MedPath

Pembrolizumab

Generic Name
Pembrolizumab
Brand Names
Keytruda
Drug Type
Biotech
Chemical Formula
-
CAS Number
1374853-91-4
Unique Ingredient Identifier
DPT0O3T46P
Background

Pembrolizumab is a highly selective IgG4-kappa humanized monoclonal antibody against PD-1 receptors. It was generated by grafting the variable sequences of a very high-affinity mouse antihuman PD-1 antibody onto a human IgG4-kappa isotype containing a stabilizing S228P Fc mutation. It contains 32 cysteine residues and the complete folded molecule includes 4 disulfide linkages as interchain bonds and 23 interchain bonds. It was developed by Merck & Co and first approved for the treatment of metastatic malignant melanoma by the FDA on September 4, 2014, becoming the first approved therapy against PD-1. In the time since its initial approval, pembrolizumab has been granted approval in the treatment of a wide variety of cancers.

Indication

Pembrolizumab is indicated for the following conditions:

For all approved adult indications, pembrolizumab may be used for an additional 6 weeks at 400mg weekly.

Associated Conditions
Advanced Endometrial Cancer, Advanced Renal Cell Carcinoma, Hepatocellular Carcinoma, Locally Advanced Cutaneous Squamous Cell Carcinoma, Locally Advanced or Metastatic Urothelial Carcinoma (UC), Metastatic Adenocarcinoma of the Gastroesophageal Junction, Metastatic Cervical Cancer, Metastatic Esophageal Carcinoma, Metastatic Melanoma, Metastatic Non-Small Cell Lung Cancer, Metastatic Renal Cell Carcinoma ( mRCC), Metastatic Squamous Cell Carcinoma of the Head and Neck (HNSCC), Metastatic Triple Negative Breast Cancers, Metastatic Urothelial Carcinoma (UC), Metastatic cutaneous squamous cell carcinoma, Metastic Renal Cell Carcinoma, Non-Small Cell Lung Cancer (NSCLC), Nonsmall Cell Lung Cancer, Stage II, Persistent Cervical Cancer, Recurrent Cervical Cancer, Refractory Primary Mediastinal Large B-Cell Cell Lymphoma, Renal Cell Carcinoma (RCC), Resectable Non-small Cell Lung Cancer, Stage IB Non-small Cell Lung Cancer, Stage IIB Melanoma, Stage IIC Melanoma, Stage III Melanoma, Stage IIIA Non Small Cell Lung Cancer, Unresectable Melanoma, Advanced Microsatellite Instability High Endometrial Carcinoma, Advanced Mismatch Repair-deficient (dMMR) Endometrial Carcinoma, High risk, early Triple Negative Breast Cancer, High risk, in situ Non-Muscle Invasive Bladder Cancer (NMIBC) Refractory to BCG, Locally advanced Adenocarcinomas of the Gastroesophageal Junction, Locally advanced Esophageal Carcinoma, Locally advanced Urothelial Carcinoma, Metastatic HER2-positive Adenocarcinoma of the Stomach, Metastatic HER2-positive Adenocarcinomas of the Gastroesophageal Junction, Metastatic High Tumor Mutation Burden Solid Tumors, Metastatic Merkel Cell Carcinoma (MCC), Metastatic Microsatellite Instability High Colorectal Cancer, Metastatic Microsatellite Instability-High (MSI-H) Solid Tumors, Metastatic Mismatch Repair Deficient Colorectal Cancer, Metastatic Mismatch repair deficient (dMMR) solid tumors, Recurrent Cutaneous Squamous Cell Carcinoma, Recurrent Squamous Cell Carcinoma of the Head and Neck (SCCHN), Recurrent, locally advanced Adenocarcinomas of the Gastroesophageal Junction, Recurrent, locally advanced Merkel Cell Carcinoma, Refractory Classical Hodgkin's Lymphoma, Relapsed Classical Hodgkin's Lymphoma, Stage 3 Non-Small Cell Lung Carcinoma (NSCLC), Unresectable High Tumor Mutation Burden Solid Tumors, Unresectable Microsatellite Instability High Colorectal Cancer, Unresectable Microsatellite Instability-High (MSI-H) Solid Tumors, Unresectable Mismatch Repair Deficient Colorectal Cancer, Unresectable Mismatch repair deficient (dMMR) solid tumors, Unresectable, locally advanced HER2-positive Adenocarcinoma of the Stomach, Unresectable, locally advanced HER2-positive Adenocarcinomas of the Gastroesophageal Junction, Unresectable, locally recurrent Triple Negative Breast Cancer, Unresectable, recurrent Squamous Cell Carcinoma of the Head and Neck (SCCHN)
Associated Therapies
-

Study of Neoadjuvant Enfortumab Vedotin and Pembrolizumab in Cisplatin-eligible Upper Tract Urothelial Cancer

Phase 2
Not yet recruiting
Conditions
Urothelial Carcinoma
Interventions
Drug: Enfortumab vedotin
Drug: Pembrolizumab
First Posted Date
2024-04-10
Last Posted Date
2024-12-04
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
32
Registration Number
NCT06356155
Locations
🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

Phase III, Open-label, Study of First-line Dato-DXd in Combination With Rilvegostomig for Advanced Non-squamous NSCLC With High PD-L1 Expression (TC ≥ 50%) and Without Actionable Genomic Alterations

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
First Posted Date
2024-04-10
Last Posted Date
2024-11-20
Lead Sponsor
AstraZeneca
Target Recruit Count
675
Registration Number
NCT06357533
Locations
🇬🇧

