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
-

A Study to Evaluate the Safety and Therapeutic Activity of GI-102 As a Single Agent and in Combination with Conventional Anti-cancer Drugs, Pembrolizumab or Trastuzumab Deruxtecan(T-DXd) in Patients with Advanced Solid Tumors (KEYNOTE-G08)

Phase 1
Recruiting
Conditions
Advanced Solid Tumor
Metastatic Solid Tumor
Soft Tissue Sarcoma (STS)
Platinum-resistant Ovarian Cancer (PROC)
Hepatocellular Carcinoma (HCC)
Colorectal Cancer (CRC)
HER2 Negative Breast Cancer
Cutaneous Melanoma
Renal Cell Carcinoma (RCC)
Interventions
First Posted Date
2023-04-24
Last Posted Date
2024-11-25
Lead Sponsor
GI Innovation, Inc.
Target Recruit Count
358
Registration Number
NCT05824975
Locations
🇺🇸

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

🇺🇸

Mayo Clinic in Florida, Jacksonville, Florida, United States

🇺🇸

Mayo Clinic in Minnesota, Rochester, Minnesota, United States

and more 7 locations

The Effect of Prebiotic Inulin on Patients Affected by R/M HNSCC Treated With Immune Checkpoint Inhibitors

Not Applicable
Recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Interventions
Dietary Supplement: inulin
Drug: Nivolumab
Drug: Pembrolizumab
First Posted Date
2023-04-20
Last Posted Date
2023-04-20
Lead Sponsor
Fondazione del Piemonte per l'Oncologia
Target Recruit Count
40
Registration Number
NCT05821751
Locations
🇮🇹

Fondazione del Piemonte per l'Oncologia-IRCCS Candiolo, Candiolo, Turin, Italy

A Study of SKB264 for the Treatment of Participants With Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC)

Phase 2
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2023-04-18
Last Posted Date
2024-07-31
Lead Sponsor
Klus Pharma Inc.
Target Recruit Count
278
Registration Number
NCT05816252
Locations
🇦🇺

St Vincent's Hospital - Kinghorn Cancer Centre, Darlinghurst, New South Wales, Australia

🇨🇳

Beijing Cancer Hospital, Beijing, Beijing, China

🇨🇳

The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China

and more 63 locations

Pembrolizumab and Radiotherapy for Oligometastatic Head and Neck Cancer

Phase 3
Not yet recruiting
Conditions
Oligometastatic Squamous Cell Carcinoma of the Head and Neck
Interventions
Drug: Pembrolizumab
Radiation: stereotattic ablation radiotherapy (SABR)
First Posted Date
2023-04-18
Last Posted Date
2024-02-22
Lead Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Target Recruit Count
200
Registration Number
NCT05815927

Activity and Safety of Danvatirsen and Pembrolizumab in HNSCC

Phase 2
Recruiting
Conditions
HNSCC
Interventions
First Posted Date
2023-04-18
Last Posted Date
2024-12-31
Lead Sponsor
Flamingo Therapeutics NV
Target Recruit Count
81
Registration Number
NCT05814666
Locations
🇺🇸

Emory University Hospital Midtown, Atlanta, Georgia, United States

🇺🇸

University of Maryland Baltimore, Greenebaum Comprehensive Cancer Center, Baltimore, Maryland, United States

🇺🇸

UT Southwestern Medical Center/Simmons Comprehensive Cancer Center, Dallas, Texas, United States

and more 28 locations

Pembrolizumab vs. Observation in People With Triple-negative Breast Cancer Who Had a Pathologic Complete Response After Chemotherapy Plus Pembrolizumab

Phase 3
Recruiting
Conditions
Early Stage Triple-Negative Breast Carcinoma
Anatomic Stage I Breast Cancer AJCC v8
Anatomic Stage III Breast Cancer AJCC v8
Anatomic Stage II Breast Cancer AJCC v8
Interventions
Other: Patient Observation
Biological: Pembrolizumab
Procedure: Biopsy
Procedure: Biospecimen Collection
Other: Questionnaire Administration
Other: Quality-of-Life Assessment
First Posted Date
2023-04-14
Last Posted Date
2024-12-27
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
1295
Registration Number
NCT05812807
Locations
🇺🇸

Stamford Hospital/Bennett Cancer Center, Stamford, Connecticut, United States

🇺🇸

Memorial Regional Hospital/Joe DiMaggio Children's Hospital, Hollywood, Florida, United States

🇺🇸

Health Central, Ocoee, Florida, United States

and more 663 locations

A Study of Immune Checkpoint Inhibitor Combinations With Axitinib in Participants With Untreated Locally Advanced Unresectable or Metastatic Renal Cell Carcinoma

Phase 2
Active, not recruiting
Conditions
Renal Cell Carcinoma
Interventions
First Posted Date
2023-04-10
Last Posted Date
2024-10-24
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
210
Registration Number
NCT05805501
Locations
🇺🇸

Vanderbilt University Medical Center; Vanderbilt University, Nashville, Tennessee, United States

🇺🇸

EMORY UNIVERSITY; Bone Marrow & Stem Cell Transplant Center, Atlanta, Georgia, United States

🇺🇸

SCRI Oncology Partners, Nashville, Tennessee, United States

and more 60 locations

A Study of Tegavivint (BC2059) in Patients With Advanced Hepatocellular Carcinoma

Phase 1
Recruiting
Conditions
Advanced Hepatocellular Carcinoma
Interventions
First Posted Date
2023-04-04
Last Posted Date
2024-08-27
Lead Sponsor
Iterion Therapeutics
Target Recruit Count
108
Registration Number
NCT05797805
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

Fred Hutchinson Cancer Center, Seattle, Washington, United States

🇺🇸

Levine Cancer Institute, Charlotte, North Carolina, United States

and more 5 locations
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