unknown status |
| Oncosalud ( Site 1701) Coordinator of this site? Confirm its status | Lima | Peru | Unknown status |
| Hospital Militar Central Luis Arias Schereiber ( Site 1700) Coordinator of this site? Confirm its status | Lima | Peru | Unknown status |
| Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W Bydgoszczy Coordinator of this site? Confirm its status | Bydgoszcz | Poland | Active, not recruiting |
| Swietokrzyskie Centrum Onkologii Samodzielny Publiczny Zaklad Opieki Zdrowotnej w Kielcach Coordinator of this site? Confirm its status | Kielce | Poland | Active, not recruiting |
| Szpital Wojewodzki im. Mikolaja Kopernika w Koszalinie Coordinator of this site? Confirm its status | Koszalin | Poland | Active, not recruiting |
| Clinical Research Center Sp z o o Medic R Sp k Coordinator of this site? Confirm its status | Poznan | Poland | Active, not recruiting |
| Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy Coordinator of this site? Confirm its status | Warsaw | Poland | Active, not recruiting |
| Karolinska University Hospital Coordinator of this site? Confirm its status | Solna | Sweden | Active, not recruiting |
| Uppsala University Hospital Coordinator of this site? Confirm its status | Uppsala | Sweden | Active, not recruiting |
| University of Chicago Medical Center ( Site 0109) Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| Cleveland Clinic Main ( Site 0100) Coordinator of this site? Confirm its status | Cleveland | United States | Unknown status |
| UT Southwestern Medical Center ( Site 0103) Coordinator of this site? Confirm its status | Dallas | United States | Unknown status |
| Duke Cancer Institute ( Site 0107) Coordinator of this site? Confirm its status | Durham | United States | Unknown status |
| Houston Methodist Hospital-Department of Urology ( Site 0111) Coordinator of this site? Confirm its status | Houston | United States | Unknown status |
| University of Iowa ( Site 0110) Coordinator of this site? Confirm its status | Iowa City | United States | Unknown status |
| UCLA Hematology/Oncology - Westwood (Building 200 Suite 140)-Department of Urology/Institute of Uro ( Site 0104) Coordinator of this site? Confirm its status | Los Angeles | United States | Unknown status |
| Icahn School of Medicine at Mount Sinai ( Site 0101) Coordinator of this site? Confirm its status | New York | United States | Unknown status |
| AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0102) Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Fox Chase Cancer Center ( Site 0106) Coordinator of this site? Confirm its status | Philadelphia | United States | Unknown status |
| Hacettepe Universite Hastaneleri-oncology hospital ( Site 1200) Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Unknown status |
| Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 1201) Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Unknown status |
| Memorial Ankara Hastanesi-Medical Oncology ( Site 1204) Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Unknown status |
| Koc Universitesi Hastanesi ( Site 1206) Coordinator of this site? Confirm its status | Istanbul | Turkey (Türkiye) | Unknown status |
| T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Baki-Istanbul Bakirkoy Sadi Konuk Training ( Site 1205) Coordinator of this site? Confirm its status | Istanbul | Turkey (Türkiye) | Unknown status |
| TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 1202) Coordinator of this site? Confirm its status | Istanbul | Turkey (Türkiye) | Unknown status |
| Ege Universitesi Hastanesi-Medical Oncology ( Site 1203) Coordinator of this site? Confirm its status | Izmir | Turkey (Türkiye) | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.