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ESMO Congress 2026

October 23–27, 2026 · Madrid · 3061 items

← Floor

INTERPATH-001

★★★Late-breaking

54 people · 72 posts · 2 abstracts

Heat trend for this story

Heat now 27·Peak in the comparable set 30 (Oct 25 03:00)·Change over 24h in the comparable set –·Participants now 37

Participants counted37
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Deep dive

Adjuvant pembrolizumab is already a standard after resection of stage IIB–IV melanoma. KEYNOTE-942 was a randomised phase 2b of individualised neoantigen mRNA (then mRNA-4157 / V940) plus pembrolizumab versus pembrolizumab alone; Lancet 2024 reported recurrence-free survival, not overall survival.[1] A 2026 JCO paper updates that trial at five years.[2] Those are phase-2 numbers, not this phase 3.

INTerpath-001 (NCT05933577) is the phase-3 follow-on, not the same trial: intismeran autogene plus pembrolizumab versus pembrolizumab alone. Floor LBA1 (Presidential I) reports n=1137, RFS hazard ratio 0.58, 2-year RFS 82.2% vs 70.0%; distant metastasis-free survival also met; OS immature. Floor copy says no new safety signals. Full confidence intervals, stage and BRAF strata wait on the slides.

What this adds to 942 is the same combination in 1137 patients, with both RFS and DMFS met. OS is immature; an RFS hazard ratio of 0.58 is not yet a rewrite of adjuvant melanoma care. Manufacturing turnaround and access for individualised mRNA are not in the floor posts. Keep the meeting numbers separate from the 942 papers.

Evidence
LBA1

INTerpath-001: Phase 3 study of the mRNA-based individualized neoantigen therapy (INT) intismeran autogene (intismeran) plus pembrolizumab (pembro) vs pembro alone for adjuvant treatment of resected stage IIB-IV melanoma (MEL)

https://esmocongress.esmo.org
Floor
  1. Mario Balsa

    🚨 Scientific embargoes exist for a reason: fair access to data, scientific integrity and, ultimately, patients.

    引用@

    #ESMO26: The embargo on LBA1, “INTerpath-001: Phase 3 study of the mRNA-based individualised neoantigen therapy intismeran autogene plus pembrolizumab versus pembrolizumab alone for adjuvant treatment of resected stage IIB-IV melanoma”, has been breached. As the data are now publicly available, ESMO has released the information contained in the abstract and has lifted the embargo on the full dataset.

    ★★★Same topic INTERPATH-001 · 54 people5511 views26 likes6 reposts8 replies
  2. Dr. Estela Rodriguez

    💯% agree Huge logistics and potential #GlobalOnc disparities for the deployment of a personalized adjuvant mRNA vaccine (intismeran autogene) INTerpath-001 trial

    引用@

    So the “not-so-official-anymore“ presentation is in: The melanoma vaccine works. We knew that, 82% recurrence-free at two years vs 70% with immunotherapy alone. It's built individually for each patient, the logistics are enormous: Sequence their tumor, design the vaccine, manufacture it for one person. Weeks of work that will cost a fortune. A treatment like that doesn't scale to most of the world. It scales to countries that can afford a factory run per patient. I live in a country which happens to be able to afford that, most countries can’t. Melanoma kills people everywhere. This will reach a fraction of them. Solving cancer and solving access are two different problems. We just got better at the first one.

  3. Dr Rishabh Jain

    🚨 A personalized cancer vaccine just delivered Phase III success!

    引用@

    🚨 ESMO 2026: 15 Trials That Could Change Oncology Practice! From personalized cancer vaccines and bispecific antibodies to next-generation ADCs, major results are coming. 🔥 My Top 15 to Watch: 1. INTerpath-001 | Melanoma 2. SAFFRON | EGFR+ NSCLC 3. Krascendo 1 | KRAS G12C NSCLC 4. DeLLphi-305 | ES-SCLC 5. HARMONi-GI1 | Biliary 6. VOLGA | Bladder 7. DASL-HiCaP | Prostate 8. NATALEE | Breast 9. TRIO-US B-12 TALENT | Breast 10. ENERGIZE | Bladder 11. CLARITY-Gastric 01 | Gastric 12. KEYNOTE-C93 | Endometrial 13. KEYNOTE-B49 | Breast 14. LITESPARK-011 | RCC 15. SigVie-002 | NSCLC 📊 The big question: Which trials will deliver meaningful survival benefits and redefine standards of care? Not every positive trial is practice-changing. 👨‍⚕️ Oncologists, which trial are you watching most closely? #ESMO26 #Oncology #CancerResearch @ASCO @oncoalert @myesmo @esmo_open

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