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  • 6 hours ago
Merck and Moderna have tested an experimental personalised mRNA cancer vaccine, intismeran, on melanoma patients following tumour resection surgery. Administered alongside the immunotherapy drug Keytruda, the combination regimen cut the risk of cancer recurrence or death by 42 percent after two years, with 82 percent remaining recurrence-free compared to 70 percent on Keytruda alone. Marking the first time a personalised cancer vaccine has passed a phase three trial, the shot is custom-built from a patient's individual tumour mutations. However, mature overall survival data remains pending, and the therapy is not designed to prevent cancer in healthy individuals. The custom vaccine also lacks regulatory approvals globally and is not yet available in India.

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00:00But let's put our focus to some good news of the day.
00:03A vaccine for cancer.
00:05That's the headline you've been seeing everywhere this week.
00:08But it's only half right.
00:11So let's get down to the other half.
00:13Now, Mark and Moderna, yes, the COVID vaccine Moderna,
00:16have run a big trial on melanoma.
00:18That's the most dangerous kind of skin cancer.
00:22A thousand one hundred and thirty-seven patients.
00:25All of them had already had surgery to remove their tumour.
00:29And the problem with melanoma is that cutting it out isn't always the end.
00:34It's high-risk patients.
00:35It can come back usually in the first one or two, three years as well.
00:38So they ran a test and they did a trial on over, you know, thirteen hundred people.
00:45And here's what they tested.
00:47Every patient got Keytruda, an immunotherapy drug that already is standard treatment now.
00:52Some of them also got the new shot.
00:54And it's called Intense Merrin.
00:57And this is the bit that's actually new.
01:00Each dose is made for one person only.
01:03Doctors take your tumour, read its genetic mutation,
01:07and Moderna builds an mRNA shot from that code.
01:11It's the same technology as the COVID jab, but personalised.
01:16Every patient gets a personalised shot.
01:19The shot trains your immune system to recognise your specific cancer,
01:23so it can hunt down anything left behind.
01:26So, the question is, did it work?
01:29Yes, two years in, about 82% of patients on the combination had no cancer recurrence.
01:35Listen to that again.
01:37In two years, about 82% of patients on this combination had no cancer recurrence.
01:43On Keytruda alone, it was 70%.
01:46But simply, one of every 100 patients, roughly 12 more stayed cancer-free.
01:52The companies are calling it a 42% cut in the risk of cancer coming back, or even death.
01:58Now, that is real.
01:59It's the first time a personalised cancer vaccine has passed a phase 3 trial.
02:04Now, for the part that headlines are skipping, and you should know.
02:07One, we don't yet know if it helps people live longer.
02:11The survival data isn't mature.
02:13And right now, the difference is in statistical significance.
02:17Maybe it will be, but we don't know that just yet.
02:20And number two, it's not a vaccine like a polio drop.
02:23It doesn't prevent cancer in healthy people.
02:25It's a treatment given after surgery to people who already have the cancer.
02:30And number three, it isn't approved anywhere.
02:33Not even in the United States, not in Europe, and certainly here, not in India.
02:37And number four thing to remember, the time.
02:40Because each shot is custom made, the median wait for the first dose is about two months after surgery.
02:46But I'm sure the question on everybody's mind is that of side effects.
02:50About half the patients had fever.
02:52About half had pain at the injection site.
02:55Plenty had fatigue.
02:57Serious side effects were slightly higher than just say Keytruda alone.
03:01And about 24% versus 20.
03:04And honestly, the makers have reacted coldly.
03:07The market, in fact, has reacted coldly at the moment.
03:11Moderna share fell sharply after the full data came out
03:13because the numbers were a little weaker than the earlier trial suggested.
03:17So, what's the bottom line here?
03:19The idea works. Using your own tumour score to fight your own cancer is no longer science fiction.
03:24It's actually happening. It's a brilliant tech that is available for you and me.
03:28But this isn't a cure.
03:29And it isn't arriving in India's hospitals tomorrow or even this year.
03:33The trials for lungs, bladder and kidney cancer will be the real test.
03:38Something which is more dominant in the Indian society, for example.
03:41And if it works there, then we are talking about something really big.
03:45Until then, it's promising and that's what it is for now.

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