ClinicalTrials.gg
RecruitingNCT07265947SURF303Updated Nov 2, 2026

Phase 2A/B Efficacy and Safety of Dabogratinib in Participants With Low Grade Upper Tract Urothelial Carcinoma

A Phase 2 interventional study of Dabogratinib (TYRA-300) 60mg and Dabogratinib (TYRA-300) 80mg in Low Grade Upper Tract Urothelial Carcinoma, sponsored by Tyra Biosciences, Inc. Recruiting at 36 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

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

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Updated Nov 2, 2026Enrollment updatedEligibility revised+4 moreGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
285
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A Phase 2A/B study of Dabogratinib (TYRA-300) in Low Grade Upper Tract Urothelial Carcinoma

Read the detailed description

A Phase 2A/B, Multi-center, Open-Label Study Evaluating the Efficacy and Safety of Dabogratinib (TYRA-300) in Participants with Low Grade Upper Tract Urothelial Carcinoma (SURF303)

02

Conditions studied

  • Low Grade Upper Tract Urothelial Carcinoma

Keywords

  • Low-grade UTUC
  • Upper Tract Urothelial Carcinoma
  • Low Grade Upper Tract Urothelial Carcinoma
  • FGFR Gene Amplification
  • FGFR Gene Alteration
  • FGFR Gene Alterations
  • FGFR3 Mutation
  • FGFR3 Mutations
  • FGFR3 Gene Fusions
03

In context

Lead sponsor

Tyra Biosciences, Inc is the lead sponsor of 7 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 16, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  • Participants ≥ 18 years of age at the time of and willing and able to comply with all required study procedures
  • Confirmed LG UTUC (both favorable and unfavorable) per AUA
  • At least 5mm of marker lesion(s) left behind
  • Identification of marker lesion(s) within 8 weeks prior to randomization (refer to Inclusion Criterion #2)
  • If synchronous NMIBC, NMIBC must be fully resected and low-grade Ta or T1
  • No prior BCG administration within 1 year of date of consent.
  • No intravesical chemotherapy within 8 weeks prior to C1D1 (including UGN-101).
  • No systemic chemotherapy within 3 months prior to C1D1
  • PS 0-2
  • Pathology consists of pure urothelial carcinoma
  • Adequate bone marrow function:

    i. (ANC) ≥1,500/mm3 ii. count ≥75,000/mm3 iii. ≥10.0 g/dL

  • Adequate liver function:

    i. Total ≤ ii. (ALT) ≤ ULN iii. Aspartate aminotransferase (AST) ≤ ULN

  • Adequate renal function:

    i. Estimated >30 mL/min ii. Serum Phosphate level ≤ ULN prior to starting treatment iii. (INR) ≤1.5 × ULN

Exclusion Criteria:

  • Evidence or any features of high grade (HG) UTUC
  • History of carcinoma in situ (CIS)
  • History of prostatic urethral involvement
  • Current or previous history of muscle invasive bladder cancer
  • Current or previous history of lymph node positive and/or bladder cancer
  • Evidence of squamous cell carcinoma, adenocarcinoma or undifferentiated carcinoma or small cell of the bladder
  • Currently receiving systemic cancer therapy (cytotoxic or immunotherapy)
  • Current or prior history of pelvic external beam radiotherapy for bladder cancer
  • Current or history of receiving a prior FGFR inhibitor
  • Systemic immunotherapy within 6 months prior to C1D1
  • Treatment with an agent within 30 days or 5 half-lives from C1D1, whichever is shorter; compounds with an unknown half-life will be default to 30 days.
  • Prior treatment with an intravesical or intracavitary agent within 8 weeks of C1D1.
  • Current evidence of central serous retinopathy or retinal pigmented epithelial detachment of any grade at time of baseline examination.
  • Requiring use of medications that are strong and moderate inhibitors or inducers of or inhibitors of P-gp and BCRP transporters (prohibited list of medications)
Terms in these criteria, in plain language(13)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Metastases

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

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
285 participants (estimated)

