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17 protocols using keytruda

1

Acral Melanoma PD-1 mAb Treatment Outcomes

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A total of 38 patients with acral melanoma with standardized PD-1 mAb therapy from the research files at The Tumor Hospital of Harbin Medical University who were seen from January 2016 to December 2020 (PD-1 mAb, Keytruda, Merck KGaA, Germany), and who met our inclusion criteria, were entered in this study. The eligibility criteria included the following: (1) pathological examination confirming the presence of stage Ⅲ–Ⅳ melanoma; (2) complete basic clinical data; (3) no serious complications or other malignant disease; (4) the patients and family members being informed about the illness and having given informed consent before treatment.
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2

Bispecific Antibodies Enhance T-Cell Activation

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Example 3

To assess the effect of PD-1×PD-L1 or PD-L1×PD-L1 bispecific antibodies on T-cell activation, IFN-γ production was analyzed in a mixed lymphocyte reaction (MLR). A PembrolizumabxAtezolizumab bispecific antibody, NivolumabxAtezolizumab bispecific antibody, a cocktail of KEYTRUDA and Atezolizumab, a cocktail of Nivolumab and Atezolizumab were tested and KEYTRUDA alone, a humanized antibody that blocks PD-1 (Merck) and is known to induce IFN-γ production, was used as a comparator.

T cells were prepared as described above. A volume of 50 μl of media containing various dilutions of antibodies was added to reach a final concentration of 0 nM, 0.01 nM, 0.001 nM, or 0.0001 nM. Plates were incubated at 37° C. in a CO2 incubator for five days. At the end of incubation period, culture supernatants were collected and IFNγ levels were analyzed by MSD assay (Mesoscale Diagnostics, Rockville, Md.).

FIG. 1 shows the concentration of IFN-γ as pg/mL at the final concentrations of antibodies tested, as indicated. These results indicate that bispecific PD-1×PD-L1 antibodies, such as PembrolizumabxAtezolizumab or the PDL1/PDL1 bispecific antibody Nivolumab/Atezolizumab, induce a higher IFNγ response in T cells than a cocktail of PD1 and PDL1 specific antibodies, or a PD-1 antibody (KEYTRUDA) alone.

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3

Combination HAIC with Doxorubicin and Cisplatin

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One-shot HAIC with doxorubicin and cisplatin in combination was administrated once a month. Doxorubicin and cisplatin were administered intra-arterially at doses of 50 and 65 mg/m2, respectively. Doxorubicin was diluted in 100 mL normal saline, and the infusion time was 10 minutes. Cisplatin was diluted in 500 mL normal saline, and the infusion time was 3 hours. Pre-medications included dexamethasone and adequate hydration (26 (link)). ICIs included nivolumab (Opdivo®, Bristol Myers Squibb), pembrolizumab (Keytruda®, Merck), nivolumab plus ipilimumab (Yervoy®, Bristol Myers Squibb), atezolizumab (Tecentriq®, Roche) plus bevacizumab (Avastin®, Genentech Inc.) or spartalizumab (Novartis AG).
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4

Monoclonal Antibody Flow Cytometry

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Stocks of therapeutic monoclonals were obtained from either injection vials of rituximab (MabThera, Roche), nivolumab (OPDIVO, Bristol-Myers Squibb) and pembrolizumab (Keytruda, Merck) or pre-filled injection pens of adalimumab (Abbott Laboratories). CD25-PE, CD16-PE and CD56-APC were obtained from BD Biosciences. Flow cytometric analysis was performed on a Beckman Coulter FC500 MPL flow cytometer, and results are expressed as mean fluorescence intensity (MFI).
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5

Combination Immunotherapy Protocol

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Opdivo® (nivolumab), Bristol-Myers Squibb, 10mg/l, Yervoy® (ipilimumab), Bristol-Myers Squibb and Keytruda® (pembrolizumab), Merck. (Figure 4)
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6

p53MVA and Pembrolizumab Combination

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p53MVA was manufactured using GMP-grade materials at the Center for Biomedicine and Genetics at City of Hope. The final product was diluted in PBS with 7.5% lactose at a concentration of 5.6 x 108 pfu/ml. Pembrolizumab (Keytruda, Merck & Co., Inc.) was provided as part of the clinical trial and continued with the compassionate use program from Merck upon completion of the trial beyond week 20.
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7

