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 Favezelimab Coformulated With Pembrolizumab (MK-4280A) in Participants With Selected Solid Tumors (MK-4280A-010)

Phase 2
Active, not recruiting
Conditions
Cutaneous Squamous Cell Carcinoma
Endometrial Cancer
Solid Tumor
Interventions
Biological: favezelimab/pembrolizumab
Biological: pembrolizumab
Drug: lenvatinib
First Posted Date
2023-09-14
Last Posted Date
2025-01-10
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
160
Registration Number
NCT06036836
Locations
🇺🇸

Yale-New Haven Hospital-Yale Cancer Center ( Site 0643), New Haven, Connecticut, United States

🇺🇸

Dana-Farber Cancer Institute ( Site 0642), Boston, Massachusetts, United States

🇺🇸

Rutgers Cancer Institute of New Jersey ( Site 0635), New Brunswick, New Jersey, United States

and more 41 locations

CLN-617 Alone and in Combination With Pembrolizumab in Patients With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Solid Tumor
Interventions
Drug: CLN-617
Drug: Pembrolizumab
First Posted Date
2023-09-13
Last Posted Date
2024-05-02
Lead Sponsor
Cullinan Therapeutics Inc.
Target Recruit Count
86
Registration Number
NCT06035744
Locations
🇺🇸

USC Norris Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

University of Chicago, Chicago, Illinois, United States

🇺🇸

Fred Hutchinson Cancer Center, Seattle, Washington, United States

and more 3 locations

Evaluating the Safety of Shortened Infusion Times for dIfferent Oncological Immunotherapie

First Posted Date
2023-09-11
Last Posted Date
2024-03-07
Lead Sponsor
Isala
Target Recruit Count
679
Registration Number
NCT06031233
Locations
🇳🇱

Isala Hospital, Zwolle, Netherlands

Efficacy and Safety of Nab-paclitaxel-Lenvatinib-Pembrolizumab as Second-line Treatment in Advanced NSCLC Patients

Phase 2
Not yet recruiting
Conditions
Recurrent Non-Squamous Non-Small Cell Lung Cancer
Advanced Non-squamous Non-small-cell Lung Cancer
Metastatic Non-squamous Non Small Cell Lung Cancer
Interventions
First Posted Date
2023-09-08
Last Posted Date
2023-09-13
Lead Sponsor
Peking University First Hospital
Target Recruit Count
28
Registration Number
NCT06028633
Locations
🇨🇳

Peking University First Hospital Ethics Committee, Beijing, Beijing, China

Pembrolizumab/Lenvatinib with and Without Responder-derived FMT in Relapsed/Refractory Melanoma

Phase 2
Not yet recruiting
Conditions
PD-1 Refractory Advanced Melanoma
Interventions
Biological: Responder-Derived Fecal microbiota transplantation (R-FMT
Drug: Pembrolizumab
Drug: Lenvatinib
First Posted Date
2023-09-08
Last Posted Date
2024-12-24
Lead Sponsor
Diwakar Davar
Target Recruit Count
56
Registration Number
NCT06030037
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

Phase II Trial of Trilaciclib, Pembrolizumab, Gemcitabine and Carboplatin in Metastatic Triple-Negative Breast Cancer

Phase 2
Recruiting
Conditions
Metastatic Triple-Negative Breast Cancer
Interventions
First Posted Date
2023-09-07
Last Posted Date
2024-07-18
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
36
Registration Number
NCT06027268
Locations
🇺🇸

Levine Cancer Institute, Charlotte, North Carolina, United States

Safety and Efficacy of VB10.16 and Pembrolizumab in Patients with Head-Neck Squamous Cell Carcinoma

Phase 1
Recruiting
Conditions
HPV Positive Oropharyngeal Squamous Cell Carcinoma
HNSCC
Interventions
First Posted Date
2023-08-30
Last Posted Date
2024-12-17
Lead Sponsor
Nykode Therapeutics ASA
Target Recruit Count
51
Registration Number
NCT06016920
Locations
🇫🇷

CRLC Val d'Aurelle - Institut de Recherche en Cancerologie de Montpellier (IRCM), Montpellier, France

🇨🇿

Fakultni nemocnice Olomouc, Olomuoc, Olomouc, Czechia

🇫🇷

Hospices Civils De Lyon, Lyon, France

and more 14 locations

Regorafenib in Combination with Pembrolizumab or Pembrolizumab for MSI-H Colorectal Cancer

Phase 2
Recruiting
Conditions
MSI-H Colorectal Cancer
Interventions
First Posted Date
2023-08-23
Last Posted Date
2024-10-02
Lead Sponsor
Ibrahim Halil Sahin
Target Recruit Count
154
Registration Number
NCT06006923
Locations
🇺🇸

AdventHealth Orlando, Orlando, Florida, United States

🇺🇸

Northwestern University, Evanston, Illinois, United States

🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

and more 1 locations

A Study to Investigate the Efficacy of Durvalumab Plus Tremelimumab in Combination With Chemotherapy Compared With Pembrolizumab in Combination With Chemotherapy in Metastatic Non-Small Cell Lung Cancer (NSCLC) Patients

Phase 3
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2023-08-23
Last Posted Date
2025-01-06
Lead Sponsor
AstraZeneca
Target Recruit Count
280
Registration Number
NCT06008093
Locations
🇺🇸

Research Site, Milwaukee, Wisconsin, United States

A Randomized Trial of Maintenance Systemic Therapy After Radiation for Oligometastatic Renal Cell Carcinoma (ASTROs)

Phase 2
Recruiting
Conditions
Oligometastatic Renal Cell Carcinoma
Interventions
Drug: Pembrolizumab
Radiation: Radiation therapy
First Posted Date
2023-08-22
Last Posted Date
2024-06-26
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
144
Registration Number
NCT06004336
Locations
🇺🇸

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

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