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NCT05665595

A Study of Adjuvant Pembrolizumab/Vibostolimab (MK-7684A) Versus Pembrolizumab for Resected High-Risk Melanoma in Participants With High-Risk Stage II-IV Melanoma (MK-7684A-010/KEYVIBE-010)

Completed Phase 3 Results posted Last updated 15 October 2025
What this trial tests

Phase 3 trial testing Pembrolizumab/Vibostolimab in Melanoma in 1,594 participants. Completed in 26 September 2025.

Timeline
19 January 2023
Primary endpoint
6 March 2024
26 September 2025

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment1,594
Start date19 January 2023
Primary completion6 March 2024
Estimated completion26 September 2025
Sites205 locations across Italy, Colombia, Japan, Ireland, Poland, South Korea, New Zealand, Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

12 and older, any sex, with Melanoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Recurrence-Free Survival (RFS) Primary · Up to approximately 13 months

RFS is defined as the time from randomization to any recurrence (local, locoregional, regional, or distant) as assessed by the investigator, or death due to any cause, whichever occurs first. The RFS as assessed by the investigator is presented for all randomized participants. Protocol pre-specified final analysis for this outcome measure was conducted with the primary completion data cut-off.

GroupValue95% CI
Pembrolizumab/VibostolimabNANA – NA
PembrolizumabNANA – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to approximately 13 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pembrolizumab/Vibostolimab
Serious: 109/698 (16%)
Deaths: 6/701
Pembrolizumab
Serious: 57/700 (8%)
Deaths: 1/701

Serious adverse events (137 terms)

ReactionSystemPembrolizumab/VibostolimabPembrolizumab
Adrenal insufficiencyEndocrine disorders
MyocarditisCardiac disorders
HypophysitisEndocrine disorders
CellulitisInfections and infestations
Immune-mediated enterocolitisGastrointestinal disorders
HepatitisHepatobiliary disorders
PneumoniaInfections and infestations
RashSkin and subcutaneous tissue disorders
Immune-mediated myocarditisCardiac disorders
ColitisGastrointestinal disorders
Meningitis asepticInfections and infestations
Type 1 diabetes mellitusMetabolism and nutrition disorders
EncephalopathyNervous system disorders
Immune-mediated hypophysitisEndocrine disorders
Immune-mediated hepatitisHepatobiliary disorders
InfluenzaInfections and infestations
Skin infectionInfections and infestations
Diabetic ketoacidosisMetabolism and nutrition disorders
MyositisMusculoskeletal and connective tissue disorders
Tubulointerstitial nephritisRenal and urinary disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders
Other adverse events (14 terms — click to expand)

ReactionSystemPembrolizumab/VibostolimabPembrolizumab
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
FatigueGeneral disorders
HyperthyroidismEndocrine disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
HypothyroidismEndocrine disorders
Aspartate aminotransferase increasedInvestigations
HeadacheNervous system disorders
NauseaGastrointestinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders

Most-reported serious reactions: Adrenal insufficiency, Myocarditis, Hypophysitis, Cellulitis, Immune-mediated enterocolitis, Hepatitis, Pneumonia, Rash.

Data from ClinicalTrials.gov NCT05665595 adverse events section.

Sponsor's own description

The primary purpose of this study is to compare pembrolizumab/vibostolimab to pembrolizumab with respect to recurrence-free survival (RFS). The primary hypothesis is that pembrolizumab/vibostolimab is superior to pembrolizumab with respect to RFS as assessed by the investigator in participants with high-risk resected Stage IIB, IIC, III and IV melanoma.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immunotherapy combination approaches: mechanisms, biomarkers and clinical observations.
    Butterfield LH, Najjar YG. · · 2024 · cited 210× · PMID 38057451 · DOI 10.1038/s41577-023-00973-8
  2. Exploiting innate immunity for cancer immunotherapy.
    Yi M, Li T, Niu M, Mei Q, et al · · 2023 · cited 151× · PMID 38008741 · DOI 10.1186/s12943-023-01885-w
  3. Co-inhibition of TIGIT and PD-1/PD-L1 in Cancer Immunotherapy: Mechanisms and Clinical Trials.
    Chu X, Tian W, Wang Z, Zhang J, et al · · 2023 · cited 147× · PMID 37291608 · DOI 10.1186/s12943-023-01800-3
  4. Harnessing the tumor microenvironment: targeted cancer therapies through modulation of epithelial-mesenchymal transition.
    Glaviano A, Lau HS, Carter LM, Lee EHC, et al · · 2025 · cited 90× · PMID 39806516 · DOI 10.1186/s13045-024-01634-6
  5. Current trends in sensitizing immune checkpoint inhibitors for cancer treatment.
    Wei J, Li W, Zhang P, Guo F, et al · · 2024 · cited 82× · PMID 39725966 · DOI 10.1186/s12943-024-02179-5
  6. Targeting TIGIT for cancer immunotherapy: recent advances and future directions.
    Zhang P, Liu X, Gu Z, Jiang Z, et al · · 2024 · cited 69× · PMID 38229100 · DOI 10.1186/s40364-023-00543-z
  7. Beyond CTLA-4 and PD-1 Inhibition: Novel Immune Checkpoint Molecules for Melanoma Treatment.
    Ziogas DC, Theocharopoulos C, Lialios PP, Foteinou D, et al · · 2023 · cited 58× · PMID 37345056 · DOI 10.3390/cancers15102718
  8. Combinatorial blockade for cancer immunotherapy: targeting emerging immune checkpoint receptors.
    Roy D, Gilmour C, Patnaik S, Wang LL. · · 2023 · cited 40× · PMID 37928556 · DOI 10.3389/fimmu.2023.1264327

Verify or expand the search:

Other trials of Pembrolizumab/Vibostolimab

Trials testing the same drug.

Other recruiting trials for Melanoma

Currently open trials in the same condition.

Other Merck Sharp & Dohme LLC trials

Trials by the same sponsor.

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