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
-

Plinabulin in Combination With Radiation/Immunotherapy in Patients With Select Advanced Cancers After Progression on PD-1 or PD-L1 Targeted Antibodies

Phase 1
Active, not recruiting
Conditions
Clinical Stage IV Merkel Cell Carcinoma AJCC v8
Advanced Bladder Carcinoma
Clinical Stage III Cutaneous Melanoma AJCC v8
Pathologic Stage IIIA Cutaneous Melanoma AJCC v8
Pathologic Stage IIID Cutaneous Melanoma AJCC v8
Stage III Lung Cancer AJCC v8
Stage IIIC Lung Cancer AJCC v8
Stage IV Bladder Cancer AJCC v8
Stage IV Lung Cancer AJCC v8
Advanced Lung Non-Small Cell Carcinoma
Interventions
First Posted Date
2021-05-26
Last Posted Date
2024-12-05
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
19
Registration Number
NCT04902040
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Olaptesed With Pembrolizumab and Nanoliposomal Irinotecan or Gemcitabine/Nab-Paclitaxel in MSS Pancreatic Cancer

Phase 2
Not yet recruiting
Conditions
Metastatic Pancreatic Cancer
Interventions
First Posted Date
2021-05-25
Last Posted Date
2024-06-11
Lead Sponsor
TME Pharma AG
Target Recruit Count
60
Registration Number
NCT04901741

A Study of Pembrolizumab and Radiation Therapy in People With Mesothelioma

Phase 1
Recruiting
Conditions
Malignant Pleural Mesothelioma
Interventions
Drug: Pembrolizumab
Radiation: IMPRINT
First Posted Date
2021-05-21
Last Posted Date
2024-06-04
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
24
Registration Number
NCT04897022
Locations
🇺🇸

Memorial Sloan Kettering Monmouth (Limited Protocol Activities), Middletown, New Jersey, United States

🇺🇸

Memorial Sloan Kettering Basking Ridge (Limited protocol activities), Basking Ridge, New Jersey, United States

🇺🇸

Memorial Sloan Kettering Bergen (Limited Protocol Activities), Montvale, New Jersey, United States

and more 4 locations

Study of Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy for HR+/HER2- Locally Recurrent Inoperable or Metastatic Breast Cancer (MK-3475-B49/KEYNOTE-B49)

Phase 3
Active, not recruiting
Conditions
Breast Neoplasms
Interventions
First Posted Date
2021-05-20
Last Posted Date
2024-11-13
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
340
Registration Number
NCT04895358
Locations
🇺🇸

Parkview Research Center at Parkview Regional Medical Center ( Site 0071), Fort Wayne, Indiana, United States

🇺🇸

University of Illinois at Chicago ( Site 0061), Chicago, Illinois, United States

🇫🇷

Institut de Cancérologie de l'Ouest ( Site 0915), ANGERS cedex 02, Maine-et-Loire, France

and more 253 locations

Evaluation of Co-formulated Pembrolizumab/Quavonlimab (MK-1308A) Versus Other Treatments in Participants With Microsatellite Instability-High (MSI-H) or Mismatch Repair Deficient (dMMR) Stage IV Colorectal Cancer (CRC) (MK-1308A-008/KEYSTEP-008)

Phase 2
Active, not recruiting
Conditions
Colorectal Cancer
Interventions
Biological: Pembrolizumab
Biological: Pembrolizumab/Quavonlimab
Biological: Pembrolizumab/Favezelimab
Biological: Pembrolizumab/Vibostolimab
Biological: MK-4830
First Posted Date
2021-05-20
Last Posted Date
2024-12-13
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
320
Registration Number
NCT04895722
Locations
🇺🇸

University of Chicago Medical Center-Medicine - Section of Hematology/Oncology - Gastrointestinal P, Chicago, Illinois, United States

🇺🇸

UPMC Hillman Cancer Center ( Site 1516), Pittsburgh, Pennsylvania, United States

🇨🇦

The Moncton Hospital-Oncology ( Site 0307), Moncton, New Brunswick, Canada

and more 106 locations

Safety and Efficacy Study of Pembrolizumab (MK-3475) Combined With Lenvatinib (MK-7902/E7080) as First-line Intervention in Adults With Advanced Melanoma (MK-7902-003/E7080-G000-312/LEAP-003)-China Extension Study

Phase 3
Completed
Conditions
Malignant Melanoma
Interventions
First Posted Date
2021-05-17
Last Posted Date
2024-12-02
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
131
Registration Number
NCT04889118
Locations
🇨🇳

Nanjing Drum Tower Hospital (0609), Nanjing, Jiangsu, China

🇨🇳

Beijing Cancer Hospital (0601), Beijing, Beijing, China

🇨🇳

Sun Yat-Sen University Cancer Center (0602), Guangzhou, Guangdong, China

and more 8 locations

Lenvatinib and Pembrolizumab Maintenance Therapy for the Treatment of Patients of Advanced Unresectable Pancreatic Cancer

Phase 2
Recruiting
Conditions
Advanced Pancreatic Ductal Adenocarcinoma
Stage IIB Pancreatic Cancer AJCC v8
Stage III Pancreatic Cancer AJCC v8
Stage IV Pancreatic Cancer AJCC v8
Stage II Pancreatic Cancer AJCC v8
Stage IIA Pancreatic Cancer AJCC v8
Unresectable Pancreatic Ductal Adenocarcinoma
Interventions
First Posted Date
2021-05-14
Last Posted Date
2024-11-12
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
28
Registration Number
NCT04887805
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Study of Sitravatinib With or Without Other Anticancer Therapies Receiving Clinical Benefit From Parent Study

Phase 2
Active, not recruiting
Conditions
Advanced or Metastatic Solid Malignancies
Interventions
First Posted Date
2021-05-14
Last Posted Date
2024-06-21
Lead Sponsor
Mirati Therapeutics Inc.
Target Recruit Count
55
Registration Number
NCT04887870
Locations
🇺🇸

Local Institution - 516-014-004, Columbus, Ohio, United States

🇺🇸

Local Institution - 516-014-011, Albany, New York, United States

🇺🇸

Local Institution - 516-014-027, Fairfax, Virginia, United States

and more 10 locations

Study of Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy in Participants With Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma (MK-3475-585/KEYNOTE-585)-China Extension

Phase 3
Active, not recruiting
Conditions
Gastroesophageal Junction Cancer
Gastric Cancer
Interventions
First Posted Date
2021-05-11
Last Posted Date
2025-01-08
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
120
Registration Number
NCT04882241
Locations
🇨🇳

Afflilated Hospital of Bengbu Medical College-Surgical Oncology (Site 0638), Bengbu, Anhui, China

🇨🇳

Tangdu Hospital of Fourth Military Medical University of Chinese People's Liberation Army ( Site 0647), Xi'an, Shaanxi, China

🇨🇳

Beijing Friendship Hospital ( Site 0637), Beijing, Beijing, China

and more 17 locations

A Study of Disitamab Vedotin Alone or With Pembrolizumab in Urothelial Cancer That Expresses HER2

Phase 2
Recruiting
Conditions
Urothelial Carcinoma
Interventions
First Posted Date
2021-05-10
Last Posted Date
2024-10-24
Lead Sponsor
Seagen Inc.
Target Recruit Count
332
Registration Number
NCT04879329
Locations
🇦🇺

GenesisCare North Shore (Oncology), St Leonards, Other, Australia

🇺🇸

Banner MD Anderson Cancer Center, Gilbert, Arizona, United States

🇺🇸

City of Hope, Duarte, California, United States

and more 79 locations
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