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
-

CAR-macrophages for the Treatment of HER2 Overexpressing Solid Tumors

Phase 1
Active, not recruiting
Conditions
HER2-positive
Carcinoma, Hepatocellular
Lung Cancer, Non-Small-Cell
Esophagogastric Junction Neoplasms
Inflammatory Breast Cancer
Prostate Cancer
Lung Cancer, Small Cell
Bile Duct Cancer
Carcinoma, Ductal
Cancer
Interventions
Biological: CT-0508
Biological: Pembrolizumab
First Posted Date
2020-12-09
Last Posted Date
2024-12-18
Lead Sponsor
Carisma Therapeutics Inc
Target Recruit Count
48
Registration Number
NCT04660929
Locations
🇺🇸

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

🇺🇸

Abramson Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Fred Hutchinson Cancer Center, Seattle, Washington, United States

and more 4 locations

A Clinical Trial of Three Study Medicines (Encorafenib, Binimetinib, and Pembrolizumab) in Patients With Advanced or Metastatic Melanoma

Phase 3
Active, not recruiting
Conditions
Melanoma
Interventions
First Posted Date
2020-12-08
Last Posted Date
2024-10-08
Lead Sponsor
Pfizer
Target Recruit Count
258
Registration Number
NCT04657991
Locations
🇩🇪

HELIOS Klinikum Erfurt, Erfurt, Germany

🇺🇸

UCLA - Hematology/Oncology - Administrative Office, Los Angeles, California, United States

🇺🇸

Ronald Reagan UCLA Medical Center Drug Information Center , Dept. of Pharmaceutical Services (Drug, Los Angeles, California, United States

and more 210 locations

GYNecological Cancers Treated with NETrin MAbs in Combination with Chemotherapy and /or Pembrolizumab

Phase 1
Active, not recruiting
Conditions
Endometrial Carcinoma
Cervix Carcinoma
Interventions
First Posted Date
2020-12-03
Last Posted Date
2024-10-08
Lead Sponsor
NETRIS Pharma
Target Recruit Count
240
Registration Number
NCT04652076
Locations
🇫🇷

Hopital de la Croix Saint Simon, Paris, France

🇫🇷

Institut Curie (Site Saint Cloud), Paris, France

🇫🇷

Institut Gustave Roussy, Paris, France

and more 11 locations

Lenvatinib and Pembrolizumab Combination Therapy In HPV-associated Recurrent Respiratory Papillomatosis Patients With Laryngeal, Tracheal, and/or Pulmonary Involvement

Phase 2
Not yet recruiting
Conditions
Human Papilloma Virus
Recurrent Respiratory Papillomatosis
Interventions
First Posted Date
2020-11-27
Last Posted Date
2024-10-01
Lead Sponsor
Yale University
Target Recruit Count
20
Registration Number
NCT04645602
Locations
🇺🇸

Yale University, New Haven, Connecticut, United States

Olaparib in Combination With Pembrolizumab and Carboplatin as First-Line Treatment of Recurrent or Metastatic Head and Neck Squamous-Cell Carcinoma

Phase 2
Active, not recruiting
Conditions
Metastatic Head and Neck Squamous Cell Carcinoma
Recurrent Head and Neck Squamous Cell Carcinoma
Interventions
First Posted Date
2020-11-25
Last Posted Date
2024-07-19
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
30
Registration Number
NCT04643379
Locations
🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

Pembrolizumab Plus Olaparib in Patients With Recurrent Cervical Cancer

Phase 2
Conditions
Cervical Cancer
Interventions
First Posted Date
2020-11-24
Last Posted Date
2022-08-09
Lead Sponsor
Saitama Medical University International Medical Center
Target Recruit Count
28
Registration Number
NCT04641728
Locations
🇯🇵

Saitama Medical Uiversity International Medical Center, Hidaka, Saitama, Japan

Pembrolizumab as Neoadjuvant Therapy for Resectable Stage IA3 to IIA Non-Small Cell Lung Cancer (NSCLC)

Phase 2
Recruiting
Conditions
Lung Cancer, Nonsmall Cell
Interventions
First Posted Date
2020-11-20
Last Posted Date
2023-03-22
Lead Sponsor
McGill University Health Centre/Research Institute of the McGill University Health Centre
Target Recruit Count
44
Registration Number
NCT04638582
Locations
🇨🇦

McGill University Health Center, Montréal, Quebec, Canada

Trying to Find the Correct Length of Treatment With Immune Checkpoint Therapy

Phase 3
Active, not recruiting
Conditions
Locally Advanced Urothelial Carcinoma
Locally Advanced Urethral Urothelial Carcinoma
Locally Advanced Renal Pelvis Urothelial Carcinoma
Locally Advanced Ureter Urothelial Carcinoma
Metastatic Urethral Urothelial Carcinoma
Metastatic Bladder Urothelial Carcinoma
Metastatic Renal Pelvis Urothelial Carcinoma
Metastatic Ureter Urothelial Carcinoma
Metastatic Urothelial Carcinoma
Locally Advanced Bladder Urothelial Carcinoma
Interventions
First Posted Date
2020-11-20
Last Posted Date
2024-07-31
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
3
Registration Number
NCT04637594
Locations
🇺🇸

CHI Health Saint Francis, Grand Island, Nebraska, United States

🇺🇸

CHI Health Good Samaritan, Kearney, Nebraska, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

and more 374 locations

Study of Pembrolizumab (MK-3475) in Combination With Adjuvant Chemotherapy With or Without Radiotherapy in Participants With Newly Diagnosed Endometrial Cancer After Surgery With Curative Intent (MK-3475-B21 / KEYNOTE-B21 / ENGOT-en11 / GOG-3053)

Phase 3
Active, not recruiting
Conditions
Endometrial Neoplasms
Interventions
First Posted Date
2020-11-18
Last Posted Date
2024-11-19
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
990
Registration Number
NCT04634877
Locations
🇨🇦

Kingston Health Sciences Centre ( Site 3003), Kingston, Ontario, Canada

🇺🇸

University of South Alabama, Mitchell Cancer Institute ( Site 3058), Mobile, Alabama, United States

🇺🇸

WK Physicians Network/Gynecologic Oncology Associates ( Site 3047), Shreveport, Louisiana, United States

and more 228 locations

CMP-001 in Combination With Pembrolizumab in Subjects With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma

Phase 2
Terminated
Conditions
Squamous Cell Carcinoma of Head and Neck
Interventions
Drug: CMP-001
Drug: Pembrolizumab
First Posted Date
2020-11-18
Last Posted Date
2024-10-23
Lead Sponsor
Regeneron Pharmaceuticals
Target Recruit Count
24
Registration Number
NCT04633278
Locations
🇺🇸

University of Chicago Medical Center, Chicago, Illinois, United States

🇺🇸

University of Southern California: Norris Oncology/Hematology - Newport Beach, Newport Beach, California, United States

🇺🇸

University of California - San Diego, La Jolla, California, United States

and more 16 locations
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