← The record

PembrolizumabKeytruda

Noted OncologyAuthority Required 💬 consumer voice

Treatment of unresectable advanced and metastatic cancers, excluding adjuvant, neoadjuvant, or perioperative settings, and excluding tumours known to be unresponsive to PD-1 inhibitors.

51
Submissions
30 resub
2015–25
On the record
$35k–75k
ICER range
3 sourced ICERs · 2016–2023
Not modelled
Cost basis
risk sharing

Decisions on record

56 decisions
  • Meeting Mar 2026 Noted Gastroesophageal cancers no PSD
  • Meeting Dec 2025 Recommended Advanced and metastatic cancers
  • Meeting Nov 2025 Recommended Head and neck squamous cell carcinoma – neoadjuvant and adjuvant treatment of resectable locally advanced HNSCC
  • Meeting Jul 2025 Not recommended Primary advanced or recurrent dMMR endometrial cancer
  • Meeting Jul 2025 Not recommended Unresectable advanced and metastatic cancer (broad listing proposal)
  • Meeting Mar 2025 Recommended High-risk locally advanced cervical cancer (LACC)
  • Meeting Nov 2024 Recommended Renal cell carcinoma at intermediate-high or high risk of recurrence
  • Meeting Jul 2024 Noted Advanced or metastatic gastro-oesophageal cancers no PSD
48 earlier decisions
  • Dec 2023 Deferred Multiple indications with current or future TGA registration no PSD
  • Nov 2023 Recommended Metastatic or locally advanced cutaneous squamous cell carcinoma (not curable by surgery/radiation)
  • Jul 2023 Recommended Early stage triple negative breast cancer (eTNBC)
  • May 2023 Recommended Adjuvant treatment of resected Stage IIIB, IIIC or IIID melanoma no PSD
  • Mar 2023 Recommended Breast cancer; locally recurrent unresectable or metastatic triple negative breast cancer
  • Mar 2023 Noted Endometrial cancer; advanced endometrial cancer
  • Mar 2023 Not recommended Breast cancer; early stage triple negative breast cancer
  • Nov 2022 Recommended Persistent, recurrent or metastatic (Stage IVB) cervical cancer
  • Nov 2022 Not recommended Locally advanced or metastatic (Stage III or IV) urothelial cancer
  • Jul 2022 Recommended Urothelial cancer, colorectal cancer, primary mediastinal B-cell lymphoma, classical Hodgkin lymphoma
  • May 2022 Recommended Gastro-oesophageal cancers, advanced or metastatic, first line with chemotherapy no PSD
  • Mar 2022 Recommended Squamous cell carcinoma of the head and neck
  • Mar 2022 Recommended Endometrial cancer
  • Mar 2022 Recommended Renal cell carcinoma
  • Mar 2022 Deferred Oesophageal carcinoma or HER-2-negative gastroesophageal junction adenocarcinoma
  • Nov 2021 Deferred Squamous cell carcinoma of the head and neck (SCCHN)
  • Nov 2021 Not recommended Oesophageal/gastro-oesophageal junction cancer
  • Mar 2021 Recommended First-line metastatic dMMR colorectal cancer
  • Nov 2020 Not recommended Squamous cell carcinoma of the head and neck (SCCHN)
  • Mar 2020 Recommended Melanoma
  • Mar 2020 Recommended Melanoma Non-small cell lung cancer (NSCLC)
  • Mar 2020 Recommended Primary mediastinal B- cell lymphoma (PMBCL)
  • Mar 2020 Recommended Melanoma
  • Nov 2019 Deferred Melanoma
  • Aug 2019 Noted Non-small cell lung cancer (NSCLC)
  • Jul 2019 Recommended Non-small cell lung cancer (NSCLC)
  • Jul 2019 Not recommended PEMBROLIZUMAB is indicated for use in Melanoma:
  • Mar 2019 Not recommended Metastatic colorectal carcinoma (CRC)
  • Mar 2019 Noted First-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) expressing PD-L1 TPS>50%.
  • Nov 2018 Recommended Melanoma
  • Nov 2018 Not recommended Melanoma
  • Nov 2018 Not recommended Non-small cell lung cancer (NSCLC)
  • Nov 2018 Not recommended Primary mediastinal B- cell lymphoma (PMBCL)
  • Jul 2018 Recommended First-line treatment of patients with metastatic non-small cell lung cancer (NSCLC)
  • Jul 2018 Recommended Locally advanced or metastatic urothelial cancer (LA or mUC)
  • Jul 2018 Not recommended Squamous cell carcinoma for the head and neck (SCCHN)
  • Mar 2018 Recommended Melanoma
  • Mar 2018 Deferred First-line treatment of patients with metastatic non-small cell lung cancer (NSCLC)
  • Nov 2017 Not recommended Locally advanced or metastatic urothelial cancer (LA or mUC)
  • Nov 2017 Deferred First-line treatment of patients with metastatic non-small cell lung cancer (NSCLC)
  • Aug 2017 Recommended Classical Hodgkin's lymphoma
  • Jul 2017 Deferred Classical Hodgkin's lymphoma
  • Mar 2017 Not recommended Non-small cell lung cancer
  • Nov 2016 Recommended Melanoma
  • Nov 2016 Not recommended Non-small cell lung cancer (NSCLC)
  • Nov 2016 Not recommended Pembrolizumab is indicated for the treatment of unresectable or metastatic melanoma in adults.
  • Mar 2016 Not recommended Melanoma
  • Mar 2015 Recommended Melanoma

