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
-

Study of SBRT/Olaparib Followed by Pembrolizumab/Olaparib in Gastric Cancers

Phase 2
Recruiting
Conditions
Gastric Cancer
GastroEsophageal Cancer
Interventions
Drug: Pembrolizumab
Drug: Olaparib
Radiation: Stereotactic Body Radiation Therapy
First Posted Date
2022-05-18
Last Posted Date
2024-11-26
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
26
Registration Number
NCT05379972
Locations
🇺🇸

University of Colorado Health, Aurora, Colorado, United States

🇺🇸

UCHealth Memorial Hospital Central, Colorado Springs, Colorado, United States

🇺🇸

UCHealth Memorial Hospital North, Colorado Springs, Colorado, United States

and more 1 locations

A Study of NTX-1088, a Monoclonal Antibody Targeting the Poliovirus Receptor (PVR, CD155), as Monotherapy and Combined With Pembrolizumab

Phase 1
Recruiting
Conditions
Tumor, Solid
Metastatic Cancer
Cancer
Advanced Solid Tumor
Locally Advanced Solid Tumor
Interventions
Drug: NTX-1088
Drug: Pembrolizumab
First Posted Date
2022-05-18
Last Posted Date
2024-01-29
Lead Sponsor
Nectin Therapeutics Ltd
Target Recruit Count
90
Registration Number
NCT05378425
Locations
🇺🇸

Ochsner Clinic Foundation, New Orleans, Louisiana, United States

🇮🇱

Hadassah Medical Center, Jerusalem, Israel

🇮🇱

Sheba Medical Center, Ramat Gan, Israel

and more 2 locations

Pembrolizumab in Small Cell Carcinoma of Ovary - Hypercalcemic Type Patient

Not Applicable
Active, not recruiting
Conditions
Small Cell Carcinoma, Hypercalcaemic Type
Ovarian Cancer
Interventions
First Posted Date
2022-05-10
Last Posted Date
2024-03-13
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
1
Registration Number
NCT05368207
Locations
🇨🇦

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

ERC1671 to Treat Malignant Gliomas When Given in Combination With GM-CSF, Cyclophosphamide, Bevacizumab and Pembrolizumab

Phase 2
Not yet recruiting
Conditions
Glioma, Malignant
Interventions
First Posted Date
2022-05-09
Last Posted Date
2022-05-13
Lead Sponsor
Epitopoietic Research Corporation
Target Recruit Count
28
Registration Number
NCT05366062
Locations
🇹🇭

Bumrungrad International Hospital, Bangkok, Vadhana, Thailand

A Study of ASP2138 Given by Itself or Given With Other Cancer Treatments in Adults With Stomach Cancer, Gastroesophageal Junction Cancer, or Pancreatic Cancer

Phase 1
Recruiting
Conditions
Gastric Adenocarcinoma
Gastroesophageal Junction (GEJ) Adenocarcinoma
Pancreatic Adenocarcinoma
Interventions
First Posted Date
2022-05-09
Last Posted Date
2024-12-20
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
305
Registration Number
NCT05365581
Locations
🇰🇷

Site KR82003, Seocho-gu, Seoul, Korea, Republic of

🇰🇷

Site KR82005, Seodaemun-gu, Seoul, Korea, Republic of

🇰🇷

Site KR82001, Guro-gu, Seoul, Korea, Republic of

and more 35 locations

Seleno-L Methionine (SLM)-Axitinib-Pembrolizumab

Phase 1
Recruiting
Conditions
Clear Cell Renal Cell Carcinoma
Clear Cell Renal Cell Carcinoma Metastatic
Interventions
First Posted Date
2022-05-06
Last Posted Date
2024-12-17
Lead Sponsor
Bilal G. Rahim
Target Recruit Count
55
Registration Number
NCT05363631
Locations
🇺🇸

University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States

ATATcH Alternating Treatment Plans for Advanced Cancer

Phase 2
Recruiting
Conditions
Head and Neck Cancer
Lung Cancer
Interventions
First Posted Date
2022-05-03
Last Posted Date
2024-04-10
Lead Sponsor
Rutgers, The State University of New Jersey
Target Recruit Count
150
Registration Number
NCT05358548
Locations
🇺🇸

RWJBarnabas Health - Monmouth Medical Center, Long Branch, New Jersey, United States

🇺🇸

RWJBarnabas Health - Newark Beth Israel Medical Center, Newark, New Jersey, United States

🇺🇸

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

and more 8 locations

A Phase II Study of the Combination of Azacitidine and Pembrolizumab for Patients Relapsed/Refractory Hodgkin's Lymphoma

Phase 2
Recruiting
Conditions
Hodgkin's Lymphoma
Interventions
First Posted Date
2022-05-02
Last Posted Date
2024-11-08
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
24
Registration Number
NCT05355051
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

To Access the Safety and Effects of Intravenous Administration of AMX-818 Alone and in Combination With Pembrolizumab in Adult Participants With Locally Advanced or Metastatic HER2-Expressing Cancers

Phase 1
Recruiting
Conditions
Locally Advanced or Metastatic HER2-Expressing Cancers
Interventions
Drug: AMX-818
Drug: pembrolizumab
First Posted Date
2022-05-02
Last Posted Date
2024-06-07
Lead Sponsor
Amunix, a Sanofi Company
Target Recruit Count
645
Registration Number
NCT05356741
Locations
🇵🇹

Investigational site number #200, Porto, Portugal

🇫🇷

Investigational site number #150, Toulouse, France

🇪🇸

Investigational site number #253, Pozuelo de Alarcón, Spain

and more 7 locations

Clinical Study of Fianlimab in Combination With Cemiplimab Versus Pembrolizumab in Adolescent and Adult Patients With Previously Untreated Unresectable Locally Advanced or Metastatic Melanoma

Phase 3
Recruiting
Conditions
Melanoma
Interventions
Drug: Fianlimab
Drug: Pembrolizumab
Drug: Cemiplimab
Drug: Placebo
First Posted Date
2022-04-29
Last Posted Date
2024-10-30
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
1535
Registration Number
NCT05352672
Locations
🇺🇸

Atlantic Health System - Morristown Medical Center, Morristown, New Jersey, United States

🇦🇷

Fundacion Cenit para la Investigacion en Neurociencias, Buenos Aires, Argentina

🇦🇷

DIABAID - Instituto de Asistencia Integral en Diabetes, Buenos Aires, Argentina

and more 216 locations
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