Understanding Your Treatment Options With KEYTRUDA® (pembrolizumab): High-Risk Early-Stage Triple-Negative Breast Cancer (TNBC)
High-risk early-stage triple-negative breast cancer (TNBC)


KEYTRUDA as a part of your treatment plan

With a cancer diagnosis, you may feel the need to start treatment as soon as possible. Treatment decisions are very personal, so explore options and ask questions. As you work with your doctors, have open conversations. Remember, you have a voice in your health care so find a team you are comfortable with, who listens to you, and who works to find a treatment plan that is right for you.

The information below can help you understand what a treatment plan could look like, how your treatment works, and questions to ask your care team.

Understanding treatment before and after surgery

This treatment option includes KEYTRUDA + chemotherapy used before surgery, followed by KEYTRUDA alone after surgery.

Before surgery
You and your doctor may decide that starting treatment before surgery as part of your full treatment plan is right for you. Treatment that comes before surgery is called neoadjuvant (nee-oh-A-joo-vant). A goal of treatment is so no cancer is found under a microscope at the time of surgery.

Then after surgery
Treatment after surgery is called adjuvant (A-joo-vunt). A goal of after-surgery treatment is to fight any remaining cancer cells and to keep cancer from coming back.

KEYTRUDA + chemotherapy helps to fight high-risk early-stage TNBC in 2 different ways:

KEYTRUDA® (pembrolizumab) With Chemotherapy Is Helping to Fight High-Risk Early-Stage Triple-Negative Breast Cancer (TNBC)
KEYTRUDA® (pembrolizumab) Is an Immunotherapy
Cancer Cell
Chemotherapy Kills Quickly Growing Cancer Cells




KEYTRUDA is a type of therapy called immunotherapy. Immunotherapy is different from chemotherapy. Instead of attacking cancer cells directly, immunotherapy helps your immune system do what it is designed to do: find and fight cancer cells. 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 anytime during treatment or even after your treatment has ended.

Chemotherapy uses a drug to attack and kill quickly growing cancer cells directly. Chemotherapy can be used in combination with other drugs, such as immunotherapy, to treat advanced cancer. Chemotherapy may also damage normal quickly growing cells, such as hair and blood cells.

Accepting Support During Treatment With KEYTRUDA® (pembrolizumab) for High-Risk Early-Stage Triple-Negative Breast Cancer (TNBC)

Accepting support from loved ones and your care team

When you’re the person others lean on, it can be hard to be the one asking for help. But you don’t need to take this journey alone. Your loved ones want to be helpful to you. If you’re not sure what you need or want, they could help gather information and talk through decisions with you.

You also have a dedicated care team made up of many experts including oncologists, surgeons, radiologists, oncology nurses, and patient and nurse navigators who work together to help you along the way. They are there to answer your questions and offer guidance regarding your treatment path.

Some questions you could ask:

  • What are my treatment options before and after surgery?
  • How soon can I start treatment?
  • Is KEYTRUDA right for me?
  • What is the treatment schedule for KEYTRUDA?
  • Does my insurance cover KEYTRUDA?
Patient Support Program for KEYTRUDA® (pembrolizumab)

Patient support anytime, anywhere you need it

This program is designed to offer educational resources to help with the practical and emotional challenges of cancer. Patients prescribed KEYTRUDA for an approved indication can receive phone support, e-mails, and online activities.

FDA-Approved Indications

KEYTRUDA is a prescription medicine used to treat a kind of cancer called triple-negative breast cancer (TNBC). KEYTRUDA may be used with chemotherapy medicines as treatment before surgery and then continued alone after surgery when you have early-stage breast cancer, and are at high risk of your breast cancer coming back.

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, bones or joints, and stomach-area (abdominal) pain; decreased appetite; itching; diarrhea; nausea; rash; fever; cough; shortness of breath; and constipation.

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 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 www.fda.gov/medwatch 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.