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
-

Pembrolizumab Plus CA-4948 for the Treatment of Patients With Progressive Metastatic Urothelial Cancer Despite Prior Immunotherapy

Phase 1
Not yet recruiting
Conditions
Unresectable Urothelial Carcinoma
Metastatic Urothelial Carcinoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Biological: Emavusertib
Procedure: Magnetic Resonance Imaging
Biological: Pembrolizumab
Procedure: Positron Emission Tomography
First Posted Date
2024-06-03
Last Posted Date
2024-12-19
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
25
Registration Number
NCT06439836

Pharmacokinetic Similarity Between ABP 234 and Keytruda® (Pembrolizumab)

Phase 3
Recruiting
Conditions
Early-stage Non-squamous Non-small Cell Lung Cancer (NSCLC)
Interventions
Drug: ABP 234
Drug: Pembrolizumab
First Posted Date
2024-05-28
Last Posted Date
2025-01-09
Lead Sponsor
Amgen
Target Recruit Count
154
Registration Number
NCT06430866
Locations
🇧🇬

University Multiprofile Hospital for Active Treatment Sofiamed, Sofia, Bulgaria

🇨🇱

Centro de Investigaciones Clinicas Vina del Mar Ltda., Vina del Mar, Region De Valparaiso, Chile

🇨🇱

Clinica Santa Maria, Santiago, Region Metropolitana, Chile

and more 77 locations

Measuring if Immunotherapy Plus Chemotherapy is Better Than Chemotherapy Alone for Patients With Aggressive Poorly Differentiated Sarcomas

Phase 3
Recruiting
Conditions
Unresectable Undifferentiated Pleomorphic Sarcoma
Metastatic Undifferentiated Pleomorphic Sarcoma
Stage III Soft Tissue Sarcoma of the Trunk and Extremities AJCC v8
Stage IV Soft Tissue Sarcoma of the Trunk and Extremities AJCC v8
Interventions
Procedure: Biospecimen Collection
Procedure: Diagnostic Imaging
Drug: Doxorubicin
Procedure: Echocardiography
Procedure: Multigated Acquisition Scan
Biological: Pembrolizumab
First Posted Date
2024-05-21
Last Posted Date
2025-01-09
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
180
Registration Number
NCT06422806
Locations
🇺🇸

Siteman Cancer Center-South County, Saint Louis, Missouri, United States

🇺🇸

Billings Clinic Cancer Center, Billings, Montana, United States

🇺🇸

Bozeman Health Deaconess Hospital, Bozeman, Montana, United States

and more 137 locations

Pembrolizumab With or Without Maintenance Sacituzumab Tirumotecan (Sac-TMT; MK-2870) in Metastatic Squamous Non-small Cell Lung Cancer (NSCLC) [MK-2870-023]

Phase 3
Recruiting
Conditions
Non-small Cell Lung Cancer
NSCLC
Interventions
Biological: Pembrolizumab
Biological: sac-TMT
First Posted Date
2024-05-20
Last Posted Date
2024-12-27
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
851
Registration Number
NCT06422143
Locations
🇨🇦

Grand River Hospital ( Site 0153), Kitchener, Ontario, Canada

🇨🇦

McGill University Health Centre ( Site 0103), Montréal, Quebec, Canada

🇨🇳

Army Medical Center of People's Liberation Army-respiratory ( Site 2426), Chongqing, Chongqing, China

and more 107 locations

ACE2016 in Adult Subjects With Locally Advanced or Metastatic Solid Tumors Expressing Epidermal Growth Factor Receptor (EGFR)

Phase 1
Recruiting
Conditions
Locally Advanced Solid Tumor
Metastatic Solid Tumor
Interventions
First Posted Date
2024-05-16
Last Posted Date
2024-12-05
Lead Sponsor
Acepodia Biotech, Inc.
Target Recruit Count
30
Registration Number
NCT06415487
Locations
🇺🇸