Access path

51 submissions · public record
  1. TGA registered · Keytruda
  2. Mar 2015
    Recommended · restricted

    vs ipilimumab

  3. Mar 2016
    Not recommended
  4. ↻ resubmitted
    Nov 2016
    Recommended

    Evidence: RCT → Cost-minimisation

  5. Nov 2016
    Not recommended

    Evidence: RCT → Cost-minimisation

  6. Nov 2016
    Not recommended

    Evidence: RCT → Cost-minimisation

  7. Mar 2017
    Not recommended

    Comparator changed: docetaxel (squamous NSCLC) and pemetrexed (non-squamous NSCLC) →…

  8. ↻ resubmitted
    Jul 2017
    Recommended · restricted

    Comparator changed: platinum-based doublet chemotherapy → brentuximab vedotin

  9. Aug 2017
    Recommended · restricted
  10. Nov 2017
    Deferred

    Comparator changed: brentuximab vedotin → platinum-based doublet chemotherapy

  11. Nov 2017
    Not recommended

    Comparator changed: brentuximab vedotin → platinum-based doublet chemotherapy

  12. ↻ resubmitted
    Mar 2018
    Recommended

    Evidence: RCT → Other

  13. Mar 2018
    Deferred

    Evidence: RCT → Other

  14. Jul 2018
    Recommended · restricted

    Listing: Restricted → Authority Required

  15. Jul 2018
    Not recommended

    Listing: Restricted → Authority Required

  16. ↻ resubmitted
    Jul 2018
    Recommended · restricted

    Listing: Restricted → Authority Required

  17. Nov 2018
    Not recommended

    Comparator changed: standard of care (paclitaxel or docetaxel) → observation (placebo)

  18. Nov 2018
    Not recommended

    Comparator changed: standard of care (paclitaxel or docetaxel) → observation (placebo)

  19. Nov 2018
    Not recommended

    Comparator changed: standard of care (paclitaxel or docetaxel) → observation (placebo)

  20. ↻ resubmitted
    Nov 2018
    Recommended · restricted

    Comparator changed: standard of care (paclitaxel or docetaxel) → observation (placebo)

  21. Mar 2019
    Noted

    Evidence: Other → Single-arm

  22. Mar 2019
    Noted

    Evidence: Other → Single-arm

  23. Jul 2019
    Not recommended

    Comparator changed: platinum-based chemotherapy → placebo

  24. ↻ resubmitted
    Jul 2019
    Recommended · restricted

    Comparator changed: platinum-based chemotherapy → placebo

  25. Aug 2019
    Recommended · restricted

    Listing: Authority Required → Restricted

  26. Nov 2019
    Deferred

    Listing: Restricted → Authority Required

  27. Mar 2020
    Recommended

    Comparator changed: nivolumab and dabrafenib + trametinib → 200 mg every three weeks flat…

  28. Mar 2020
    Recommended · restricted

    Comparator changed: nivolumab and dabrafenib + trametinib → 200 mg every three weeks flat…

  29. Mar 2020
    Recommended

    Comparator changed: nivolumab and dabrafenib + trametinib → 200 mg every three weeks flat…

  30. Mar 2020
    Recommended

    Comparator changed: nivolumab and dabrafenib + trametinib → 200 mg every three weeks flat…

  31. Nov 2020
    Recommended · restricted

    Comparator changed: Chemotherapy regimens such as ICE, GDP or DHAP with or without…

  32. Mar 2021
    Recommended · restricted

    Comparator changed: first-line platinum + 5-FU chemotherapy followed by second-line…

  33. Nov 2021
    Not recommended

    Comparator changed: Standard of care (FOLFOX, cetuximab + FOLFOX, bevacizumab + FOLFOX) →…

