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
-

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

Phase 2
Recruiting
Conditions
Melanoma
Interventions
Drug: fianlimab
Drug: pembrolizumab
Drug: cemiplimab
Drug: cemiplimab+fianlimab
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

Phase 1
Recruiting
Conditions
Stage IIID Melanoma
Stage IIIB Melanoma
Stage IIIC Melanoma
Interventions
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

Phase 1
Recruiting
Conditions
Advanced Solid Tumors
Advanced Hematologic Tumors
Interventions
Drug: VVD-130850
Drug: Pembrolizumab
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

A Study of ASP1012 in Adults With Solid Tumors

Phase 1
Recruiting
Conditions
Solid Tumor
Interventions
Drug: ASP1012
Drug: Pembrolizumab
First Posted Date
2023-12-14
Last Posted Date
2024-12-27
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
229
Registration Number
NCT06171178
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

🇺🇸

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

🇺🇸

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

and more 6 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)

Phase 3
Recruiting
Conditions
Non-small Cell Lung Cancer (NSCLC)
Interventions
Biological: Sacituzumab tirumotecan
Biological: Pembrolizumab
First Posted Date
2023-12-14
Last Posted Date
2025-01-06
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
614
Registration Number
NCT06170788
Locations
🇯🇵

Kanagawa Cancer Center ( Site 3408), Yokohama, Kanagawa, Japan

🇯🇵

Niigata Cancer Center Hospital ( Site 3409), Niigata, Saitama, Japan

🇯🇵

The Cancer Institute Hospital of JFCR ( Site 3404), Koto, Tokyo, Japan

and more 163 locations

Pembrolizumab Followed by Chemotherapy for the Treatment of Patients With Classical Hodgkin Lymphoma

Phase 2
Recruiting
Conditions
Classic Hodgkin Lymphoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Drug: Dacarbazine
Drug: Doxorubicin
Procedure: Echocardiography
Procedure: Multigated Acquisition Scan
Biological: Pembrolizumab
Procedure: Positron Emission Tomography
Drug: Vinblastine
First Posted Date
2023-12-11
Last Posted Date
2024-03-08
Lead Sponsor
Northwestern University
Target Recruit Count
30
Registration Number
NCT06164275
Locations
🇺🇸

Stanford Cancer Center, Stanford, California, United States

🇺🇸

Northwestern University, Chicago, Illinois, United States

🇺🇸

Cadence Health - CDH, Warrenville, Illinois, United States

Study of RAS(ON) Inhibitor Combinations in Patients with Advanced RAS-mutated NSCLC

Phase 1
Recruiting
Conditions
Non-Small Cell Lung Cancer, NSCLC
KRAS, NRAS, HRAS-mutated NSCLC
KRAS G12C-mutated Solid Tumors, Lung Cancer
Lung Cancer Stage IV, Advanced Solid Tumor, Cancer
RAS G12D-mutated NSCLC
Interventions
First Posted Date
2023-12-08
Last Posted Date
2025-01-07
Lead Sponsor
Revolution Medicines, Inc.
Target Recruit Count
484
Registration Number
NCT06162221
Locations
🇺🇸

City of Hope - Duarte, Duarte, California, United States

🇺🇸

New York University Langone Health, New York, New York, United States

🇮🇹

IRCCS Instituto Nazionale tumori Ragina Elena, Rome, Italy

and more 46 locations

Pembrolizumab + N-803 Alone or in Combination With PD-L1 t-haNK Cells for Resectable Head and Neck Squamous Cell Carcinoma

Phase 2
Not yet recruiting
Conditions
Stage IV Squamous Cell Carcinoma of the Head and Neck
Stage II Squamous Cell Carcinoma of the Head and Neck
Stage III Squamous Cell Carcinoma of the Head and Neck
Interventions
Drug: N-803
Drug: pembrolizumab
Biological: PD-L1 t-haNK cells
First Posted Date
2023-12-08
Last Posted Date
2025-01-10
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
40
Registration Number
NCT06161545
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

T Cells and Pembrolizumab for Recurrent and Newly Diagnosed Glioblastoma

Phase 1
Recruiting
Conditions
Glioblastoma Multiforme
Astrocytoma, Grade IV
Interventions
Biological: Allogeneic cytomegalovirus-specific T cells
Drug: Pembrolizumab
First Posted Date
2023-12-06
Last Posted Date
2024-05-31
Lead Sponsor
Queensland Institute of Medical Research
Target Recruit Count
58
Registration Number
NCT06157541
Locations
🇦🇺

Princess Alexandra Hospital, Woolloongabba, Queensland, Australia

🇦🇺

Newro Foundation, Bowen Hills, Queensland, Australia

🇦🇺

Royal Brisbane and Women's Hospital, Herston, Queensland, Australia

and more 1 locations

Beamion LUNG-2: A Study to Test Whether Zongertinib (BI 1810631) Helps People With Advanced Non-small Cell Lung Cancer With HER2 Mutations Compared With Standard Treatment

Phase 3
Recruiting
Conditions
Lung Cancer, Non-squamous, Non-small Cell
Interventions
First Posted Date
2023-11-30
Last Posted Date
2025-01-09
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
270
Registration Number
NCT06151574
Locations
🇨🇦

BC Cancer Agency - Vancouver, Vancouver, Canada

🇨🇦

Princess Margaret Cancer Centre, Toronto, Canada

🇨🇦

McGill University Health Centre (MUHC), Montreal, Canada

and more 110 locations
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