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
-

Efineptakin Alfa and Pembrolizumab for the Treatment of Recurrent Glioblastoma

Phase 2
Recruiting
Conditions
High Grade Astrocytic Tumor
Recurrent Glioblastoma, IDH-Wildtype
Recurrent Gliosarcoma
Interventions
Procedure: Biospecimen Collection
Biological: Efineptakin alfa
Biological: Pembrolizumab
Procedure: Biopsy
First Posted Date
2022-07-20
Last Posted Date
2024-12-04
Lead Sponsor
Mayo Clinic
Target Recruit Count
44
Registration Number
NCT05465954
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Safety and Efficacy of Anti-CD47, ALX148 in Combination with Liposomal Doxorubicin and Pembrolizumab in Recurrent Platinum-resistant Ovarian Cancer

Phase 2
Recruiting
Conditions
Ovarian Cancer
Interventions
First Posted Date
2022-07-20
Last Posted Date
2024-12-12
Lead Sponsor
Alexander B Olawaiye, MD
Target Recruit Count
31
Registration Number
NCT05467670
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

Surgical Pembro +/- Olaparib w TMZ for rGBM

Phase 2
Recruiting
Conditions
Recurrent Glioblastoma
Glioblastoma
Interventions
First Posted Date
2022-07-19
Last Posted Date
2024-01-29
Lead Sponsor
L. Nicolas Gonzalez Castro, MD, PhD
Target Recruit Count
78
Registration Number
NCT05463848
Locations
🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

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

Anti-PD-1 Antibody Combined With Autologous DC and NK Cells in the Treatment of Digestive Carcinoma

Phase 2
Not yet recruiting
Conditions
Gastrointestinal Tumours
NK-Cell
PD-1 Antibody
DC-Cell
Interventions
First Posted Date
2022-07-18
Last Posted Date
2022-07-18
Lead Sponsor
China Medical University, China
Target Recruit Count
1
Registration Number
NCT05461235

Modulation of the Gut Microbiome With Pembrolizumab Following Chemotherapy in Resectable Pancreatic Cancer

Phase 2
Recruiting
Conditions
Pancreatic Cancer
Interventions
Procedure: Biopsy
Drug: FOLFIRINOX
Drug: Ciprofloxacin
Drug: Metronidazole
Drug: Pembrolizumab
Procedure: Surgical Resection
First Posted Date
2022-07-18
Last Posted Date
2024-10-15
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
25
Registration Number
NCT05462496
Locations
🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

MNK Inhibitor AUM001 in Combination With Either Pembrolizumab or Irinotecan to Treat Metastatic Colorectal Cancer

Phase 2
Recruiting
Conditions
Metastatic Colorectal Cancer
Interventions
First Posted Date
2022-07-18
Last Posted Date
2024-07-09
Lead Sponsor
AUM Biosciences Pte Ltd
Target Recruit Count
120
Registration Number
NCT05462236
Locations
🇦🇺

Ballarat Oncology and Haematology, Wendouree, Victoria, Australia

🇦🇺

Pindara Private Hospital, Gold Coast Cancer Care, Benowa, Queensland, Australia

🇦🇺

Cabrini Hospital, Malvern, Victoria, Australia

and more 2 locations

Pembrolizumab With Chemotherapy and MK-4830 for Treating Participants With Ovarian Cancer (MK-4830-002)

Phase 2
Completed
Conditions
High-grade Serous Ovarian Carcinoma
Ovarian Carcinoma
Interventions
First Posted Date
2022-07-07
Last Posted Date
2024-12-17
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
160
Registration Number
NCT05446870
Locations
🇨🇳

Changhua Christian Hospital-Obstetrics and Gynecology ( Site 1203), Changhua County, Changhua, Taiwan

🇪🇸

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1101), Barcelona, Spain

🇪🇸

Hospital Universitario 12 de Octubre-Medical Oncology ( Site 1104), Madrid, Madrid, Comunidad De, Spain

and more 42 locations

ONC-392 and Pembrolizumab in Platinum Resistant Ovarian Cancer

Phase 2
Active, not recruiting
Conditions
Ovarian Cancer
High Grade Serous Adenocarcinoma of Ovary
Primary Peritoneal Carcinoma
Fallopian Tube Cancer
Interventions
Drug: ONC-392
Drug: Pembrolizumab
First Posted Date
2022-07-06
Last Posted Date
2024-10-24
Lead Sponsor
OncoC4, Inc.
Target Recruit Count
58
Registration Number
NCT05446298
Locations
🇺🇸

Cancer Treatment Centers of America, Phoenix. 403, Goodyear, Arizona, United States

🇺🇸

Honor Health, USOR, 406, Phoenix, Arizona, United States

🇺🇸

Nuvance Health System, 401, Danbury, Connecticut, United States

and more 18 locations

A Study in People With Colorectal Cancer to Test Whether Ezabenlimab or Pembrolizumab in Combination With BI 765063 Lead to Side Effects or Delays in Surgery

Phase 1
Terminated
Conditions
Colorectal Cancer
Interventions
First Posted Date
2022-07-06
Last Posted Date
2023-12-29
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
2
Registration Number
NCT05446129
Locations
🇺🇸

Mount Sinai School of Medicine, New York, New York, United States

A Study of TTI-101 as Monotherapy and in Combination in Participants With Locally Advanced or Metastatic, and Unresectable Hepatocellular Carcinoma

Phase 1
Recruiting
Conditions
Hepatocellular Carcinoma
Interventions
First Posted Date
2022-07-01
Last Posted Date
2024-11-27
Lead Sponsor
Tvardi Therapeutics, Incorporated
Target Recruit Count
166
Registration Number
NCT05440708
Locations
🇺🇸

The Kirklin Clinic of University of Alabama Birmingham Hospital, Birmingham, Alabama, United States

🇺🇸

University of California San Diego, La Jolla, California, United States

🇺🇸

Norris Comprehensive Cancer Center, Los Angeles, California, United States

and more 18 locations
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