  34. Nov 2021
    Deferred

    Comparator changed: Standard of care (FOLFOX, cetuximab + FOLFOX, bevacizumab + FOLFOX) →…

  35. Mar 2022
    Recommended

    Comparator changed: platinum-based chemotherapy (carboplatin or cisplatin) and…

  36. Mar 2022
    Recommended · restricted

    Comparator changed: platinum-based chemotherapy (carboplatin or cisplatin) and…

  37. Mar 2022
    Not recommended

    High and moderately uncertain ICER at the proposed price, despite demonstrated clinically meaningful improvement in…

  38. ↻ resubmitted
    May 2022
    Recommended

    Comparator changed: cisplatin + 5-FU → cisplatin + 5-fluorouracil (5-FU)

  39. Jul 2022
    Recommended

    Comparator changed: cisplatin + 5-fluorouracil (5-FU) → pembrolizumab 200 mg every 3 weeks

  40. Nov 2022
    Recommended · restricted

    Comparator changed: pembrolizumab 200 mg every 3 weeks → chemotherapy (paclitaxel and…

  41. Nov 2022
    Noted

    Comparator changed: pembrolizumab 200 mg every 3 weeks → chemotherapy (paclitaxel and…

  42. Mar 2023
    Not recommended

    Comparator changed: Standard of care (chemotherapy) → standard chemotherapy (neoadjuvant…

  43. ↻ resubmitted
    Mar 2023
    Recommended · restricted

    Comparator changed: Standard of care (chemotherapy) → standard chemotherapy (neoadjuvant…

  44. Mar 2023
    Recommended · restricted

    Comparator changed: Standard of care (chemotherapy) → standard chemotherapy (neoadjuvant…

  45. Jul 2023
    Recommended · restricted

    Comparator changed: current standard chemotherapy regimens (taxane-based monotherapy or…

  46. Nov 2023
    Recommended · restricted

    Comparator changed: Standard chemotherapy guided by physician for the neoadjuvant phase…

  47. Nov 2024
    Recommended

    Comparator changed: cemiplimab → surveillance

  48. Mar 2025
    Recommended · restricted

    Comparator changed: surveillance → concurrent chemoradiotherapy (CCRT) alone

  49. Jul 2025
    Not recommended
  50. Jul 2025
    Not recommended
  51. ↻ resubmitted
    Nov 2025
    Recommended · restricted

    Comparator changed: dostarlimab (dMMR population); platinum-based chemotherapy alone…

  52. Dec 2025
    Recommended

    Evidence: RCT → Cost-minimisation

  53. PBS listing · Authority Required
RecommendedDeferredNot recommended

From the public summary

Verbatim · PSD text · may span indications
PBAC outcome
9.1 The PBAC recommended under section 101(3) of the Act, a change to the circumstances under which pembrolizumab is made available as a pharmaceutical benefit under Part VII of the Act to expand its use for advanced and metastatic cancers. The PBAC is satisfied that the extended listing will provide, for some patients, a significant improvement in efficacy over alternate therapies (or watchful waiting).PSD · Dec 2025
9.2 The PBAC welcomed the revised approach to the restriction criteria and noted this had largely addressed its concerns from the July 2025 submission, particularly regarding access for patients with rare cancers. The PBAC recalled it had recommended nivolumab ± ipilimumab for a broad listing for advanced and metastatic cancers in September 2025.PSD · Dec 2025
Economic analysis
6.40 The submission presented a stepped economic evaluation for the use of PEM+SoC for the treatment of LA HNSCC based on the direct, randomised KN689 trial that compared PEM+SoC to SoC alone.PSD · Nov 2025
6.41 The key components of the economic evaluation are summarised in Table 9. 19 OFFICIALPSD · Nov 2025
Clinical claim
6.35 The submission described PEM+SoC as superior in terms of efficacy and inferior but manageable in terms of safety compared to SoC alone.PSD · Nov 2025
6.36 The ESC considered that the claim of superior efficacy of PEM+SoC compared with SoC was partially supported by the evidence presented in the submission and considered that the magnitude of clinical benefit had been overestimated for the following reasons:PSD · Nov 2025
Consumer comments
6.3 The PBAC noted the advice received from Head and Neck Cancer Australia and Rare Cancers Australia supporting the PBS listing of pembrolizumab for the perioperative treatment of patients with resectable LA HNSCC.PSD · Nov 2025
Rare Cancers Australia noted that further treatment options may help to reduce the invasiveness of current procedures, ultimately enhancing patients' quality of life.PSD · Nov 2025

