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.
Pembrolizumab is indicated for the following conditions:
For all approved adult indications, pembrolizumab may be used for an additional 6 weeks at 400mg weekly.
UCSD Moores Cancer Center, La Jolla, California, United States
The University of Chicago Medicine, Chicago, Illinois, United States
Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Tom Baker Cancer Centre, Calgary, Alberta, Canada
University Malaya Medical Centre, Kuala Lumpur, Wilayah Persekutuan, Malaysia
National University Hospital, Singapore, Singapore
Niels-Stensen-Kliniken Franziskus-Hospital Harderberg Zentrum für Frauenheilkunde und Abteilung für Senologie, Georgsmarienhütte, Lower Saxony, Germany
Mammazentrum Hamburg, Hamburg, Germany
Breast Center of the University of Munich (LMU) Universitätsfrauenklinik Großhadern, Munich, Bavaria, Germany
Stanford University, Stanford, California, United States
National Cancer Centre Singapore, Singapore, Singapore
Singapore General Hospital, Singapore, Singapore
Sengkang General Hospital, Singapore, Singapore
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Washington University School of Medicine, Saint Louis, Missouri, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States
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