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
-

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

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)

First Posted Date
2024-04-03
Last Posted Date
2024-12-18
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 96 locations

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

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

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)

First Posted Date
2024-03-27
Last Posted Date
2024-12-06
Lead Sponsor
Amgen
Target Recruit Count
500
Registration Number
NCT06333951
Locations
🇯🇵

Aichi Cancer Center, Nagoya-shi, Aichi, Japan

🇺🇸

Virginia Cancer Specialists PC, Fairfax, Virginia, United States

🇺🇸

Northwest Medical Specialties, PLLC, Tacoma, Washington, United States

and more 27 locations

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

Phase 1
Recruiting
Conditions
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

Study of Pembrolizumab Plus Chemotherapy With Lenvatinib for Malignant Pleural Mesothelioma

First Posted Date
2024-03-19
Last Posted Date
2024-03-19
Lead Sponsor
Hyogo Medical University
Target Recruit Count
25
Registration Number
NCT06318286
Locations
🇯🇵

Hyogo Medical University Hospital, Nishinomiya, Hyogo, Japan

A Study of Sacituzumab Tirumotecan (MK-2870) as a Single Agent and in Combination With Pembrolizumab (MK-3475) Versus Treatment of Physician's Choice in Participants With HR+/HER2- Unresectable Locally Advanced or Metastatic Breast Cancer (MK-2870-010)

First Posted Date
2024-03-15
Last Posted Date
2024-12-05
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1200
Registration Number
NCT06312176
Locations
🇩🇰

Vejle Sygehus ( Site 1183), Vejle, Syddanmark, Denmark

🇳🇱

Isala, locatie Zwolle ( Site 1525), Zwolle, Overijssel, Netherlands

🇵🇹

Unidade Local de Saude de Santa Maria - Hospital de Santa Maria ( Site 1661), Lisbon, Lisboa, Portugal

and more 143 locations
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