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 Pembrolizumab in the First Line Therapy for R/M HNSCC in China

Conditions
Head and Neck Squamous Cell Carcinoma
First Posted Date
2021-02-05
Last Posted Date
2022-02-07
Lead Sponsor
Shi Yuankai
Target Recruit Count
30
Registration Number
NCT04740996
Locations
🇨🇳

Cancer Institute/Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China

Coformulation of Pembrolizumab/Vibostolimab (MK-7684A) Versus Pembrolizumab (MK-3475) Monotherapy for Programmed Cell Death 1 Ligand 1 (PD-L1) Positive Metastatic Non-Small Cell Lung Cancer (MK-7684A-003, KEYVIBE-003)

Phase 3
Active, not recruiting
Conditions
Lung Neoplasms
Non-Small-Cell Lung Carcinoma
Interventions
Biological: Pembrolizumab/Vibostolimab
Biological: Pembrolizumab
First Posted Date
2021-02-04
Last Posted Date
2024-11-08
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1264
Registration Number
NCT04738487
Locations
🇺🇸

Boca Raton Regional Hospital ( Site 0004), Boca Raton, Florida, United States

🇺🇸

Illinois Cancer Care ( Site 0026), Peoria, Illinois, United States

🇺🇸

Mercy Research - David C. Pratt Cancer Center ( Site 0025), Saint Louis, Missouri, United States

and more 185 locations

A Study of Pembrolizumab (MK-3475) in Combination With Belzutifan (MK-6482) and Lenvatinib (MK-7902), or Pembrolizumab/Quavonlimab (MK-1308A) in Combination With Lenvatinib, Versus Pembrolizumab and Lenvatinib, for Treatment of Advanced Clear Cell Renal Cell Carcinoma (MK-6482-012)

Phase 3
Active, not recruiting
Conditions
Carcinoma, Renal Cell
Interventions
First Posted Date
2021-02-03
Last Posted Date
2024-11-18
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1653
Registration Number
NCT04736706
Locations
🇺🇸

Hartford Hospital ( Site 0024), Hartford, Connecticut, United States

🇺🇸

Cedars Sinai Medical Center ( Site 0027), Los Angeles, California, United States

🇺🇸

New England Cancer Specialists ( Site 0082), Scarborough, Maine, United States

and more 259 locations

Study Evaluating Effectiveness and Safety of Zimberelimab and Domvanalimab in Lung Cancer

Phase 2
Active, not recruiting
Conditions
Squamous Non Small Cell Lung Cancer
Non Small Cell Lung Cancer
Nonsquamous Non Small Cell Lung Cancer
Lung Cancer
Interventions
First Posted Date
2021-02-03
Last Posted Date
2025-01-01
Lead Sponsor
Arcus Biosciences, Inc.
Target Recruit Count
169
Registration Number
NCT04736173
Locations
🇺🇸

City of Hope-Duarte, Duarte, California, United States

🇺🇸

City of Hope - Huntington Beach (Including Long Beach Elm), Huntington Beach, California, United States

🇺🇸

City Of Hope, Irvine, California, United States

and more 108 locations

Fecal Microbiota Transplant and Re-introduction of Anti-PD-1 Therapy (Pembrolizumab or Nivolumab) for the Treatment of Metastatic Colorectal Cancer in Anti-PD-1 Non-responders

Phase 2
Active, not recruiting
Conditions
Metastatic Small Intestinal Adenocarcinoma
Stage IV Colorectal Cancer AJCC v8
Stage IV Small Intestinal Adenocarcinoma AJCC v8
Stage IVB Colorectal Cancer AJCC v8
Metastatic Colorectal Adenocarcinoma
Stage IVC Colorectal Cancer AJCC v8
Stage IVA Colorectal Cancer AJCC v8
Interventions
Procedure: Biopsy
Procedure: Fecal Microbiota Transplantation
Drug: Fecal Microbiota Transplantation Capsule
Drug: Metronidazole
Drug: Neomycin
Biological: Nivolumab
Biological: Pembrolizumab
Other: Questionnaire Administration
Drug: Vancomycin
First Posted Date
2021-01-28
Last Posted Date
2024-12-12
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
15
Registration Number
NCT04729322
Locations
🇺🇸

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

Pembrolizumab And Lenvatinib In Leptomeningeal Metastases

Phase 2
Terminated
Conditions
Solid Tumor
Solid Tumor, Adult
Leptomeningeal Metastasis
Interventions
First Posted Date
2021-01-28
Last Posted Date
2024-03-15
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
10
Registration Number
NCT04729348
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

JAB-3312 Based Combination Therapy in Adult Patients With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Solid Tumor
NSCLC
Interventions
First Posted Date
2021-01-22
Last Posted Date
2023-05-18
Lead Sponsor
Jacobio Pharmaceuticals Co., Ltd.
Target Recruit Count
200
Registration Number
NCT04720976
Locations
🇺🇸

Research Site, Salt Lake City, Utah, United States

Study of SAR444881 Administered Alone and in Combination With Other Therapeutics in Participants With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Neoplasm
Cancer
Interventions
First Posted Date
2021-01-22
Last Posted Date
2024-12-27
Lead Sponsor
Sanofi
Target Recruit Count
456
Registration Number
NCT04717375
Locations
🇺🇸

University of Colorado- Site Number : 8400012, Aurora, Colorado, United States

🇺🇸

Mayo Clinic Hospital- Site Number : 8400003, Phoenix, Arizona, United States

🇺🇸

City of Hope Comprehensive Cancer Center- Site Number : 8400002, Duarte, California, United States

and more 15 locations

Safety and Efficacy Study of Pemetrexed + Platinum Chemotherapy + Pembrolizumab (MK-3475) With or Without Lenvatinib (MK-7902/E7080) as First-line Intervention in Adults With Metastatic Nonsquamous Non-small Cell Lung Cancer (MK-7902-006/E7080-G000-315/LEAP-006)-China Extension Study

First Posted Date
2021-01-20
Last Posted Date
2024-10-04
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
201
Registration Number
NCT04716933
Locations
🇨🇳

Fujian Provincial Cancer Hospital ( Site 0102), Fuzhou, Fujian, China

🇨🇳

Cancer Hospital Affiliated to Xinjiang Medical University ( Site 0110), Urumuqi, Xinjiang, China

🇨🇳

The First Affiliated Hospital of Wenzhou Medical University ( Site 0124), Wen Zhou, Zhejiang, China

and more 16 locations

Combination of Pembrolizumab and Lenvatinib, in Pre-treated Thymic CArcinoma paTIents

Phase 2
Active, not recruiting
Conditions
Metastatic Thymic Carcinoma
Thymoma Type B3
Interventions
First Posted Date
2021-01-15
Last Posted Date
2024-08-09
Lead Sponsor
MedSIR
Target Recruit Count
43
Registration Number
NCT04710628
Locations
🇫🇷

Institut Bergonié, Bordeaux, France

🇫🇷

Centre Oscar Lambert, Lille, France

🇫🇷

Hôpitaux Universitaires de Marseille - Hôpital Nord, Marseille, France

and more 10 locations
© Copyright 2025. All Rights Reserved by MedPath