Moderna reports first positive Phase 3 for mRNA neoantigen therapy in melanoma
heydenberk
542 points
256 comments
August 19, 2026
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Discussion Highlights (20 comments)
GenerWork
This is great news! I think people forget how anti-skin cancer protocols even as simple as applying suntan lotion weren't as popular as recent as 50-60 years ago. Lots of "sun children" of the 50s and 60s are now feeling the repercussions of only applying baby oil and are getting hit with lots of melanoma.
epistasis
Ever since I first heard of them a decade ago, it seemed that mRNA therapeutic vaccines were going to be the next wave of massive improvements in care. It's taken a bit longer than I had expected, and it's not that mRNA is the only way to make these sorts of vaccines, it's just so much better than the alternatives. I'm very very excited to see what comes next.
consumer451
This appears to be a potentially huge win for health. The market has Moderna up 153% at time of writing, which is some sort of validation I suppose. Related stories: https://www.fiercebiotech.com/biotech/merck-and-modernas-per... https://www.reuters.com/legal/litigation/merck-moderna-say-m... https://www.wsj.com/health/pharma/moderna-merck-vaccine-succ...
MartinMond
I listened to a great podcast on this just a month ago - too bad that I thought all of this would obviously be priced in already… https://virological.podigee.io/51-21-cancer-vaccines-how-the...
nearbyyak
Huge, uplifting, news, hope the study will bear further fruit. Considering that 90% of all clinical trials fail, it's good to read about a truly promising one for once.
Noaidi
I for one would like to see the data rather than a press release. Is this even serious? A press release with no link to outside twitter? I feel like everything companies, and presidents, say now is directly geared to triggering AI trades. The only thing they are looking at with this drug is people living one more month over existing drugs. THIS IS NOTHING. "The median PFS (progression-free survival) for KEYTRUDA was 5.5 months (2-week group) and 4.1 months (3-week group) compared to 2.8 months for ipilimumab (HR 0.58, P<0.00001 for the KEYTRUDA groups vs. ipilimumab," https://www.merck.com/news/keytruda-pembrolizumab-mercks-ant... The median PFS (progression-free survival) for KEYTRUDA was 5.5 months (2-week group) and 4.1 months (3-week group) compared to 2.8 months for ipilimumab (HR 0.58, P<0.00001 for the KEYTRUDA groups vs. ipilimumab, 95% CI, 0.46-0.72 for 2-week group and 0.47-0.72 for 3-week group, respectively). The estimated 6-month PFS rates for the KEYTRUDA and ipilimumab arms were 47.3 percent, 46.4 percent and 26.5 percent, respectively. One-year OS for KEYTRUDA was 74.1 percent (2-week group) and 68.4 percent (3-week group) compared to 58.2 percent for ipilimumab (HR 0.63 [95% CI, 0.47-0.83, P=0.00052] for the 2-week group and HR 0.69 [95% CI, 0.52-0.90, P=0.00358] for the 3-week group). At the time of analysis, median overall survival was not reached in any treatment group.
amluto
Substantially better link: https://www.merck.com/news/merck-and-moderna-announce-phase-... Still no actual Phase 3 data presented.
grokcodec
In other news, your barber thinks you need a haircut. Until there is a proven net overall health benefit to this therapy, I wouldn't waste much ink on it. Also, can someone please tell me how one controls the dose for an mRNA therapy ?
ricardobayes
According to Gemini, Moderna uses machine learning to speed up sequence selection and mRNA optimization. After all, this is not a mass-produced vaccine, but a personalized one.
danjl
Will this targeted approach be beneficial to other cancer types? Is there any data or theory about this class of drugs as a more general therapy?
hungryhobbit
There are a zillion news sources for this: OP what would possess you to pick the (largely dead) right wing Musk-owned Twitter ("X" )?
attila-lendvai
/me shakes head in disbelief and closes the tab
Taikhoom10
Yeah while a positive step, I do not understand a 90% stock increase.
hummuscience
My father is currently dying of malignant melanoma with brain metastasis... I wish this treatment was available a few years ago.
kinj28
My father has gastric melonama and pretty much last few days left — does someone with knowledge know if this vaccine can be of any help? Or any registry available?
agumonkey
Some say that mRNA therapies are getting better and better on a wider range of tumor types, anybody from the industry can confirm ?
alexthedigger
Phone cancer is way worse and more prevalent than skin cancer. And it looks and acts the same. Let me know when they find a cure.
dbcooper
A comment from Derek Lowe: https://www.science.org/content/blog-post/merck-and-moderna-... >Postscript: Our Secretary of Health and Human Services of course cancelled $500 million in mRNA vaccine R&D contracts (22 different programs) last year, and cited a pile of misinformation (and cluelessly misunderstood research citations) to justify it. Our Director of the National Institutes of Health was apparently just fine with this decision and cited mRNA vaccines’ alleged failure to “earn public trust” as one of his reasons, along with public statements that “the mRNA platform is no longer viable”. I have a number of suggestions for each of these individuals and their supporters about how they might spend the rest of their day, and will be glad to send details if they contact me.
mancerayder
How are BioNtech's trials doing? Are these two companies the ones to cure cancer (for the rich, being that these therapies require custom bio engineering).
ijustlovemath
I got my first one at age 27. A third just got removed. Living with the constant mole vigilance of that is rough, but I am glad I've learned to identify them. I think knowing the ABCDEs of it should be more widely spread, as removing a mole is a much nicer alternative to having to take margins in a highly mobile place.