MedPath

Pembrolizumab

Generic Name
Pembrolizumab
Brand Names
Keytruda
Drug Type
Biotech
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)

A Study to Compare the Efficacy of Nivolumab and Relatlimab Plus Chemotherapy vs Pembrolizumab Plus Chemotherapy for Stage IV/Recurrent Non-squamous Non-small Cell Lung Cancer With PD-L1 Expression ≥ 1%

Phase 3
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2024-08-20
Last Posted Date
2025-05-09
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
1000
Registration Number
NCT06561386
Locations
🇮🇹

Local Institution - 0222, Ravenna, Italy

🇺🇸

Local Institution - 0368, Tucson, Arizona, United States

🇺🇸

Local Institution - 0112, Los Angeles, California, United States

and more 273 locations

LUNAR-4: Effect of Tumor Treating Fields (TTFields) (150 kHz) Concurrent With Pembrolizumab for Treatment of Metastatic Non-small Cell Lung Cancer (NSCLC)

Phase 2
Recruiting
Conditions
Non-Small Cell Lung Cancer (NSCLC)
Interventions
Device: NovoTTF-200T
First Posted Date
2024-08-19
Last Posted Date
2025-04-02
Lead Sponsor
NovoCure GmbH
Target Recruit Count
69
Registration Number
NCT06558799
Locations
🇫🇷

Montpellier University Hospital, Montpellier, France

🇪🇸

Clínica Universidad de Navarra, Madrid, Madrid, Spain

🇪🇸

Clínica Universidad de Navarra, Pamplona, Spain

and more 11 locations

OPTIMUS PRIME: Safety and Feasibility of OPTune GIO® Integrated With MRI-gUided Laser Ablation Surgery and Pembrolizumab for Recurrent GlIoblastoMa, A randomizEd Trial

Phase 2
Recruiting
Conditions
Recurrent Glioblastoma
Interventions
Device: Optune GIO®
Device: NeuroBlate®
First Posted Date
2024-08-16
Last Posted Date
2025-03-05
Lead Sponsor
University of Florida
Target Recruit Count
20
Registration Number
NCT06558214
Locations
🇺🇸

UF Health Shands Hospital, Gainesville, Florida, United States

Reduction in the Number of Chemotherapy Cycles in Combination With Pembrolizumab in First-line Treatment of PD-L1-positive Recurrent or Metastatic Head and Neck Squamous Cell Carcinomas

Phase 2
Recruiting
Conditions
Squamous Cell Carcinoma of Head and Neck
Interventions
First Posted Date
2024-08-16
Last Posted Date
2025-05-01
Lead Sponsor
Institut Claudius Regaud
Target Recruit Count
86
Registration Number
NCT06557889
Locations
🇫🇷

IUCT-O, Toulouse, France

🇫🇷

CHU Poitiers, Poitiers, France

🇫🇷

Chu Bordeaux - Hopital Saint André, Bordeaux, France

and more 5 locations

EF-41/KEYNOTE D58: Phase 3 Study of Optune Concomitant With Temozolomide Plus Pembrolizumab in Newly Diagnosed Glioblastoma

Phase 3
Recruiting
Conditions
Glioblastoma
Interventions
Device: Optune® device
Drug: Placebo
First Posted Date
2024-08-16
Last Posted Date
2025-05-16
Lead Sponsor
NovoCure GmbH
Target Recruit Count
741
Registration Number
NCT06556563
Locations
🇬🇧

Addenbrooke's Hospital (Cambridge University Hospitals NHS Foundation Trust), Cambridge, United Kingdom

🇺🇸

University of Southern California, Los Angeles, California, United States

🇺🇸

Tufts Medical Center, Boston, Massachusetts, United States

and more 25 locations

A Study of GSK5764227 in Participants With Advanced Solid Tumors

First Posted Date
2024-08-13
Last Posted Date
2025-03-18
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
281
Registration Number
NCT06551142
Locations
🇬🇧

GSK Investigational Site, Edinburgh, United Kingdom

Assessment of PK Similarity of FYB206 in Comparison With Keytruda in Resected Stage II or III Melanoma Patients

Phase 1
Recruiting
Conditions
Melanoma Stage III
Melanoma, Stage II
Interventions
First Posted Date
2024-08-13
Last Posted Date
2025-04-30
Lead Sponsor
Formycon AG
Target Recruit Count
94
Registration Number
NCT06551064
Locations
🇺🇦

Formycon Investigative Site, Kyiv, Ukraine

Ixovex-1 Single Agent and Combination Therapy

Phase 1
Recruiting
Conditions
Solid Tumor
Head and Neck Cancer
Interventions
First Posted Date
2024-08-12
Last Posted Date
2025-01-30
Lead Sponsor
Psivac Ltd
Target Recruit Count
18
Registration Number
NCT06549946
Locations
🇬🇧

The Royal Marsden, London, United Kingdom

Study of XB010 in Subjects With Solid Tumors

Phase 1
Recruiting
Conditions
Locally Advanced or Metastatic Solid Tumors
Esophageal Squamous Cell Cancer
Head and Neck Squamous Cell Cancer
NSCLC (Non-small Cell Lung Cancer)
Hormone-receptor-positive Breast Cancer
Triple Negative Breast Cancer (TNBC)
Interventions
First Posted Date
2024-08-09
Last Posted Date
2025-03-14
Lead Sponsor
Exelixis
Target Recruit Count
396
Registration Number
NCT06545331
Locations
🇺🇸

Exelixis Clinical Site #7, Dallas, Texas, United States

🇺🇸

Exelixis Clinical Site #8, Houston, Texas, United States

🇺🇸

Exelixis Clinical Site #4, Duarte, California, United States

and more 5 locations

A Trial to Evaluate Intravesical Nadofaragene Firadenovec Alone or in Combination With Chemotherapy or Immunotherapy in Participants With High-grade BCG Unresponsive Non-muscle Invasive Bladder Cancer

Phase 2
Recruiting
Conditions
Non-muscle Invasive Bladder Cancer With Carcinoma in Situ
Interventions
First Posted Date
2024-08-09
Last Posted Date
2025-05-06
Lead Sponsor
Ferring Pharmaceuticals
Target Recruit Count
150
Registration Number
NCT06545955
Locations
🇺🇸

Ferring Investigational Site, Myrtle Beach, South Carolina, United States

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