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KEYTRUDA
Proper Name
Pembrolizumab
Indication
KEYTRUDA is a human programmed death receptor-1 (PD-1)-blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor.
Description

Pembrolizumab is a humanized monoclonal antibody that blocks the interaction between PD-1 and its ligands, PD-L1 and PD-L2. Pembrolizumab is an IgG4 kappa immunoglobulin with an approximate molecular weight of 149 kDa.

Manufacturing Platform

PARAMETER

DATA

Manufacturer

MERCK SHARP DOHME

Indication

KEYTRUDA is a human programmed death receptor-1 (PD-1)-blocking antibody indicated for the treatment of patients with unresectable or metastatic melanoma and disease progression following ipilimumab and, if BRAF V600 mutation positive, a BRAF inhibitor

Cell Substrate

IgG4//kappa isotype monoclonal antibody

Manufacturing platform

MK-3475 is a humanized monoclonal antibody that is expressed as a secreted product from a suspension Chinese Hamster Ovary (CHO) cell line. A fully characterized Master Cell Bank (MCB) as well as a Working Cell Bank (WCB) was established. Cells from the WCB are expanded in shake flasks, disposable rocker bags, and a seed bioreactor to generate the inoculum for a production bioreactor to produce the antibody product. The downstream processing includes three chromatography steps, two Page 12/160 orthogonal viral clearance steps, ultrafiltration/diafiltration, and a final 0.2 µm filtration step. All raw materials used in upstream/downstream manufacturing processes are animal component free. Upstream and downstream processing is considered as state of the art for production of monoclonal antibodies

Dose in vial/final container

50 mg, lyophilized powder in single-use vial for reconstitution

Dose to patient

2 mg/kg as an intravenous infusion over 30 minutes every 3 weeks.

 CLINICAL TRIALS:

NCT

TRIAL PHASE

NO OF PATIENTS ENROLLED

TITLE

COUNTRIES

Single arm/safety and response rate

NCT01295827

1

1260

Study of Pembrolizumab (MK-3475) in Participants with Progressive Locally Advanced or Metastatic Carcinoma, Melanoma, or Non-small Cell Lung Carcinoma (P07990/MK-3475-001/KEYNOTE-001)

-

NCT01704287

2

540

Study of Pembrolizumab (MK-3475) Versus Chemotherapy in Participants with Advanced Melanoma (MK-3475-002/P08719/KEYNOTE-002)

-

NCT01866319

3

834

Study to Evaluate the Safety and Efficacy of Two Different Dosing Schedules of Pembrolizumab (MK-3475) Compared to Ipilimumab in Participants With Advanced Melanoma (MK-3475-006/KEYNOTE-006)

-

NCT01905657

2, 3

1061

Study of Two Doses of Pembrolizumab (MK-3475) Versus Docetaxel in Previously Treated Participants with Non-Small Cell Lung Cancer (MK-3475-010/KEYNOTE-010)

-

Safety and efficacy

NCT01848834

1

297

Study of Pembrolizumab (MK-3475) in Participants with Advanced Solid Tumors (MK-3475-012/KEYNOTE-012)

-

Key Regulatory Milestones

US pre-BLA

October 25, 2013

US Approval

September 4, 2014

EU Approval

July 17, 2015

Health Canada Approval

May 19, 2015

Japanese Ministry of Health, Labor and Welfare (MHLW) Approval

December 20, 2016

TGA

September 17, 2019

Advisory Committee

The BLA for pembrolizumab was not referred to an advisory committee although it is for a new molecular entity. The application did not raise significant public health questions on the role of the pembrolizumab for this indication and outside expertise was not necessary as there were no controversial issues that would benefit from an advisory committee discussion.

Advanced Facts