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
-

Lenvatinib and Pembrolizumab in People With Advanced Adenoid Cystic Carcinoma and Other Salivary Gland Cancers

Phase 2
Recruiting
Conditions
Adenoid Cystic Carcinoma
Salivary Gland Cancer
Interventions
First Posted Date
2019-12-24
Last Posted Date
2024-08-20
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
64
Registration Number
NCT04209660
Locations
🇺🇸

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

🇺🇸

Baptist Alliance MCI, Miami, Florida, United States

🇺🇸

Memorial Sloan Kettering Basking Ridge (All Protocol Activities), Basking Ridge, New Jersey, United States

and more 5 locations

A Phase II Study of Neoadjuvant Pembrolizumab & Lenvatinib for Resectable Stage III Melanoma

Phase 2
Active, not recruiting
Conditions
Melanoma Stage III
Interventions
First Posted Date
2019-12-20
Last Posted Date
2024-02-14
Lead Sponsor
Melanoma Institute Australia
Target Recruit Count
21
Registration Number
NCT04207086
Locations
🇦🇺

Melanoma Institute Australia, North Sydney, New South Wales, Australia

ENB003 Plus Pembrolizumab Phase 1b/2a in Solid Tumors

Phase 1
Active, not recruiting
Conditions
Melanoma
Ovary Cancer
Cancer
Pancreatic Cancer
Solid Tumor
Interventions
First Posted Date
2019-12-19
Last Posted Date
2023-06-15
Lead Sponsor
ENB Therapeutics, Inc
Target Recruit Count
137
Registration Number
NCT04205227
Locations
🇦🇺

Kinghorn-St Vincent's Hospital, Darlinghurst, New South Wales, Australia

🇦🇺

Blacktown Oncology, Blacktown, New South Wales, Australia

🇺🇸

Cedars Sinai-The Angeles Clinic, Los Angeles, California, United States

and more 2 locations

Pembrolizumab and a Vaccine (ATL-DC) for the Treatment of Surgically Accessible Recurrent Glioblastoma

Phase 1
Recruiting
Conditions
Recurrent Glioblastoma
Interventions
Biological: Dendritic Cell Tumor Cell Lysate Vaccine
Other: Placebo Administration
Biological: Pembrolizumab
Drug: Poly ICLC
First Posted Date
2019-12-17
Last Posted Date
2024-10-16
Lead Sponsor
Jonsson Comprehensive Cancer Center
Target Recruit Count
40
Registration Number
NCT04201873
Locations
🇺🇸

Quan, Los Angeles, California, United States

Pembrolizumab + Defactinib In Pleural Mesothelioma

Phase 1
Withdrawn
Conditions
Malignant Pleural Mesothelioma
Interventions
First Posted Date
2019-12-17
Last Posted Date
2020-11-17
Lead Sponsor
Raphael Bueno, MD
Registration Number
NCT04201145
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

Pembrolizumab With Axitinib in Recurrent Endometrial Cancer

Phase 2
Withdrawn
Conditions
Recurrent Endometrial Cancer
Interventions
First Posted Date
2019-12-13
Last Posted Date
2020-11-05
Lead Sponsor
Case Comprehensive Cancer Center
Registration Number
NCT04197219

A Study of Pembrolizumab (MK-3475) With or Without Lenvatinib (E7080/MK-7902) as First Line (1L) Intervention in a Programmed Cell Death-ligand 1 (PD-L1) Selected Population With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (R/M HNSCC) (MK-7902-010) (KEYNOTE-010)

Phase 3
Active, not recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Interventions
First Posted Date
2019-12-13
Last Posted Date
2025-01-07
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
511
Registration Number
NCT04199104
Locations
🇨🇦

Princess Margaret Cancer Centre ( Site 0200), Toronto, Ontario, Canada

🇺🇸

University of Connecticut Health Center ( Site 0020), Farmington, Connecticut, United States

🇺🇸

Dana Farber Cancer Institute ( Site 0019), Boston, Massachusetts, United States

and more 149 locations

A Study of Selpercatinib (LY3527723) in Participants With Advanced or Metastatic RET Fusion-Positive Non-Small Cell Lung Cancer

Phase 3
Active, not recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
First Posted Date
2019-12-11
Last Posted Date
2024-06-20
Lead Sponsor
Loxo Oncology, Inc.
Target Recruit Count
261
Registration Number
NCT04194944
Locations
🇨🇳

The First Affiated Hospital Of Guangzhou Medical Collage, Guangzhou, Guangzhou, China

🇦🇷

Alexander Fleming, Ciudad de Buenos Aires, Argentina

🇨🇳

Buddhist Dalin Tzu Chi General Hospital, Dalin Town, Chiayi, Taiwan

and more 191 locations

Study of Olaparib Plus Pembrolizumab Versus Chemotherapy Plus Pembrolizumab After Induction With First-Line Chemotherapy Plus Pembrolizumab in Triple Negative Breast Cancer (TNBC) (MK-7339-009/KEYLYNK-009)

Phase 2
Active, not recruiting
Conditions
Triple Negative Breast Neoplasms
Interventions
First Posted Date
2019-12-09
Last Posted Date
2024-11-13
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
462
Registration Number
NCT04191135
Locations
🇺🇸

University of Chicago ( Site 0159), Chicago, Illinois, United States

🇬🇧

Raigmore Hospital ( Site 0915), Inverness, Highland, United Kingdom

🇺🇦

Zhytomyr Regional Oncology Center ( Site 1515), Zhytomyr, Zhytomyrska Oblast, Ukraine

and more 119 locations

Efficacy and Safety of Pembrolizumab (MK-3475) Plus Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus Enzalutamide Plus ADT in Participants With Metastatic Hormone-Sensitive Prostate Cancer (mHSPC) (MK-3475-991/KEYNOTE-991)

Phase 3
Active, not recruiting
Conditions
Metastatic Hormone-Sensitive Prostate Cancer
Interventions
Biological: Pembrolizumab
Drug: Enzalutamide
Drug: Androgen Deprivation Therapy (ADT)
Other: Placebo
First Posted Date
2019-12-09
Last Posted Date
2024-11-18
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1251
Registration Number
NCT04191096
Locations
🇺🇸

UCLA Hematology/Oncology - Santa Monica ( Site 0241), Los Angeles, California, United States

🇲🇽

Grupo Medico Camino SC ( Site 2613), Mexico City, Mexico

🇩🇪

Klinikum der Universitaet Muenchen - Grosshadern ( Site 1210), Muenchen, Bayern, Germany

and more 210 locations
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