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Mogamulizumab

Published: July 26, 2026Updated: July 26, 2026

Mogamulizumab is a monoclonal antibody medication used to treat certain types of cutaneous T-cell lymphoma (CTCL), specifically mycosis fungoides and Sézary syndrome. It works by targeting and binding to CCR4 proteins on cancer cells, which helps eliminate the malignant T-cells from the body.

Quick summary

Mogamulizumab is a targeted antibody therapy for cutaneous T-cell lymphomas that works by binding to CCR4 on cancer cells to destroy them.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
L01FX09
RxNorm
2054068
Generic
Mogamulizumab
Class
atc-l01
Brands
Poteligeo
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Contact manufacturer and poison control
Chronic overdose: Contact manufacturer
Immediate actions
Contact poison control and emergency services immediately
Antidote
None (supportive care only)(N/A)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; counsel women of reproductive potential to use effective contraception during treatment and for at least 3 months after last dose

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

avoid use in third trimester due to potential risk of immune dysregulation in newborns; consider risks vs benefits for treatment of progressive disease

Monitor

close fetal monitoring and assessment of neonatal immune function

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

n/a
unsafe
FDA Category
N
Dose Adjustment

not applicable

Key Recommendations

do not breastfeed during treatment and for at least 3 months after last dose; advise mothers to discontinue lactation

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly 65 and over
caution
FDA Category
N
Dose Adjustment

no initial dose adjustment required

Key Recommendations

use with caution; monitor for increased susceptibility to infections and adverse reactions; consider comorbidities and performance status

Monitor

regular monitoring of blood counts and for signs of infection

Use with caution and monitor for adverse effects.

✗

pediatric_age

children adolescents
unsafe
FDA Category
N
Dose Adjustment

not applicable - not approved for pediatric use

Key Recommendations

not indicated for use in pediatric patients; safety and efficacy have not been established

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no dosage adjustment required

Key Recommendations

no dosage adjustment needed for mild to moderate renal impairment; monitor patients for adverse reactions

Monitor

routine monitoring of renal function

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

no specific guidance available

Key Recommendations

use with caution; limited data available; monitor closely for adverse reactions

Monitor

enhanced monitoring of renal function and for signs of toxicity

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild
caution
FDA Category
N
Dose Adjustment

no dosage adjustment required

Key Recommendations

no dosage adjustment for mild hepatic impairment; use with standard dosing

Monitor

routine liver function monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate to severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution in moderate to severe hepatic impairment; limited clinical data available

Monitor

frequent monitoring of liver function tests and for signs of hepatotoxicity

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classFDA
2023

Drug class

Value:CCR4 antagonist, monoclonal antibody

Classification based on mechanism of action

prescribingFDA
2023

FDA approval year

Value:2018

Initial FDA approval date for Poteligeo

usageFDA
2023

Approved indications

Value:Relapsed or refractory Sézary syndrome and Mycosis Fungoides

Therapeutic indications for adult patients

mechanismFDA
2023

Mechanism of action

Value:CC chemokine receptor 4 (CCR4) antagonist

Biological target and pathway

Treatment of relapsed or refractory mycosis fungoides and Sézary syndrome, which are types of cutaneous T-cell lymphoma (CTCL). It is typically used in adults who have received at least one prior systemic therapy.

Mogamulizumab is a defucosylated humanized monoclonal antibody that specifically binds to the CCR4 receptor on the surface of cancer cells. CCR4 is involved in trafficking lymphocytes to various organs. By binding to CCR4, the drug marks cancer cells for destruction through antibody-dependent cellular cytotoxicity (ADCC).

Common side effects include infusion reactions, skin reactions, fatigue, diarrhea, and musculoskeletal pain. The medication may increase the risk of serious immune-mediated reactions and can cause complications from transplant when used before allogeneic hematopoietic stem cell transplant. Patients should be monitored closely during and after infusion.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy