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 TIL- and Response-Adapted Chemoimmunotherapy for TNBC

Phase 2
Recruiting
Conditions
Triple Negative Breast Cancer
Breast Cancer
Interventions
First Posted Date
2022-12-09
Last Posted Date
2024-08-26
Lead Sponsor
University of Kansas Medical Center
Target Recruit Count
139
Registration Number
NCT05645380
Locations
🇺🇸

The University of Kansas Cancer Center - Clinical Research Center, Fairway, Kansas, United States

🇺🇸

The University of Kansas Cancer Center - Main Hospital, Kansas City, Kansas, United States

🇺🇸

The University of Kansas Cancer Center - Westwood, Kansas City, Kansas, United States

and more 4 locations

SKB264 in Combination With Pembrolizumab in Subjects With Selected Solid Tumors

Phase 2
Recruiting
Conditions
Solid Tumor
Interventions
First Posted Date
2022-12-08
Last Posted Date
2024-12-19
Lead Sponsor
Klus Pharma Inc.
Target Recruit Count
240
Registration Number
NCT05642780
Locations
🇺🇸

Community Clinical Research Center, Anderson, Indiana, United States

🇺🇸

Westchester Medical Center, Hawthorne, New York, United States

🇺🇸

Texas Oncology, P.A. Austin, TX, Austin, Texas, United States

and more 43 locations

A Feasibility Window Study of Pembrolizumab Prior to Second Evacuation for Post-molar Gestational Trophoblastic Neoplasia

Phase 2
Recruiting
Conditions
Gestational Trophoblastic Neoplasia
Gestational Trophoblastic Tumor, Recurrent
Gestational Trophoblastic Disease
Interventions
First Posted Date
2022-12-02
Last Posted Date
2024-04-17
Lead Sponsor
Imperial College London
Target Recruit Count
20
Registration Number
NCT05635344
Locations
🇬🇧

Imperial College Healthcare NHS Trust, London, United Kingdom

A Phase II Study to Evaluate the Efficacy and Safety of Pembrolizumab in Combination With Mitotane in Patients With Advanced Adrenocortical Carcinoma

Phase 2
Completed
Conditions
Adrenocortical Carcinoma
Interventions
First Posted Date
2022-12-02
Last Posted Date
2024-10-23
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
3
Registration Number
NCT05634577
Locations
🇺🇸

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

Study of Sacituzumab Govitecan-hziy and Pembrolizumab Versus Treatment of Physician's Choice in Patients With Triple Negative Breast Cancer Who Have Residual Invasive Disease After Surgery and Neoadjuvant Therapy (ASCENT-05/AFT-65 OptimICE-RD/NSABP B-63)

Phase 3
Recruiting
Conditions
Triple Negative Breast Cancer
Interventions
Drug: Sacituzumab govitecan-hziy (SG)
Drug: Pembrolizumab
Drug: Capecitabine
First Posted Date
2022-12-01
Last Posted Date
2024-11-27
Lead Sponsor
Gilead Sciences
Target Recruit Count
1514
Registration Number
NCT05633654
Locations
🇺🇸

Alabama Oncology, Birmingham, Alabama, United States

🇺🇸

Clearview Cancer Institute, Huntsville, Alabama, United States

🇺🇸

Northwestern Medicine, Chicago, Illinois, United States

and more 162 locations

A Study of Dato-DXd With or Without Durvalumab Versus Investigator's Choice of Therapy in Patients With Stage I-III Triple-negative Breast Cancer Without Pathological Complete Response Following Neoadjuvant Therapy (TROPION-Breast03)

Phase 3
Recruiting
Conditions
Breast Cancer
Interventions
First Posted Date
2022-11-29
Last Posted Date
2024-12-20
Lead Sponsor
AstraZeneca
Target Recruit Count
1075
Registration Number
NCT05629585
Locations
🇬🇧

Research Site, Taunton, United Kingdom

Study of JK08 in Patients With Unresectable Locally Advanced or Metastatic Cancer

Phase 1
Active, not recruiting
Conditions
Metastatic Cancer
Small-cell Lung Cancer
Urothelial Carcinoma
Pancreatic Adenocarcinoma
Thyroid Cancer
Tumor, Solid
Advanced Solid Tumor
Non-small Cell Lung Cancer
Squamous Cell Carcinoma of Head and Neck
Luminal Breast Cancer
Interventions
First Posted Date
2022-11-17
Last Posted Date
2024-10-15
Lead Sponsor
Salubris Biotherapeutics Inc
Target Recruit Count
263
Registration Number
NCT05620134
Locations
🇧🇪

Institut Jules Bordet, Brussels, Belgium

🇧🇪

UZA, Edegem, Belgium

🇧🇪

UZ Ghent, Ghent, Belgium

and more 8 locations

EPOCH: Eribulin and Pembrolizumab in Ovarian/Uterine Carcinosarcoma

Phase 2
Recruiting
Conditions
Ovarian Carcinosarcoma
Uterine Carcinosarcoma
Interventions
First Posted Date
2022-11-17
Last Posted Date
2024-02-08
Lead Sponsor
Australia New Zealand Gynaecological Oncology Group
Target Recruit Count
30
Registration Number
NCT05619913
Locations
🇦🇺

Prince of Wales Hospital, Randwick, New South Wales, Australia

🇬🇧

Imperial College London, London, United Kingdom

🇦🇺

Royal Brisbane and Women's Hospital, Herston, Queensland, Australia

and more 3 locations

Study of GT103 in Combination With Pembrolizumab in Refractory, Metastatic Non-Small Cell Lung Cancer

Phase 2
Active, not recruiting
Conditions
Recurrent Non Small Cell Lung Cancer
Non Small Cell Lung Cancer
Metastatic NSCLC
Interventions
First Posted Date
2022-11-15
Last Posted Date
2024-07-19
Lead Sponsor
Jeffrey Clarke
Target Recruit Count
21
Registration Number
NCT05617313
Locations
🇺🇸

University of Virginia Health System, Charlottesville, Virginia, United States

🇺🇸

University of Illinois Cancer Center, Chicago, Illinois, United States

🇺🇸

Indiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, United States

and more 3 locations

A Study of LOXO-435 in Participants With Cancer With a Change in a Gene Called FGFR3

Phase 1
Recruiting
Conditions
Neoplasm Metastasis
Urinary Bladder Neoplasms
Ureteral Neoplasms
Interventions
Drug: LOXO-435
Drug: Pembrolizumab
First Posted Date
2022-11-14
Last Posted Date
2024-11-18
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
180
Registration Number
NCT05614739
Locations
🇦🇺

Calvary Mater Newcastle, Waratah, New South Wales, Australia

🇫🇷

Gustave Roussy, Villejuif Cedex, France

🇮🇹

UOC Fase I - Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore, Roma, Italy

and more 54 locations
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