Melanoma mRNA Vaccine Clinical Trial Explorer KEYNOTE-942 / V940-001

Moderna mRNA-4157 (V940) + Pembrolizumab vs. Pembrolizumab Monotherapy in Resected High-Risk Melanoma
Hazard Ratio (HR) 0.56 95% CI (0.31 - 1.02)
Projected 3-Yr Vaccine RFS 74.8% ~27 / 107 Recurrences
Projected 3-Yr Control RFS 55.6% ~22 / 50 Recurrences
Absolute Risk Reduction +19.2% 44% Relative Risk Reduction
Nominal P-Value p = 0.013 One-sided log-rank
Kaplan-Meier Recurrence-Free Survival Curve (KEYNOTE-942 Benchmark)
mRNA-4157 + Pembrolizumab
Pembrolizumab Monotherapy
Number of Patients at Risk
Cohort / Time (Months)
mRNA-4157 + Pembro
Pembro Monotherapy

Subgroup Hazard Ratio Forest Plot Favors Combination < 1.0 > Favors Monotherapy

Clinical Evidence & Readout Timeline

Phase 2b

KEYNOTE-942 3-Year & 5-Year Durable RFS Readouts

Confirmed ~44% RFS reduction (HR 0.56) and ~65% DMFS reduction (HR 0.35) at 36 months, proving sustained neoantigen T-cell memory.

Regulatory

FDA Breakthrough Therapy & EMA PRIME Designation

Granted based on personalized 34-neoantigen design generating targeted polyclonal CD8+/CD4+ neoepitope responses.

Phase 3

V940-001 (INTerpath-001) Confirmatory Global Trial (N=1,089)

Evaluating adjuvant mRNA-4157 + Pembro in high-risk stage IIB-IV melanoma across global clinical centers.

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