Last update 04 Jun 2025

Pembrolizumab

Overview

Basic Info

Drug Type
Monoclonal antibody
Synonyms
Lambrolizumab, Pembrolizumab (Genetical Recombination), Pembrolizumab (genetical recombination) (JAN)
+ [10]
Target
Action
inhibitors
Mechanism
PD-1 inhibitors(Programmed cell death protein 1 inhibitors)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (04 Sep 2014),
RegulationBreakthrough Therapy (United States), Accelerated Approval (United States), Orphan Drug (United States), PRIME (European Union), Priority Review (China), Conditional marketing approval (China), Orphan Drug (Japan), Orphan Drug (Australia), Priority Review (Australia), Priority Review (United States)
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Structure/Sequence

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Malignant Pleural Mesothelioma
United States
17 Sep 2024
Malignant Pleural Mesothelioma
United States
17 Sep 2024
Unresectable Urothelial Carcinoma
European Union
25 Jul 2024
Unresectable Urothelial Carcinoma
Iceland
25 Jul 2024
Unresectable Urothelial Carcinoma
Liechtenstein
25 Jul 2024
Unresectable Urothelial Carcinoma
Norway
25 Jul 2024
Advanced Endometrial Carcinoma
United States
17 Jun 2024
Microsatellite instability-high Endometrial Carcinoma
United States
17 Jun 2024
Mismatch repair-deficient Endometrial Carcinoma
United States
17 Jun 2024
Advanced gastric carcinoma
Japan
17 May 2024
recurrent gastric cancer
Japan
17 May 2024
Unresectable Biliary Tract Carcinoma
Canada
09 May 2024
Advanced biliary tract cancer
China
30 Jan 2024
Locally Advanced Cholangiocarcinoma
China
30 Jan 2024
stomach adenocarcinoma
Norway
20 Dec 2023
HER2 negative Gastric Cancer
United States
16 Nov 2023
Resectable Lung Non-Small Cell Carcinoma
United States
16 Oct 2023
HER2 Positive Stomach Adenocarcinoma
European Union
06 Sep 2023
HER2 Positive Stomach Adenocarcinoma
Iceland
06 Sep 2023
HER2 Positive Stomach Adenocarcinoma
Liechtenstein
06 Sep 2023
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Locally Advanced Head and Neck Squamous Cell CarcinomaNDA/BLA
United States
25 Feb 2025
Small intestine carcinomaNDA/BLA
European Union
25 Mar 2022
GlioblastomaPhase 3
United States
03 Feb 2025
GlioblastomaPhase 3
United States
03 Feb 2025
GlioblastomaPhase 3
France
03 Feb 2025
GlioblastomaPhase 3
Israel
03 Feb 2025
GlioblastomaPhase 3
Israel
03 Feb 2025
GlioblastomaPhase 3
United Kingdom
03 Feb 2025
Glioblastoma MultiformePhase 3
United States
03 Feb 2025
Glioblastoma MultiformePhase 3
France
03 Feb 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
20
mvwfmychbl(hvbnfhvhan) = fmuaauqjcj ywonpskbcc (ysbqlvytgm, ckejhzdxxx - cmuhuheoge)
-
03 Jun 2025
Phase 2
52
(Arm 1c: ctDNA Positive Genomically Directed - PI3K Pathway)
ratssfunbh = piwpaotuzi ohhwcpsmfc (vdxwdpsfqz, krjqdicgtl - itnwtwssac)
-
31 May 2025
(Arm 2: ctDNA Positive - Standard of Care)
hxxywpasoi = xvwoevdjul weogglpiep (kwlqmqlegr, hnyrmamskv - xdlkxnxkvn)
Phase 2
64
(decrease in ctDNA)
zenipcllfh(bhttqlunqv): OR = 33.89 (95% CI, 4.07 - 44426.47), P-Value = 0.0001
Positive
30 May 2025
(increase in ctDNA)
Phase 3
450
bbjyusqtaz(dqtnuglgpn) = stffwaepzc dpywqbbxzg (rwkosjcozp, 71.5 - 83.7)
Negative
30 May 2025
Placebo
bbjyusqtaz(dqtnuglgpn) = xfszntkhmk dpywqbbxzg (rwkosjcozp, 61.1 - 75.0)
Not Applicable
163
cbhrkpvjad(fxvmjwmtwf) = Seventeen(45.9%) patients in the CBP arm developed an immune reaction during treatment, but hospitalization rates were similar in both groups (25.4% vs 21.6%, p = 0.64) mlozwliheq (cvsrxpblgh )
Negative
30 May 2025
Not Applicable
-
(Malnourished patients)
vxvdscrzmc(ejafoqdcbo): RR = 1.57 (95% CI, 1.42 - 1.74), P-Value = < 0.001
Positive
30 May 2025
(Non-malnourished patients)
Not Applicable
-
pmasndyltb(kwntcxheyf) = Nivolumab and pembrolizumab, both PD-1 inhibitors, differ in their propensity to induce immune-related adverse events (irAEs), such as colitis. Meta-analyses, including Miyashita et al., indicate that PD-1 inhibitors are associated with a higher incidence of all-grade and grade 3-4 colitis compared to PD-L1 inhibitors, likely due to their mechanism of action. Nivolumab, in particular, induces a Th1-dominant immune response, characterized by CD8+ T cell and T-bet+ CD4+ T cell infiltration in the colon, contributing to severe colitis. FDA data further support this, reporting immune-mediated colitis in 2.9% of patients receiving nivolumab monotherapy (1.7% grade 3), compared to 1.7% (1.1% grade 3) with pembrolizumab. Effective risk mitigation strategies, including early detection and prompt management of irAEs, are essential to minimize treatment-related morbidity and/or mortality. jzqhcldzld (tccmynzpcg )
-
30 May 2025
Phase 2
30
fsjggmtpsb(suqhlvevtx) = uwnbvdyaet iwpeacigwh (gnyloorrsq )
Positive
30 May 2025
Not Applicable
-
cqueqsgdgt(rlpaowqkan) = Myocarditis was rare, occurring only with pembrolizumab patients(0.6% vs. 0%, p=0.002) bmuqqxgzmy (zermndipbk )
Positive
30 May 2025
Platinum/taxane-based chemotherapy
Phase 2
33
czyfovgebk = sjsuymcuun hvvyeganti (cukxyzvrfq, yhtdfrcnbf - ccwafyuoaf)
-
30 May 2025
czyfovgebk = pmzaqoeock hvvyeganti (cukxyzvrfq, kncgawruxu - mbwprkrvtj)
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Clinical Trial

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Approval

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Biosimilar

Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.
Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.

Regulation

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