Research Site, Truro, United Kingdom

Carboplatin/Paclitaxel + Pembrolizumab for Locoregionally Advanced Penile Cancer

Phase 2
Recruiting
Conditions
Urologic Neoplasms
Penile Squamous Cell Carcinoma
Urogenital Neoplasms
Penile Cancer
Locally Advanced Penile Carcinoma
Male Urogenital Diseases
Interventions
Drug: Carboplatin/Paclitaxel
Drug: Pembrolizumab
Procedure: Partial or total penectomy with inguinal and/or pelvic lymph node dissection
First Posted Date
2024-04-09
Last Posted Date
2024-08-16
Lead Sponsor
The Netherlands Cancer Institute
Target Recruit Count
27
Registration Number
NCT06353906
Locations
🇳🇱

NKI-AVL, Amsterdam, Noord-Holland, Netherlands

Neoadjuvant INBRX-106 (Hexavalent OX40 Agonist) in Combination With Pembrolizumab as a Chemotherapy-sparing Regimen for Stage II TNBC (Triple Negative Breast Cancer) Patients

Phase 2
Not yet recruiting
Conditions
Triple Negative Breast Cancer
Interventions
Drug: Pembrolizumab
Drug: INBRX-106
First Posted Date
2024-04-09
Last Posted Date
2024-07-26
Lead Sponsor
Providence Health & Services
Target Recruit Count
12
Registration Number
NCT06353997
Locations
🇺🇸

Ellison Institute of Technology (EITM), Los Angeles, California, United States

🇺🇸

Providence Portland Cancer Institute - Franz Clinic, Portland, Oregon, United States

🇺🇸

Providence St. Vincent Medical Center, Portland, Oregon, United States

and more 1 locations

ZAP-IT: ZN-c3 + Carboplatin + Pembrolizumab in mTNBC

Phase 1
Recruiting
Conditions
Breast Cancer Female
Breast Cancer
Hormone Receptor Negative Malignant Tumor Breast Triple
HER2-negative Breast Cancer
Triple Negative Breast Cancer
Interventions
First Posted Date
2024-04-08
Last Posted Date
2024-12-18
Lead Sponsor
Filipa Lynce, MD
Target Recruit Count
78
Registration Number
NCT06351332
Locations
🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

A Study of MK-1084 Plus Pembrolizumab (MK-3475) in Participants With KRAS G12C Mutant, Metastatic Non-small Cell Lung Cancer (NSCLC) With Programmed Cell Death Ligand 1 (PD-L1) Tumor Proportion Score (TPS) ≥50% (MK-1084-004)

Phase 3
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
Drug: MK-1084
Other: Placebo
Biological: Pembrolizumab
First Posted Date
2024-04-03
Last Posted Date
2025-01-08
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
600
Registration Number
NCT06345729
Locations
🇺🇸

Beverly Hills Cancer Center ( Site 0116), Beverly Hills, California, United States

🇺🇸

Orchard Healthcare Research Inc. ( Site 0115), Skokie, Illinois, United States

🇺🇸

St. Vincent Frontier Cancer Center-Research ( Site 0105), Billings, Montana, United States

and more 110 locations

Study of BBO-8520 in Adult Subjects with KRASG12C Non-small Cell Lung and Colorectal Cancer

Phase 1
Recruiting
Conditions
Non-small Cell Lung Cancer
Metastatic Non-Small Cell Lung Cancer
NSCLC
KRAS G12C
Metastatic Lung Cancer
Advanced Lung Carcinoma
Colorectal Cancer
Metastatic Colorectal Cancer
CRC
Advanced Colorectal Carcinoma
Interventions
Drug: BBO-8520
Drug: Pembrolizumab
First Posted Date
2024-04-02
Last Posted Date
2024-10-30
Lead Sponsor
TheRas, Inc., d/b/a BridgeBio Oncology Therapeutics
Target Recruit Count
229
Registration Number
NCT06343402
Locations
🇺🇸

University of California - San Diego Moores Cancer Center, La Jolla, California, United States

🇺🇸

UCLA Health - Santa Monica Cancer Care, Santa Monica, California, United States

🇺🇸

Yale Cancer Center, New Haven, Connecticut, United States

and more 12 locations

Study of Suratadenoturev (OBP-301) in Combination With Pembrolizumab in Esophagogastric Adenocarcinoma

Phase 2
Recruiting
Conditions
Gastroesophageal Junction Adenocarcinoma
Esophageal Adenocarcinoma
Gastric Adenocarcinoma
Interventions
Drug: OBP-301
Drug: Pembrolizumab
First Posted Date
2024-04-01
Last Posted Date
2024-05-07
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
27
Registration Number
NCT06340711
Locations
🇺🇸

Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York, New York, United States

AMG 193 Alone or in Combination With Other Therapies in Subjects With Advanced Thoracic Tumors With Homozygous MTAP-deletion (Master Protocol)

Phase 1
Recruiting
Conditions
Thoracic Tumors
Non-small Cell Lung Cancer
Interventions
First Posted Date
2024-03-27
Last Posted Date
2024-12-27
Lead Sponsor
Amgen
Target Recruit Count
500
Registration Number
NCT06333951
Locations
🇺🇸

University of California Irvine, Orange, California, United States

🇺🇸

Comprehensive Blood and Cancer Center, Bakersfield, California, United States

🇺🇸

City of Hope National Medical Center, Duarte, California, United States

and more 28 locations

A Study of DM919 Alone and in Combination With Pembrolizumab in Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Solid Tumor
Interventions
First Posted Date
2024-03-25
Last Posted Date
2024-08-06
Lead Sponsor
D2M Biotherapeutics Inc.
Target Recruit Count
160
Registration Number
NCT06328673
Locations
🇺🇸

NEXT Oncology, San Antonio, Texas, United States

🇨🇳

The Cancer Institute and Hospital, Chinese Academy of Medical Sciences(CAMS), Beijing, China

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