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Active, not recruitingNCT05544552SURF301Updated Jan 12, 2026

Safety and Preliminary Anti-Tumor Activity of TYRA-300 in Advanced Urothelial Carcinoma and Other Solid Tumors With FGFR3 Gene Alterations

A Phase 1/2 interventional study of TYRA-300 in Locally Advanced Urothelial Carcinoma, Metastatic Urothelial Carcinoma and Solid Tumor, sponsored by Tyra Biosciences, Inc. Active, not recruiting at 19 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-12.

Sponsored by Tyra Biosciences, Inc · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
310
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 361 studies in Carcinoma, Transitional Cell with a site in United States — 77 open to participants now, 139 under way, 14 of them phase 3. Carcinoma, Transitional Cell · United States.

Planned enrollment
43rd of 334
310 · median 46
Started
2022
with 20 others
Phase 1/2
61 of 361
13 open now
Primary completion
2026-11
later than 31 of 138 live
Registered
270th of 361
by date

Among the 361 studies in Carcinoma, Transitional Cell with a site in United States, this one is the 43rd largest by planned enrollment of the 334 interventional ones that give a count, is one of 21 that started in 2022, is one of 61 in phase 1/2, reaches primary completion later than 31 of the 138 other live ones, and was the 270th registered.

Carcinoma, Transitional Cell

633 studies on the registry are indexed under Carcinoma, Transitional Cell; 180 are open to participants now.

Browse Carcinoma, Transitional Cell studies →

Open to participants now

77 of the 361 studies in Carcinoma, Transitional Cell with a site in United States are open now. Recruiting first, the newest first:

72 more — sign in →

All 77 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 147 Carcinoma, Transitional Cell studies recruiting now, 121 (82%) set no upper age limit and 11 (7%) stop at 75 or younger; 4 take children under 18; 8 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

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.

Read the 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.

03

Conditions studied

  • 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

Keywords

  • bladder
  • FGFR3 gene activation
  • FGFR3 gene alterations
  • FGFR3 gene fusion/rearrangement
  • FGFR3 gene mutation
  • FGFR3 gene translocation
  • FGFR3 positive
  • Fibroblast growth factor receptor 3 (FGFR3)
  • Fibroblast growth factor receptor 3 alterations
  • locally advanced cancer
  • metastatic cancer
  • solid tumors
  • urothelial cancer
  • urothelial carcinoma
  • Urinary tract cancer
  • Urinary tract tumor
  • Urinary tract carcinoma
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

Phase 1 Part A and Part B

  • Men and women 18 years of age or older.
  • (ECOG) performance status of ≤1.
  • confirmed advanced solid tumor who have exhausted standard therapeutic options.
  • Evaluable (Part A) or measurable (Part B) disease according to 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 Performance Scale (KPS) >70.
  • At least 1 by RECIST v1.1.
  • Histologically confirmed locally advanced/ 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

Exclusion Criteria (All Phases):

  • Has a serum phosphorus level > (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 .
  • 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.
Terms in these criteria, in plain language(8)

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.

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
310 participants (estimated)

Study arms

  • Experimental
    Phase 1 Part A - dose escalation

    TYRA-300 taken once daily by mouth in 28-day cycles starting at 10 mg daily.

    Drug: TYRA-300

  • Experimental
    Phase 1 Part B - dose expansion

    TYRA-300 taken once or twice daily by mouth in 28-day cycles.

    Drug: TYRA-300

  • Experimental
    Phase 2

    TYRA-300 taken once or twice daily by mouth in 28-day cycles at doses determined during Phase 1.

    Drug: TYRA-300

Interventions

  • TYRA-300 is an oral, novel potent FGFR 3-selective tyrosine kinase inhibitor that targets tumors that contain activating gene alterations of FGFR3.

06

What researchers measure

Primary outcomes

  1. Phase 1 Part A: To determine the maximum tolerated doses (MTD).

    Time frame: Initiation of study treatment through 28 days.

