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 Combined With Itacitinib (INCB039110) and/or Pembrolizumab Combined With INCB050465 in Advanced Solid Tumors

First Posted Date
2016-01-06
Last Posted Date
2022-03-31
Lead Sponsor
Incyte Corporation
Target Recruit Count
159
Registration Number
NCT02646748
Locations
🇺🇸

John Wayne Cancer Institute at Providence Saint John's Health Center, Santa Monica, California, United States

🇺🇸

Georgetown University Medical Center Lombardi CCC, Washington, District of Columbia, United States

🇺🇸

The Center for Cancer and Blood Disorders (RCCA MD LLC-Maryland Vidision), Bethesda, Maryland, United States

and more 14 locations

Pembrolizumab With Locally Delivered Radiation Therapy for the Treatment of Metastatic Esophageal Cancers

First Posted Date
2015-12-30
Last Posted Date
2021-11-24
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
16
Registration Number
NCT02642809
Locations
🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

Phase II Trial of Adjuvant Cisplatin and Radiation With Pembrolizumab in Resected Head and Neck Squamous Cell Carcinoma

First Posted Date
2015-12-29
Last Posted Date
2024-08-29
Lead Sponsor
Trisha Wise-Draper
Target Recruit Count
96
Registration Number
NCT02641093
Locations
🇺🇸

Ohio State University, Columbus, Ohio, United States

🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

University of Cincinnati Medical Center, Cincinnati, Ohio, United States

and more 3 locations

Axitinib and Pembrolizumab in Subjects With Advanced Alveolar Soft Part Sarcoma and Other Soft Tissue Sarcomas

First Posted Date
2015-12-22
Last Posted Date
2024-07-12
Lead Sponsor
Jonathan Trent, MD, PhD
Target Recruit Count
33
Registration Number
NCT02636725
Locations
🇺🇸

University of Miami, Miami, Florida, United States

Pembro and Vorinostat for Patients With Stage IV Non-small Cell Lung Cancer (NSCLC)

Phase 1
Active, not recruiting
Conditions
Interventions
First Posted Date
2015-12-22
Last Posted Date
2024-11-27
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
124
Registration Number
NCT02638090
Locations
🇺🇸

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States

Pembrolizumab (MK-3475) in MM Patients With Residual Disease

Phase 2
Completed
Conditions
Interventions
First Posted Date
2015-12-21
Last Posted Date
2020-04-29
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
20
Registration Number
NCT02636010
Locations
🇪🇸

Hospital Clinic, Barcelona, Spain

🇪🇸

Hospital 12 de octubre, MAdrid, Spain

🇪🇸

Hospital Germans Trias i Pujol, Badalona, Spain

and more 8 locations

Pembrolizumab and Chemoradiation Treatment for Advanced Cervical Cancer

First Posted Date
2015-12-18
Last Posted Date
2021-04-28
Lead Sponsor
Linda R Duska
Target Recruit Count
88
Registration Number
NCT02635360
Locations
🇺🇸

Washington University, School of Medicine, Saint Louis, Missouri, United States

🇺🇸

Levine Cancer Institute, Charlotte, North Carolina, United States

🇺🇸

INOVA Fairfax Hospital, Falls Church, Virginia, United States

and more 5 locations

Pembrolizumab for HPV-associated Recurrent Respiratory Papilloma Patients

Phase 2
Active, not recruiting
Conditions
Interventions
First Posted Date
2015-12-16
Last Posted Date
2024-05-30
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
21
Registration Number
NCT02632344
Locations
🇺🇸

NorthShore University HealthSystem, Evanston, Illinois, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

Study of Pembrolizumab (MK-3475) in Participants With Advanced Solid Tumors (MK-3475-158/KEYNOTE-158)

First Posted Date
2015-12-11
Last Posted Date
2024-11-14
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1609
Registration Number
NCT02628067
Locations
🇺🇸

Call for Information (Investigational Site 0008), New Brunswick, New Jersey, United States

🇦🇺

MSD Australia, North Ryde, Australia

🇧🇷

MSD Brasil, Sao Paulo, Brazil

and more 17 locations

Study Comparing Pembrolizumab With Dual MAPK Pathway Inhibition Plus Pembrolizumab in Melanoma Patients

First Posted Date
2015-12-09
Last Posted Date
2017-09-15
Lead Sponsor
The Netherlands Cancer Institute
Target Recruit Count
32
Registration Number
NCT02625337
Locations
🇳🇱

Antoni van Leeuwenhoek ziekenhuis, Amsterdam, NH, Netherlands

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