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Keytruda

Pembrolizumab

An immunotherapy antibody used across many cancers, from melanoma to lung cancer.

Generic name
Pembrolizumab
Brand name
Keytruda
Route
Intravenous
Marketed by
Merck Sharp & Dohme
FDA pharmacologic class
Programmed Death Receptor-1 Blocking Antibody; Programmed Death Receptor-1-directed Antibody Interactions
First FDA approval
4 Sep 2014

Where Pembrolizumab is approved

All regulators →

Of the three regulators tracked here, the first to approve Pembrolizumab was the US, on 4 Sep 2014. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
4 Sep 2014
Keytruda
BLA125514 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
17 Jul 2015
Keytruda
EMA product page
First centralised authorisation
CACanada (Health Canada)
19 May 2015
Keytruda
Notice of Compliance 16911
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Pembrolizumab

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ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$753.3m
78,912 prescriptions in 2025 · Keytruda
+3% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Pembrolizumab works

All drug targets →
  • Programmed cell death protein 1 inhibitor Inhibitor
    Target: PDCD1 programmed cell death 1
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • Merkel cell skin cancerPhase 3
  • Biliary tract cancerPhase 3
  • Breast cancerPhase 3
  • CancerPhase 3
  • Carcinoma of esophagusPhase 3
  • Cervical cancerPhase 3
  • Classic Hodgkin lymphomaPhase 3
  • Clear cell renal carcinomaPhase 3
  • Colorectal cancerPhase 3
  • Colorectal carcinomaPhase 3
247 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL3137343, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 7499, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Pembrolizumab

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 41 technology appraisals of Pembrolizumab. 38 are current, and 26 of these recommend it for at least some patients. 3 older appraisals were replaced or withdrawn.

AppraisalNICE recommendationPublishedStatus
Pembrolizumab with chemoradiotherapy for untreated locally advanced cervical cancer
NICE TA1177
Recommended14 Jul 2026Current
Pembrolizumab for neoadjuvant and adjuvant treatment of resectable locally advanced head and neck squamous cell carcinoma
NICE TA1145
Recommended21 Apr 2026Current
Pembrolizumab with pemetrexed and platinum-based chemotherapy for untreated unresectable advanced malignant pleural mesothelioma (terminated appraisal)
NICE TA1125
Terminated (no company submission)27 Jan 2026Current
Pembrolizumab with carboplatin and paclitaxel for untreated primary advanced or recurrent endometrial cancer
NICE TA1092
Recommended27 Aug 2025Current
Pembrolizumab for adjuvant treatment of resected non-small-cell lung cancer
NICE TA1037
Recommended5 Feb 2025Current
Pembrolizumab with chemotherapy before surgery (neoadjuvant) then alone after surgery (adjuvant) for treating resectable non-small-cell lung cancer
NICE TA1017
Recommended20 Nov 2024Current
Pembrolizumab with platinum- and fluoropyrimidine-based chemotherapy for untreated advanced HER2-negative gastric or gastro-oesophageal junction adenocarcinoma
NICE TA997
Recommended29 Aug 2024Current
Pembrolizumab with trastuzumab and chemotherapy for untreated locally advanced unresectable or metastatic HER2-positive gastric or gastro-oesophageal junction adenocarcinoma
NICE TA983
Not recommended12 Jun 2024Current

See all 38 appraisals →

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Pembrolizumab

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 3 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Keytruda
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Pembrolizumab

ATC code
L01XC18
ChEMBL
CHEMBL3137343
DrugBank
DB09037
PubChem CID
254741536
CAS number
1374853-91-4
FDA UNII
DPT0O3T46P
Wikidata
Q13896859
Wikipedia
Pembrolizumab

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Keytruda is used for

KEYTRUDA is a programmed death receptor-1 (PD-1)-blocking antibody indicated: Melanoma for the treatment of patients with unresectable or metastatic melanoma. ( 1.1 ) for the adjuvant treatment of adult and pediatric (12 years and older) patients with Stage IIB, IIC, or III melanoma following complete resection. ( 1.1 ) Non-Small Cell Lung Cancer (NSCLC) in combination with pemetrexed and platinum chemotherapy, as first-line treatment of patients with metastatic nonsquamous NSCLC, with no EGFR or ALK genomic tumor aberrations. ( 1.2 ) in combination with carboplatin and either paclitaxel or paclitaxel protein-bound, as first-line treatment of patients with metastatic squamous NSCLC. ( 1.2 ) as a single agent for the first-line treatment of patients with NSCLC expressing PD-L1 [Tumor Proportion Score (TPS) ≥1%] as determined by an FDA-authorized test, with no EGFR or ALK genomic tumor ab…

How it works

12.1 Mechanism of Action Binding of the PD-1 ligands, PD-L1 and PD-L2, to the PD-1 receptor found on T cells, inhibits T cell proliferation and cytokine production. Upregulation of PD-1 ligands occurs in some tumors and signaling through this pathway can contribute to inhibition of active T-cell immune surveillance of tumors. Pembrolizumab is a monoclonal antibody that binds to the PD-1 receptor and blocks its interaction with PD-L1 and PD-L2, releasing PD-1 pathway-mediated inhibition of the immune response, including the anti-tumor immune response. In syngeneic mouse tumor models, blocking PD-1 activity resulted in decreased tumor growth. In syngeneic mouse tumor models, combination treat…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 8 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.