Safety and Preliminary Anti-Tumor Activity of TYRA-300 in Advanced Urothelial Carcinoma and Other Solid Tumors With FGFR3 Gene Alterations
Purpose
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity of TYRA-300 in cancers with FGFR3 activating gene alterations, including locally advanced/metastatic urothelial carcinoma of the bladder and urinary tract and other advanced solid tumors.
Conditions
- Locally Advanced Urothelial Carcinoma
- Metastatic Urothelial Carcinoma
- Solid Tumor
- Urothelial Carcinoma
- Solid Tumor, Adult
- Bladder Cancer
- Non-muscle-invasive Bladder Cancer
- FGFR3 Gene Mutation
- FGFR3 Gene Alteration
- Advanced Solid Tumor
- Advanced Urothelial Carcinoma
- Urinary Tract Cancer
- Urinary Tract Tumor
- Urinary Tract Carcinoma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
Phase 1 Part A and Part B - Men and women 18 years of age or older. - Eastern Cooperative Oncology Group (ECOG) performance status of ≤1. - Histologically confirmed advanced solid tumor who have exhausted standard therapeutic options. - Evaluable (Part A) or measurable (Part B) disease according to RECIST v1.1. - Histologically confirmed advanced solid tumor with an eligible FGFR3 gene mutation or fusion (Part B). Phase 2 - Men and women 18 years of age or older. - ECOG performance status of 0-2 or Karnofsky Performance Scale (KPS) >70. - At least 1 measurable lesion by RECIST v1.1. - Histologically confirmed locally advanced/metastatic tumor in one of the following categories: - Urothelial carcinoma with an eligible FGFR3 gene mutation or rearrangement who have progressed on a prior FGFR inhibitor and presence of a resistance mutation or other kinase domain mutation. - Urothelial carcinoma with an eligible FGFR3 gene mutation or rearrangement who has not received a prior FGFR inhibitor. - Any solid tumor with an eligible FGFR3 gene mutation or rearrangement.
Exclusion Criteria
(All Phases): - Has a serum phosphorus level > upper limit of normal (ULN) during screening that remains >ULN despite medical management. - Any ocular condition likely to increase the risk of eye toxicity. - History of or current uncontrolled cardiovascular disease. - Active, symptomatic, or untreated brain metastases. - Gastrointestinal disorders that will affect oral administration or absorption of TYRA-300. - Females who are pregnant, breastfeeding, or planning to become pregnant and males who plan to father a child while enrolled in this study.
Study Design
- Phase
- Phase 1/Phase 2
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Phase 1 Part A - dose escalation |
TYRA-300 taken once daily by mouth in 28-day cycles starting at 10 mg daily. |
|
Experimental Phase 1 Part B - dose expansion |
TYRA-300 taken once or twice daily by mouth in 28-day cycles. |
|
Experimental Phase 2 |
TYRA-300 taken once or twice daily by mouth in 28-day cycles at doses determined during Phase 1. |
|
Recruiting Locations
Nashville, Tennessee 37232
615-936-1782
More Details
- Status
- Recruiting
- Sponsor
- Tyra Biosciences, Inc
Detailed Description
This is a single arm, multi-part, phase 1/2 global trial studying TYRA-300, a novel, potent fibroblast growth factor receptor (FGFR) 3-selective tyrosine kinase inhibitor, in advanced/metastatic urothelial carcinoma of the bladder and urinary tract, that contain activating gene alterations of FGFR3. Phase 1 is a dose-escalation study to evaluate the safety, tolerability, and PK of TYRA-300 to determine the optimal and maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D). Phase 2 will evaluate the preliminary antitumor activity of TYRA-300 in cancers with FGFR3 activating gene alterations, including locally advanced/metastatic urothelial carcinoma of the bladder and urinary tract and other advanced solid tumors.