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
-

Neoadjuvant Pembrolizumab and IO102-103 for Squamous Cell Carcinoma of the Head and Neck (SCCHN).

Phase 2
Recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Interventions
Drug: Pembrolizumab
Drug: IO102-103
First Posted Date
2023-08-07
Last Posted Date
2024-02-13
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Target Recruit Count
15
Registration Number
NCT05977907
Locations
🇺🇸

Northwestern Memorial Hospital, Chicago, Illinois, United States

🇺🇸

Providence Cancer Institute, Portland, Oregon, United States

🇺🇸

Johns Hopkins University, Baltimore, Maryland, United States

and more 2 locations

Lenvatinib, Pembrolizumab, and Tumor Treating Fields (TTFields) for Second-line Treatment of Glioblastoma

Phase 1
Withdrawn
Conditions
GBM
Interventions
Drug: Lenvatinib
Drug: Pembrolizumab
Device: Tumor Treating Fields (TTFields)
First Posted Date
2023-08-03
Last Posted Date
2024-12-04
Lead Sponsor
Tel Aviv Medical Center
Target Recruit Count
47
Registration Number
NCT05973903

A Single-Arm Study of Pembrolizumab With Gemcitabine and Cisplatin as Perioperative Therapy for Potentially Resectable Intrahepatic Cholangiocarcinoma

Phase 2
Recruiting
Conditions
Cholangiocarcinoma
Interventions
First Posted Date
2023-08-01
Last Posted Date
2024-03-21
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
24
Registration Number
NCT05967182
Locations
🇺🇸

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

Neoadjuvant Pembrolizumab and Axitinib in Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus

Phase 2
Recruiting
Conditions
Kidney Cancer
Renal Cancer
Inferior Vena Cava Thrombosis
Renal Cell Carcinoma
Interventions
First Posted Date
2023-08-01
Last Posted Date
2024-10-23
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
17
Registration Number
NCT05969496
Locations
🇺🇸

University of Colorado Cancer Center, Aurora, Colorado, United States

Propranolol and Pembrolizumab in Advanced Soft Tissue Sarcoma Patients

Phase 2
Recruiting
Conditions
Soft Tissue Sarcoma Adult
Undifferentiated Pleomorphic Sarcoma
Angiosarcoma
Interventions
First Posted Date
2023-07-27
Last Posted Date
2023-07-27
Lead Sponsor
Niels Junker
Target Recruit Count
80
Registration Number
NCT05961761
Locations
🇳🇴

Oslo University Hospital, Oslo, Norway

🇩🇰

Herlev Gentofte Hospital, Herlev, Denmark

🇩🇰

Aarhus University Hospital, Aarhus, Denmark

and more 1 locations

Pembrolizumab and Mogamulizumab in Advanced-stage, Relapsed/Refractory Cutaneous T-cell Lymphomas

Phase 2
Recruiting
Conditions
Cutaneous T Cell Lymphoma
Fungoides Mycosis Sezary Syndrome
Interventions
First Posted Date
2023-07-21
Last Posted Date
2024-01-12
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
23
Registration Number
NCT05956041
Locations
🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

Phase 2 Futibatinib in Combination With PD-1 Antibody Based Standard of Care in Solid Tumors

Phase 2
Recruiting
Conditions
Esophageal Squamous Cell Cancer
Locally Advanced Unresectable or Metastatic Solid Tumors Including Esophageal Cancer
Siewert Type 1 GEJ Cancer
Pancreatic Cancer
Esophageal Adenocarcinoma
Interventions
First Posted Date
2023-07-14
Last Posted Date
2025-01-07
Lead Sponsor
Taiho Oncology, Inc.
Target Recruit Count
66
Registration Number
NCT05945823
Locations
🇺🇸

University of California Los Angeles UCLA - Cancer Care - Santa Monica, Santa Monica, California, United States

🇺🇸

Rocky Mountain Cancer Centers Midtown, Denver, Colorado, United States

🇺🇸

Mount Sinai Comprehensive Cancer Center, Miami Beach, Florida, United States

and more 19 locations

Pembro Plus CAR T-cell Therapy in R/R in PMBCL

Phase 2
Recruiting
Conditions
Primary Mediastinal Large B-cell Lymphoma (PMBCL)
Primary Mediastinal Large B Cell Lymphoma
Primary Mediastinal Large B-Cell Lymphoma Refractory
Primary Mediastinal Large B-Cell Lymphoma Recurrent
Epstein-Barr Virus Positive Diffuse Large B-Cell Lymphoma
T-Cell/Histiocyte-Rich Large B-Cell Lymphoma
Interventions
Drug: Pembrolizumab
Drug: Lymphodepletion Chemotherapy
Drug: Chimeric Antigen Receptor (CAR) Therapy Infusion
Procedure: Leukapheresis
First Posted Date
2023-07-07
Last Posted Date
2024-12-18
Lead Sponsor
Jennifer Crombie, MD
Target Recruit Count
35
Registration Number
NCT05934448
Locations
🇺🇸

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

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

A Clinical Study of V940 Plus Pembrolizumab in People With High-Risk Melanoma (V940-001)

Phase 3
Active, not recruiting
Conditions
Melanoma
Interventions
Biological: Pembrolizumab
Biological: V940
Other: Placebo
First Posted Date
2023-07-06
Last Posted Date
2024-11-18
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1089
Registration Number
NCT05933577
Locations
🇨🇳

Chang Gung Memorial Hospital at Kaohsiung (Site 4000), Kaohsiung, Taiwan

🇨🇳

National Cheng Kung University Hospital-Clinical Trial Center ( Site 4004), Tainan, Taiwan

🇨🇳

National Taiwan University Hospital (Site 4001), Taipei, Taiwan

and more 162 locations

Shorter Chemo-Immunotherapy Without Anthracycline Drugs for Early-Stage Triple Negative Breast Cancer

Phase 3
Recruiting
Conditions
Anatomic Stage II Breast Cancer AJCC v8
Anatomic Stage IIIA Breast Cancer AJCC v8
Anatomic Stage I Breast Cancer AJCC v8
Anatomic Stage IIIB Breast Cancer AJCC v8
Early Stage Triple-Negative Breast Carcinoma
Interventions
Procedure: Biospecimen Collection
Drug: Carboplatin
Drug: Cyclophosphamide
Drug: Docetaxel
Biological: Pembrolizumab
Drug: Doxorubicin
Other: Quality-of-Life Assessment
Drug: Paclitaxel
Other: Questionnaire Administration
Procedure: Surgical Procedure
First Posted Date
2023-07-03
Last Posted Date
2024-10-31
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
2400
Registration Number
NCT05929768
Locations
🇺🇸

Northwestern Medicine Cancer Center Warrenville, Warrenville, Illinois, United States

🇺🇸

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

🇺🇸

Cancer Center of Kansas-Independence, Independence, Kansas, United States

and more 427 locations
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