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T-cell NHL (PTCL or CTCL)Phase 1NCT07192471

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

A Phase 1 study testing KK2223 in people with T-cell NHL (PTCL or CTCL), run by Kyowa Kirin, Inc. at 22 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial 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 more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
T-cell NHL (PTCL or CTCL)
What is being tested?
KK2223
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
22 sitesin 3 countries
Study dates
2 Sep 2026to Sep 2030
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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 relapsed/refractory/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.
  • Measurable disease required: nodal/extranodal lesions for PTCL and assessable skin disease for CTCL.
  • ECOG performance status 0-1; adequate neutrophils (≥1000/µL), platelets (≥75,000/µL), renal function (creatinine clearance ≥60 mL/min), liver function within defined limits, and total bilirubin ≤1.5× ULN (up to 3× ULN with Gilbert's syndrome).
  • Body weight 40 kg to ≤ 200 kg
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  • Life expectancy ≥3 months.
  • Negative pregnancy test for females of childbearing potential; contraception 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 informed consent and comply with study procedures. -

Who cannot join

  • Recent autologous or allogeneic transplant within 120 days before treatment; active GVHD or ongoing immunosuppression after allogeneic transplant; prior HSCT and with active VOD/SOS
  • Pregnant or breastfeeding females, or those intending pregnancy.
  • History of HIV, HBV, or HCV 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 (NYHA Class III or higher), recent unstable angina or myocardial infarction, autoimmune 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 investigational drugs within 14 days or 5 half-lives before treatment.
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  • Steroid 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 hypersensitivity to mogamulizumab.
  • Failure to recover from prior non-hematologic toxicities to Grade 0 or 1 (except alopecia and mild neuropathy).
  • Prolonged QT/QTc interval (e.g., QTcF >480 ms).
  • Active second primary malignancies 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 excipients in the drug formulation.

Trial locations and contacts

22 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

22 sites in 3 countries

United States14 sites, 14 recruiting
  • Emory University Medical Center

    Atlanta, Georgia, 30322

    Pamela Allen, 404-778-2407, pallen5@emory.edu

    Pamela Allen

    Not yet recruiting
  • Beth Israel Deaconess Medical Center - Research

    Boston, Massachusetts, 02215

    Salvia Jain, 617-726-2000, salvia.jain@mgh.harvard.edu

    Salvia Jain

    Not yet recruiting
  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

    Kevin Cooper, 216-844-8200, kevin.cooper@uhhospitals.org

    Kevin Cooper

    Not yet recruiting
  • City of Hope

    Duarte, California, 91010

    Christina Poh, 916-734-7131, cpoh@coh.org

    Christina Poh

    Not yet recruiting
  • Hackensack University Medical Center - John Theurer Cancer C - Lymphoma Division

    Hackensack, New Jersey, 07601-2105

    Tatyana Feldman, 551-996-5900, tatyana.feldman@hmhn.org

    Tatyana Feldman

    Not yet recruiting
  • The University of Texas - MD Anderson Cancer Center

    Houston, Texas, 77030

    Ranjit Nair, 171-379-2860, rnair@mdanderson.org

    Ranjit Nair

    Recruiting
  • University of Iowa Health

    Iowa City, Iowa, 52242

    Eric Mou, 800-777-8442, eric-mou@uiowa.edu

    Eric Mou

    Not yet recruiting
  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10021-6007

    Jasmine Zain, 212-639-3045, zainj1@mskcc.org

    Jasmine Zain

    Recruiting
  • University of California, Irvine Medical Center - Hematology/Oncology

    Orange, California, 92868

    Lauren Pinter Brown, 7144568200, lpinterb@uci.edu

    Lauren Pinter Brown

    Not yet recruiting
  • University of Pennsylvania - Abramson Cancer Center

    Philadelphia, Pennsylvania, 19104

    Stefan Barta, 215-728-2674, Stefan.Barta@pennmedicine.upenn.edu

    Stefan Barta

    Not yet recruiting
  • Oregon Health & Science University

    Portland, Oregon, 97239

    Craig Okada, 503-494-8397, okadac@ohsu.edu

    Craig Okada

    Not yet recruiting
  • Washington University School of Medicine - Oncology Hospital - Public

    St Louis, Missouri, 63110

    Neha Mehta Shah, 314.273-8566, mehta-n@wustl.edu

    Neha Mehta Shah

    Recruiting
  • Stanford University School of Medicine

    Stanford, California, 94305

    Youn Kim, 650-723-7893, younkim@stanford.edu

    Youn Kim

    Recruiting
  • Moffit Cancer Center

    Tampa, Florida, 33612

    Yumeng Zhang, 844-304-8636, yumeng.zhang@moffitt.org

    Yumeng Zhang

    Not yet recruiting

Other trials in United States

Italy4 sites, 4 recruiting
  • Azienda Ospedaliera Papa Giovanni XXIII - Ematologia