Multimodal Treatment Approaches for Metastatic Melanoma

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At our institution, the basic treatment principle for patients without distant metastasis at presentation was primary surgical resection if the lesion was resectable, followed by adjuvant interferon therapy, chemotherapy, or adjuvant RT. Adjuvant treatment was decided upon according to the disease extent and clinician's judgment. For patients diagnosed with stage IV disease, chemotherapy with dacarbazine was primarily considered before the ICI era. ICI became the first-line treatment after its approval for metastatic melanoma patients. Pembrolizumab (Keytruda®, Merck), an anti-programmed cell death-1 (PD-1) antibody, was administered intravenously at 2 mg/kg doses every 2 or 3 weeks. Local RT was considered if a solitary gross mass or symptomatic lesion existed. The radiation dose was determined depending on the anatomic site and indication. The median dose of radiation was 40 (range 20–69) Gy, with a median fractional dose of 4 (range 1.8–12) Gy. Pembrolizumab and RT administered to any lesion was considered concurrent treatment if RT was performed within 4 weeks after initiating or ending ICI; all other approaches were defined as non-concurrent treatment.
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8

PD-1 Antibody Radiolabeling Protocol

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Pembrolizumab (25 mg/mL, Keytruda®; Merck & Co., Kenilworth, NJ), a humanized monoclonal immunoglobulin IgG4 antibody directed against human PD-1 (hPD-1), was purchased from Stanford University Hospital Pharmacy (Stanford, CA). The radioisotope chelator N-succinimidyl-DOTA (NHS-DOTA) was purchased from Macrocyclics (Dallas, TX). 64Cu CuCl2 was purchased from the University of Wisconsin (Madison, WI). All other experimental reagents were obtained from Sigma-Aldrich (St. Louis, MO) unless otherwise stated.
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9

Drug Efficacy in Lung Cancer Cells

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Drug efficacy test was applied only to the low attached cell culture systems. Drug sensitivities of carboplatin (Sigma-Aldrich, St. Louis, MO, USA), pemetrexed (Santa Cruz Biotechnology, Dallas, TX, USA) and pembrolizumab (KEYTRUDA®, Merck & Co., USA) were evaluated. There were six testing groups including (1) carboplatin (50 µM), (2) pemetrexed (5 µM), (3) pembrolizumab (2.5 nM), (4) carboplatin (50 µM) + pemetrexed (5 µM), (5) carboplatin (50 µM) + pemetrexed (5 µM) + pembrolizumab (2.5 nM) and (6) control group (complete culture medium only), (n = 4). After incubation for 48 h, cell proliferation was assessed using CCK-8 kit (Dojindo, Japan). Briefly, 10 µl of CCK-8 was added into each testing well (containing 100 µl medium), followed by incubation for one hour at 37 °C and 5% CO2. The optical density was determined using a spectrophotometer (Infinite F Plex, Tecan, Switzerland) at 490 nm with background correction at 630 nm.
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10

Glycan Remodeling and Enzymatic Digestion

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Eculizumab (Soliris, Alexion), trastuzumab
(Herceptin, Roche), and pembrolizumab (Keytruda, Merck) were obtained
from their manufacturers. Glycan remodeling was performed by treatment
of trastuzumab with TransGLYCIT (Genovis, Lund, Sweden) according
to the producer specifications with and without the presence of a
fucosidase. For middle-level analysis, enzymatic digestion was performed
by incubation of one unit of the IdeS enzyme (FabRICATOR, Genovis,
Lund, Sweden) per microgram of mAb at 37 °C for 60 min. Prior
to further analysis, the samples were buffer exchanged to 50 mM ammonium
acetate using 10 kDa Vivaspin 500 filters (Sartorius, Göttingen,
Germany) with an end concentration of 2 mg/mL.
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