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
-

Safety and Preliminary Efficacy of BNT314 with or Without an Immune Checkpoint Inhibitor in Cancer Patients with Malignant Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Malignant Solid Tumor
Interventions
Biological: BNT314
Biological: Pembrolizumab
First Posted Date
2023-11-29
Last Posted Date
2024-11-27
Lead Sponsor
BioNTech SE
Target Recruit Count
360
Registration Number
NCT06150183
Locations
🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

🇧🇪

GZA Ziekenhuizen, Antwerpen, Belgium

🇧🇪

CHU de Liège, Liege, Belgium

and more 11 locations

Multi-classifier System for Stratifying Stage III Papillary Renal Cell Carcinoma of Receiving Adjuvant Therapy

Phase 3
Not yet recruiting
Conditions
Papillary Renal Cell Carcinoma
Interventions
Drug: Pembrolizumab
Drug: Placebo
First Posted Date
2023-11-27
Last Posted Date
2023-11-29
Lead Sponsor
First Affiliated Hospital, Sun Yat-Sen University
Target Recruit Count
468
Registration Number
NCT06146777

A Study of Tetrathiomolybdate (TM) Plus Capecitabine

Phase 1
Recruiting
Conditions
Residual Disease
Triple Negative Breast Cancer
Interventions
First Posted Date
2023-11-18
Last Posted Date
2024-11-27
Lead Sponsor
Dartmouth-Hitchcock Medical Center
Target Recruit Count
204
Registration Number
NCT06134375
Locations
🇺🇸

Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, United States

A Study of AMG 355 Alone and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Solid Tumors
Interventions
Drug: AMG 355
Drug: Pembrolizumab
First Posted Date
2023-11-14
Last Posted Date
2024-11-07
Lead Sponsor
Amgen
Target Recruit Count
515
Registration Number
NCT06131398
Locations
🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇨🇭

Kantonsspital Sankt Gallen, St. Gallen, Switzerland

🇺🇸

City of Hope National Medical Center, Duarte, California, United States

and more 20 locations

A Study of Pembrolizumab With Trastuzumab and Chemotherapy in People With Esophagogastric Cancer

Phase 2
Recruiting
Conditions
Gastric Adenocarcinoma
HER2 Gene Mutation
Esophageal Cancer
Interventions
First Posted Date
2023-11-08
Last Posted Date
2024-10-23
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
25
Registration Number
NCT06123338
Locations
🇺🇸

Johns Hopkins University (Data Collection Only), Baltimore, Maryland, United States

🇺🇸

Massachusetts General Hospital (Data Collection Only), Boston, Massachusetts, United States

🇺🇸

Memorial Sloan Kettering Bergen (Limited Protocol Activities), Montvale, New Jersey, United States

and more 6 locations

A Study of First-Line Olomorasib (LY3537982) and Pembrolizumab With or Without Chemotherapy in Patients With Advanced KRAS G12C-Mutant Non-small Cell Lung Cancer

Phase 3
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Neoplasm Metastasis
Interventions
First Posted Date
2023-11-07
Last Posted Date
2024-11-13
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
1016
Registration Number
NCT06119581
Locations
🇺🇸

Cedars-Sinai Medical Center, Los Angeles, California, United States

🇺🇸

Highlands Oncology Group, Springdale, Arkansas, United States

🇦🇹

Ordensklinikum Linz GmbH Elisabethinen, Linz, Oberösterreich, Austria

and more 361 locations

Study Evaluating Pembrolizumab +/- Olaparib in TLS Positive Selected Resectable STS Followed by Adjuvant Pembrolizumab

Phase 2
Not yet recruiting
Conditions
Cancer
Interventions
First Posted Date
2023-11-03
Last Posted Date
2024-04-17
Lead Sponsor
Gustave Roussy, Cancer Campus, Grand Paris
Target Recruit Count
36
Registration Number
NCT06116578
Locations
🇫🇷

Gustave Roussy, Villejuif, Val De Marne, France

Palbociclib and Pembrolizumab in Undifferentiated Pleomorphic Sarcoma (UPS)

Phase 1
Recruiting
Conditions
Undifferentiated Pleomorphic Sarcoma
Interventions
First Posted Date
2023-11-02
Last Posted Date
2024-07-26
Lead Sponsor
John Rieth
Target Recruit Count
8
Registration Number
NCT06113809
Locations
🇺🇸

University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States

A Phase III Randomised Study to Evaluate Dato-DXd and Durvalumab for Neoadjuvant/Adjuvant Treatment of Triple-Negative or Hormone Receptor-low/HER2-negative Breast Cancer

First Posted Date
2023-11-01
Last Posted Date
2024-12-19
Lead Sponsor
AstraZeneca
Target Recruit Count
1728
Registration Number
NCT06112379
Locations
🇻🇳

Research Site, Vinh, Vietnam

Neratinib In Combination With Chemotherapy/Trastuzumab/Pembrolizumab In HER2 Gastroesophageal Cancer

Phase 2
Recruiting
Conditions
GastroEsophageal Cancer
Gastric Cancer
Interventions
First Posted Date
2023-10-31
Last Posted Date
2024-05-03
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
36
Registration Number
NCT06109467
Locations
🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

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