    Bergamo, 24127

    Giuseppe Gritti, 39035269492, giuseppe_gritti@yahoo.it

    Giuseppe Gritti

    Not yet recruiting
  • Azienda Ospedaliero Universitaria di Bologna IRCCS (Policlinico di Sant'Orsola) - Ematologia

    Bologna, 40138

    Luigi Zinzani Pier, 390516363680, pierluigi.zinzani@unibo.it

    Luigi Zinzani Pier

    Not yet recruiting
  • Istituto di Candiolo, IRCCS - Oncologia Medica ed Ematologia

    Candiolo, Torino, 10060

    Umberto Vitolo, 390116335934, umberto.vitolo@ircc.it

    Umberto Vitolo

    Not yet recruiting
  • AOU Citta' della Salute e della Scienza di Torino Ospedale Molinette, Ematologia Universitaria

    Torino, 10126

    Federica Cavallo, 390116334264, f.cavallo@unito.it

    Federica Cavallo

    Not yet recruiting

Other trials in Italy

Spain4 sites, 4 recruiting
  • Hospital Clinic De Barcelona - Hematología

    Badalona, Barcelona, 8036

    Pablo Mozas, 34 93 227 22 71, mozas@clinic.cat

    Pablo Mozas

    Not yet recruiting
  • Institut Català d'Oncologia (ICO) - ICO L'Hospitalet - Hematologia

    L'Hospitalet de Llobregat, Barcelona, 8907

    Eva Domingo Domenech, 34932607822, edomingo@iconcologia.net

    Eva Domingo Domenech

    Not yet recruiting
  • Clinica Universidad de Navarra - Hematología y Hemoterapia

    Madrid, 28027

    Miguel Canales Albendea, 34917277116, macanales@unav.es

    Migue Canales Albendea

    Not yet recruiting
  • Clinica Universidad de Navarra - Hematología

    Pamplona, Navarre, 31008

    Miguel Canales Albendea, 34917277116, macanales@unav.es

    Miguel Canales Albendea

    Not yet recruiting

Other trials in Spain

About this study

Official title: A Phase 1, Multicenter, Open-label, Non-randomized, Dose-escalation and Backfill Study of KK2223 in Participants With Relapsed or Refractory T-cell Non Hodgkin Lymphoma

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)

Being tested
KK2223
Keywords
Neoplasms, Lymphoma, Immune System Diseases, First in Human, Lymphoma, T-Cell, Cutaneous +, Lymphoma, T-Cell, Peripheral, Mycosis fungoides, Sezary Syndrome
Medical subject headings
Lymphoma, T-Cell, Cutaneous, Neoplasms, Lymphoma, Immune System Diseases, Lymphoma, T-Cell, Peripheral, Mycosis Fungoides, Sezary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • KK2223Drug

    Intravenous infusion

Study groups in NCT07192471
Study groupRoleWhat they receive
Part One (Dose Escalation)ExperimentalIn Part 1, safety and tolerability of KK2223 in relapsed/refractory PTCL or CTCL patients will be assessed using a BOIN dose-escalation design.
Receives: Drug: KK2223
Part Two (Backfill)ExperimentalPart 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.
Receives: Drug: KK2223

What is being measured

The primary outcome is the main question the study is designed to answer.

  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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: Through study completion, an average of 1.5 years

Secondary outcomes (13)
  1. Mean Blood Drug Concentration

    The mean drug concentration in the blood

    Measured: Through study completion, an average of 1.5 years

  2. To evaluate the immunogenicity of KK2223.

    Incidence of Anti drug antibodies (ADA) in blood

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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

    Measured: 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)

    Measured: Through study completion, an average of 1.5 years

  8. Pharmacokinetic Parameter Maximum Blood Concentration (Cmax)

    The maximum drug concentration

    Measured: 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

    Measured: 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

    Measured: 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%

    Measured: Through study completion, an average of 1.5 years

  12. Pharmacokinetic Parameter Clearance (CL)

    Rate of drug elimination from the body

    Measured: 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

    Measured: Through study completion, an average of 1.5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Sep 2025
  2. Study start2 Sep 2026
  3. Primary completionMar 2029 (estimated)
  4. Study completionSep 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
This is a sequential design study where participants receive interventions in a stepwise manner. Treatment assignments and doses may be adjusted based on interim safety and efficacy analyses conducted throughout the trial.
Masking
None (open label)
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07192471
Sponsor's protocol ID
2223-001
Status last verified
Sep 2026
First submitted
12 Aug 2025
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing KK2223 in people with T-cell NHL (PTCL or CTCL), run by Kyowa Kirin, Inc. at 22 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Italy, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Kyowa Kirin, Inc. (+1-609-919-1100, KKD.Clinical.82@kyowakirin.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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). (time frame: Through study completion, an average of 1.5 years). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2026.

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