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.
Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Local Institution - 0040, Montreal, Quebec, Canada
Local Institution - 0308, Montreal, Quebec, Canada
MD Anderson Cancer Center, Houston, Texas, United States
NYU Langone Health, New York, New York, United States
Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
West Cancer Center and Research Institute, Germantown, Tennessee, United States
NEXT Oncology, San Antonio, Texas, United States
UCLA Hematology and Oncology Clinic (Westwood) ( Site 0233), Los Angeles, California, United States
University of Rochester ( Site 0238), Rochester, New York, United States
Faculdade de Medicina da Universidade Federal de Minas Gerais ( Site 2708), Belo Horizonte, Minas Gerais, Brazil
Zhongshan Hospital Fudan University, Shanghai, China
Centre de Lutte Contre le Cancer - Institut de Cancerologie de l'Ouest - Rene Gauducheau, Saint-Herblain, France
Karmanos Cancer Institute, Michigan Center, Michigan, United States
John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, New Jersey, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
Centre Eugene Marquis; Service d'oncologie, Rennes, France
Institut Gustave Roussy; Dermatologie, Villejuif, France
M D Anderson Cancer Center, Houston, Texas, United States
HOAG Memorial Hospital Presbyterian, Newport, California, United States
Texas Oncology, P.A. Baylor Charles A. Sammons Cancer Center, Dallas, Texas, United States
Northwest Cancer Specialists, Portland, Oregon, United States
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