MedPath

Pembrolizumab

Generic Name
Pembrolizumab
Brand Names
Keytruda
Drug Type
Biotech
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)

Metronomic Cyclophosphamide With Pembrolizumab in Checkpoint Inhibitor Refractory Melanoma

Phase 2
Recruiting
Conditions
Melanoma
Melanoma Stage III
Melanoma (Skin)
Melanoma Stage IV
Interventions
First Posted Date
2025-01-13
Last Posted Date
2025-01-13
Lead Sponsor
University of California, Irvine
Target Recruit Count
14
Registration Number
NCT06771544
Locations
🇺🇸

Chao Family Comprehensive Cancer Center University of California, Irvine, Orange, California, United States

A Study to Evaluate the Adverse Events, Efficacy, and Optimal Dose of Intravenous (IV) Telisotuzumab Adizutecan in Combination With IV Budigalimab in Adult Participants With Advanced or Metastatic Non-Squamous NSCLC With No Prior Treatment for Advanced Disease, and No Actionable Genomic Alterations

First Posted Date
2025-01-13
Last Posted Date
2025-05-16
Lead Sponsor
AbbVie
Target Recruit Count
172
Registration Number
NCT06772623
Locations
🇺🇸

Providence - St. Jude Medical Center /ID# 271414, Fullerton, California, United States

🇺🇸

FOMAT Medical Research - Clinica mi Salud by Focil Med /ID# 274450, Oxnard, California, United States

🇺🇸

Mid Florida Hematology And Oncology Center /ID# 273777, Orange City, Florida, United States

and more 17 locations

Testing the Addition of the Immunotherapy Drug, Pembrolizumab, to Radiation Therapy Compared to the Usual Chemotherapy Treatment During Radiation Therapy for Bladder Cancer, PARRC Trial

Phase 2
Recruiting
Conditions
Non-Muscle Invasive Bladder Urothelial Carcinoma
Stage I Bladder Cancer AJCC v8
Recurrent Non-Muscle Invasive Bladder Urothelial Carcinoma
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Magnetic Resonance Imaging
Other: Questionnaire Administration
Radiation: Radiation Therapy
First Posted Date
2025-01-13
Last Posted Date
2025-05-16
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
160
Registration Number
NCT06770582
Locations
🇺🇸

Shaw Cancer Center, Edwards, Colorado, United States

🇺🇸

University of Florida Health Science Center - Gainesville, Gainesville, Florida, United States

🇺🇸

Louisiana Hematology Oncology Associates LLC, Baton Rouge, Louisiana, United States

and more 20 locations

Clinical Study of Ivonescimab for First-line Treatment of Metastatic NSCLC Patients With High PD-L1

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
First Posted Date
2025-01-10
Last Posted Date
2025-04-29
Lead Sponsor
Summit Therapeutics
Target Recruit Count
780
Registration Number
NCT06767514
Locations
🇺🇸

Clinical Study Site, Webster, Texas, United States

A Phase Ⅲ Study of Rilvegostomig in Combination With Fluoropyrimidine and Trastuzumab Deruxtecan as the First-line Treatment for HER2-positive Gastric Cancer

Phase 3
Recruiting
Conditions
HER2-positive Gastric Cancer
Gastroesophageal Junction Adenocarcinoma
Interventions
First Posted Date
2025-01-09
Last Posted Date
2025-04-27
Lead Sponsor
AstraZeneca
Target Recruit Count
840
Registration Number
NCT06764875
Locations
🇻🇳

Research Site, Vinh, Vietnam

Enfortumab Vedotin and Pembrolizumab With Cystectomy and/or Ureterectomy for Locally Advanced or Metastatic Bladder and Upper Urothelial Tract Cancer, CAST-AI Trial

Phase 4
Recruiting
Conditions
Locally Advanced Bladder Urothelial Carcinoma
Locally Advanced Renal Pelvis and Ureter Urothelial Carcinoma
Metastatic Bladder Urothelial Carcinoma
Metastatic Renal Pelvis and Ureter Urothelial Carcinoma
Stage III Bladder Cancer AJCC v8
Stage IV Bladder Cancer AJCC v8
Stage IV Renal Pelvis and Ureter Cancer AJCC v8
Interventions
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Cystectomy
Drug: Enfortumab Vedotin
Procedure: Local Therapy
Procedure: Magnetic Resonance Imaging
Procedure: Positron Emission Tomography
Other: Questionnaire Administration
Procedure: Ureterectomy
First Posted Date
2025-01-08
Last Posted Date
2025-02-24
Lead Sponsor
Mayo Clinic
Target Recruit Count
75
Registration Number
NCT06764095
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

This is a Study to Learn About How the Combination of the Study Medicines Sigvotatug Vedotin Plus Pembrolizumab Works in People With Non-small Cell Lung Cancer With High Levels of PD-L1.

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
Carcinoma, Non-Small-Cell Lung
Carcinoma, Non-Small-Cell Lung (NSCLC)
Interventions
First Posted Date
2025-01-03
Last Posted Date
2025-05-14
Lead Sponsor
Pfizer
Target Recruit Count
714
Registration Number
NCT06758401
Locations
🇺🇸

Mid Florida Hematology and Oncology Center, Orange City, Florida, United States

🇺🇸

BRCR Global, Plantation, Florida, United States

🇺🇸

Hope and Healing Cancer Services, New Lenox, Illinois, United States

and more 3 locations

A Study to Evaluate Efficacy, and Safety of QL2107 Plus Chemo and Compare With Keytruda in Participants With IV nqNSCLC

Phase 3
Not yet recruiting
Conditions
NSCLC
Interventions
First Posted Date
2025-01-01
Last Posted Date
2025-01-01
Lead Sponsor
Qilu Pharmaceutical Co., Ltd.
Target Recruit Count
464
Registration Number
NCT06754644

Prospective Trial Assessing Real World Outcomes Response to Pembro in Black Patients w/ NSCLC

Phase 2
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2024-12-20
Last Posted Date
2025-05-06
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
318
Registration Number
NCT06745882
Locations
🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma

First Posted Date
2024-12-19
Last Posted Date
2025-05-20
Lead Sponsor
Immatics US, Inc.
Target Recruit Count
360
Registration Number
NCT06743126
Locations
🇺🇸

SCRI Oncology Partners, Nashville, Tennessee, United States

🇺🇸

UCLA Hematology/Oncology, Los Angeles, California, United States

🇺🇸

Honor Health Research Institute, Scottsdale, Arizona, United States

and more 19 locations
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