Evidence map›Paper›PMID 40536766›Full record

ArticleCancer2025

First-in-human phase 1 study of KHK2455 monotherapy and in combination with mogamulizumab in patients with advanced solid tumors.

Timothy A Yap, Olivier Rixe, Capucine Baldini, Ursa Brown-Glaberman, Sergey Efuni, David S Hong, Christophe Massard, Jameel Muzaffar, Andreea Varga, Emrullah Yilmaz and 7 more

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02867007 (Multicenter, Open-label, Phase 1, Dose-escalation, Cohort-expansion, First-in-Human Study of KHK2455 Administered as Monotherapy and in Combination With Mogamulizumab in Adult Subjects With Locally Advanced or Metastatic Solid Tumors), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02867007 phase1completednot on this map

Multicenter, Open-label, Phase 1, Dose-escalation, Cohort-expansion, First-in-Human Study of KHK2455 Administered as Monotherapy and in Combination With Mogamulizumab in Adult Subjects With Locally Advanced or Metastatic Solid Tumors

TypeinterventionalSponsorKyowa Kirin, Inc.Ran2016 to 2019Enrolled36ConditionsSolid Tumor, Cancer, CarcinomaArmsKHK2455, Mogamulizumab
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Phase I Evaluation of Patients with Newly Diagnosed Glioblastoma Treated with Radiation, Nivolumab, and IDO1 Enzyme Inhibitor BMS-986205.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Timothy A YapDepartment of Investigational Cancer Therapeutics, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Olivier RixeUniversity of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico, USA.
Capucine BaldiniDrug Development Department, Gustave Roussy, Villejuif, France.
Ursa Brown-GlabermanUniversity of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico, USA.
Sergey EfuniKyowa Kirin Inc, Princeton, New Jersey, USA.
David S HongDepartment of Investigational Cancer Therapeutics, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Christophe MassardDrug Development Department, Gustave Roussy, Villejuif, France.
Jameel MuzaffarH. Lee Moffitt Cancer Center, University of South Florida, Tampa, Florida, USA.
Andreea VargaDrug Development Department, Gustave Roussy, Villejuif, France.
Emrullah YilmazUniversity of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico, USA.ORCID https://orcid.org/0000-0003-2308-713X
Yuta IkawaKyowa Kirin Inc, Princeton, New Jersey, USA.
Lisa H ShiueKyowa Kirin Inc, Princeton, New Jersey, USA.
Yi LiuKyowa Kirin Inc, Princeton, New Jersey, USA.
Matthew W HruskaKyowa Kirin Inc, Princeton, New Jersey, USA.
Henry ZhaoKyowa Kirin Inc, Princeton, New Jersey, USA.
Akihiro TokunagaKyowa Kirin Co, Ltd, Shizuoka, Japan.
Solmaz SahebjamH. Lee Moffitt Cancer Center, University of South Florida, Tampa, Florida, USA.ORCID https://orcid.org/0000-0001-9930-9937

Funding

Kyowa Kirin
6 · The paper itself

Abstract

backgroundIndoleamine 2,3-dioxygenase 1 (IDO1) is a heme-containing enzyme that degrades tryptophan (Trp) to kynurenine (Kyn), which suppresses effector T cells and reduces antitumor activity. KHK2455 is a long-acting selective IDO1 inhibitor that blocks the heme component of the IDO holoenzyme. Mogamulizumab is a humanized immunoglobulin G1 monoclonal antibody targeting CCR4. KHK2455 + mogamulizumab demonstrated enhanced antitumor activity in preclinical studies, which led to a first-in-human, two-part, multicenter, open-label, phase 1, dose-escalation, cohort-expansion trial (ClinicalTrials.gov identifier NCT02867007) evaluating the safety/tolerability, pharmacokinetics, and IDO1 activity of KHK2455 alone and in combination with mogamulizumab in patients with treatment-refractory advanced solid tumors.

methodsPatients received oral KHK2455 at fixed doses of 0.3, 1, 3, 10, 30, and 100 mg once daily as run-in monotherapy for 28 days (cycle 0), and then in combination with 1 mg/kg intravenous mogamulizumab given weekly for cycle 1 and every 2 weeks from cycle 2 onward.

resultsThirty-six patients were enrolled. One patient with an initial diagnosis of lower esophageal cancer (100-mg cohort) experienced grade 3 gastrointestinal necrosis, and did not receive mogamulizumab. Overall, KHK2455 + mogamulizumab was well tolerated, with manageable adverse events at all doses. KHK2455 + mogamulizumab demonstrated dose-dependent plasma concentration increases and suppression of IDO1 activity. One patient with advanced bevacizumab-resistant glioblastoma demonstrated a durable confirmed Response Evaluation Criteria in Solid Tumors, version 1.1, partial response, and nine patients achieved a durable disease stabilization of ≥6 months. On the basis of the preliminary antitumor response, the cohort expansion was not initiated.

conclusionsKHK2455 + mogamulizumab was safe and well tolerated with manageable toxicities, and resulted in dose-dependent suppression of IDO1 activity; signals of antitumor activity were observed.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsNeoplasmsAdultAgedDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedAntibodies, Monoclonal, Humanizedmogamulizumabindoleamine 2,3‐dioxygenase 1 (IDO1) proteinmogamulizumabpharmacodynamicspharmacokineticsphase 1 clinical trialpreclinical drug evaluation

Identifiers

PMID40536766
PMCPMC12178318

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.