University of California San Diego, San Diego, California, United States

🇺🇸

Texas Oncology, Dallas, Texas, United States

🇨🇳

Taipei Veterans General Hospital, Taipei City, Beitou District, Taiwan

and more 6 locations

Neoadjuvant Pembrolizumab, Carboplatin and Paclitaxel in Triple-negative Breast Cancer

Phase 2
Not yet recruiting
Conditions
Triple Negative Breast Cancer
Interventions
First Posted Date
2024-05-09
Last Posted Date
2024-05-09
Lead Sponsor
Tel Aviv Medical Center
Target Recruit Count
25
Registration Number
NCT06407310

A Study of Pembrolizumab in Combination With Investigational Agents in Pediatric and Young Adult Participants With Hematologic Malignancies or Solid Tumors (MK-9999-01B/LIGHTBEAM-U01)

Phase 1
Recruiting
Conditions
Neoplasm Metastasis
Interventions
Biological: Favezelimab/Pembrolizumab
Biological: Pembrolizumab
Biological: Pembrolizumab/Vibostolimab
Biological: Favezelimab
Biological: Vibostolimab
First Posted Date
2024-05-01
Last Posted Date
2024-12-10
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
80
Registration Number
NCT06395090
Locations
🇺🇸

Children's Mercy Hospital ( Site 2024), Kansas City, Missouri, United States

🇺🇸

Children's Hospital of Philadelphia (CHOP) ( Site 2021), Philadelphia, Pennsylvania, United States

🇨🇳

National Taiwan University Hospital ( Site 2983), Taipei, Taiwan

and more 7 locations

Sacituzumab Tirumotecan (MK-2870) Plus Pembrolizumab Versus TPC in TNBC Who Did Not Achieve pCR (MK-2870-012)

Phase 3
Recruiting
Conditions
Triple-Negative Breast Cancer
Interventions
Biological: Pembrolizumab
Biological: Sacituzumab tirumotecan
Drug: Capecitabine
First Posted Date
2024-05-01
Last Posted Date
2024-12-27
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1530
Registration Number
NCT06393374
Locations
🇺🇸

Infirmary Cancer Care ( Site 0001), Mobile, Alabama, United States

🇺🇸

Ironwood Cancer & Research Centers-Research ( Site 0054), Chandler, Arizona, United States

🇺🇸

Cancer Blood and Specialty Clinic-Research ( Site 0008), Los Alamitos, California, United States

and more 127 locations

Trial to Assess the Safety and Preliminary Efficacy of GEN1055 on Malignant Solid Tumors as Monotherapy and as Combination Therapy

Phase 1
Recruiting
Conditions
Malignant Solid Tumor
Interventions
Biological: GEN1055
Biological: Pembrolizumab
Drug: Standard Chemotherapy
First Posted Date
2024-04-30
Last Posted Date
2025-01-07
Lead Sponsor
Genmab
Target Recruit Count
270
Registration Number
NCT06391775
Locations
🇺🇸

Yale-New Haven Hospital, New Haven, Connecticut, United States

🇪🇸

Hospital Universtari Val D´Hebron, Barcelona, Spain

🇪🇸

Start Madrid Ciocc Hm Sanchinarro, Madrid, Spain

and more 1 locations

Phase II Study of Moderate-dose Hypofractionated RT Combined With Pembrolizumab for HCC With Diffuse Tumor Thrombosis

Phase 2
Recruiting
Conditions
Hepatocellular Carcinoma
Radiotherapy
Pembrolizumab
Tumor Thrombosis
Interventions
Radiation: Moderate-dose Hypofractionated Intensity-modulated Radiotherapy
Drug: Pembrolizumab
First Posted Date
2024-04-29
Last Posted Date
2024-04-29
Lead Sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Target Recruit Count
30
Registration Number
NCT06389422
Locations
🇨🇳

National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciecnces and Peking Union Medical College, Beijing, Beijing, China

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