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
-

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

Testing of Tazemetostat in Combination With Topotecan and Pembrolizumab in Patients With Recurrent Small Cell Lung Cancer

Phase 1
Suspended
Conditions
Platinum-Resistant Lung Small Cell Carcinoma
Limited Stage Lung Small Cell Carcinoma
Extensive Stage Lung Small Cell Carcinoma
Platinum-Sensitive Lung Small Cell Carcinoma
Recurrent Lung Small Cell Carcinoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Biological: Pembrolizumab
Drug: Tazemetostat Hydrobromide
Drug: Topotecan Hydrochloride
First Posted Date
2022-04-29
Last Posted Date
2024-12-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
60
Registration Number
NCT05353439
Locations
🇺🇸

Los Angeles General Medical Center, Los Angeles, California, United States

🇺🇸

USC Norris Oncology/Hematology-Newport Beach, Newport Beach, California, United States

🇺🇸

Northwestern University, Chicago, Illinois, United States

and more 10 locations

Personalized TCR-T: Study of Adoptively Transferred T-cell Receptor Gene-engineered T Cells (TCR-T)

Phase 1
Active, not recruiting
Conditions
Malignant Epithelial Neoplasms
Interventions
Biological: TCR-transduced T cells
Drug: CDX-1140
Drug: Pembrolizumab
First Posted Date
2022-04-27
Last Posted Date
2024-11-25
Lead Sponsor
Providence Health & Services
Target Recruit Count
1
Registration Number
NCT05349890
Locations
🇺🇸

Providence Portland Medical Center, Portland, Oregon, United States

A Study of Combination Therapies With or Without Pembrolizumab (MK-3475) and/or Chemotherapy in Participants With Advanced Esophageal Cancer (MK-3475-06A)

Phase 1
Active, not recruiting
Conditions
Esophageal Squamous Cell Carcinoma (ESCC)
Interventions
First Posted Date
2022-04-22
Last Posted Date
2024-12-02
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
120
Registration Number
NCT05342636
Locations
🇧🇷

ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 2300), São Paulo, Sao Paulo, Brazil

🇫🇷

Hopital Claude Huriez - CHU de Lille ( Site 1100), Lille, Nord, France

🇫🇷

Centre Hospitalier Régional Universitaire de Brest - Hôpital Morvan ( Site 1104), Brest, Finistere, France

and more 43 locations

Pembrolizumab and Disitamab Vedotin in HER2-expressing Metastatic Colorectal Cancer

Phase 2
Not yet recruiting
Conditions
Colorectal Neoplasms
Interventions
First Posted Date
2022-04-19
Last Posted Date
2022-04-20
Lead Sponsor
Shanghai Zhongshan Hospital
Target Recruit Count
30
Registration Number
NCT05333809

A Study in Patients With Advanced Cancers

Phase 1
Recruiting
Conditions
Advanced Cancer
Advanced Solid Tumor
Oncology
Cancer
Interventions
Drug: BIO-106
Drug: Pembrolizumab
First Posted Date
2022-04-11
Last Posted Date
2022-07-19
Lead Sponsor
BiOneCure Therapeutics Inc.
Target Recruit Count
332
Registration Number
NCT05320588
Locations
🇺🇸

NEXT Oncology Austin, Austin, Texas, United States

🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

NEXT Oncology Virginia, Fairfax, Virginia, United States

A Study to Evaluate Safety, Efficacy of FF-10832 in Combo With Pembrolizumab in Urothelial & Non-small Cell Lung Cancer

Phase 2
Recruiting
Conditions
Advanced Non Small Cell Lung Cancer
Advanced Urothelial Carcinoma
Interventions
Drug: Pembrolizumab
Drug: FF-10832
First Posted Date
2022-04-08
Last Posted Date
2024-07-24
Lead Sponsor
Fujifilm Pharmaceuticals U.S.A., Inc.
Target Recruit Count
120
Registration Number
NCT05318573
Locations
🇺🇸

TriHealth Cancer Institute; Good Samaritan Hospital, Cincinnati, Ohio, United States

🇺🇸

Sharp Memorial Hospital (Oncology Clinical Research), San Diego, California, United States

🇺🇸

Comprehensive Cancer Centers of Nevada - Southern Hills, Las Vegas, Nevada, United States

and more 18 locations

A Study to Evaluate Investigational Agents With or Without Pembrolizumab (MK-3475) in Participants With Advanced Esophageal Cancer Previously Exposed to Programmed Cell Death 1 Protein (PD-1)/ Programmed Cell Death Ligand 1 (PD-L1) Treatment (MK-3475-06B)

Phase 1
Recruiting
Conditions
Esophageal Squamous Cell Carcinoma
Interventions
First Posted Date
2022-04-08
Last Posted Date
2024-12-27
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
200
Registration Number
NCT05319730
Locations
🇺🇸

University of Arizona Cancer Center-University of Arizona Cancer Center ( Site 4927), Tucson, Arizona, United States

🇺🇸

Hematology-Oncology Associates of Central NY, P.C. ( Site 4925), East Syracuse, New York, United States

🇧🇷

Liga Norte Riograndense Contra o Câncer ( Site 4303), Natal, Rio Grande Do Norte, Brazil

and more 50 locations

Blood-brain Barrier (BBB) Disruption Using Exablate Focused Ultrasound With Standard of Care Treatment of NSCLC Brain Mets

Phase 3
Recruiting
Conditions
Brain Tumor
Interventions
Device: Blood Brain Barrier Disruption - Oncology
Drug: Pembrolizumab
First Posted Date
2022-04-08
Last Posted Date
2024-03-13
Lead Sponsor
InSightec
Target Recruit Count
20
Registration Number
NCT05317858
Locations
🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

🇰🇷

Severance Hospital, Yonsei University Health System, Soeul, Korea, Republic of

🇺🇸

St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States

and more 5 locations
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