Cost-effectiveness

3 sourced ICERs · 2016–2023

No ICER calculated; this is a broad multi-indication listing proposal with risk-sharing arrangement rather than a traditional cost-effectiveness analysis.

the PBAC considered the model provided did not provide sufficient clarity as to the inputs and underlying assumptions driving the outputs and that this difficulty in verifying the outputs of the financial model meant it was not reliable for decision making. PBAC · 2025
ICER uncertain ×5ICER / price too high ×3Economic model disputed ×6Price cut / RSA needed ×5Immature survival dataSurrogate endpointNo head-to-head trialIndirect comparison ×2Cost-effectiveness accepted ×6

Decision context

PopulationAdults with unresectable advanced or metastatic cancers (across multiple cancer types including NSCLC, melanoma, urothelial cancer, colorectal cancer, head and neck squamous cell carcinoma, triple-negative breast cancer, Hodgkin lymphoma, and others), excluding adjuvant, neoadjuvant, or perioperative settings and tumours known to be unresponsive to PD-1 inhibitors.

Risk sharingTwo-tier risk-sharing arrangement (RSA) with tiered subsidisation caps. Tier 1 covers current PBS-listed indications and two PBAC-recommended but not yet implemented indications at effective price. Tier 2 applies a consolidated rebate for expanded use including future indications, retreatment, use beyond 2 years, and rare cancers.

Why it was knocked back

  • Not recommended at July 2025 meeting; proposal did not establish reliable basis for financial estimates. The PBAC considered the financial model lacked sufficient clarity on inputs and underlying assumptions, and outputs could not be adequately verified. Model did not include required elements such as offset medicines, patient copayments, Services Australia impacts, and MBS administration costs impacts.

Submission history

51 entries
DecidedOutcomeComparatorICEREvidence
Dec 2025 Recommended Cost-minimisation
Nov 2025 Recommended · restricted standard of care (adjuvant radiotherapy with or without chemotherapy) RCT · EFS
Jul 2025 Not recommended RCT
Jul 2025 Not recommended dostarlimab (dMMR population); platinum-based chemotherapy alone followed by pembrolizumab + lenvatinib (pMMR population RCT · PFS
Mar 2025 Recommended · restricted concurrent chemoradiotherapy (CCRT) alone RCT · PFS
Nov 2024 Recommended surveillance RCT · DFS
Nov 2023 Recommended · restricted cemiplimab Single-arm · ORR
Jul 2023 Recommended · restricted Standard chemotherapy guided by physician for the neoadjuvant phase, and placebo in the adjuvant phase $35k–45k RCT · Pathological complete response (pCR), event-free survival (EFS), overall survival (OS)
Mar 2023 Not recommended standard chemotherapy (neoadjuvant phase) and placebo (adjuvant phase) RCT · pCR, EFS, OS
Mar 2023 Recommended · restricted chemotherapy (doxorubicin or paclitaxel); dostarlimab in dMMR subgroup RCT · OS
Mar 2023 Recommended · restricted current standard chemotherapy regimens (taxane-based monotherapy or carboplatin + gemcitabine) RCT · OS
Nov 2022 Recommended · restricted chemotherapy (paclitaxel and platinum compound [cisplatin or carboplatin]) with or without bevacizumab RCT · OS
Nov 2022 Noted Standard of care (chemotherapy) RCT · OS
Jul 2022 Recommended pembrolizumab 200 mg every 3 weeks Other · Other
May 2022 Recommended cisplatin + 5-fluorouracil (5-FU) RCT · OS
Mar 2022 Recommended First-line platinum-based chemotherapy (carboplatin or cisplatin with 5-fluorouracil), followed by second-line nivolumab RCT · OS
Mar 2022 Recommended · restricted nivolumab in combination with ipilimumab (NIVO+IPI) RCT · OS
Mar 2022 Not recommended cisplatin + 5-FU RCT · PFS, OS
Nov 2021 Not recommended Cisplatin plus 5-fluorouracil (5-FU) RCT · OS
Nov 2021 Deferred platinum-based chemotherapy (carboplatin or cisplatin) and 5-fluorouracil followed by second-line nivolumab in 50% of pa RCT · OS
Mar 2021 Recommended · restricted Standard of care (FOLFOX, cetuximab + FOLFOX, bevacizumab + FOLFOX) RCT · OS
Nov 2020 Recommended · restricted first-line platinum + 5-FU chemotherapy followed by second-line nivolumab in 66.7% of patients RCT · OS
Mar 2020 Recommended 200 mg every three weeks flat dosing regimen Other · Other
Mar 2020 Recommended · restricted nivolumab monotherapy RCT · OS
Mar 2020 Recommended nivolumab RCT · Surrogate
Mar 2020 Recommended Chemotherapy regimens such as ICE, GDP or DHAP with or without rituximab RCT · ORR
Nov 2019 Deferred nivolumab and dabrafenib + trametinib RCT · RFS
Aug 2019 Recommended · restricted RCT · OS
Jul 2019 Not recommended placebo RCT · PFS
Jul 2019 Recommended · restricted For PD-L1 TPS <50%: platinum doublet chemotherapy followed by PD-(L)1 inhibitors. For PD-L1 TPS ≥50%: pembrolizumab mono RCT · OS
Mar 2019 Noted FOLFIRI, cetuximab + FOLFIRI, bevacizumab + FOLFIRI Single-arm · ORR
Mar 2019 Noted platinum-based chemotherapy $45k–75k RCT · OS
Nov 2018 Not recommended observation (placebo) RCT · PFS
Nov 2018 Not recommended For PD-L1 TPS <50%: platinum doublet chemotherapy followed by PD-(L)1 inhibitor. For PD-L1 TPS ≥50%: pembrolizumab monot RCT · OS
Nov 2018 Not recommended standard of care (SOC) chemotherapy regimens (ICE, GDP, DHAP) Single-arm · ORR
Nov 2018 Recommended · restricted Other
Jul 2018 Recommended · restricted platinum-based doublet chemotherapy RCT · OS
Jul 2018 Not recommended nivolumab RCT · OS
Jul 2018 Recommended · restricted standard of care (paclitaxel or docetaxel) RCT · OS
Mar 2018 Recommended Other
Mar 2018 Deferred platinum-based doublet chemotherapy RCT · OS
Nov 2017 Deferred platinum-based doublet chemotherapy RCT · PFS
Nov 2017 Not recommended standard of care (SOC): paclitaxel and docetaxel RCT · OS
Aug 2017 Recommended · restricted brentuximab vedotin Single-arm · ORR
Jul 2017 Recommended · restricted brentuximab vedotin Single-arm · OS
Mar 2017 Not recommended platinum-based doublet chemotherapy RCT · OS
Nov 2016 Recommended Cost-minimisation · Cost-minimisation
Nov 2016 Not recommended ipilimumab RCT · OS | PFS
Nov 2016 Not recommended docetaxel (squamous NSCLC) and pemetrexed (non-squamous NSCLC) RCT · OS
Mar 2016 Not recommended ipilimumab $45k–75k RCT · OS | PFS
Mar 2015 Recommended · restricted ipilimumab RCT · ORR

