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 PD-1 Blockade in Resectable Merkel Cell Carcinoma

Phase 2
Recruiting
Conditions
Merkel Cell Carcinoma
Interventions
First Posted Date
2022-08-10
Last Posted Date
2024-12-27
Lead Sponsor
Abramson Cancer Center at Penn Medicine
Target Recruit Count
15
Registration Number
NCT05496036
Locations
🇺🇸

Penn Medicine, Philadelphia, Pennsylvania, United States

Pembrolizumab, Belantamab and Dexamethasone in Refractory Multiple Myeloma.

Phase 1
Withdrawn
Conditions
Multiple Myeloma, Refractory
Interventions
First Posted Date
2022-08-09
Last Posted Date
2023-01-27
Lead Sponsor
Hackensack Meridian Health
Registration Number
NCT05493618
Locations
🇺🇸

Lombardi Comprehensive Cancer Center, Georgetown University, Washington, District of Columbia, United States

🇺🇸

Jersey Shore Medical Center, Neptune, New Jersey, United States

🇺🇸

John Theurer Cancer Center, Hackensack Meridian Health, Hackensack, New Jersey, United States

Reinvigorating TNBC Response to Immunotherapy With Combination Myeloid Inhibition and Radiation

Phase 2
Recruiting
Conditions
Breast Cancer
TNBC - Triple-Negative Breast Cancer
Interventions
Drug: Pembrolizumab
Radiation: Radiation Therapy
Drug: Axatilimab
First Posted Date
2022-08-08
Last Posted Date
2024-03-25
Lead Sponsor
Stephen Shiao
Target Recruit Count
35
Registration Number
NCT05491226
Locations
🇺🇸

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

A Safety and Antitumor Activity Trial of Immunoradiotherapy Combinations as a Treatment Option for Subjects With Metastatic Solid Tumors

Phase 1
Active, not recruiting
Conditions
Non-CNS Tumor
Interventions
Biological: GEN1042
Radiation: Radiotherapy
Drug: Pembrolizumab
First Posted Date
2022-08-08
Last Posted Date
2025-01-07
Lead Sponsor
Genmab
Target Recruit Count
88
Registration Number
NCT05491317
Locations
🇫🇷

Institut Bergonie, Bordeaux, France

🇫🇷

Centre Leon Berard, Lyon, France

🇫🇷

Institut Gustave Roussy, Villejuif, France

START: Safety and Anti-Tumor Activity of PeptiCRAd-1 in Treatment of Cancer

Phase 1
Recruiting
Conditions
Melanoma (Skin)
Triple-Negative Breast Cancer
Non-Small Cell Lung Cancer
Synovial Sarcoma
Myxoid Liposarcoma
Colorectal Cancer
Osteosarcoma
Sarcoma
Interventions
First Posted Date
2022-08-08
Last Posted Date
2024-12-27
Lead Sponsor
Valo Therapeutics Oy
Target Recruit Count
15
Registration Number
NCT05492682
Locations
🇩🇪

Krankenhaus Nordwest, Frankfurt, Germany

🇩🇪

National Center for Tumor Diseases, Heidelberg, Germany

🇩🇪

Universitätsklinikum Tübingen, Tübingen, Germany

Immunotherapy Combined With Radiotherapy for Metastatic Sarcoma

Early Phase 1
Recruiting
Conditions
Sarcoma, Soft Tissue
Interventions
Drug: Pembrolizumab
Radiation: Radiation therapy
First Posted Date
2022-08-04
Last Posted Date
2024-08-09
Lead Sponsor
University of California, Irvine
Target Recruit Count
12
Registration Number
NCT05488366
Locations
🇺🇸

Chao Family Comprehensive Cancer Center, University of California, Irvine, Orange, California, United States

Novel Neoadjuvant and Adjuvant Strategy for Germline BRCA 1/2 Mutated Triple Negative Breast Cancer

Phase 2
Recruiting
Conditions
Triple Negative Breast Neoplasms
Triple Negative Breast Cancer
Breast Neoplasms
Breast Cancer
BRCA1 Mutation
BRCA2 Mutation
BRCA Mutation
BRCA-Associated Breast Carcinoma
Interventions
First Posted Date
2022-08-03
Last Posted Date
2024-02-13
Lead Sponsor
Okayama University
Target Recruit Count
23
Registration Number
NCT05485766
Locations
🇯🇵

St. Luke's International Hospital, Tokyo, Japan

🇯🇵

Aichi Cancer Center, Nagoya, Japan

🇯🇵

Okayama University Hospital, Okayama, Japan

Study of Vorasidenib and Pembrolizumab Combination in Recurrent or Progressive IDH-1 Mutant Glioma

Phase 1
Recruiting
Conditions
Astrocytoma
Interventions
First Posted Date
2022-08-02
Last Posted Date
2024-11-25
Lead Sponsor
Institut de Recherches Internationales Servier
Target Recruit Count
72
Registration Number
NCT05484622
Locations
🇺🇸

Northwestern University (Site: 840123), Chicago, Illinois, United States

🇺🇸

University of Alabama at Birmingham, Birmingham, Alabama, United States

🇺🇸

Mayo Clinic Florida, Cleveland, Ohio, United States

and more 13 locations

Dose Escalation and Expansion Study of WTX-124 As Monotherapy and in Combination with Pembrolizumab (pembro) in Patients with Selected Advanced or Metastatic Solid Tumors

Phase 1
Recruiting
Conditions
Metastatic Solid Tumor
Advanced Solid Tumor
Interventions
Drug: WTX-124
Drug: pembrolizumab
First Posted Date
2022-07-29
Last Posted Date
2024-12-27
Lead Sponsor
Werewolf Therapeutics, Inc.
Target Recruit Count
150
Registration Number
NCT05479812
Locations
🇺🇸

HonorHealth, Scottsdale, Arizona, United States

🇺🇸

Emory Winship Cancer Institute, Atlanta, Georgia, United States

🇺🇸

Northwestern University, Chicago, Illinois, United States

and more 5 locations

A Study to Investigate the Safety, Tolerability, and Preliminary Anti-tumor Activity of Bemcentinib in Combination With Pembrolizumab Plus Pemetrexed and Carboplatin in Adult Participants With Untreated Non-squamous Non-small Cell Lung Cancer

Phase 1
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2022-07-21
Last Posted Date
2023-10-10
Lead Sponsor
BerGenBio ASA
Target Recruit Count
64
Registration Number
NCT05469178
Locations
🇺🇸

Tennessee Oncology PLLC, Nashville, Tennessee, United States

🇺🇸

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

🇺🇸

Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, Maryland, United States

and more 2 locations
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