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mRNA-4157 cancer vaccine

by Moderna / Merck

Individualized mRNA neoantigen cancer therapy (intismeran) from Moderna and Merck, tested with Keytruda in melanoma.

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mRNA-4157 cancer vaccine at a glance

What is mRNA-4157 cancer vaccine?
mRNA-4157 cancer vaccine is a research from Moderna / Merck. Individualized mRNA neoantigen cancer therapy (intismeran) from Moderna and Merck, tested with Keytruda in melanoma.
Who makes mRNA-4157 cancer vaccine?
mRNA-4157 cancer vaccine is made by Moderna / Merck.
Does mRNA-4157 cancer vaccine work in the EU?
Unverified. No explicit evidence found. The therapy is investigational and not approved, so there is no commercial availability anywhere; the provided pages say nothing about EU access. Last verified 14 Nov 2026.
How much does mRNA-4157 cancer vaccine cost?
Pricing unknown. Not approved or commercially available; no pricing announced. Licence: Proprietary.
Where was mRNA-4157 cancer vaccine shown?
In 1 creator video by Matt Wolfe. Most recently by Matt Wolfe on 21 Aug 2026, at 5:00 in “AI News: OpenAI Just Put the Brakes on AI”.

Sources: the vendor's own pages (linked above) and creator videos at the linked timestamps. EU status is information, not legal advice; see how we check.

About

mRNA-4157 (intismeran) is an individualized neoantigen therapy developed by Moderna and Merck. A patient's tumour is sequenced and compared with healthy cells to identify cancer-specific mutations. A synthetic mRNA encoding up to 34 of these mutations is then manufactured for that patient. Cells translate the mRNA into protein fragments that are presented to the immune system as antigens. It uses Moderna's mRNA platform, which was also used for its COVID-19 vaccine. Commentary on the programme says machine-learning methods are used to predict neoantigens.

In August 2026 the companies announced that a Phase 3 trial met its endpoints at a planned interim analysis. The trial enrolled 1,137 patients with resected stage IIB–IV melanoma. They were randomized 2:1 to mRNA-4157 plus Keytruda (pembrolizumab) or Keytruda alone, for about a year. The combination reportedly extended recurrence-free survival and distant metastasis-free survival, with statistical significance. Detailed figures have not been released and are expected at an upcoming medical conference. Five-year Phase 2 data showed a 49% reduction in risk of recurrence or death and a 59% reduction in risk of distant metastasis or death.

It is an investigational therapy and is not a software tool or a model. It is not yet approved, and is available only through clinical trials. Open questions include the magnitude of benefit, subgroup results, quality-of-life data and overall survival.

Key features
  • Personalized mRNA encoding up to 34 patient-specific tumour mutations
  • Given in combination with Keytruda (pembrolizumab)
  • Phase 3 interim analysis reported improved recurrence-free and distant metastasis-free survival
  • Phase 2 five-year data: 49% lower risk of recurrence or death
  • Investigational; not approved, available through clinical trials only
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