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
-

Study of Radiotherapy and Pembrolizumab in People with Adrenocortical Carcinoma

Phase 2
Recruiting
Conditions
Adrenocortical Carcinoma
ACC
Metastatic Adrenocortical Carcinoma
Interventions
Radiation: Ablative Radiotherapy
Drug: Pembrolizumab
First Posted Date
2023-10-04
Last Posted Date
2024-10-14
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
12
Registration Number
NCT06066333
Locations
🇺🇸

Memorial Sloan Kettering Westchester (All Protocol Activities), Harrison, New York, United States

🇺🇸

Memorial Sloan Kettering Suffolk-Commack, Commack, New York, United States

🇺🇸

Memorial Sloan Kettering Basking Ridge (All Protocol Activities), Basking Ridge, New Jersey, United States

and more 4 locations

A Safety Trial of GEN1042 in Japanese Subjects With Malignant Solid Tumors

Phase 1
Recruiting
Conditions
Malignant Solid Tumor
Interventions
First Posted Date
2023-09-28
Last Posted Date
2024-12-20
Lead Sponsor
Genmab
Target Recruit Count
42
Registration Number
NCT06057038
Locations
🇯🇵

National Cancer Center East, Kashiwa, Japan

🇯🇵

National Cancer Center Hospital, Tokyo, Japan

Study of ALE.C04 in Patients With Head and Neck Cancer

Phase 1
Recruiting
Conditions
Head and Neck Cancer
Head and Neck Squamous Cell Carcinoma
Interventions
Drug: ALE.C04
Drug: Pembrolizumab
First Posted Date
2023-09-26
Last Posted Date
2024-07-09
Lead Sponsor
Alentis Therapeutics AG
Target Recruit Count
220
Registration Number
NCT06054477
Locations
🇫🇷

Centre Hospitalier Universitaire (CHU) de Bordeaux - Hospitalier Saint-Andre, Bordeaux, France

🇫🇷

Oncopole Claudius Regaud, Iuct-Oncopole, Toulouse, France

🇪🇸

Vall d'Hebron Institute of Oncology, Barcelona, Spain

and more 19 locations

Neoadjuvant Sacituzumab Govitecan Plus Pembrolizumab in Resectable Non-Small Cell Lung Cancer

Phase 2
Recruiting
Conditions
Lung Cancer
Interventions
First Posted Date
2023-09-26
Last Posted Date
2024-02-29
Lead Sponsor
Chinese University of Hong Kong
Target Recruit Count
37
Registration Number
NCT06055465
Locations
🇭🇰

Department of Oncology, Princess Margaret Hospital, Hong Kong, Hong Kong

🇭🇰

Department of Clinical Oncology, Prince of Wales Hospital, Hong Kong, Hong Kong

🇭🇰

Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong, Hong Kong

and more 1 locations

Pulsed Dose Chemotherapy Plus Pembrolizumab in Recurrent/Metastatic HNSCC

Phase 2
Recruiting
Conditions
Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (R/M HNSCC)
Interventions
First Posted Date
2023-09-25
Last Posted Date
2024-02-07
Lead Sponsor
Dan Zandberg
Target Recruit Count
15
Registration Number
NCT06052839
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

Sacituzumab Tirumotecan (MK-2870) as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors (MK-2870-008)

Phase 1
Active, not recruiting
Conditions
Programmed Cell Death-1 (PD1, PD-1)
Programmed Cell Death 1 Ligand 1(PDL1, PD-L1)
Solid Tumors
Non-small Cell Lung Cancer
Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2)
Interventions
Biological: Sacituzumab tirumotecan
Biological: Pembrolizumab
First Posted Date
2023-09-22
Last Posted Date
2024-12-27
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
36
Registration Number
NCT06049212
Locations
🇯🇵

Aichi Cancer Center Hospital ( Site 0006), Nagoya, Aichi, Japan

🇯🇵

National Cancer Center Hospital East ( Site 0002), Kashiwa, Chiba, Japan

🇯🇵

National Hospital Organization Shikoku Cancer Center ( Site 0008), Matsuyama, Ehime, Japan

and more 4 locations

Safety and Efficacy of NEO212 in Patients with Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype or Brain Metastasis

Phase 1
Recruiting
Conditions
Glioblastoma, IDH-wildtype
Head and Neck Squamous Cell Carcinoma
Melanoma
Merkel Cell Carcinoma
Mismatch Repair Deficient Solid Malignant Tumor
Microsatellite Instability-High Colorectal Cancer
Colorectal Cancer
Microsatellite Instability-High Solid Malignant Tumor
Non-small Cell Lung Cancer
Renal Cell Carcinoma
Interventions
First Posted Date
2023-09-21
Last Posted Date
2024-10-16
Lead Sponsor
Neonc Technologies, Inc.
Target Recruit Count
134
Registration Number
NCT06047379
Locations
🇺🇸

Precision NextGen Oncology, Beverly Hills, California, United States

🇺🇸

Northwest Medical Specialties, Tacoma, Washington, United States

Phase II Trial of Magrolimab and Cetuximab With Pembrolizumab or Docetaxel for Recurrent/Metastatic Head Neck Squamous Cell Carcinoma

Phase 2
Terminated
Conditions
Head Neck
Squamous Cell Carcinoma of Head and Neck
Interventions
First Posted Date
2023-09-21
Last Posted Date
2024-10-23
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
57
Registration Number
NCT06046482
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Pembrolizumab in First-Line Treatment of Advanced-Stage Classical Hodgkin Lymphoma

Phase 2
Not yet recruiting
Conditions
Hodgkin Lymphoma
First Posted Date
2023-09-21
Last Posted Date
2024-08-22
Lead Sponsor
University of Cologne
Target Recruit Count
40
Registration Number
NCT06045195
Locations
🇩🇪

1st Department of Medicine, Cologne University Hospital, Cologne, Germany

Enfortumab Vedotin With or Without Pembrolizumab in Rare Genitourinary Tumors (E-VIRTUE)

Phase 2
Not yet recruiting
Conditions
Squamous Cell Carcinoma of the Bladder
Testicular Germ Cell Tumors
Adenocarcinoma of the Bladder
Interventions
Drug: Pembrolizumab
Drug: Enfortumab vedotin
First Posted Date
2023-09-18
Last Posted Date
2025-01-10
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
68
Registration Number
NCT06041503
Locations
🇺🇸

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

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