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
-

The Evaluation of PC14586 in Patients With Advanced Solid Tumors Harboring a TP53 Y220C Mutation (PYNNACLE)

Phase 1
Recruiting
Conditions
Endometrial Cancer
Breast Cancer
Advanced Malignant Neoplasm
Ovarian Cancer
Lung Cancer
Prostate Cancer
Other Cancer
Locally Advanced
Advanced Solid Tumor
Metastatic Cancer
Interventions
Drug: PC14586
Drug: pembrolizumab
First Posted Date
2020-10-14
Last Posted Date
2024-12-04
Lead Sponsor
PMV Pharmaceuticals, Inc
Target Recruit Count
230
Registration Number
NCT04585750
Locations
🇦🇺

Monash Medical Centre, Clayton, Victoria, Australia

🇦🇺

Linear Clinical Research, Nedlands, Western Australia, Australia

🇺🇸

Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois, United States

and more 63 locations

Efficacy Comparison of Dostarlimab Plus Chemotherapy Versus Pembrolizumab Plus Chemotherapy in Participants With Metastatic Non-squamous Non-small Cell Lung Cancer (NSCLC)

Phase 2
Completed
Conditions
Lung Cancer, Non-Small Cell
Interventions
First Posted Date
2020-10-09
Last Posted Date
2024-12-18
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
243
Registration Number
NCT04581824
Locations
🇨🇳

GSK Investigational Site, Taipei, Taiwan

Testing the Addition of an Anti-cancer Drug, BAY 1895344, With Radiation Therapy to the Usual Pembrolizumab Treatment for Recurrent Head and Neck Cancer

Phase 1
Active, not recruiting
Conditions
Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8
Recurrent Oropharyngeal Squamous Cell Carcinoma
Recurrent Salivary Gland Carcinoma
Stage III Major Salivary Gland Cancer AJCC v8
Stage IV Laryngeal Cancer AJCC v8
Unresectable Head and Neck Squamous Cell Carcinoma
Unresectable Laryngeal Squamous Cell Carcinoma
Clinical Stage III HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8
Recurrent Hypopharyngeal Squamous Cell Carcinoma
Recurrent Head and Neck Squamous Cell Carcinoma
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Drug: Elimusertib
Biological: Pembrolizumab
Procedure: Positron Emission Tomography
Other: Quality-of-Life Assessment
Radiation: Stereotactic Body Radiation Therapy
First Posted Date
2020-10-06
Last Posted Date
2024-12-13
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
7
Registration Number
NCT04576091
Locations
🇺🇸

Vanderbilt University/Ingram Cancer Center, Nashville, Tennessee, United States

🇺🇸

Huntsman Cancer Institute/University of Utah, Salt Lake City, Utah, United States

🇺🇸

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

and more 8 locations

Study of Pembrolizumab Combination With Chemotherapy in Platinum-sensitive Recurrent Low-grade Serous Ovarian Cancer

Phase 2
Recruiting
Conditions
Low Grade Serous Carcinoma
Ovarian Cancer
Primary Peritoneal Carcinoma
Fallopian Tube Cancer
Interventions
First Posted Date
2020-10-05
Last Posted Date
2024-11-15
Lead Sponsor
North Eastern German Society of Gynaecological Oncology
Target Recruit Count
33
Registration Number
NCT04575961
Locations
🇩🇪

Kliniken Essen Mitte, Essen, Germany

🇩🇪

Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany

Trimodality Approach of Low Dose iOnizing Radiation With or Without Neoadjuvant Pembrolizumab and Prostatectomy for Men With Intermediate/High Risk Prostate Cancer (TALON)

Phase 2
Not yet recruiting
Conditions
Prostate Cancer
Interventions
Drug: pembrolizumab
Radiation: Stereotactic body radiation therapy
Drug: Short-term androgen deprivation therapy
Procedure: Radical Prostatectomy
First Posted Date
2020-09-29
Last Posted Date
2024-11-19
Lead Sponsor
Duke University
Target Recruit Count
39
Registration Number
NCT04569461
Locations
🇺🇸

Duke University Medical Center, Durham, North Carolina, United States

First-In-Human (FIH) Study of W0180 as Single Agent and in Combination With Pembrolizumab in Adults With Locally Advanced or Metastatic Solid Tumors

Phase 1
Terminated
Conditions
Locally Advanced or Metastatic Solid Tumors
Interventions
Biological: W0180
Drug: Pembrolizumab
First Posted Date
2020-09-25
Last Posted Date
2024-01-31
Lead Sponsor
Pierre Fabre Medicament
Target Recruit Count
33
Registration Number
NCT04564417
Locations
🇫🇷

IGR, Villejuif, Villejuif, France

🇪🇸

CUN, Pamplona, Pamplona, Spain

🇫🇷

IUCT, Toulouse, Toulouse, France

and more 2 locations

Phase 2 Study of Neoadjuvant PEMbrolizumab Before Radical PROstatectomy in High-risk Prostate Cancer Patients

Phase 2
Conditions
Prostate Cancer
Interventions
First Posted Date
2020-09-25
Last Posted Date
2020-09-25
Lead Sponsor
IRCCS San Raffaele
Target Recruit Count
59
Registration Number
NCT04565496
Locations
🇮🇹

IRCCS Ospedale San Raffaele, Milan, Italy

🇮🇹

Ospedale San Raffaele, Milan, Italy

Study BT8009-100 in Subjects With Nectin-4 Expressing Advanced Malignancies

Phase 1
Recruiting
Conditions
Urinary Bladder Neoplasm
Triple Negative Breast Neoplasms
Hormone Receptor Positive, HER2-negative Neoplasms
Hormone Receptor Positive, HER2-low Neoplasms
Breast Neoplasms
Non-Small-Cell Lung Neoplasms
Ovarian Neoplasm
Advanced Solid Tumor
Interventions
First Posted Date
2020-09-23
Last Posted Date
2024-04-23
Lead Sponsor
BicycleTx Limited
Target Recruit Count
329
Registration Number
NCT04561362
Locations
🇫🇷

Centre Eugene Marquis, Rennes, France

🇫🇷

Institut Bergonie, Bordeaux, France

🇫🇷

Institut Gustave Roussy, Villejuif, France

and more 26 locations

Drug Concentration Monitoring of Pembrolizumab in Non-Small Cell Lung Cancer Patients

Recruiting
Conditions
NSCLC
Interventions
First Posted Date
2020-09-21
Last Posted Date
2020-09-21
Lead Sponsor
Oslo University Hospital
Target Recruit Count
250
Registration Number
NCT04557007
Locations
🇳🇴

St Olavs University Hospital, Trondheim, Norway

Alisertib and Pembrolizumab for the Treatment of Patients With Rb-deficient Head and Neck Squamous Cell Cancer

Phase 1
Active, not recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Malignant Solid Neoplasm
Interventions
First Posted Date
2020-09-21
Last Posted Date
2024-12-16
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
24
Registration Number
NCT04555837
Locations
🇺🇸

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

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