MedPath

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 and Tazemetostat to Overcome Immune Tolerance Following ASCT or CAR T-cell Therapy in Patients With Aggressive B-Cell Non-Hodgkin's Lymphoma

Phase 2
Recruiting
Conditions
B-Cell Non-Hodgkin Lymphoma
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Echocardiography
Biological: Pembrolizumab
Procedure: Positron Emission Tomography
Drug: Tazemetostat
First Posted Date
2024-02-05
Last Posted Date
2024-10-08
Lead Sponsor
Northwestern University
Target Recruit Count
32
Registration Number
NCT06242834
Locations
🇺🇸

Northwestern University, Chicago, Illinois, United States

TBio-4101 and Pembro wi/ or w/o Chemo in Recurrent/Metastatic HNSCC

Phase 1
Recruiting
Conditions
Squamous Cell Carcinoma of Head and Neck
Metastatic Squamous Cell Carcinoma
Interventions
First Posted Date
2024-02-01
Last Posted Date
2024-11-29
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
15
Registration Number
NCT06236425
Locations
🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

Study to Evaluate Adverse Events, Optimal Dose, and Change in Disease Activity, With Livmoniplimab in Combination With Budigalimab Plus Chemotherapy Versus IV Infused Pembrolizumab Plus Chemotherapy in Adult Participants With Untreated Metastatic Non-Squamous Non-Small Cell Lung Cancer (NSCLC)

Phase 2
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
First Posted Date
2024-02-01
Last Posted Date
2024-12-24
Lead Sponsor
AbbVie
Target Recruit Count
840
Registration Number
NCT06236438
Locations
🇺🇸

Memorial Hospital West /ID# 262221, Pembroke Pines, Florida, United States

🇺🇸

Bond Clinic /ID# 262611, Winter Haven, Florida, United States

🇺🇸

University Cancer & Blood Cent /ID# 261824, Athens, Georgia, United States

and more 26 locations

Dose Escalation and Expansion Study of BH3120 in Advanced or Metastatic Solid Tumors

Phase 1
Recruiting
Conditions
Advanced or Metastatic Solid Tumors
Interventions
First Posted Date
2024-01-31
Last Posted Date
2024-02-02
Lead Sponsor
Hanmi Pharmaceutical Company Limited
Target Recruit Count
191
Registration Number
NCT06234397
Locations
🇺🇸

Carl & Edyth Lindner Center for Research & Education at The Christ Hospital and The Christ Hospital Cancer Center, Cincinnati, Ohio, United States

🇺🇸

Mary Crowley Cancer Research, Dallas, Texas, United States

🇺🇸

Mays Cancer Center at University of Texas Health San Antonio MD Anderson Cencer Center, San Antonio, Texas, United States

and more 5 locations

Study BT8009-230 in Participants With Locally Advanced or Metastatic Urothelial Cancer (Duravelo-2)

Phase 2
Recruiting
Conditions
Metastatic Urothelial Cancer
Interventions
First Posted Date
2024-01-26
Last Posted Date
2025-01-08
Lead Sponsor
BicycleTx Limited
Target Recruit Count
956
Registration Number
NCT06225596
Locations
🇺🇸

University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

🇺🇸

Virginia K. Crosson Cancer Center at St. Jude Medical Center, Fullerton, California, United States

🇺🇸

University of California - Irvine Medical Center, Orange, California, United States

and more 147 locations

Targeting ODC as an Immunotherapeutic Target in STK11 (LKB1) Pathway-Deficient NSCLC (DFMO)

Phase 1
Recruiting
Conditions
Lung Cancer
Non Small Cell Lung Cancer
Interventions
Drug: Pembrolizumab
Drug: Difluoromethylornithine
First Posted Date
2024-01-23
Last Posted Date
2024-12-06
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
45
Registration Number
NCT06219174
Locations
🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

LUNAR-2: TTFields With Pembrolizumab + Platinum-based Chemotherapy for Metastatic NSCLC

Phase 3
Recruiting
Conditions
Metastatic Non-small Cell Lung Cancer
Interventions
First Posted Date
2024-01-22
Last Posted Date
2024-11-22
Lead Sponsor
NovoCure GmbH
Target Recruit Count
734
Registration Number
NCT06216301
Locations
🇺🇸

St. Jude Herritage Medical Group, Fullerton, California, United States

🇺🇸

Edward Cancer Center, Naperville, Illinois, United States

🇪🇸

Hospital Universitario Arnau de Vilanova, Lleida, Spain

and more 27 locations

Allogeneic Gammadelta T Cells Combined With Interferon-α1b or PD-1 Monoclonal Antibody in Stage III-IV Amenable to Surgical Resection Melanoma

Early Phase 1
Not yet recruiting
Conditions
Melanoma
Interventions
Biological: Ex-vivo expanded allogeneic γδ T cells
Drug: Recombinant human interferon α1b
Drug: Pembrolizumab
First Posted Date
2024-01-18
Last Posted Date
2024-01-25
Lead Sponsor
Xijing Hospital
Target Recruit Count
10
Registration Number
NCT06212388

BI-1910 as a Single Agent and in Combination With Pembrolizumab for the Treatment of Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Solid Tumors
Non Small Cell Lung Cancer
Hepatocellular Carcinoma
Interventions
Drug: BI-1910
Drug: Pembrolizumab
First Posted Date
2024-01-16
Last Posted Date
2024-07-23
Lead Sponsor
BioInvent International AB
Target Recruit Count
104
Registration Number
NCT06205706
Locations
🇵🇱

Uniwersytecki Szpital Kliniczny, Poznań, Poland

🇵🇱

Instytut Centrum Zdrowia Matki Polki, Łódź, Poland

🇪🇸

Hospital Fundacion Jimenez Diaz, Madrid, Spain

and more 9 locations

Drug Screening Using IMD in Bladder Cancer

Early Phase 1
Not yet recruiting
Conditions
Muscle Invasive Bladder Urothelial Carcinoma
Interventions
Device: Implantable Micro-Device
Drug: Methotrexate
Drug: Carboplatin
Drug: Avelumab
Drug: Paclitaxel
Drug: Vinblastine
Drug: Gemcitabine/Cisplatin I
Drug: Methotrexate/Vinblastine/Doxorubicin/Cisplatin/Avelumab
Drug: Gemcitabine/Cisplatin II
Drug: Cisplatin
Drug: Nivolumab
Drug: Pembrolizumab
Drug: Gemcitabine/Carboplatin
Drug: Methotrexate/Vinblastine/Doxorubicin/Cisplatin
Drug: Gemcitabine/Cisplatin/Nivolumab
Drug: Erdafitinib
Drug: Paclitaxel/Docetaxel/Ifosfamide
Drug: Gemcitabine
Drug: Gemcitabine/Carboplatin/Nivolumab
Drug: Enfortumab
Drug: Sacituzumab
First Posted Date
2024-01-12
Last Posted Date
2024-01-12
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
18
Registration Number
NCT06204614
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

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