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
-

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

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

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

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

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

A Trial to Learn if Fianlimab and Cemiplimab Are Safe and Work Better Than Anti-PD1 Alone in Adult Participants With Resectable Stage 3 or 4 Melanoma

First Posted Date
2024-01-05
Last Posted Date
2024-11-26
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
520
Registration Number
NCT06190951
Locations
🇺🇸

California Pacific Medical Center Research Institute, San Francisco, California, United States

🇺🇸

Emory University, Atlanta, Georgia, United States

🇺🇸

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

and more 10 locations

Efficacy & Safety for LN144 with Pembrolizumab with High Risk Stage IIIb-dResectable Melanoma

First Posted Date
2024-01-05
Last Posted Date
2024-12-05
Lead Sponsor
James Isaacs, MD
Target Recruit Count
12
Registration Number
NCT06190249
Locations
🇺🇸

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

A First-in-Human (FIH) Study to Evaluate the Safety and Tolerability of VVD-130850 in Participants With Advanced Solid and Hematologic Tumors

First Posted Date
2024-01-03
Last Posted Date
2024-12-17
Lead Sponsor
Vividion Therapeutics, Inc.
Target Recruit Count
200
Registration Number
NCT06188208
Locations
🇦🇺

Orange Health Service, Orange, New South Wales, Australia

🇺🇸

Florida Cancer Specialists, Sarasota, Florida, United States

🇺🇸

Sarah Cannon Research Institute, Nashville, Tennessee, United States

and more 13 locations

Sacituzumab Tirumotecan (MK-2870) in Combination With Pembrolizumab Versus Pembrolizumab Alone in Metastatic Non-small Cell Lung Cancer (NSCLC) With Programmed Cell Death Ligand 1 (PD-L1) Tumor Proportion Score (TPS) ≥ 50% (MK-2870-007)

First Posted Date
2023-12-14
Last Posted Date
2024-12-05
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
614
Registration Number
NCT06170788
Locations
🇲🇽

Higiea Oncologia ( Site 0721), Mexico City, Distrito Federal, Mexico

🇲🇽

Centro de Atención e Investigación Cardiovascular del Potosí ( Site 0713), San Luis Potosí, San Luis Potosi, Mexico

🇲🇽

Clinica Integral Internacional de Oncología ( Site 0714), Puebla, Mexico

and more 157 locations

A Study of ASP1012 in Adults With Solid Tumors

Phase 1
Recruiting
Conditions
Interventions
First Posted Date
2023-12-14
Last Posted Date
2024-12-13
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
229
Registration Number
NCT06171178
Locations
🇺🇸

Hoag Memorial Hospital Presbyterian, Newport Beach, California, United States

🇺🇸

The Angeles Clinic and Research Institute, Los Angeles, California, United States

🇺🇸

Emory Winship Cancer Institute, Atlanta, Georgia, United States

and more 5 locations
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