Hollings Cancer Center Launches Phase III Trial of mRNA Cancer Vaccine for Melanoma

September 1, 2025

The Hollings Cancer Center in Charleston, South Carolina—part of the Medical University of South Carolina—has begun a pivotal Phase III clinical trial exploring a personalized mRNA cancer vaccine known as V940. The trial pairs this cutting-edge vaccine with the immunotherapy drug pembrolizumab to help prevent recurrence in high-risk melanoma patients.

What’s the Study About?

This randomized, double-blind, placebo-controlled trial compares outcomes for melanoma patients receiving either the experimental vaccine plus pembrolizumab or pembrolizumab alone. The study focuses on key measures such as recurrence-free survival, distant metastasis–free survival, overall survival, and safety/toxicity of the combination approach.

Why It Matters

Personalized mRNA vaccines tailor immune responses to a patient’s specific tumor. V940 takes a unique set of mRNA sequences, based on each individual’s tumor mutations, and trains the immune system to recognize and destroy lingering cancer cells. Early trial findings have already demonstrated promise, with reduced recurrence rates in earlier stages, earning the therapy breakthrough status in prior evaluations.

Why Hollings Is Leading

As the only National Cancer Institute–designated cancer center in South Carolina, Hollings provides critical access to innovative trials for a largely underserved, rural population. Their expansive infrastructure and commitment to advancing precision medicine make them an ideal site for launching such advanced research.

The Broader Landscape

The V940 trial aligns with a growing wave of mRNA-based cancer immunotherapies being tested worldwide. Across the UK, personalized mRNA cancer vaccine efforts are ramping up rapidly, many building upon lessons learned from COVID-19 vaccine development. While the U.S. recently reduced funding for some mRNA research, trials like this one at Hollings ensure progress continues in addressing cancer through next-gen technology.


Key Highlights

ElementDetails
Vaccine NameV940 (personalized mRNA-based)
Control DrugPembrolizumab
Cancer FocusHigh-risk, resected melanoma (Stages II–IV)
Primary GoalsPrevent recurrence and metastasis; assess safety
SignificanceRepresents frontier of personalized immunotherapy

Bottom line: This trial represents a major leap in cancer treatment—marrying the customization of mRNA vaccines with proven immunotherapy. As the study progresses, it may pave the way for powerful new tools in the fight against melanoma and beyond.

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