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IO102-IO103

Phase 3

Metastatic Melanoma | Vaccines | Oncology |IO Biotech, Inc.|Trials Updated: Jul 16, 2026

IO102-IO103 development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Dec 2021

IO102-IO103 target and mechanism

Molecular targetPD-L1
ModalityVaccines

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment555

FDA Designations

No designations recorded

IO102-IO103 clinical trials

IO102-IO103 · 5 trials · 12 indications

Phase 3 1Phase 2 3Phase 1 1
NCT05155254IO102-IO103 in Combination With Pembrolizumab Versus Pembrolizumab Alone in Advanced Melanoma (IOB-013 / KN-D18)Metastatic Melanoma
ACTIVE NOT_RECRUITING407 Analytics
PHASE3ACTIVE NOT_RECRUITING
IO102-IO103 in Combination With Pembrolizumab Versus Pembrolizumab Alone in Advanced Melanoma (IOB-013 / KN-D18)
Metastatic MelanomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS)
Approximately 3.5 years

PFS defined as the time from randomization to the first documented disease progression ((based on Independent Review Committee in accordance with RECIST v1.1) or death from any cause.

Clinical response according to IW-CLL
1 year

Progressive disease (PD), stable disease (SD), partial response (PR), complete response (CR) calculated on basis of changes in circulating lymphocytes and lymphnode/spleen/liver size according to criteria from the international working group on CLL (IW-CLL).

Major pathologic response
Observed in the resected tumor tissue after neoadjuvant treatment at surgery

Major pathologic response, defined as pathologic complete response (pCR) (0% residual viable tumor) or near pCR (≤10% residual viable tumor)

ORR
From date of informed consent until disease progression, death or withdrawal of consent whichever came first, assessed for up to 3 years.

Confirmed Objective Response Rate according to RECIST v1.1

Incidence of adverse events
Up to 30 days after last dose

Safety and toxicity will be evaluated according to Common Terminology Criteria for Adverse Events version 5.0 and pre-defined treatment-limiting toxicities.

Secondary Endpoints

Overall Response Rate (ORR)
Approximately 2.5 years
Overall survival (OS)
Approximately 5.5 years
Durable Objective response rate (DRR)
Approximately 3.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IO102-IO103 + pembrolizumabEXPERIMENTALIO102-IO103 subcutaneous injections (85µg) every 3 weeks for a maximum 35 cycles (up to 2 years treatment). Additional dose given during the induction period on Day 8 of cycles 1 and 2. Each patient can be treated for a maximum of 37 administrations in total (up to 2 years treatment). Pembrolizumab 200 mg intravenously every 3 weeks for a maximum of 35 cycles.
pembrolizumabACTIVE_COMPARATORPembrolizumab 200 mg intravenously every 3 weeks for a maximum of 35 cycles (up to 2 years treatment).
VaccinationEXPERIMENTALUntreated CLL patients with unmutated IgHV gene with a cut of at maximum of 2 % mutations. According to guidelines from the European Research Initiative on CLL (ERIC).
Cohort A - MelanomaEXPERIMENTALCutaneous resectable Stage III melanoma. Neoadjuvant Treatment (3 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W. Post-surgery Treatment (15 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W.
Cohort B - SCCHNEXPERIMENTALStage III or IVA resectable locoregionally advanced Squamous cell carcinoma of the head and neck (SCCHN) of the oral cavity, oropharynx (HPV-negative), hypopharynx, or larynx Neoadjuvant Treatment (2-3 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W Post-surgery Treatment (15 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W.
Cohort CEXPERIMENTALCutaneous resectable Stage III melanoma. Neoadjuvant Treatment (3 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W (Arm A) versus intravenous Pembrolizumab KEYTRUDA® 200mg Q3W alone (Arm B) Post-surgery Treatment (15 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W (Arm A) versus Pembrolizumab KEYTRUDA® 200mg Q3W alone (Arm B)
Arm A (NSCLC)EXPERIMENTALNSCLC patients (metastatic stage IV) treated with IO102-IO103 SC Q3W in combination with pembrolizumab IV 200mg Q3W
Arm B (SCCHN)EXPERIMENTALSCCHN patients (metastatic stage IV) treated with IO102-IO103 SC Q3W in combination with pembrolizumab IV 200mg Q3W
Arm C (mUBC)EXPERIMENTALmUBC patients (metastatic stage IV) treated with IO102-IO103 SC Q3W in combination with pembrolizumab IV 200mg Q3W
Treatment (IO102-IO103, pembrolizumab)EXPERIMENTALPatients receive PD-L1/IDO peptide vaccine SC and pembrolizumab IV on study. Patients also undergo CT and/or CT/PET and collection of blood samples throughout the trial.

