ClinicalTrials.gg
RecruitingNCT07192471Updated Sep 30, 2026

A First-in-Human Study of KK2223 in Participants With Relapsed or Refractory T Cell Non-Hodgkin Lymphoma

A Phase 1 interventional study of KK2223 in T-cell NHL (PTCL or CTCL), sponsored by Kyowa Kirin, Inc.. Recruiting at 22 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Kyowa Kirin, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
72
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the safety, tolerability, PK and pharmacodynamics of KK2223 in adult participants with relapsed or refractory peripheral T cell lymphoma (PTCL) or cutaneous T cell lymphoma (CTCL).

Read the detailed description

This is a Phase 1, multicenter, open-label, non randomized study in participants with relapsed or refractory PTCL or CTCL. This study consists of Part 1 (dose-escalation) and Part 2 (backfill). The purpose of this study is to determine the safety, tolerability, PK and pharmacodynamics of K2223 in r/r T-cell NHL (PTCL or CTCL)

02

Conditions studied

  • T-cell NHL (PTCL or CTCL)

Keywords

  • Neoplasms
  • Lymphoma
  • Immune System Diseases
  • First in Human
  • Lymphoma, T-Cell, Cutaneous +
  • Lymphoma, T-Cell, Peripheral
  • Mycosis fungoides
  • Sezary Syndrome
03

In context

Lymphoma, T-Cell, Cutaneous

554 studies on the registry are indexed under Lymphoma, T-Cell, Cutaneous; 63 are open to participants now.

This study's planned enrollment of 72 is above the median of 35 across 405 interventional studies indexed under Lymphoma, T-Cell, Cutaneous.

Browse Lymphoma, T-Cell, Cutaneous studies →

Lead sponsor

Kyowa Kirin, Inc. is the lead sponsor of 36 studies on the registry; 2 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults (≥18 years) with confirmed T-cell lymphoma subtypes: PTCL (including nodal T-follicular helper cell lymphoma, ALCL, PTCL NOS) for Parts 1 and 2; CTCL (mycosis fungoides or Sézary syndrome, stages IIB-IV) for Parts 1 and 2, with specific disease involvement criteria in Part 2.
  • PTCL participants must have /intolerant to ≥1 systemic therapy; CD30+ PTCL must have prior brentuximab vedotin treatment or intolerance, and/or ALK-positive ALCL participants should have previously received crizotinib if indicated (crizotinib administration is applicable to US sites only). CTCL participants must have relapsed/refractory/intolerant to ≥2 systemic therapies.
  • Availability of tumor tissue (current or archival) is required.
  • required: nodal/extranodal lesions for PTCL and assessable skin disease for CTCL.
  • performance status 0-1; adequate neutrophils (≥1000/µL), (≥75,000/µL), renal function ( ≥60 mL/min), liver function within defined limits, and total ≤1.5× (up to 3× ULN with Gilbert's syndrome).
  • Body weight 40 kg to ≤ 200 kg
  • ≥3 months.
  • Negative pregnancy test for females of ; required for females and males with partners of childbearing potential during and after treatment.
  • Restrictions on gamete donation and freezing during and after treatment.
  • Ability to provide and comply with study procedures. -

Exclusion criteria

Exclusion Criteria:

  • Recent or allogeneic transplant within 120 days before treatment; active or ongoing after allogeneic transplant; prior HSCT and with active VOD/SOS
  • Pregnant or breastfeeding females, or those intending pregnancy.
  • History of , , or infections generally excluded, except for controlled or resolved cases as defined.
  • Uncontrolled infections requiring antibiotics, antivirals, or antifungals at screening through treatment start.
  • Significant medical history or complications within six months prior to enrollment, including advanced congestive heart failure ( Class III or higher), recent unstable angina or myocardial infarction, diseases requiring systemic immunosuppressive therapy, active or uncontrolled ocular diseases, Grade 3 or 4 peripheral neuropathy, or other poorly controlled conditions as judged by the investigator (e.g., uncontrolled hypertension, diabetes, or arrhythmias).
  • Use of other drugs within 14 days or 5 half-lives before treatment.
  • use over 10 mg/day prednisone equivalent within 14 days prior, except limited corticosteroid use with specific tapering guidelines; topical steroids allowed under conditions for CTCL.
  • Major surgery, radiotherapy, chemotherapy, or other anti-cancer treatments within 14 days or 5 half-lives before treatment.
  • Prior mogamulizumab use within six months before treatment; associated rash must be ruled out if >6 months.
  • Known history of Grade ≥ 3 to mogamulizumab.
  • Failure to recover from prior non-hematologic toxicities to Grade 0 or 1 (except alopecia and mild neuropathy).
  • Prolonged /QTc interval (e.g., QTcF >480 ms).
  • Active second primary except specified non-exclusionary cases.
  • CNS involvement.
  • Any condition that may impair compliance or study completion as judged by the Investigator.
  • Known hypersensitivity to any in the drug formulation.
Terms in these criteria, in plain language(25)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
72 participants (estimated)

