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
-

Placebo-controlled Study Comparing Niraparib Plus Pembrolizumab Versus Placebo Plus Pembrolizumab as Maintenance Therapy in Participants With Advanced/Metastatic Non-small Cell Lung Cancer

Phase 3
Active, not recruiting
Conditions
Lung Cancer, Non-Small Cell
Interventions
First Posted Date
2020-07-17
Last Posted Date
2024-12-24
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
666
Registration Number
NCT04475939
Locations
🇬🇧

GSK Investigational Site, Wrexham, United Kingdom

Sacituzumab Govitecan +/- Pembrolizumab in Metastatic TNBC

Phase 2
Recruiting
Conditions
Breast Cancer
Triple Negative Breast Cancer
PD-L1 Negative
Interventions
First Posted Date
2020-07-13
Last Posted Date
2024-04-16
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
110
Registration Number
NCT04468061
Locations
🇺🇸

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

🇺🇸

Stamford Hospital, Stamford, Connecticut, United States

🇺🇸

Eastern Maine Medical Center, Brewer, Maine, United States

and more 7 locations

A Study of SBT6050 Alone and in Combination With PD-1 Inhibitors in Subjects With Advanced HER2 Expressing Solid Tumors

Phase 1
Conditions
HER2 Positive Solid Tumors
Interventions
First Posted Date
2020-07-07
Last Posted Date
2022-06-30
Lead Sponsor
Silverback Therapeutics
Target Recruit Count
58
Registration Number
NCT04460456
Locations
🇺🇸

University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

🇦🇺

Macquarie University Hospital Clinical Trials Unit, Sydney, New South Wales, Australia

🇦🇺

Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia

and more 9 locations

A Study of the Safety and Tolerance of CAN04 and Pembrolizumab in Combination With and Without Carboplatin and Pemetrexed in Subjects With Solid Tumors

Phase 1
Completed
Conditions
Carcinoma, Non-Small-Cell Lung
Urothelial Carcinoma
Head and Neck Squamous Cell Carcinoma
Malignant Melanoma
Interventions
First Posted Date
2020-06-30
Last Posted Date
2023-07-14
Lead Sponsor
Cantargia AB
Target Recruit Count
19
Registration Number
NCT04452214
Locations
🇺🇸

Florida Cancer Specialists & Research Institute, Lake Mary, Florida, United States

🇺🇸

University of Colorado Cancer Center, Aurora, Colorado, United States

🇺🇸

Hospital of The University of Pennsylvania, Philadelphia, Pennsylvania, United States

Sacituzumab Govitecan +/- Pembrolizumab In HR+ / HER2 - MBC

Phase 2
Active, not recruiting
Conditions
Invasive Breast Cancer
Metastatic Breast Cancer
HR-Positive Breast Cancer
HER2-negative Breast Cancer
Interventions
First Posted Date
2020-06-26
Last Posted Date
2024-03-25
Lead Sponsor
Ana C Garrido-Castro, MD
Target Recruit Count
110
Registration Number
NCT04448886
Locations
🇺🇸

Emory University/Winship Cancer Institute, Atlanta, Georgia, United States

🇺🇸

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

🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

and more 5 locations

Pembrolizumab Plus Chemotherapy in 1st Line Treatment of Pancreatic Cancer

Phase 2
Active, not recruiting
Conditions
Pancreatic Cancer
Chemotherapy Effect
Interventions
First Posted Date
2020-06-25
Last Posted Date
2024-04-19
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
77
Registration Number
NCT04447092
Locations
🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

Pre-op Pembro + Radiation Therapy in Breast Cancer (P-RAD)

Phase 2
Recruiting
Conditions
Triple Negative Breast Cancer
Biopsy-proven, Positive Lymph Node(s)
Hormone Receptor Positive (HR+), HER2-negative Breast Cancer
Interventions
First Posted Date
2020-06-23
Last Posted Date
2024-03-19
Lead Sponsor
Laura M. Spring, MD
Target Recruit Count
120
Registration Number
NCT04443348
Locations
🇺🇸

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

🇺🇸

University of North Carolina Medical Center, Chapel Hill, North Carolina, United States

🇺🇸

Johns Hopkins, Baltimore, Maryland, United States

and more 7 locations

AN0025 and Pembrolizumab Combination in Advanced Solid Tumors

Phase 1
Active, not recruiting
Conditions
NSCLC, Squamous or Non-Squamous
Triple-negative Breast Cancer
Microsatellite Stable (MSS) Colorectal Cancer (CRC)
Cervical Cancer
Urothelial Carcinoma of the Bladder
Interventions
First Posted Date
2020-06-16
Last Posted Date
2024-06-27
Lead Sponsor
Adlai Nortye Biopharma Co., Ltd.
Target Recruit Count
63
Registration Number
NCT04432857
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

University of Virginia, Richmond, Virginia, United States

🇫🇷

Centre Léon Bérard, Lyon, France

and more 3 locations

Cisplatin+Pembrolizumab+RT in Vulvar Cancer

Phase 2
Recruiting
Conditions
Vulvar Cancer
Vulvar Squamous Cell Carcinoma
Interventions
Drug: Cisplatin
Drug: Pembrolizumab
Radiation: Radiation Therapy
First Posted Date
2020-06-12
Last Posted Date
2024-03-13
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
24
Registration Number
NCT04430699
Locations
🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

Tucatinib Plus Trastuzumab and Oxaliplatin-based Chemotherapy or Pembrolizumab-containing Combinations for HER2+ Gastrointestinal Cancers

Phase 1
Active, not recruiting
Conditions
GEJ Adenocarcinoma
Cholangiocarcinoma
Gallbladder Carcinoma
Colorectal Carcinoma
Esophageal Adenocarcinoma
Gastric Adenocarcinoma
Interventions
First Posted Date
2020-06-12
Last Posted Date
2024-10-15
Lead Sponsor
Seagen Inc.
Target Recruit Count
40
Registration Number
NCT04430738
Locations
🇺🇸

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

🇺🇸

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

🇯🇵

National Cancer Center Hospital, Chuo-ku, Other, Japan

and more 19 locations
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