Advanced head and neck squamous cell cancer


Jeff is a real patient. KEYTRUDA may not work for everyone, but this is his TRU STORY.

See how Jeff took on his diagnosis with unwavering strength and support from his family

      Jeff’s journey

      Facing a cancer diagnosis again

      Jeff has always been dedicated to his family and his music. But, when he was told his head and neck cancer returned, Jeff had to take some time off from playing the drums. Although there were some hard times, he was determined to follow his passion and do whatever it took to fight back. He eventually started practicing again, finding music as a “sort of meditation in its own way.”

      Taking the next step

      With the support of his wife and daughter, Jeff and his doctor looked for a treatment option. Along the way, he made sure he had all the information he needed. “We kept asking questions, and the more you ask questions, the more the doctors will give you answers,” Jeff recalls. With his doctor, he looked into several clinical trials. Together, they decided on KEYTRUDA.

      I just focused on what I wanted to do and how I wanted to get there, and lucky for me, my wife and family were very supportive through the whole thing.
      - Jeff, on his treatment journey

      A strong support system

      Jeff’s family remained by his side every step of the way. “I promised he would never face any of this alone, and he promised me he would never give up,” said Lorrie, Jeff’s wife, about supporting Jeff throughout treatment.

      Although he experienced some joint pain and fatigue while taking KEYTRUDA, Jeff leaned on his family for support when treatment was hard. With their encouragement, Jeff was able to stay positive and focused. “That’s how we got through it, one step at a time, one hurdle at a time, we just kept at it,” Jeff remembers.

      For anyone going through this, stay positive, fight for yourself, and never give up.
      - Jeff, on his experience with KEYTRUDA

      Dedicated to his passions

      After starting treatment with KEYTRUDA, Jeff and his doctor were seeing the results they had hoped for. As his scans improved, he found that continuing to play music was a big help for him. “I found that just getting up and moving, doing something, really helped. You have to get up, get moving, stay active.”

      He’s still that fighter. He still has that spirit, but now you can see that he really enjoys his life to the fullest.
      - Kristin, Jeff’s daughter, on her father’s character

      As his treatment with KEYTRUDA continued, Jeff was able to play drums regularly and spend more time with his grandchildren. “I enjoy every minute with my grandson and granddaughter. I really didn’t know I’d be able to experience that, and every day I see them I try to enjoy the moment as much as I can.” Jeff’s unwavering positive attitude and perseverance throughout treatment still amaze his entire family.

      Experiences with KEYTRUDA differ among individuals. KEYTRUDA will not work for everyone, and it’s important to be informed about possible side effects. Always talk to your doctor or health care team if you have questions about your treatment.

      FDA-Approved Indications

      KEYTRUDA is a prescription medicine used to treat a kind of cancer called head and neck squamous cell cancer (HNSCC).

      KEYTRUDA may be used with the chemotherapy medicines fluorouracil and a platinum as your first treatment when your head and neck cancer has spread or returned and cannot be removed by surgery.

      KEYTRUDA may be used alone as your first treatment when your head and neck cancer has spread or returned and cannot be removed by surgery, and your tumor tests positive for “PD-L1.”

      KEYTRUDA may be used alone when your head and neck cancer has spread or returned, and you have received chemotherapy that contains platinum and it did not work or is no longer working.

      PD-L1 = programmed death ligand 1.

      Important Safety Information

      KEYTRUDA is a medicine that may treat certain cancers by working with your immune system. KEYTRUDA can cause your immune system to attack normal organs and tissues in any area of your body and can affect the way they work. These problems can sometimes become severe or life-threatening and can lead to death. You can have more than one of these problems at the same time. These problems may happen any time during treatment or even after your treatment has ended.

      Call or see your health care provider right away if you develop any signs or symptoms of the following problems or if they get worse. These are not all of the signs and symptoms of immune system problems that can happen with KEYTRUDA:

      Lung problems: cough, shortness of breath, or chest pain.

      Intestinal problems: diarrhea (loose stools) or more frequent bowel movements than usual; stools that are black, tarry, sticky, or have blood or mucus; or severe stomach-area (abdomen) pain or tenderness.

      Liver problems: yellowing of your skin or the whites of your eyes; severe nausea or vomiting; pain on the right side of your stomach area (abdomen); dark urine (tea colored); or bleeding or bruising more easily than normal.

      Hormone gland problems: headaches that will not go away or unusual headaches; eye sensitivity to light; eye problems; rapid heartbeat; increased sweating; extreme tiredness; weight gain or weight loss; feeling more hungry or thirsty than usual; urinating more often than usual; hair loss; feeling cold; constipation; your voice gets deeper; dizziness or fainting; changes in mood or behavior, such as decreased sex drive, irritability, or forgetfulness.

