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 of D3S 001 Monotherapy or Combination Therapy in Subjects With Advanced Solid Tumors With a KRAS p.G12C Mutation

Phase 1
Recruiting
Conditions
KRAS P.G12C
Interventions
First Posted Date
2022-06-08
Last Posted Date
2024-12-27
Lead Sponsor
D3 Bio (Wuxi) Co., Ltd
Target Recruit Count
392
Registration Number
NCT05410145
Locations
🇪🇸

D3 Bio Investigative Site, Valencia, Spain

Pembrolizumab in Muscle-invasive Bladder Cancer

Phase 2
Recruiting
Conditions
Muscle Invasive Bladder Carcinoma
Localized Cancer
Urothelial Carcinoma
Interventions
First Posted Date
2022-06-06
Last Posted Date
2024-10-11
Lead Sponsor
Matthew Galsky
Target Recruit Count
46
Registration Number
NCT05406713
Locations
🇺🇸

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

🇺🇸

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

🇺🇸

University of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico, United States

and more 1 locations

Fitness-adapted, Pembrolizumab-based Therapy for Untreated Classical Hodgkin Lymphoma Patients 60 Years of Age and Above

Phase 2
Recruiting
Conditions
Classical Hodgkin Lymphoma
Interventions
First Posted Date
2022-06-03
Last Posted Date
2024-07-03
Lead Sponsor
University of Virginia
Target Recruit Count
44
Registration Number
NCT05404945
Locations
🇺🇸

University of Virginia, Charlottesville, Virginia, United States

🇺🇸

Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States

🇺🇸

University of Pennsylvania, Philadelphia, Pennsylvania, United States

A Study of MK-1088 as Monotherapy and in Combination With Pembrolizumab in Participants With Advanced Solid Tumors (MK-1088-002)

Phase 1
Terminated
Conditions
Advanced Solid Tumors
Interventions
First Posted Date
2022-05-27
Last Posted Date
2024-11-08
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
27
Registration Number
NCT05394350
Locations
🇨🇭

Cantonal Hospital St.Gallen ( Site 0403), st.Gallen, Sankt Gallen, Switzerland

🇨🇭

Ospedale Regionale Bellinzona e Valli ( Site 0400), Bellinzona, Ticino, Switzerland

🇩🇰

Rigshospitalet ( Site 0500), Copenhagen, Hovedstaden, Denmark

and more 10 locations

Intermediate-size IND for Treatment of KRAS G12V-mutant Tumors

Conditions
KRAS G12V Mutant Advanced Epithelial Cancers
First Posted Date
2022-05-25
Last Posted Date
2024-10-26
Lead Sponsor
Providence Health & Services
Registration Number
NCT05389514

Pembrolizumab and Photodynamic Therapy in Previously Treated Metastatic Esophageal Squamous Cell Carcinoma

Phase 2
Not yet recruiting
Conditions
Esophageal Squamous Cell Carcinoma
Interventions
Drug: Pembrolizumab
Drug: Sinoporphyrin Sodium
Procedure: Photodynamic therapy
First Posted Date
2022-05-23
Last Posted Date
2022-11-28
Lead Sponsor
Peking University
Target Recruit Count
54
Registration Number
NCT05386056
Locations
🇨🇳

Beijing Cancer Hospital & Institute, Beijing, Beijing, China

Neoadjuvant/Adjuvant Pembrolizumab Plus Chemotherapy

Phase 2
Active, not recruiting
Conditions
Non Small Cell Lung Cancer
Immune Checkpoint Inhibitor
Neoadjuvant Therapy
Interventions
First Posted Date
2022-05-20
Last Posted Date
2024-04-23
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
80
Registration Number
NCT05383716
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, China

Study of Pembrolizumab, Lenvatinib and Chemotherapy Combination in First Line Extensive-stage Small Cell Lung Cancer

Phase 2
Recruiting
Conditions
Small Cell Lung Cancer Extensive Stage
Interventions
First Posted Date
2022-05-20
Last Posted Date
2024-02-20
Lead Sponsor
Fundación GECP
Target Recruit Count
85
Registration Number
NCT05384015
Locations
🇪🇸

Hospital General Universitario de Valencia, Valencia, Spain

🇪🇸

ICO Badalona, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain

🇪🇸

Hospitalario Universitario A Coruña, A Coruña, La Coruña, Spain

and more 15 locations

A Study of MK-1484 as Monotherapy and in Combination With Pembrolizumab (MK-3475) In Advanced or Metastatic Solid Tumors (MK-1484-001)

Phase 1
Active, not recruiting
Conditions
Advanced or Metastatic Solid Tumors
Interventions
Biological: MK-1484
Biological: Pembrolizumab
First Posted Date
2022-05-19
Last Posted Date
2024-11-14
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
70
Registration Number
NCT05382325
Locations
🇮🇱

Rambam Health Care Campus-Oncology ( Site 0021), Haifa, Israel

🇮🇱

Sheba Medical Center-ONCOLOGY ( Site 0020), Ramat Gan, Israel

🇳🇱

Universitair Medisch Centrum Utrecht-Medical Oncology ( Site 0037), Utrecht, Netherlands

and more 5 locations

Study of Sacituzumab Govitecan-hziy and Pembrolizumab Versus Treatment of Physician's Choice and Pembrolizumab in Patients With Previously Untreated, Locally Advanced Inoperable or Metastatic Triple-Negative Breast Cancer

Phase 3
Active, not recruiting
Conditions
Triple Negative Breast Cancer
PD-L1 Positive
Interventions
First Posted Date
2022-05-19
Last Posted Date
2024-12-24
Lead Sponsor
Gilead Sciences
Target Recruit Count
440
Registration Number
NCT05382286
Locations
🇺🇸

University of Pennsylvania Abramson Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Magee-Womens Hospital of UPMC, Pittsburgh, Pennsylvania, United States

🇺🇸

Magee-Womens Hospital of UPMC,5115 Centre Avenue, Pittsburgh, Pennsylvania, United States

and more 501 locations
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