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  • Keytruda (Active ENP)

Keytruda (Active ENP) (pembrolizumab)

Details

pCPA file number

78105

Manufacturer:

Merck Canada Inc.

Status:

Active negotiation

Indication:

Keytruda, for the treatment of adult patients with muscle-invasive bladder cancer (MIBC) who are ineligible for cisplatin containing chemotherapy, in combination with enfortumab vedotin, as neoadjuvant treatment and then continued after radical cystectomy as adjuvant treatment.

CDA-AMC recommendation

View CDA-AMC project page

Project ID: PC0450-000

Negotiation Timeline

  • Initiation

    A drug is identified and brought into a pCPA process (see standard negotiation process or expedited negotiation pathways).

    Drug eligible for the ENP

    March 25, 2026

    The manufacturer has been informed that the drug meets conditions for negotiations through the early negotiation process.

  • Consideration

    The pCPA considers the evidence (including HTA reimbursement recommendations) and gathers other data to inform the negotiation approach, in alignment with the needs of public drug plans. This phase concludes when the pCPA sends a letter of engagement to the manufacturer. 

    Letter of engagement sent to manufacturer

    June 23, 2026

    This lets the manufacturer know the pCPA is ready to start negotiating.

  • Negotiation

    The pCPA negotiation team reaches out to the manufacturer to outline next steps, then we exchange offers to try to reach an agreement on terms and funding conditions.

    Negotiations initiated

    June 23, 2026

    Terms reached

  • Completion

    The pCPA creates a letter of intent outlining negotiated terms. If the negotiation ended without an agreement, the pCPA sends a letter letting the manufacturer know that the negotiation is closed. 

    Negotiation process concluded

Related negotiations

Keytruda (Active ENP) (pembrolizumab)

Status:

Active negotiation

Manufacturer:

Merck Canada Inc.

Indication:

for the treatment of adult patients with platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal carcinoma whose tumors express PD-L1 (CPS≥1) as determined by a validated test, and who have received one or two prior systemic treatment regimens

Last updated:

July 6, 2026

Page updated: July 7, 2026

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pan-Canadian Pharmaceutical Association

General inquiries: info@pcpa-app.ca

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