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.
Pembrolizumab is indicated for the following conditions:
For all approved adult indications, pembrolizumab may be used for an additional 6 weeks at 400mg weekly.
Moffitt Cancer Center, Tampa, Florida, United States
St. Jude Herritage Medical Group, Fullerton, California, United States
Edward Cancer Center, Naperville, Illinois, United States
Hospital Universitario Arnau de Vilanova, Lleida, Spain
Uniwersytecki Szpital Kliniczny, Poznań, Poland
Instytut Centrum Zdrowia Matki Polki, Łódź, Poland
Hospital Fundacion Jimenez Diaz, Madrid, Spain
Brigham and Women's Hospital, Boston, Massachusetts, United States
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
Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
Orange Health Service, Orange, New South Wales, Australia
Florida Cancer Specialists, Sarasota, Florida, United States
Sarah Cannon Research Institute, Nashville, Tennessee, United States
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
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
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