  2. Phase 1 Part B: To determine the recommended Phase 2 dose (R2PD).

    Time frame: Initiation of study treatment through 28 days (up to approximately 18 months).

  3. Phase 2: Overall Response Rate (ORR), defined by RECIST v1.1.

    Time frame: Initiation of study treatment until disease progression, death, unacceptable toxicity, or withdrawal (up to 2 years).

Secondary outcomes

  1. Number of participants with adverse events (AEs) and serious adverse events (SAEs) as a measure of safety and tolerability.

    Time frame: Initiation of study treatment through 28-days post treatment (up to 2 years).

  2. Frequency in changes in laboratory parameters and physical signs of toxicity.

    Time frame: Initiation of study treatment through 28-days post treatment (up to 2 years).

  3. Pharmacokinetics: maximum plasma concentration (Cmax).

    Time frame: Initiation of study treatment through Cycle 3 Day 1 (each cycle is 28 days).

  4. Pharmacokinetics: time to reach maximum plasma concentration (Tmax).

    Time frame: Initiation of study treatment through Cycle 3 Day 1(each cycle is 28 days).

  5. Pharmacokinetics: area under the plasma concentration-time curve (AUC).

    Time frame: Initiation of study treatment through Cycle 3 Day 1 (each cycle is 28 days).

  6. Pharmacokinetics: half-life of TYRA-300 (t1/2).

    Time frame: Initiation of study treatment through Cycle 3 Day 1 (each cycle is 28 days).

  7. ORR is defined as the proportion of participants with complete response (CR) or partial response (PR) as determined by the investigator using RECIST V1.1.

    Time frame: From enrollment, every 8 or 12 weeks (up to 2 years).

  8. Duration of response will be defined as the time from the initial CR or PR to the time of relapse or death, whichever occurs first among participant with an objective response.

    Time frame: From enrollment, every 8 or 12 weeks (up to 5 years).

  9. Disease control rate is defined as the proportion of participants having a CR, PR or stable disease (SD) for >12 weeks.

    Time frame: From enrollment up to 5 years.

  10. Time to response is defined as time to first CR or PR that is subsequently confirmed according to RECIST v1.1.

    Time frame: Up to 5 years.

  11. Progression-free survival is defined as the time from the date of first study drug administration to the earliest date of documented disease progression or death.

    Time frame: From the date of the first dose of study drug until disease progression or death as assessed up to the last efficacy assessment for disease progression (up to 5 years)].

07

Study locations

19 sites
08

References and documents

Publications

  • Matin SF, Adibi M, Shah AY, Alhalabi O, Corn P, Guo C, Amirtharaj R, Xiao L, Lange S, Duose DY, Wang S, Pal S, Campbell MT. Phase 1b Trial Evaluating Tolerability and Activity of Targeted Fibroblast Growth Factor Receptor Inhibition in Localized Upper Tract Urothelial Carcinoma. J Urol. 2024 Jun;211(6):784-793. doi: 10.1097/JU.0000000000003928. Epub 2024 Apr 4. PubMed 38573872 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2022 (actual). Primary completion is estimated for Nov 2026, 48 months after the start.

Of 48 phase 1/2 interventional studies under Carcinoma, Transitional Cell, half reached primary completion within 64 months of starting (the median), counting those still running; a quarter within 49 and three quarters within 224. This study's planned 48 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 6, 2022
First posted
Sep 16, 2022
StartActual
Nov 22, 2022
Primary completionEst.
Nov 2026
CompletionEst.
Jun 2027
Last update
Jan 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05544552
Lead sponsor
Tyra Biosciences, Inc
Responsible party
Sponsor
First posted
Sep 16, 2022
Start date
Nov 22, 2022
Primary completion
Nov 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Jan 12, 2026

Study contacts

Doug Warner
study chair · Tyra Biosciences, Inc

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Dabogratinib

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