Study arms

  • Experimental
    Part One (Dose Escalation)

    In Part 1, safety and tolerability of KK2223 in relapsed/refractory PTCL or CTCL patients will be assessed using a BOIN dose-escalation design.

    Drug: KK2223

  • Experimental
    Part Two (Backfill)

    Part 2 will collect additional data, with dose levels and cohort size based on Part 1 results, administering doses approved for tolerability. Backfill cohorts at cleared doses may open, prioritizing Part 1 enrollment.

    Drug: KK2223

Interventions

  • DrugKK2223

    Intravenous infusion

06

What researchers measure

Primary outcomes

  1. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 (all 72 potentially treated subjects)

    Time frame: Through study completion, an average of 1.5 years

  2. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    Vital signs (mmHg in Systolic/Diastolic blood pressure)

    Time frame: Through study completion, an average of 1.5 years

  3. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    Pulse rate (beats/min)

    Time frame: Through study completion, an average of 1.5 years

  4. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    Respiratory Rate (breath/min)

    Time frame: Through study completion, an average of 1.5 years

  5. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    Temperature (°Celcius)

    Time frame: Through study completion, an average of 1.5 years

  6. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    ECG parameters (PR interval, QRS interval, QT interval, QTc interval)

    Time frame: Through study completion, an average of 1.5 years

  7. Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

    Number of participants with dose-limiting toxicities (DLTs) in Part 1 only (at most 27 participants) and assess maximum tolerated dose (MTD)

    Time frame: Through study completion, an average of 1.5 years

Secondary outcomes

  1. Mean Blood Drug Concentration

    The mean drug concentration in the blood

    Time frame: Through study completion, an average of 1.5 years

  2. To evaluate the immunogenicity of KK2223.

    Incidence of Anti drug antibodies (ADA) in blood

    Time frame: Through study completion, an average of 1.5 years

  3. To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

    % in Overall Response Rate (ORR)

    Time frame: Through study completion, an average of 1.5 years

  4. To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

    % in Compartment Response (if applicable)

    Time frame: Through study completion, an average of 1.5 years

  5. To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

    Time unit (week/month) in Duration of Response (DOR)

    Time frame: Through study completion, an average of 1.5 years

  6. To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

    Time unit (week/month) in Time To Next Treatment (TTNT) will be evaluated

    Time frame: Through study completion, an average of 1.5 years

  7. To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

    Time unit (week/month) in Time To Response (TTR)

    Time frame: Through study completion, an average of 1.5 years

  8. Pharmacokinetic Parameter Maximum Blood Concentration (Cmax)

    The maximum drug concentration

    Time frame: Through study completion, an average of 1.5 years

  9. Pharmacokinetic Parameter Area Under the Concentration-time Curve (AUC)

    A measure of the overall drug exposure over time

    Time frame: Through study completion, an average of 1.5 years

  10. Pharmacokinetic Parameter Time to Maximum Concentration (Tmax)

    The time taken to reach the maximum drug concentration

    Time frame: Through study completion, an average of 1.5 years

  11. Pharmacokinetic Parameter Terminal Half-Life (Thalf)

    The time required for the drug concentration to decrease by 50%

    Time frame: Through study completion, an average of 1.5 years

  12. Pharmacokinetic Parameter Clearance (CL)

    Rate of drug elimination from the body

    Time frame: Through study completion, an average of 1.5 years

  13. Pharmacokinetic Parameter Volume of Distribution at Steady State (Vss)

    Theoretical volume of distribution at steady state and reflects the extent of drug istribution into tissues

