About this trial

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.

Eligibility criteria

Qualifiers

Men and women 18 years of age or older.

Eastern Cooperative Oncology Group (ECOG) performance status of ≤1.

Any histologically 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 RECIST v1.1.

Disqualifiers

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

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.

Trial design

Treatments tested in this trial

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

Treatment groups

40 Participants
are divided into 1 treatment group

Locations

4
University of California San Francisco (UCSF)94143, San FranciscoCalifornia, United States
Massachusetts General Hospital02114, BostonMassachusetts, United States
The Ohio State University43210, ColumbusOhio, United States
The University of Texas MD Anderson Cancer Center77030, HoustonTexas, United States

Sponsors and collaborators

Tyra Biosciences, Inc

Lead sponsor