Intismeran Autogene Plus Pembrolizumab Versus Pembrolizumab Alone in High-Risk Resected Melanoma: 5-Year Update of the Randomized Phase IIb KEYNOTE-942 Study.
Adnan Khattak, Matteo S Carlino, Tarek Meniawy et al.
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In 30 seconds
The phase IIb KEYNOTE-942 study evaluated the efficacy of intismeran autogene plus pembrolizumab compared to pembrolizumab alone in patients with resected stage IIIB to IV melanoma. After five years, the combination therapy significantly improved recurrence-free survival (RFS) with a hazard ratio of 0.510 and distant metastasis-free survival (DMFS) with a hazard ratio of 0.411, indicating sustained treatment benefits.
Key findings
- Intismeran plus pembrolizumab improved RFS with a hazard ratio of 0.510.
- DMFS was also significantly improved with a hazard ratio of 0.411.
- A favorable trend in overall survival was observed with a hazard ratio of 0.471.
- The safety profile remained manageable with no new safety signals.
Why it matters
These findings suggest that combining intismeran with pembrolizumab may offer enhanced long-term outcomes for patients with high-risk resected melanoma, potentially influencing treatment strategies in this population.