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
-

Pembrolizumab and Lenvatinib for Platinum- Sensitive Recurrent Ovarian Cancer

Phase 2
Recruiting
Conditions
Ovarian Neoplasms
Genital Neoplasms, Female
Neoplasm of Stomach
Urogenital Neoplasms
Neoplasms, Glandular and Epithelial
Carcinoma, Ovarian Epithelial
Ovarian Diseases
Ovarian Epithelial Tumor
Interventions
First Posted Date
2020-08-19
Last Posted Date
2023-06-08
Lead Sponsor
Sheba Medical Center
Target Recruit Count
24
Registration Number
NCT04519151
Locations
🇮🇱

Sheba Medical center, Ramat Gan, Israel

TOPAZ: Tucatinib in COmbination With Pembrolizumab And TrastuZumab in Patients With HER2-Positive Breast Cancer Brain Metastases

Phase 1
Withdrawn
Conditions
Brain Metastases
HER2-positive Breast Cancer
Breast Cancer
CNS Disease
Interventions
First Posted Date
2020-08-13
Last Posted Date
2022-07-01
Lead Sponsor
Reva Basho
Registration Number
NCT04512261
Locations
🇺🇸

Cedars-Sinai Medical Center, Los Angeles, California, United States

A Single-Arm Pilot Study of Adjuvant Pembrolizumab Plus Trastuzumab in HER2+ Esophagogastric Tumors With Persistent Circulating Tumor DNA Following Curative Resection

Phase 2
Terminated
Conditions
Gastric Tumor
Esophageal Cancer
Gastroesophageal Junction Tumor
Esophagogastric Tumors
Gastric Cancer
Esophageal Neoplasms
Esophageal Tumor
GastroEsophageal Cancer
Gastroesophageal Junction Adenocarcinoma
Gastroesophageal Junction Cancer
Interventions
First Posted Date
2020-08-12
Last Posted Date
2023-02-01
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
1
Registration Number
NCT04510285
Locations
🇺🇸

Memorial Sloan Kettering Cancer Center (All Protocol Activities), New York, New York, United States

🇺🇸

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

🇺🇸

Memorial Sloan Kettering Commack (Limited Protocol Activities), Commack, New York, United States

and more 4 locations

Study of Pembrolizumab With Bendamustine in Hodgkin Lymphoma

Phase 2
Recruiting
Conditions
Refractory Cancer
Classical Hodgkin Lymphoma
Relapsed Cancer
Interventions
First Posted Date
2020-08-12
Last Posted Date
2024-03-22
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
37
Registration Number
NCT04510636
Locations
🇨🇦

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

A Study of Pembrolizumab (MK-3475) Plus Carboplatin and Paclitaxel as First-line Treatment of Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (MK-3475-B10/KEYNOTE B10)

Phase 4
Completed
Conditions
Squamous Cell Carcinoma of Head and Neck
Interventions
First Posted Date
2020-07-28
Last Posted Date
2024-11-22
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
101
Registration Number
NCT04489888
Locations
🇺🇸

Washington University School of Medicine ( Site 0240), Saint Louis, Missouri, United States

🇺🇸

Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 0262), Mineola, New York, United States

🇺🇸

UPMC Hillman Cancer Center ( Site 0253), Pittsburgh, Pennsylvania, United States

and more 32 locations

TTX-080 HLA-G Antagonist in Subjects with Advanced Cancers

Phase 1
Recruiting
Conditions
Cancer
Interventions
Drug: TTX-080
Drug: FOLFIRI
Drug: pembrolizumab
Drug: cetuximab
First Posted Date
2020-07-24
Last Posted Date
2024-12-05
Lead Sponsor
Tizona Therapeutics, Inc
Target Recruit Count
240
Registration Number
NCT04485013
Locations
🇺🇸

Arizona Oncology Associates, Tucson, Arizona, United States

🇺🇸

University of Southern California, Los Angeles, California, United States

🇺🇸

Hoag Memorial Hospital, Newport Beach, California, United States

and more 35 locations

B7H3 CAR T Cell Immunotherapy for Recurrent/Refractory Solid Tumors in Children and Young Adults

Phase 1
Active, not recruiting
Conditions
Hepatoblastoma
Wilms Tumor
Carcinoma
Ewing Sarcoma
Retinoblastoma
Clear Cell Sarcoma
Osteosarcoma
Neuroblastoma
Pediatric Solid Tumor
Germ Cell Tumor
Interventions
Biological: second generation 4-1BBζ B7H3-EGFRt-DHFR
Biological: second generation 4-1BBζ B7H3-EGFRt-DHFR(selected) and a second generation 4-1BBζ CD19-Her2tG
Drug: Pembrolizumab
First Posted Date
2020-07-23
Last Posted Date
2024-12-04
Lead Sponsor
Seattle Children's Hospital
Target Recruit Count
68
Registration Number
NCT04483778
Locations
🇺🇸

Seattle Children's Hospital, Seattle, Washington, United States

Pembrolizumab and Olaparib in Cervical Cancer Patients

Phase 2
Active, not recruiting
Conditions
Cervical Cancer
Cervical Carcinoma
Interventions
First Posted Date
2020-07-23
Last Posted Date
2024-04-05
Lead Sponsor
John Diaz
Target Recruit Count
8
Registration Number
NCT04483544
Locations
🇺🇸

Miami Cancer Institute at Plantation, Plantation, Florida, United States

🇺🇸

Miami Cancer Institute, Miami, Florida, United States

Study of AMG 330 in Combination With Pembrolizumab in Adult With Relapsed or Refractory Acute Myeloid Leukemia

Phase 1
Terminated
Conditions
Relapsed or Refractory Acute Myeloid Leukemia
Interventions
Drug: AMG 330
Drug: Pembrolizumab
First Posted Date
2020-07-21
Last Posted Date
2024-03-08
Lead Sponsor
Amgen
Target Recruit Count
1
Registration Number
NCT04478695
Locations
🇺🇸

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

🇺🇸

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

LUMINOS-101: Lerapolturev (PVSRIPO) and Pembrolizumab in Patients with Recurrent Glioblastoma

Phase 2
Completed
Conditions
Supratentorial Glioblastoma
Brain Tumor
Glioblastoma
Recurrent Glioblastoma
Interventions
First Posted Date
2020-07-21
Last Posted Date
2024-10-02
Lead Sponsor
Istari Oncology, Inc.
Target Recruit Count
25
Registration Number
NCT04479241
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

The Ohio State University, Columbus, Ohio, United States

🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

and more 7 locations
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