    Time frame: Through study completion, an average of 1.5 years

07

Study locations

4 of 22 sites recruiting
  • City of Hope
    Duarte, California 91010, United States
    Not yet recruiting
    • Christina Poh · Contactcpoh@coh.org · 916-734-7131
    • Christina Poh · Principal investigator
  • University of California, Irvine Medical Center - Hematology/Oncology
    Orange, California 92868, United States
    Not yet recruiting
    • Lauren Pinter Brown · Contactlpinterb@uci.edu · 7144568200
    • Lauren Pinter Brown · Principal investigator
  • Stanford University School of Medicine
    Stanford, California 94305, United States
    Recruiting
  • Moffit Cancer Center
    Tampa, Florida 33612, United States
    Not yet recruiting
  • Emory University Medical Center
    Atlanta, Georgia 30322, United States
    Not yet recruiting
    • Pamela Allen · Contactpallen5@emory.edu · 404-778-2407
    • Pamela Allen · Principal investigator
  • University of Iowa Health
    Iowa City, Iowa 52242, United States
    Not yet recruiting
    • Eric Mou · Contacteric-mou@uiowa.edu · 800-777-8442
    • Eric Mou · Principal investigator
  • Beth Israel Deaconess Medical Center - Research
    Boston, Massachusetts 02215, United States
    Not yet recruiting
  • Washington University School of Medicine - Oncology Hospital - Public
    St Louis, Missouri 63110, United States
    Recruiting
    • Neha Mehta Shah · Contactmehta-n@wustl.edu · 314.273-8566
    • Neha Mehta Shah · Principal investigator
  • Hackensack University Medical Center - John Theurer Cancer C - Lymphoma Division
    Hackensack, New Jersey 07601-2105, United States
    Not yet recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10021-6007, United States
    Recruiting
    • Jasmine Zain · Contactzainj1@mskcc.org · 212-639-3045
    • Jasmine Zain · Principal investigator
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Not yet recruiting
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
    Not yet recruiting
    • Craig Okada · Contactokadac@ohsu.edu · 503-494-8397
    • Craig Okada · Principal investigator
  • University of Pennsylvania - Abramson Cancer Center
    Philadelphia, Pennsylvania 19104, United States
    Not yet recruiting
  • The University of Texas - MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • Istituto di Candiolo, IRCCS - Oncologia Medica ed Ematologia
    Candiolo, Torino 10060, Italy
    Not yet recruiting
  • Azienda Ospedaliera Papa Giovanni XXIII - Ematologia
    Bergamo, 24127, Italy
    Not yet recruiting
  • Azienda Ospedaliero Universitaria di Bologna IRCCS (Policlinico di Sant'Orsola) - Ematologia
    Bologna, 40138, Italy
    Not yet recruiting
  • AOU Citta' della Salute e della Scienza di Torino Ospedale Molinette, Ematologia Universitaria
    Torino, 10126, Italy
    Not yet recruiting
    • Federica Cavallo · Contactf.cavallo@unito.it · 390116334264
    • Federica Cavallo · Principal investigator
  • Hospital Clinic De Barcelona - Hematología
    Badalona, Barcelona 8036, Spain
    Not yet recruiting
    • Pablo Mozas · Contactmozas@clinic.cat · 34 93 227 22 71
    • Pablo Mozas · Principal investigator
  • Institut Català d'Oncologia (ICO) - ICO L'Hospitalet - Hematologia
    L'Hospitalet de Llobregat, Barcelona 8907, Spain
    Not yet recruiting
    • Eva Domingo Domenech · Contactedomingo@iconcologia.net · 34932607822
    • Eva Domingo Domenech · Principal investigator
  • Clinica Universidad de Navarra - Hematología
    Pamplona, Navarre 31008, Spain
    Not yet recruiting
    • Miguel Canales Albendea · Contactmacanales@unav.es · 34917277116
    • Miguel Canales Albendea · Principal investigator
  • Clinica Universidad de Navarra - Hematología y Hemoterapia
    Madrid, 28027, Spain
    Not yet recruiting
    • Miguel Canales Albendea · Contactmacanales@unav.es · 34917277116
    • Migue Canales Albendea · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — The datasets generated and/or analyzed during the study sponsored by Kyowa Kirin will be available in the Vivli repository, https://vivli.org/ourmember/kyowa-kirin/ as long as conditions of data disclosure specified in the policy section of the Vivli website are satisfied.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and date precision
1 update, last Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Minor edits only
    + 2 other changes: verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07192471
Lead sponsor
Kyowa Kirin, Inc.
Responsible party
Sponsor
First posted
Sep 25, 2025
Start date
Sep 2, 2026
Primary completion
Mar 2029 (estimated)
Completion
Sep 2030 (estimated)
Last update
Sep 30, 2026

Study contacts

Kyowa Kirin, Inc.
Contact
KKD.Clinical.82@kyowakirin.com
+1-609-919-1100

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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