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
-

Vaccination With Flt3L, Radiation, and Poly-ICLC

Phase 1
Recruiting
Conditions
Non-Hodgkin's Lymphoma
Metastatic Breast Cancer
Head and Neck Squamous Cell Carcinoma
Interventions
Drug: Pembrolizumab
Drug: Flt3L
Radiation: Radiation
Drug: Poly ICLC
First Posted Date
2018-12-28
Last Posted Date
2024-01-30
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
56
Registration Number
NCT03789097
Locations
🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

Phase 1/2 Study of MRTX849 in Patients With Cancer Having a KRAS G12C Mutation KRYSTAL-1

Phase 1
Recruiting
Conditions
Advanced Cancer
Metastatic Cancer
Malignant Neoplastic Disease
Interventions
First Posted Date
2018-12-24
Last Posted Date
2024-06-21
Lead Sponsor
Mirati Therapeutics Inc.
Target Recruit Count
822
Registration Number
NCT03785249
Locations
🇺🇸

Local Institution - 001-873-A, Tucson, Arizona, United States

🇺🇸

Local Institution - 001-840-B, Bellflower, California, United States

🇺🇸

Local Institution - 001-850-K, Dublin, California, United States

and more 211 locations

Safety and Efficacy of Tisotumab Vedotin Monotherapy & in Combination With Other Cancer Agents in Subjects With Cervical Cancer

Phase 1
Active, not recruiting
Conditions
Cervical Cancer
Interventions
First Posted Date
2018-12-24
Last Posted Date
2024-02-12
Lead Sponsor
Seagen Inc.
Target Recruit Count
214
Registration Number
NCT03786081
Locations
🇺🇸

University of Chicago, Chicago, Illinois, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Indiana University School of Medicine, Indianapolis, Indiana, United States

and more 64 locations

Efficacy and Safety of Lenvatinib (E7080/MK-7902) Plus Pembrolizumab (MK-3475) for Advanced Melanoma in Anti-Programmed Death-1/Programmed Death-Ligand 1 (PD-1/L1)-Exposed Participants (MK-7902-004/E7080-G000-225/LEAP-004)

Phase 2
Completed
Conditions
Advanced Melanoma
Interventions
First Posted Date
2018-12-14
Last Posted Date
2024-10-09
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
103
Registration Number
NCT03776136
Locations
🇺🇸

John Wayne Cancer Institute ( Site 0301), Santa Monica, California, United States

🇺🇸

Advocate Medical Group-Park Ridge ( Site 0313), Park Ridge, Illinois, United States

🇺🇸

Southeast Nebraska Cancer Center ( Site 0316), Lincoln, Nebraska, United States

and more 20 locations

PD-1 Inhibitor and Chemotherapy With Concurrent Irradiation at Varied Tumour Sites in Advanced Non-small Cell Lung Cancer

Phase 3
Recruiting
Conditions
Non Small Cell Lung Cancer
Non Small Cell Lung Cancer Metastatic
Non-Small Cell Carcinoma of Lung, TNM Stage 4
Interventions
Radiation: Radiotherapy
Drug: Pembrolizumab
Drug: Chemotherapy
First Posted Date
2018-12-13
Last Posted Date
2023-12-18
Lead Sponsor
UNICANCER
Target Recruit Count
327
Registration Number
NCT03774732
Locations
🇫🇷

Hôpital Simone Veil Blois, Blois, France

🇫🇷

Centre Hospitalier Dr Jean-Eric TECHER, Calais, France

🇫🇷

CHRU de Brest, Brest, France

and more 53 locations

MG1-MAGEA3 With Ad-MAGEA3 and Pembrolizumab in Patients With Previously Treated Metastatic Melanoma or Cutaneous Squamous Cell Carcinoma

Phase 1
Withdrawn
Conditions
Metastatic Melanoma
Squamous Cell Skin Carcinoma
Interventions
Drug: Ad-MAGEA3
Drug: MG1-MAGEA3
Drug: Pembrolizumab
Drug: Cyclophosphamide
First Posted Date
2018-12-12
Last Posted Date
2021-04-06
Lead Sponsor
Turnstone Biologics, Corp.
Registration Number
NCT03773744

Combination Therapy With NC-6004 and Pembrolizumab in Head and Neck Cancer Subjects Who Have Failed Platinum Regimen

Phase 2
Conditions
SCCHN
Interventions
Drug: NC-6004
Drug: Pembrolizumab
First Posted Date
2018-12-11
Last Posted Date
2021-03-17
Lead Sponsor
NanoCarrier Co., Ltd.
Target Recruit Count
136
Registration Number
NCT03771820
Locations
🇨🇿

0701, Brno, Czechia

🇨🇳

0404, Taichung City, Taiwan

🇷🇺

0801, Ekaterinburg, Russian Federation

and more 20 locations

Evaluating the Safety and Efficacy of Pembrolizumab Combined With MWA for Advanced NSCLC

Not Applicable
Recruiting
Conditions
Non Small Cell Lung Cancer
Interventions
Drug: Pembrolizumab
Procedure: microwave ablation
First Posted Date
2018-12-07
Last Posted Date
2024-06-25
Lead Sponsor
Second Affiliated Hospital of Guangzhou Medical University
Target Recruit Count
100
Registration Number
NCT03769129
Locations
🇨🇳

zhang Zhenfeng, Guangzhou, Guangdong, China

MRD-guided Treatment in NPM1mut AML Patients

Phase 2
Recruiting
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2018-12-07
Last Posted Date
2024-11-06
Lead Sponsor
Technische Universität Dresden
Target Recruit Count
28
Registration Number
NCT03769532
Locations
🇩🇪

Klinikum Chemnitz, Chemnitz, Germany

🇩🇪

Universitätsklinikum Dresden, Dresden, Germany

🇩🇪

Universitätsklinikum Heidelberg, Heidelberg, Germany

and more 7 locations

Tabelecleucel in Combination With Pembrolizumab in Subjects With Epstein-Barr Virus-associated Nasopharyngeal Carcinoma (EBV+ NPC)

Phase 1
Terminated
Conditions
Epstein-Barr Viraemia
Nasopharyngeal Neoplasms
Epstein-Barr Virus Infections
Nasopharyngeal Carcinoma
Epstein-Barr Virus-associated Nasopharyngeal Carcinoma (EBV+ NPC)
Interventions
First Posted Date
2018-12-07
Last Posted Date
2024-11-14
Lead Sponsor
Atara Biotherapeutics
Target Recruit Count
12
Registration Number
NCT03769467
Locations
🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

Stanford Hospital and Clinics, Palo Alto, California, United States

and more 4 locations
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