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
-

A Phase 1b Study of Demcizumab Plus Pembrolizumab in Locally Advanced or Metastatic Solid Tumors

First Posted Date
2016-03-30
Last Posted Date
2020-08-11
Lead Sponsor
OncoMed Pharmaceuticals, Inc.
Target Recruit Count
29
Registration Number
NCT02722954
Locations
🇬🇧

The Royal Marsden NHS Foundation Trust, Sutton, Surrey, United Kingdom

🇺🇸

The START Center for Cancer Care, San Antonio, Texas, United States

🇺🇸

Rocky Mountain Cancer Center, Denver, Colorado, United States

and more 3 locations

Pembrolizumab Plus Docetaxel for the Treatment of Recurrent or Metastatic Head and Neck Cancer

Phase 1
Completed
Conditions
Interventions
First Posted Date
2016-03-24
Last Posted Date
2024-01-09
Lead Sponsor
Medical University of Vienna
Target Recruit Count
22
Registration Number
NCT02718820
Locations
🇦🇹

Medical University of Vienna, Vienna, Austria

Genetic Predictors of Benefit to Pembrolizumab

First Posted Date
2016-03-16
Last Posted Date
2023-07-24
Lead Sponsor
Columbia University
Target Recruit Count
19
Registration Number
NCT02710396
Locations
🇺🇸

Columbia University, New York, New York, United States

🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

A Phase II Study of Pembrolizumab as Post-Remission Treatment of Patients ≥ 60 With AML

Phase 2
Completed
Conditions
Interventions
First Posted Date
2016-03-15
Last Posted Date
2021-08-10
Lead Sponsor
Michael Boyiadzis
Target Recruit Count
12
Registration Number
NCT02708641
Locations
🇺🇸

Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

A Pilot Window-Of-Opportunity Study of the Anti-PD-1 Antibody Pembrolizumab in Patients With Resectable Malignant Pleural Mesothelioma

First Posted Date
2016-03-14
Last Posted Date
2024-07-31
Lead Sponsor
University of Chicago
Target Recruit Count
7
Registration Number
NCT02707666
Locations
🇺🇸

University of Chicago, Chicago, Illinois, United States

Tolerance and Efficacy of Pembrolizumab or Cetuximab Combined With RT in Patients With Locally Advanced HNSCC

First Posted Date
2016-03-14
Last Posted Date
2023-02-28
Lead Sponsor
Groupe Oncologie Radiotherapie Tete et Cou
Target Recruit Count
133
Registration Number
NCT02707588
Locations
🇫🇷

Centre Guillaume le conquérant, Le Havre, France

Switch Maintenance Pembrolizumab in Patients With NSCLC After First Line Platinum Doublet Chemotherapy

Phase 2
Completed
Conditions
Interventions
First Posted Date
2016-03-11
Last Posted Date
2024-11-18
Lead Sponsor
Bank of Cyprus Oncology Centre
Target Recruit Count
48
Registration Number
NCT02705820
Locations
🇨🇾

Bank of Cyprus Oncology Centre, Nicosia, Strovolos, Cyprus

© Copyright 2024. All Rights Reserved by MedPath