Stock Markets May 22, 2026 10:46 AM

Merck Shares Jump After Positive Phase 3 NSCLC Readout for Sac-TMT Combination

Interim OptiTROP-Lung05 results and regulatory progress for Keytruda combos combine with strong Q1 to lift investor sentiment

By Maya Rios MRK

Merck shares climbed roughly 4.7% in morning trading after interim Phase 3 data from the OptiTROP-Lung05 trial showed that sacituzumab tirumotecan (sac-TMT), developed with Kelun Biotech and given with Keytruda, outperformed Keytruda alone in non-small cell lung cancer. The result, together with additional oncology data slated for ASCO, a supportive EMA opinion for a Keytruda-Padcev bladder cancer filing, and a Q1 2026 earnings beat with raised revenue guidance, underpinned the rally.

Merck Shares Jump After Positive Phase 3 NSCLC Readout for Sac-TMT Combination
MRK

Key Points

  • OptiTROP-Lung05 interim Phase 3 results show sacituzumab tirumotecan (sac-TMT) plus Keytruda outperformed Keytruda monotherapy in non-small cell lung cancer.
  • EMA’s CHMP issued a positive opinion for Keytruda combined with Padcev for cisplatin-ineligible resectable muscle-invasive bladder cancer; final European Commission decision expected by third quarter of 2026.
  • Merck beat Q1 2026 analyst expectations for earnings per share and revenue and raised full-year revenue guidance; oncology pipeline momentum to be highlighted at ASCO.

Shares of Merck jumped about 4.7% in morning trade following a positive interim readout from the OptiTROP-Lung05 Phase 3 study. The trial reported that the combination of sacituzumab tirumotecan (sac-TMT) - an antibody-drug conjugate developed in partnership with Kelun Biotech - plus Merck’s immunotherapy Keytruda demonstrated superior efficacy compared with Keytruda on its own in patients with non-small cell lung cancer (NSCLC).

The OptiTROP-Lung05 interim finding is a meaningful development for Merck’s oncology program. Keytruda already holds a leading position in immuno-oncology, particularly in first-line NSCLC, and positive data from combination studies may further reinforce its role as a backbone therapy as the company and partners continue to evaluate new regimens.

Alongside the sac-TMT result, Merck will be presenting a broader set of oncology data at the upcoming American Society of Clinical Oncology (ASCO) meeting. The company highlighted that the ASCO showing will include extensive data that illustrate the breadth of its pipeline, reinforcing investor focus on Merck’s development momentum in cancer therapeutics.

Merck’s progress extends beyond the sac-TMT lung program. The company noted promising Phase 3 trial results for TroFuse and reported collaborations in colorectal cancer studies, signaling multiple active fronts in oncology research. These clinical advances are part of a wider strategic push into chronic disease markets as well, as indicated by the company’s efforts to expand in areas such as Hepatitis A and chronic kidney disease.

Regulatory developments have also contributed to investor enthusiasm. The European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) issued a positive opinion recommending approval of Keytruda in combination with Padcev for patients with cisplatin-ineligible resectable muscle-invasive bladder cancer. A final decision from the European Commission is expected by the third quarter of 2026.

Financial results provided additional support for the stock’s move. Merck reported first-quarter 2026 earnings that beat analyst expectations on both earnings per share and revenue. Management subsequently raised the company’s full-year revenue guidance, which market participants interpreted as confirmation of operational strength, particularly within the oncology segment.

The broader U.S. equity market offered a constructive backdrop to Merck’s gain. On the day, the S&P 500 was trading up approximately +0.5%, the Dow Jones Industrial Average was up about +0.7%, and the NASDAQ was higher by roughly +0.5% - a tone consistent with a risk-on session across major indexes. The Pharmaceuticals & Medical Research sector moved modestly higher, while Merck outpaced its industry peers because of these company-specific developments.

Analyst sentiment remains generally favorable. Among covering firms, the average recommendation stands at "Buy" from 29 analysts, and the 12-month consensus price target is $129.74. Market watchers pointed to the convergence of the OptiTROP-Lung05 interim readout, the CHMP recommendation for a Keytruda-Padcev combination in bladder cancer, and the stronger-than-expected Q1 results with raised guidance as the principal drivers prompting investors to re-rate the stock today.

In sum, the combination of a headline Phase 3 NSCLC result for sac-TMT, additional supportive regulatory news in Europe, and encouraging financial performance contributed to the significant upward movement in Merck’s share price. The company’s expanding oncology pipeline and recent clinical and regulatory milestones were central to the market’s reassessment.

Risks

  • The OptiTROP-Lung05 result is an interim readout - final trial outcomes or subsequent data releases could alter efficacy assessments, affecting the oncology sector and biotech equities.
  • The CHMP recommendation is not a final approval; the European Commission’s decision expected by Q3 2026 introduces regulatory uncertainty for the Keytruda-Padcev filing and European market access.
  • While Q1 2026 results and raised guidance support the stock, future financial performance remains subject to clinical, regulatory, and market risks that can impact pharmaceutical and healthcare stocks.

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