Study arms

  • Experimental
    Study Drug Dose Cohort A (DCA) 60mg

    Dabogratinib (TYRA-300) monotherapy in Participants

    Drug: Dabogratinib (TYRA-300) 60mg

  • Experimental
    Study Drug Dose Cohort B (DCB) 80mg

    Dabogratinib (TYRA-300) monotherapy in Participants

    Drug: Dabogratinib (TYRA-300) 80mg

Interventions

06

What researchers measure

Primary outcomes

  1. To assess the efficacy of Dabogratinib in LG UTUC FGFR3+ participants (proportion of participants with a CR within 6 months out of all LG UTUC FGFR3+ participants)

    Complete response (CR) rate

    Time frame: within 6 months

Secondary outcomes

  1. To assess the efficacy of Dabogratinib in LG UTUC in all participants (proportion of participants with a CR within 6 months out of all LG UTUC participants)

    Complete Response (CR) rate

    Time frame: at 6 months

  2. Duration of Response (DOR)(median time for CR duration in those participants who achieve a CR)

    Time frame: up to 36 months

  3. Complete Response (proportion of participants who continue to have a CR at 12 and 24 months)

    Time frame: at 12 and 24 months

  4. Safety and tolerability of dabogratinib

    Incidence rate and severity of adverse events

    Time frame: Up to 2 years

  5. Rate of renal preservation after treatment with dabogratinib

    Proportion of participants who did not undergo a nephrectomy or nephroureterectomy

    Time frame: Up to 2 years

  6. Change from unresectable UTUC to resectable UTUC

    Proportion of participants with unresectable disease at baseline who convert to resectable disease on dabogratinib, as assessed by the Investigator

    Time frame: Up to 2 years

07

Study locations

36 of 36 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

4 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2025 (actual). Primary completion is estimated for Oct 2030, 58 months after the start.

