Moderna and Merck’s Phase 3 melanoma-vaccine results surfaced online before their planned conference presentation, then were confirmed by the companies later that day. The trial showed a statistically significant benefit from adding intismeran autogene to Keytruda—but the disclosure was followed by a sharp drop in Moderna’s shares, a reminder that investor expectations and clinical results are different measures of success.
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How the results appeared early
On Thursday, October 22, 2026, results appeared on the medical news site Oncology Central at about 12:30 p.m. ET and were taken down shortly afterward. They had been scheduled for presentation at the European Society for Medical Oncology (ESMO) Congress on Saturday.
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Bloomberg reporting said details also circulated through unverified accounts on X. The available reports do not establish who first posted the results or how the early disclosure happened.
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Later on Thursday, Moderna and Merck announced detailed positive results from INTerpath-001 and said the findings would be presented at the ESMO Presidential Symposium.
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What INTerpath-001 found
The Phase 3 trial tested intismeran autogene, an investigational individualized mRNA neoantigen therapy, plus pembrolizumab (Keytruda) against Keytruda alone after surgery for stage IIB–IV melanoma. A trial summary reported that 1,137 patients were enrolled.
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At a prespecified analysis after a median follow-up of 24.6 months, the combination reduced the risk of recurrence or death by 42% compared with Keytruda alone. The hazard ratio was 0.58 (95% confidence interval, 0.45–0.75; p<0.001). The combination also reduced the risk of distant metastasis or death by 38%.
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The trial met its primary recurrence-free survival endpoint and its key secondary distant-metastasis-free survival endpoint. Overall-survival data were not yet mature, so the results do not establish a definitive overall-survival benefit.
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Why positive results coincided with a stock drop
Moderna shares fell as much as 25% on the day the results surfaced; Merck shares also declined.
5 Reuters characterized Moderna’s move as a “sell-the-news” reaction after a months-long rally, when investors had already bid up expectations around the study.
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The reported benefit also landed close to analyst expectations, while leaving questions about whether the approach would work in cancers beyond melanoma.
2 That helps explain how the trial could meet its endpoints and still disappoint some investors: the market was reacting not just to whether the results were positive, but to how they compared with expectations already reflected in the share price.
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How to read the Phase 2 and Phase 3 percentages
Some coverage compared Phase 3’s 42% reduction with a reported 49% reduction in recurrence or death in the earlier Phase 2 study.
44 The difference between those figures does not, by itself, show that the treatment became less effective: they are estimates from separate trials, not a direct randomized comparison between the two results.
The Phase 3 finding is important on its own because it showed a recurrence-free and distant-metastasis-free survival benefit for the combination in a larger, late-stage trial. Reuters described the result as a potential step toward more personalized cancer treatment.
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What happens next—and what remains unknown
The companies said the detailed INTerpath-001 results would be presented at the ESMO Presidential Symposium. Moderna’s published schedule listed the session for October 24, 2026, at 10:30 a.m. EDT, with Georgina V. Long as presenter.
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The key clinical caveat remains overall survival: those data were not mature at the reported analysis. The trial results support a benefit in the studied melanoma setting, but do not yet answer whether the combination improves overall survival or whether the approach will benefit patients with other cancer types.
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