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

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

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

A Study to Evaluate the Safety, Pharmacokinetics, and Anti-Tumor Activity of RO7589831 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Interventions
First Posted Date
2023-08-22
Last Posted Date
2024-12-06
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
295
Registration Number
NCT06004245
Locations
🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

City of Hope at Irvine Lennar, Irvine, California, United States

🇺🇸

Norton Cancer Institute - MDC, Louisville, Kentucky, United States

and more 17 locations

Perioperative Gemcitabine, Cisplatin, and Pembrolizumab in Potentially Resectable Biliary Tract Cancers

First Posted Date
2023-08-21
Last Posted Date
2024-07-25
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Target Recruit Count
27
Registration Number
NCT06001658
Locations
🇺🇸

SKCCC Johns Hopkins, Baltimore, Maryland, United States

The Effect of Combined Cryotherapy and Immunotherapy on Systemic T Cell Changes and Clinical Outcomes in Metastatic Non-small Cell Lung Cancer

First Posted Date
2023-08-21
Last Posted Date
2023-08-21
Lead Sponsor
Lithuanian University of Health Sciences
Target Recruit Count
120
Registration Number
NCT06000358
Locations
🇱🇹

Lithuanian University of Health Sciences, Kaunas, Lithuania

GEN-001 Plus Pembrolizumab for Patients With Advanced Refractory Biliary Tract Cancer

First Posted Date
2023-08-21
Last Posted Date
2024-03-21
Lead Sponsor
Genome & Company
Target Recruit Count
148
Registration Number
NCT05998447
Locations
🇰🇷

Severance Hospital, Seoul, Korea, Republic of

🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

🇰🇷

Samsung Medical Center., Seoul, Korea, Republic of

and more 3 locations

Phase II Trial of Immunotherapeutic HPV Vaccine PRGN-2009 With Pembrolizumab Before Standard Treatment in Subjects With Newly Diagnosed HPV-Associated Oropharyngeal Cancer

First Posted Date
2023-08-18
Last Posted Date
2024-11-25
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
29
Registration Number
NCT05996523
Locations
🇺🇸

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

IDE196 (Darovasertib) in Combination With Crizotinib as First-line Therapy in Metastatic Uveal Melanoma

First Posted Date
2023-08-14
Last Posted Date
2024-12-09
Lead Sponsor
IDEAYA Biosciences
Target Recruit Count
420
Registration Number
NCT05987332
Locations
🇺🇸

Honor Health, Scottsdale, Arizona, United States

🇺🇸

Moores Cancer Center, La Jolla, California, United States

🇺🇸

UCLA Medical Center, Los Angeles, California, United States

and more 63 locations
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