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Active, not recruitingNCT06160752SURF201Updated Oct 14, 2026

Safety and Anti-Tumor Activity of TYRA-200 in Advanced Cholangiocarcinoma With Activating FGFR2 Gene Alterations

A Phase 1 interventional study of Phase 1 Part A - dose escalation TYRA-200 taken once daily by mouth in 28-day cycles and Phase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cycles in Locally Advanced Cholangiocarcinoma, Intrahepatic Cholangiocarcinoma and Solid Tumor, sponsored by Tyra Biosciences, Inc. Active, not recruiting at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-14.

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

Updated Oct 14, 2026Primary completion movedGo to Updates ↓

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Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 327 studies in Cholangiocarcinoma with a site in United States — 71 open to participants now, 110 under way, 7 of them phase 3. Cholangiocarcinoma · United States.

Planned enrollment
145th of 278
40 · median 44
Started
2023
with 20 others
Phase 1
85 of 327
14 open now
Primary completion
2027-03
later than 34 of 109 live
Registered
267th of 327
by date

Among the 327 studies in Cholangiocarcinoma with a site in United States, this one is the 145th largest by planned enrollment of the 278 interventional ones that give a count, is one of 21 that started in 2023, is one of 85 in phase 1, reaches primary completion later than 34 of the 109 other live ones, and was the 267th registered.

Cholangiocarcinoma

824 studies on the registry are indexed under Cholangiocarcinoma; 287 are open to participants now.

Browse Cholangiocarcinoma studies →

Open to participants now

71 of the 327 studies in Cholangiocarcinoma with a site in United States are open now. Recruiting first, the newest first:

66 more — sign in →

All 71 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 211 Cholangiocarcinoma studies recruiting now, 141 (67%) set no upper age limit and 49 (23%) stop at 75 or younger; 10 take children under 18; 14 take healthy volunteers.

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

The full table on the hub →

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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-200 in cancers with FGFR2 activating gene alterations, including unresectable locally advanced/metastatic intrahepatic cholangiocarcinoma and other advanced solid tumors.

Read the detailed description

This is a single arm, multi-part, phase 1 clinical trial studying TYRA-200, a novel, potent fibroblast growth factor receptor (FGFR) 1/2/3 tyrosine kinase inhibitor, in unresectable locally advanced/metastatic intrahepatic cholangiocarcinoma and other advanced solid tumors with activating alterations in FGFR2. Part A is a dose escalation study in participants with any advanced solid tumor with FGFR/FGF pathway alterations who have exhausted approved standard therapies. Part A will evaluate the safety, tolerability, and PK of TYRA-200 to determine the optimal and maximum tolerated dose (MTD). Part B will evaluate the preliminary antitumor activity of TYRA-200 in participants with unresectable locally advanced/metastatic intrahepatic cholangiocarcinoma who have previously received an FGFR inhibitor and have FGFR2 kinase-domain mutations resistant to other FGFR inhibitors.

03

Conditions studied

  • Locally Advanced Cholangiocarcinoma
  • Intrahepatic Cholangiocarcinoma
  • Solid Tumor
  • Metastatic Cholangiocarcinoma

Keywords

  • FGFR2 gene activation
  • FGFR2 gene alterations
  • FGFR2 gene fusion/rearrangement
  • FGFR2 gene mutation
  • FGFR2 gene translocation
  • FGFR2
  • Fibroblast growth factor receptor 2 (FGFR2)
  • Fibroblast growth factor receptor 2 alterations
  • locally advanced cancer
  • metastatic cancer
  • solid tumors
  • cholangiocarcinoma
  • intrahepatic cholangiocarcinoma
  • unresectable cholangiocarcinoma
  • metastatic cholangiocarcinoma
  • fibroblast growth factor receptor inhibitor
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

  • Men and women 18 years of age or older.
  • (ECOG) performance status of ≤1.
  • Any confirmed advanced solid tumor with FGFR/FGF pathway alterations including FGFR gene mutations, fusions, and amplifications, as well as gene amplifications of FGFR ligands, who have exhausted or refused approved standard therapies.
  • Evaluable disease according to v1.1.

Phase 1 Part B

  • Men and women 18 years of age or older.
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≤1.
  • Histologically confirmed locally advanced/ intrahepatic cholangiocarcinoma with a previously identified FGFR2 gene mutation or rearrangement.
  • Must have received a prior FGFR inhibitor. Participants may have received more than 1 prior FGFR inhibitor.
  • Presence of an FGFR2 kinase domain mutation that confers resistance to previous/other FGFR inhibitors; resistance mutations should be identified by a US Food and Drug Administration authorized/approved companion diagnostic or a Clinical Laboratory Improvement Amendments (CLIA) validated local test performed in a certified laboratory.
  • At least 1 by RECIST v1.1.

Exclusion criteria

Exclusion Criteria:

  • Discontinued a prior anti-FGFR therapy due to significant toxicity, defined as hepatotoxicity ≥Grade 3 or any Grade 4 toxicity according to v5.0.
  • 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-200.
  • 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.

Metastases

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

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Phase 1 Part A and Part B

    TYRA-200 taken once daily by mouth in 28-day cycles

    Drug: Phase 1 Part A - dose escalation TYRA-200 taken once daily by mouth in 28-day cycles · Drug: Phase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cycles

Interventions

  • DrugPhase 1 Part A - dose escalation TYRA-200 taken once daily by mouth in 28-day cycles

    TYRA-200 is an oral, novel potent FGFR 1/2/3 tyrosine kinase inhibitor that targets tumors that contain activating gene alterations of FGFR2.

  • DrugPhase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cycles

    TYRA-200 is an oral, novel potent FGFR 1/2/3 tyrosine kinase inhibitor that targets tumors that contain activating gene alterations of FGFR2.

06

What researchers measure

Primary outcomes

  1. Phase 1 Part A: To determine the maximum tolerated dose (MTD) of TYRA-200.

    Time frame: Initiation of study treatment through 28 Days

  2. Phase 1 Part B: To determine the optimal dose of TYRA-200.

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

Secondary outcomes

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

    Time frame: From day 1 treatment through 28-days post treatment (up to 2 years)

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

    Time frame: From day 1 treatment through 28-days post treatment (up to 2 years)

  3. Pharmacokinetics: maximum plasma concentration (Cmax).

    Time frame: From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)

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

    Time frame: From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)

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

    Time frame: From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)

  6. Pharmacokinetics: half-life of Tyra-200 (t1/2).

    Time frame: From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)

  7. Overall response rate (ORR) 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 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 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 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 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

4 sites
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 2023 (actual). Primary completion is estimated for Mar 2027, 40 months after the start.

Of 44 industry-sponsored phase 1 interventional studies under Cholangiocarcinoma, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 60. This study's planned 40 months is close to that.

Counting every sponsor, half of 67 studies reached it within 46 months; a quarter within 30 and three quarters within 63.

Primary completion moved once since we started tracking on Sep 25, 2026: Sep 2026 → Mar 2027, on Oct 14, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Nov 29, 2023
First posted
Dec 7, 2023
StartActual
Nov 22, 2023
Primary completionEst.
Mar 2027was Sep 2026
CompletionEst.
Sep 2027
Last update
Oct 14, 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.
Primary completion
Sep 2026→Mar 2027
Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Primary completion Sep 2026→Mar 2027
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06160752
Lead sponsor
Tyra Biosciences, Inc
Responsible party
Sponsor
First posted
Dec 7, 2023
Start date
Nov 22, 2023
Primary completion
Mar 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Oct 14, 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 Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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