Interventions

NameTypeDescription
IO102-IO103DRUGIO102-IO103 comprises IDO peptide antigen (IO102) and PD-L1 peptide antigen (IO103) emulsified with adjuvant (Montanide ISA 51 VG) administered subcutaneously
PembrolizumabDRUGPembrolizumab administered intravenously
PD-L1, PD-L2 peptides with Montanide ISA51COMBINATION_PRODUCTPD-L1: 19 amino acid sequence from the PD-L1 protein; PD-L2: 21 amino acid sequence from the PD-L2 protein; The peptides are dissolved in dimethyl sulphoxide (DMSO) and mixed with Montanide.
Pembrolizumab KEYTRUDA®DRUGPembrolizumab KEYTRUDA® administered intravenously
IO102-IO103 in combination with pembrolizumabDRUGThe experimental drug IO102-IO103 is for SC injection and consist of IDO and PD-L1 peptides
PD-L1/IDO Peptide VaccineBIOLOGICALGiven SC
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites112

Inclusion Criteria: 1. Histologically or cytologically confirmed stage III (unresectable) or stage IV melanoma, as per American Joint Committee on Cancer 8th edition guidelines not amenable to local therapy 2. Patients are treatment naive, that is, no previous systemic anticancer therapy for unrese...

Countries:United StatesAustraliaBelgiumCzechiaDenmarkFranceGermanyHungaryIsraelItalyNetherlandsPolandSouth AfricaSpainTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

HIGHNov 10, 2026NCT05843448Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHNov 10, 2026NCT05843448Status: RECRUITING → ACTIVE_NOT_RECRUITING
HIGHNov 10, 2026NCT05843448Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about IO102-IO103

What is IO102-IO103?

IO102-IO103 is an investigational therapeutic cancer vaccine developed by IO Biotech, Inc. It is designed to target PD-L1 and is being studied in oncology across several tumor types, including melanoma, non-small cell lung cancer, and bladder cancer. It is given in combination with pembrolizumab in its clinical trials.

What does IO102-IO103 target?

IO102-IO103 targets PD-L1. It is a peptide-based immune-modulatory vaccine that combines IDO and PD-L1 peptides with Montanide ISA51, formulated to direct an immune response against cells expressing PD-L1. It is studied in combination with pembrolizumab, a checkpoint inhibitor.

Who makes IO102-IO103?

IO102-IO103 is developed by IO Biotech, Inc., which trades under the ticker IOBTQ. The company is running the clinical program for the vaccine across multiple cancer indications, including a Phase 3 study in advanced melanoma and Phase 2 studies in other solid tumors.

What phase is IO102-IO103 in?

IO102-IO103 is in Phase 2 development overall, with a Phase 3 trial also conducted in advanced melanoma. It is investigational and is being evaluated in combination with pembrolizumab. Studies span melanoma, non-small cell lung cancer, head and neck cancer, and non-muscle invasive bladder cancer.

What clinical trials is IO102-IO103 in?

IO102-IO103 has been studied in NCT05155254, a Phase 3 trial in advanced melanoma with 407 patients, NCT05280314, a Phase 2 neoadjuvant and adjuvant trial in resectable tumors, NCT05077709, a completed Phase 2 trial in metastatic NSCLC, SCCHN, or mUBC, and NCT05843448, a Phase 1 trial in BCG-unresponsive non-muscle invasive bladder cancer.