      Kidney problems: decrease in the amount of your urine; blood in your urine; swelling of your ankles; loss of appetite.

      Skin problems: rash; itching; skin blistering or peeling; painful sores or ulcers in your mouth or in your nose, throat, or genital area; fever or flu-like symptoms; swollen lymph nodes.

      Problems can also happen in other organs and tissues. Signs and symptoms of these problems may include: chest pain; irregular heartbeat; shortness of breath; swelling of ankles; confusion; sleepiness; memory problems; changes in mood or behavior; stiff neck; balance problems; tingling or numbness of the arms or legs; double vision; blurry vision; sensitivity to light; eye pain; changes in eyesight; persistent or severe muscle pain or weakness; muscle cramps; low red blood cells; bruising.

      Infusion reactions that can sometimes be severe or life-threatening. Signs and symptoms of infusion reactions may include chills or shaking, itching or rash, flushing, shortness of breath or wheezing, dizziness, feeling like passing out, fever, and back pain.

      Rejection of a transplanted organ. Your health care provider should tell you what signs and symptoms you should report and they will monitor you, depending on the type of organ transplant that you have had.

      Complications, including graft-versus-host disease (GVHD), in people who have received a bone marrow (stem cell) transplant that uses donor stem cells (allogeneic). These complications can be serious and can lead to death. These complications may happen if you underwent transplantation either before or after being treated with KEYTRUDA. Your health care provider will monitor you for these complications.

      Getting medical treatment right away may help keep these problems from becoming more serious. Your health care provider will check you for these problems during treatment with KEYTRUDA. They may treat you with corticosteroid or hormone replacement medicines. They may also need to delay or completely stop treatment with KEYTRUDA if you have severe side effects.

      Before you receive KEYTRUDA, tell your health care provider if you have immune system problems such as Crohn’s disease, ulcerative colitis, or lupus; have had an organ transplant or have had or plan to have a bone marrow (stem cell) transplant that uses donor stem cells (allogeneic); have had radiation treatment in your chest area; have a condition that affects your nervous system, such as myasthenia gravis or Guillain-Barré syndrome.

      If you are pregnant or plan to become pregnant, tell your health care provider. KEYTRUDA can harm your unborn baby. If you are able to become pregnant, you will be given a pregnancy test before you start treatment. Use effective birth control during treatment and for at least 4 months after your final dose of KEYTRUDA. Tell them right away if you think you may be pregnant or you become pregnant during treatment with KEYTRUDA.

      Tell your health care provider if you are breastfeeding or plan to breastfeed. It is not known if KEYTRUDA passes into your breast milk. Do not breastfeed during treatment with KEYTRUDA and for 4 months after your final dose of KEYTRUDA.

      Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

      Common side effects of KEYTRUDA when used alone include feeling tired; pain, including pain in muscles; rash; diarrhea; fever; cough; decreased appetite; itching; shortness of breath; constipation; bones or joints and stomach-area (abdominal) pain; nausea; and low levels of thyroid hormone.

      In children, when KEYTRUDA is used alone, fever, vomiting, upper respiratory tract infection, headache, and low levels of white blood cells and red blood cells (anemia) are more common than in adults.

      Common side effects of KEYTRUDA when given with certain chemotherapy medicines include feeling tired or weak; nausea; constipation; diarrhea; decreased appetite; rash; vomiting; cough; trouble breathing; fever; hair loss; inflammation of the nerves that may cause pain, weakness, and paralysis in the arms and legs; swelling of the lining of the mouth, nose, eyes, throat, intestines, or vagina; mouth sores; headache; weight loss; stomach-area (abdominal) pain; joint and muscle pain; and trouble sleeping.

      Common side effects of KEYTRUDA when given with chemotherapy and bevacizumab include tingling or numbness of the arms or legs; hair loss; low red blood cell count; feeling tired or weak; nausea; low white blood cell count; diarrhea; high blood pressure; decreased platelet count; constipation; joint aches; vomiting; urinary tract infection; rash; low levels of thyroid hormone; and decreased appetite.

      Common side effects of KEYTRUDA when given with axitinib include diarrhea; feeling tired or weak; high blood pressure; liver problems; low levels of thyroid hormone; decreased appetite; blisters or rash on the palms of your hands and soles of your feet; nausea; mouth sores or swelling of the lining of the mouth, nose, eyes, throat, intestines, or vagina; hoarseness; rash; cough; and constipation.

      These are not all the possible side effects of KEYTRUDA. Talk to your health care provider for medical advice about side effects.

      You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 1-800-FDA-1088.

      Please read the accompanying Medication Guide for KEYTRUDA and discuss it with your doctor. The physician Prescribing Information also is available.