Keytruda

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News: Keytruda is now being used worldwide to treat lung, cervical, renal cell, and aggressive breast cancers, among others.

About Keytruda

Source: Keytruda official
  • Keytruda is the brand name of pembrolizumab, which is an immunotherapy drug used to treat several cancers.
  • Manufactured by: It is manufactured by Merck & Co (MSD), a US-based pharmaceutical company.
  • It belongs to a class of drugs called checkpoint inhibitors, which help the immune system fight cancer.
    • These drugs remove the “brakes” that prevent T cells from attacking cancer cells.
  • It belongs to the category of monoclonal antibodies. 
    • Monoclonal antibodies are laboratory-made molecules designed to bind to specific targets.
    • They help the immune system identify and destroy cancer cells.
  • How it works: 
    • Pembrolizumab works by attaching to PD-1 receptors on T cells. This prevents the interaction between PD-1 receptors on T cells and PD-L1 receptors on cancer cells.
    • As a result, T cells are able to recognize and attack cancer cells. In this way, Keytruda uses the body’s own immune system to fight cancer.
  • Cost and Dosage: The recommended dosage of Keytruda is 200 mg every three weeks.
    • Each 100 mg vial costs more than ₹1.5 lakh.
  • Availability in India: Keytruda and other monoclonal antibodies are available in tertiary care hospitals across India.
    • Note: India’s first indigenous CAR-T therapy, called NexCar19, has been developed by ImmunoAct
  • Use:  It is being used globally to treat several cancers, including lung cancer, cervical cancer, renal cell cancer, and aggressive breast cancer.

About Immunotherapy

  • Immunotherapy is a type of treatment that trains the immune system to fight diseases, especially cancer.
  • It is often used along with other treatments such as chemotherapy, radiotherapy, and surgery.
  • Immunotherapy vs Chemotherapy: 
    • Chemotherapy and radiotherapy work by directly killing cancer cells, but they also damage healthy cells.
    • In contrast, immunotherapy helps the immune system identify and destroy cancer cells while sparing healthy cells.
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