MedPath

Pembrolizumab

Generic Name
Pembrolizumab
Brand Names
Keytruda
Drug Type
Biotech
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)

Study of the Combination of Acalabrutinib (ACP-196) and Pembrolizumab in Advanced Head and Neck Squamous Cell Carcinoma

Phase 2
Completed
Conditions
Squamous Cell Carcinoma of the Head and Neck
Interventions
First Posted Date
2015-05-27
Last Posted Date
2019-09-12
Lead Sponsor
Acerta Pharma BV
Target Recruit Count
78
Registration Number
NCT02454179
Locations
🇺🇸

Oregon Health and Science University, Portland, Oregon, United States

Study of Pembrolizumab (MK-3475) in Participants With Relapsed or Refractory Classical Hodgkin Lymphoma (MK-3475-087/KEYNOTE-087)

Phase 2
Completed
Conditions
Hodgkin Lymphoma
Interventions
First Posted Date
2015-05-25
Last Posted Date
2024-10-29
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
211
Registration Number
NCT02453594

A Study of the Combination of Necitumumab (LY3012211) and Pembrolizumab (MK3475) in Participants With NSCLC

Phase 1
Completed
Conditions
Stage IV Non-Small Cell Lung Cancer
Interventions
First Posted Date
2015-05-22
Last Posted Date
2020-10-05
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
71
Registration Number
NCT02451930
Locations
🇺🇸

Tennessee Oncology PLLC, Nashville, Tennessee, United States

🇯🇵

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician, Sunto-Gun, Japan

🇪🇸

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Valencia, Spain

and more 1 locations

Pembrolizumab Alone and In Combination With Acalabrutinib (ACP-196) in Subjects With Advanced Non-small Cell Lung Cancer

Phase 2
Completed
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2015-05-19
Last Posted Date
2019-09-12
Lead Sponsor
Acerta Pharma BV
Target Recruit Count
74
Registration Number
NCT02448303
Locations
🇺🇸

Western Regional Medical Center/Cancer Treatment Center of America, Goodyear, Arizona, United States

Rituximab and Pembrolizumab With or Without Lenalidomide in Treating Patients With Relapsed Follicular Lymphoma and Diffuse Large B-Cell Lymphoma

Phase 2
Active, not recruiting
Conditions
Recurrent Grade 3a Follicular Lymphoma
Recurrent Diffuse Large B-Cell Lymphoma
Recurrent Grade 2 Follicular Lymphoma
Recurrent Grade 1 Follicular Lymphoma
Interventions
First Posted Date
2015-05-18
Last Posted Date
2025-05-01
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
53
Registration Number
NCT02446457
Locations
🇺🇸

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

Pembrolizumab and Stereotactic Body Radiation Therapy or Non-Stereotactic Wide-Field Radiation Therapy in Treating Patients With Non-small Cell Lung Cancer

Phase 1
Active, not recruiting
Conditions
Metastatic Lung Non-Small Cell Carcinoma
Malignant Solid Neoplasm
Stage IV Lung Non-Small Cell Cancer AJCC v7
Interventions
Radiation: 3-Dimensional Conformal Radiation Therapy
Radiation: Intensity-Modulated Radiation Therapy
Other: Laboratory Biomarker Analysis
Radiation: Proton Beam Radiation Therapy
Radiation: Stereotactic Body Radiation Therapy
Radiation: Radiation Therapy
First Posted Date
2015-05-14
Last Posted Date
2025-02-24
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
126
Registration Number
NCT02444741
Locations
🇺🇸

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

A Study of Ramucirumab Plus Pembrolizumab in Participants With Gastric or GEJ Adenocarcinoma, NSCLC, Transitional Cell Carcinoma of the Urothelium, or Biliary Tract Cancer

Phase 1
Completed
Conditions
Gastric Adenocarcinoma
Biliary Tract Cancer
Carcinoma, Transitional Cell
Non-small Cell Lung Cancer
Adenocarcinoma of the Gastroesophageal Junction
Interventions
First Posted Date
2015-05-13
Last Posted Date
2024-07-31
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
175
Registration Number
NCT02443324
Locations
🇬🇧

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Sutton, United Kingdom

🇺🇸

Florida Cancer Specialists, Fort Myers, Florida, United States

🇺🇸

Tennessee Oncology PLLC, Nashville, Tennessee, United States

and more 4 locations

Dose Dense Paclitaxel With Pembrolizumab (MK-3475) in Platinum Resistant Ovarian Cancer

Phase 2
Completed
Conditions
Ovarian Cancer
Interventions
First Posted Date
2015-05-12
Last Posted Date
2022-10-07
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
42
Registration Number
NCT02440425
Locations
🇺🇸

VCU Massey Cancer Center, Richmond, Virginia, United States

🇺🇸

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States

🇺🇸

Duke University, Durham, North Carolina, United States

A Study of Combination Therapies With Viagenpumatucel-L (HS-110) in Patients With Non-Small Cell Lung Cancer

Phase 1
Completed
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2015-05-08
Last Posted Date
2023-09-21
Lead Sponsor
Heat Biologics
Target Recruit Count
121
Registration Number
NCT02439450
Locations
🇺🇸

UC San Diego, La Jolla, California, United States

🇺🇸

Horizon Oncology Research, Lafayette, Indiana, United States

🇺🇸

Ashland-Bellefonte Cancer Center, Ashland, Kentucky, United States

and more 13 locations

Pembrolizumab and Docetaxel or Gemcitabine Hydrochloride in Treating Patients Urothelial Cancer

Phase 1
Completed
Conditions
Recurrent Bladder Carcinoma
Stage IV Bladder Urothelial Carcinoma
Stage IV Urethral Cancer
Urethral Urothelial Carcinoma
Metastatic Urothelial Carcinoma of the Renal Pelvis and Ureter
Regional Urothelial Carcinoma of the Renal Pelvis and Ureter
Stage III Bladder Urothelial Carcinoma
Recurrent Urothelial Carcinoma of the Renal Pelvis and Ureter
Stage III Urethral Cancer
Interventions
First Posted Date
2015-05-07
Last Posted Date
2022-10-18
Lead Sponsor
University of California, Davis
Target Recruit Count
32
Registration Number
NCT02437370
Locations
🇺🇸

University of California Davis Comprehensive Cancer Center, Sacramento, California, United States

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