Clinical evidence

Trials cited in the PSDs · ClinicalTrials.gov
TrialPhaseNPrimary outcomeStatus
KN-407 Ph 3 559 Progression-free Survival (PFS) as Assessed by Response Evaluation Criteria in Solid Tumor… completed
KEYNOTE-826 Ph 3 617 Progression-free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1… completed
KN-006 Ph 3 834 Progression-free Survival (PFS) According to Response Evaluation Criteria In Solid Tumors … completed
KN-522 Ph 3 1,174 Pathological complete response (pCR) rate using the definition of ypT0/Tis ypN0 (i.e., no … completed
KN775 Ph 3 827 Progression Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors Version 1… completed
KN158 Ph 2 1,609 Objective Response Rate (ORR) active not recruiting

Codependent tests

MSAC
ServiceBiomarkerMSAC outcomeYear
PD-L1 immunohistochemistry testing for NSCLC PD-L1 expression (tumour proportion score ≥50%) not supported 2017
PD-L1 immunohistochemistry testing (22C3 antibody) for head and neck squamous cell carcinoma PD-L1 expression (combined positive score ≥1) not supported 2020
PD-L1 immunohistochemistry testing for triple negative breast cancer PD-L1 Combined Positive Score (CPS) ≥10 supported 2023

Consumer voice

Nov 2025

Consumer input from individuals, healthcare professionals, and organisations supported PBS listing of pembrolizumab for resectable LA HNSCC, highlighting the serious complications of current surgical and radiation treatments and the clinical need for additional treatment options to improve quality of life and reduce recurrence.

surgical resection and radiation can often lead to serious complications, including severe disfigurement, loss of vision, and impairments in the ability to swallow, speak, eat, or drink, profoundly affecting both the physical and mental wellbeing of patients. Consumer comments · PSD
unmet needquality of lifetreatment burdensurvival benefitaccess barriersside effects

Similar precedents

By decision profile

Regulatory · TGA