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
-

Phase 2 Study Evaluating the Efficacy of the Combination of DKN-01 (DKK1 Inhibitor, Leap Therapeutics) and Pembrolizumab in the Treatment of Advanced or Recurrent Endometrial Cancer

Phase 2
Recruiting
Conditions
Endometrial Cancer
Interventions
First Posted Date
2023-03-09
Last Posted Date
2024-11-18
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
60
Registration Number
NCT05761951
Locations
🇺🇸

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

Lenvatinib Plus Pembrolizumab in Well Differentiated G3 Neuroendocrine Tumors

Phase 2
Recruiting
Conditions
Well-Differentiated Neuroendocrine Carcinoma
High Grade Neuroendocrine Carcinoma, Any Site
Neuroendocrine Tumors
Interventions
Drug: Lenvatinib
Drug: Pembrolizumab
Drug: Hyperpolarized 13C-Pyruvate
First Posted Date
2023-02-27
Last Posted Date
2024-12-11
Lead Sponsor
University of California, San Francisco
Target Recruit Count
29
Registration Number
NCT05746208
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

Intraperitoneal Immune Checkpoint Inhibitor for Malignant Ascites

Not Applicable
Conditions
Malignant Ascites
Interventions
First Posted Date
2023-02-27
Last Posted Date
2023-08-24
Lead Sponsor
China Medical University Hospital
Target Recruit Count
30
Registration Number
NCT05745233
Locations
🇨🇳

China Medical University Hospital, Taichung, Please Select, Taiwan

PembROlizumab With or Without Microbial EcOsystem ThErapeutic 4 (MET4) in Advanced Head and Neck Squamous Cell Carcinoma

Phase 2
Withdrawn
Conditions
Advanced Head and Neck Squamous Cell Carcinoma
Interventions
Drug: Pembrolizumab
Drug: MET-4
Drug: Placebo
First Posted Date
2023-02-24
Last Posted Date
2023-05-18
Lead Sponsor
Canadian Cancer Trials Group
Registration Number
NCT05743777

Propranolol and Pembrolizumab for Tumor Re-sensitization and Treatment of Patients With Checkpoint Inhibitor Refractory Metastatic or Unresectable Triple Negative Breast Cancer

Phase 2
Recruiting
Conditions
Anatomic Stage IV Breast Cancer AJCC v8
Anatomic Stage III Breast Cancer AJCC v8
Metastatic Triple-Negative Breast Carcinoma
Refractory Triple-Negative Breast Carcinoma
Unresectable Triple-Negative Breast Carcinoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Biological: Pembrolizumab
Drug: Propranolol
Other: Questionnaire Administration
First Posted Date
2023-02-23
Last Posted Date
2024-11-18
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
25
Registration Number
NCT05741164
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

Safety and Tolerability of TNG462 in Patients With MTAP-deleted Solid Tumors

Phase 1
Recruiting
Conditions
Locally Advanced Solid Tumor
Interventions
First Posted Date
2023-02-17
Last Posted Date
2024-12-20
Lead Sponsor
Tango Therapeutics, Inc.
Target Recruit Count
225
Registration Number
NCT05732831
Locations
🇺🇸

Stanford University, Palo Alto, California, United States

🇺🇸

Sylvester Comprehensive Cancer Center, Miami, Florida, United States

🇺🇸

University Chicago Medicine, Chicago, Illinois, United States

and more 17 locations

Study to Investigate Outcome of Individualized Treatment in Patients With Metastatic Colorectal Cancer

First Posted Date
2023-02-13
Last Posted Date
2023-02-21
Lead Sponsor
Oslo University Hospital
Target Recruit Count
40
Registration Number
NCT05725200
Locations
🇳🇴

Oslo University Hospital, Oslo, Norway

Preoperative Pembrolizumab and Chemotherapy in Resectable, Recurrent HNSCC

Phase 2
Recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Resectable Head and Neck Squamous Cell Carcinoma
Head and Neck Cancer
Recurrent Head and Neck Squamous Cell Carcinoma
Interventions
First Posted Date
2023-02-13
Last Posted Date
2024-10-16
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
28
Registration Number
NCT05726370
Locations
🇺🇸

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

🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

Combining Radiation Therapy With Immunotherapy for the Treatment of Metastatic Squamous Cell Carcinoma of the Head and Neck

Phase 3
Recruiting
Conditions
Metastatic Hypopharyngeal Squamous Cell Carcinoma
Metastatic Laryngeal Squamous Cell Carcinoma
Stage IV Laryngeal Cancer AJCC v8
Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8
Stage IV Cutaneous Squamous Cell Carcinoma of the Head and Neck AJCC v8
Stage IV Hypopharyngeal Carcinoma AJCC v8
Stage IV Lip and Oral Cavity Cancer AJCC v8
Metastatic Head and Neck Squamous Cell Carcinoma
Metastatic Oral Cavity Squamous Cell Carcinoma
Metastatic Oropharyngeal Squamous Cell Carcinoma
Interventions
Drug: Carboplatin
Drug: Cisplatin
Procedure: Computed Tomography
Drug: Fluorouracil
Procedure: Magnetic Resonance Imaging
Drug: Paclitaxel
Biological: Pembrolizumab
Procedure: Positron Emission Tomography
Other: Quality-of-Life Assessment
Radiation: Radiation Therapy
First Posted Date
2023-02-10
Last Posted Date
2024-11-28
Lead Sponsor
ECOG-ACRIN Cancer Research Group
Target Recruit Count
290
Registration Number
NCT05721755
Locations
🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Carle Physician Group-Effingham, Effingham, Illinois, United States

🇺🇸

Saint Luke's Cancer Institute - Fruitland, Fruitland, Idaho, United States

and more 48 locations

A Study of Subcutaneous (SC) Pembrolizumab Coformulated With Hyaluronidase (MK-3475A) vs Intravenous Pembrolizumab in Adult Participants With Metastatic Non-small Cell Lung Cancer (NSCLC) (MK-3475A-D77)

First Posted Date
2023-02-10
Last Posted Date
2024-12-05
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
377
Registration Number
NCT05722015
Locations
🇭🇺

Törökbálinti Tüdőgyógyintézet ( Site 2105), Törökbálint, Pest, Hungary

🇨🇳

Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 4207), Kaohsiung, Taiwan

🇺🇸

St. Joseph's Hospital and Medical Center-Dignity Health Cancer Institute ( Site 0023), Phoenix, Arizona, United States

and more 107 locations
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