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
-

Pan Tumor Rollover Study

First Posted Date
2019-04-02
Last Posted Date
2025-01-07
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
1500
Registration Number
NCT03899155
Locations
🇨🇦

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

🇨🇦

Local Institution - 0040, Montreal, Quebec, Canada

🇨🇦

Local Institution - 0308, Montreal, Quebec, Canada

and more 304 locations

Dose Escalation and Dose Expansion Study of IPN60090 in Patients With Advanced Solid Tumours

Phase 1
Terminated
Conditions
Solid Tumor
Interventions
Drug: IPN60090
Drug: IPN60090 single administration
Drug: pembrolizumab
Drug: paclitaxel
First Posted Date
2019-03-28
Last Posted Date
2022-09-13
Lead Sponsor
Ipsen
Target Recruit Count
22
Registration Number
NCT03894540
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

Gut Microbiome Modulation to Enable Efficacy of Checkpoint-based Immunotherapy in Pancreatic Adenocarcinoma

First Posted Date
2019-03-27
Last Posted Date
2020-06-26
Lead Sponsor
NYU Langone Health
Registration Number
NCT03891979
Locations
🇺🇸

NYU Langone Health, New York, New York, United States

TTX-030 Single Agent and in Combination With Immunotherapy or Chemotherapy for Patients With Advanced Cancers

Phase 1
Completed
Conditions
Lymphoma
Solid Tumor
Interventions
First Posted Date
2019-03-21
Last Posted Date
2023-10-04
Lead Sponsor
Trishula Therapeutics, Inc.
Target Recruit Count
56
Registration Number
NCT03884556
Locations
🇺🇸

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

and more 13 locations

Pembrolizumab (MK-3475) Plus Lenvatinib (E7080/MK-7902) Versus Chemotherapy for Endometrial Carcinoma (ENGOT-en9 / MK-7902-001)

Phase 3
Active, not recruiting
Conditions
Endometrial Neoplasms
Interventions
First Posted Date
2019-03-21
Last Posted Date
2024-11-18
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
842
Registration Number
NCT03884101
Locations
🇺🇸

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

and more 192 locations

A Study of Carboplatin-Paclitaxel/Nab-Paclitaxel Chemotherapy With or Without Pembrolizumab (MK-3475) in Adults With First Line Metastatic Squamous Non-small Cell Lung Cancer (MK-3475-407/KEYNOTE-407)-China Extension Study

Phase 3
Completed
Conditions
Non-small Cell Lung Cancer
Interventions
First Posted Date
2019-03-14
Last Posted Date
2024-10-01
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
125
Registration Number
NCT03875092
Locations
🇨🇳

Zhongshan Hospital Fudan University, Shanghai, China

First-in-Human Study of EOS100850 in Patients With Cancer

Phase 1
Active, not recruiting
Conditions
Solid Tumor, Adult
Interventions
Drug: EOS100850
Drug: Pembrolizumab
Drug: Chemotherapy
First Posted Date
2019-03-14
Last Posted Date
2023-12-27
Lead Sponsor
iTeos Therapeutics
Target Recruit Count
119
Registration Number
NCT03873883
Locations
🇫🇷

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

and more 16 locations

A Study to Evaluate Safety and Therapeutic Activity of RO6874281 in Combination with Pembrolizumab, in Participants with Advanced or Metastatic Melanoma

Phase 1
Completed
Conditions
Metastatic Melanoma
Interventions
First Posted Date
2019-03-14
Last Posted Date
2024-10-03
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
83
Registration Number
NCT03875079
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇫🇷

Centre Eugene Marquis; Service d'oncologie, Rennes, France

🇫🇷

Institut Gustave Roussy; Dermatologie, Villejuif, France

and more 20 locations

Low Dose Ipilimumab with Pembrolizumab in Treating Patients with Melanoma That Has Spread to the Brain

Phase 2
Active, not recruiting
Conditions
Clinical Stage IV Cutaneous Melanoma AJCC V8
Metastatic Malignant Neoplasm in the Brain
Metastatic Melanoma
Pathologic Stage IV Cutaneous Melanoma AJCC V8
Interventions
First Posted Date
2019-03-13
Last Posted Date
2024-10-03
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
26
Registration Number
NCT03873818
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

A Study of TRK-950 in Combinations With Anti-Cancer Treatment Regimens in Patients With Advanced Solid Tumors

Phase 1
Recruiting
Conditions
Solid Tumor
Colorectal Cancer
Gastric Cancer
Renal Cell Carcinoma
Melanoma
Epithelial Ovarian Cancer
Primary Peritoneal Cancer
Fallopian Tube Cancer
Cholangiocarcinoma
Bladder Cancer
Interventions
First Posted Date
2019-03-13
Last Posted Date
2024-08-02
Lead Sponsor
Toray Industries, Inc
Target Recruit Count
187
Registration Number
NCT03872947
Locations
🇺🇸

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

and more 11 locations
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