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

Registered
Nov 19, 2025
First posted
Dec 5, 2025
StartActual
Dec 22, 2025
Primary completionEst.
Oct 2030
CompletionEst.
Nov 2030
Last update
Nov 2, 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.
Sites
11 sites added, 1 site removed
Show 11 added (5 United States, 2 Spain, 2 France, 2 Israel)
  • Hospital Universitari i Politècnic La Fe · Valencia, Spain
  • Loma Linda University (LLU) - Loma Linda University Medical Center (LLUM) · Loma Linda, United States
  • Indiana University (IU) Health Physicians - Urology · Indianapolis, United States
  • Michigan Healthcare Professionals - William Beaumont University Hospital · Royal Oak, United States
  • Hopital Pitie-Salpetriere · Paris, France
  • Meir Medical Center · Kfar Saba, Israel
  • Hospital Universitario 12 de Octubre · Madrid, Spain
  • The University of Chicago · Chicago, United States
  • The Ohio State University Wexner Medical Center · Columbus, United States
  • CHU de Saint-Etienne - Hopital Bellevue · Saint-Etienne, France
  • Chaim Sheba Medical Center · Ramat Gan, Israel
Show 1 removed
  • Hospital Universitari i Politècnic La Fe · Valencia, Spain
across 3 updates, Sep 28, 2026 – Nov 2, 2026
Enrollment
230→285
Oct 16, 2026
Eligibility
8 criteria edited, 2 added, 3 removed
What changed in the criteria
  • EditedConfirmed LOW RISK LG UTUC (both favorable and unfavorable) per AUA
  • EditedAt least 5mm of marker lesion(s) left behind
  • RemovedParticipants must have previous genomic report or archival/fresh tissue in addition to urine sample for retrospective genomic testing
  • EditedECOG PS 0-2
  • EditedAdequate bone marrow, liver, and renal function:
  • AddedAdequate liver function:
  • RemovedEstimated glomerular filtration rate >60 mL/min
  • RemovedSerum Phosphate level ≤ ULN prior to starting treatment
  • AddedAdequate renal function:
  • EditedEstimated glomerular filtration rate >30 mL/min ii. Serum Phosphate level ≤ ULN prior to starting treatment iii. International normalized ratio (INR) ≤1.5 × ULN
  • EditedSystemic immunotherapy within 6 months prior to randomizationC1D1
  • EditedTreatment with an investigational agent within 30 days or 5 half-lives from randomizationC1D1, whichever is shorter; compounds with an unknown half-life will be default to 30 days.
  • EditedRequiring use of medications that are potentialstrong and moderate inhibitors or inducers of CYP3A or inhibitors of P-gp and BCRP transporters (prohibited list of medications)
Oct 16, 2026
Interventions
Removed Drug: Dabogratinib (TYRA-300) TBD. Arms removed: Possible Study Drug Dose Cohort C (DCC) TBD mg
Oct 16, 2026
Contact
Study contact changed: T•••@tyra.bio · •••3951→T•••@tyra.bio · •••5633. See the current contact
Sep 28, 2026
Show all 4 updates
  1. Nov 2, 2026
    4 sites added
    Show 4 added (2 United States, 1 France, 1 Israel)
    • The University of Chicago · Chicago, United States
    • The Ohio State University Wexner Medical Center · Columbus, United States
    • CHU de Saint-Etienne - Hopital Bellevue · Saint-Etienne, France
    • Chaim Sheba Medical Center · Ramat Gan, Israel
  2. Oct 16, 2026
    Enrollment 230→285
    Eligibility 8 criteria edited, 2 added, 3 removed
    What changed in the criteria
    • EditedConfirmed LOW RISK LG UTUC (both favorable and unfavorable) per AUA
    • EditedAt least 5mm of marker lesion(s) left behind
    • RemovedParticipants must have previous genomic report or archival/fresh tissue in addition to urine sample for retrospective genomic testing
    • EditedECOG PS 0-2
    • EditedAdequate bone marrow, liver, and renal function:
    • AddedAdequate liver function:
    • RemovedEstimated glomerular filtration rate >60 mL/min
    • RemovedSerum Phosphate level ≤ ULN prior to starting treatment
    • AddedAdequate renal function:
    • EditedEstimated glomerular filtration rate >30 mL/min ii. Serum Phosphate level ≤ ULN prior to starting treatment iii. International normalized ratio (INR) ≤1.5 × ULN
    • EditedSystemic immunotherapy within 6 months prior to randomizationC1D1
    • EditedTreatment with an investigational agent within 30 days or 5 half-lives from randomizationC1D1, whichever is shorter; compounds with an unknown half-life will be default to 30 days.
    • EditedRequiring use of medications that are potentialstrong and moderate inhibitors or inducers of CYP3A or inhibitors of P-gp and BCRP transporters (prohibited list of medications)
    Interventions Removed Drug: Dabogratinib (TYRA-300) TBD. Arms removed: Possible Study Drug Dose Cohort C (DCC) TBD mg
    + 1 other change: design details
  3. Oct 2, 2026
    6 sites added
    Show 6 added (3 United States, 1 France, 1 Israel, 1 Spain)
    • Loma Linda University (LLU) - Loma Linda University Medical Center (LLUM) · Loma Linda, United States
    • Indiana University (IU) Health Physicians - Urology · Indianapolis, United States
    • Michigan Healthcare Professionals - William Beaumont University Hospital · Royal Oak, United States
    • Hopital Pitie-Salpetriere · Paris, France
    • Meir Medical Center · Kfar Saba, Israel
    • Hospital Universitario 12 de Octubre · Madrid, Spain
    + 1 other change: verification date
  4. Sep 28, 2026
    1 site added, 1 site removed
    Show site
    • Hospital Universitari i Politècnic La Fe · Valencia, Spain
    Show 1 removed
    • Hospital Universitari i Politècnic La Fe · Valencia, Spain
    Contact Study contact changed: T•••@tyra.bio · •••3951→T•••@tyra.bio · •••5633. See the current contact

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 ↗

10

Registry details

Key details

Study ID
NCT07265947
Lead sponsor
Tyra Biosciences, Inc
Responsible party
Sponsor
First posted
Dec 5, 2025
Start date
Dec 22, 2025
Primary completion
Oct 2030 (estimated)
Completion
Nov 2030 (estimated)
Last update
Nov 2, 2026

Study contacts

Lara Balick
Contact
TyraClinicalTrials@tyra.bio
929-792-5633
Doug Warner
study chair · Tyra Biosciences, Inc

Oversight

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

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