Inside Moderna’s Biggest mRNA Test Since COVID
Moderna CEO Stéphane Bancel talks with a16z about the company's personalized mRNA cancer vaccine, which showed positive Phase 3 results in melanoma after decades of failed attempts.
The gist
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Each patient's tumor DNA is sequenced, 34 key mutations are selected by algorithm, and a bespoke vaccine is manufactured in about 42 days.
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Phase 2 melanoma data showed 80% disease-free survival at 5 years, with the vaccine paired with Keytruda in those cases.
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The current mutation-selection algorithm has not changed since Phase 1, and Bancel says analyzing non-responders from Phase 3 is the next step to improving it.
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Moderna is expanding the approach beyond melanoma to lung, kidney, bladder, pancreatic, and gastric cancers, and possibly autoimmune disorders.
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