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
-

PembROlizuMab Immunotherapy Versus Standard Chemotherapy for Advanced prE-treated Malignant Pleural Mesothelioma

First Posted Date
2016-12-13
Last Posted Date
2022-08-24
Lead Sponsor
ETOP IBCSG Partners Foundation
Target Recruit Count
144
Registration Number
NCT02991482
Locations
๐Ÿ‡จ๐Ÿ‡ญ

Kantonsspital Aarau, Aarau, Switzerland

๐Ÿ‡จ๐Ÿ‡ญ

Kantonsspital Winterthur, Winterthur, Switzerland

๐Ÿ‡จ๐Ÿ‡ญ

Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

and more 12 locations

Neoadjuvant Chemoradiation Plus Pembrolizumab Followed By Consolidation Pembrolizumab in NSCLC

First Posted Date
2016-12-09
Last Posted Date
2022-12-19
Lead Sponsor
Nathan Pennell, MD, PhD
Target Recruit Count
9
Registration Number
NCT02987998
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center, Cleveland, Ohio, United States

HDCRT Plus Pembrolizumab in Advanced Malignancies

First Posted Date
2016-12-08
Last Posted Date
2020-12-16
Lead Sponsor
James Larner, MD
Target Recruit Count
21
Registration Number
NCT02987166
Locations
๐Ÿ‡บ๐Ÿ‡ธ

University of Virginia, Charlottesville, Virginia, United States

Study of Imprime PGG and Pembrolizumab in Advanced Melanoma and Triple Negative Breast Cancer

First Posted Date
2016-12-05
Last Posted Date
2024-07-09
Lead Sponsor
HiberCell, Inc.
Target Recruit Count
64
Registration Number
NCT02981303
Locations
๐Ÿ‡บ๐Ÿ‡ธ

John Wayne Cancer Institute, Santa Monica, California, United States

๐Ÿ‡บ๐Ÿ‡ธ

Arizona Center for Cancer Care, Avondale, Arizona, United States

๐Ÿ‡บ๐Ÿ‡ธ

Sarah Cannon Research Institute, Nashville, Tennessee, United States

and more 6 locations

Pilot Study of Pembrolizumab Treatment for Disease Relapse After Allogeneic Stem Cell Transplantation

First Posted Date
2016-12-05
Last Posted Date
2024-04-22
Lead Sponsor
University of Chicago
Target Recruit Count
12
Registration Number
NCT02981914
Locations
๐Ÿ‡บ๐Ÿ‡ธ

University of Chicago, Chicago, Illinois, United States

Study of GVAX (With CY) and Pembrolizumab in MMR-p Advanced Colorectal Cancer

First Posted Date
2016-12-05
Last Posted Date
2021-02-10
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Target Recruit Count
17
Registration Number
NCT02981524
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States

Evaluating Combination Immunotherapy for Advanced Cholangiocarcinoma With Pembrolizumab and PEG-Intron

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2016-12-05
Last Posted Date
2022-02-16
Lead Sponsor
Aiwu Ruth He, MD
Target Recruit Count
4
Registration Number
NCT02982720
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia, United States

Study of MK-8353 in Combination With Pembrolizumab (MK-3475) in Participants With Advanced Malignancies (MK-8353-013)

First Posted Date
2016-11-23
Last Posted Date
2024-11-21
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
111
Registration Number
NCT02972034
Locations
๐Ÿ‡จ๐Ÿ‡ฆ

Merck Canada, Kirkland, Quebec, Canada

๐Ÿ‡บ๐Ÿ‡ธ

Call for Information (Investigational Site 0002), Grand Rapids, Michigan, United States

๐Ÿ‡บ๐Ÿ‡ธ

Call for Information (Investigational Site 0001), Nashville, Tennessee, United States

Pembrolizumab in Refractory Advanced Esophageal Cancer

First Posted Date
2016-11-23
Last Posted Date
2023-09-21
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
49
Registration Number
NCT02971956
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Massachusetts General Hospital, Boston, Massachusetts, United States

๐Ÿ‡บ๐Ÿ‡ธ

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

๐Ÿ‡บ๐Ÿ‡ธ

Dana Farber Cancer Institute, Boston, Massachusetts, United States

ยฉ Copyright 2024. All Rights Reserved by MedPath