Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06995677

Efficacy and Safety of TYRA-300 in Participants With FGFR3 Altered Low Grade, Intermediate Risk Non-Muscle Invasive Bladder Cancer

Led by Tyra Biosciences, Inc · Updated on 2026-05-14

90

Participants Needed

39

Research Sites

166 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Phase 2 Study of TYRA-300 in FGFR3 Altered Low Grade, Intermediate Risk NMIBC

CONDITIONS

Official Title

Efficacy and Safety of TYRA-300 in Participants With FGFR3 Altered Low Grade, Intermediate Risk Non-Muscle Invasive Bladder Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants aged 18 years or older who can give informed consent and comply with study procedures
  • Written informed consent given
  • Histologically confirmed low-grade NMIBC within 6 weeks prior to randomization with residual visible tumor measuring between 3 mm and 12 mm
  • Tumor stage Ta low grade or T1 low grade
  • Intermediate risk NMIBC as defined by AUA Guidelines 2024, including recurrence within 1 year, solitary LG Ta >3cm, multifocal LG Ta, or LG T1
  • Documented activating FGFR3 mutation or fusion
  • Bladder mapping and identification of visible marker lesion(s) within 6 weeks prior to randomization
  • No evidence of urothelial carcinoma of the upper urinary tract or prostatic urethra within 6 months prior to randomization
  • No Bacillus Calmette-Guérin (BCG) administration within 1 year prior to consent
  • No intravesical chemotherapy within 8 weeks prior to Cycle 1 Day 1
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Pathology consistent with at least 80% urothelial carcinoma if mixed histology
  • Adequate bone marrow, liver, and renal function meeting specified laboratory thresholds
  • Ability to swallow tablets
  • Willingness to use effective contraception during treatment and for 3 months (males) or 6 months (females) after last dose
  • HIV positive participants must have undetectable viral load and be on stable antiretroviral therapy for at least 3 months prior to treatment
  • Participants with chronic hepatitis B must be on suppressive antiviral therapy
  • Participants with hepatitis C history must have completed curative treatment and have undetectable viral load or be on current treatment with undetectable viral load
Not Eligible

You will not qualify if you...

  • Tumor present in ureter or prostatic urethra
  • History of muscle invasive bladder cancer
  • History of lymph node positive or metastatic bladder cancer
  • Presence of pure squamous cell carcinoma, pure adenocarcinoma, or pure undifferentiated carcinoma of the bladder
  • Currently receiving systemic cancer therapy or prohibited treatments
  • History of pelvic external beam radiotherapy
  • Previous treatment with an FGFR inhibitor
  • Systemic immunotherapy within 6 months prior to randomization
  • Treatment with investigational agent within 30 days or 5 half-lives prior to randomization
  • Intravesical agent treatment within 8 weeks prior to Cycle 1 Day 1
  • Ongoing toxicity from previous therapy
  • Major surgery within 4 weeks prior to Cycle 1 Day 1
  • Any condition impairing ability to comply with study or posing risk (e.g., uncontrolled diabetes)
  • Pregnant or breastfeeding females, or males planning to father a child during or shortly after study
  • Impaired wound healing capacity
  • Elevated serum phosphate levels during screening
  • Ocular conditions increasing risk of eye toxicity or current retinal disorders
  • Uncontrolled cardiovascular disease
  • Gastrointestinal disorders affecting oral drug absorption
  • Known HIV infection or active hepatitis B or C
  • History of second primary malignancy within 3 years except certain skin and cured cancers
  • Allergy to TYRA-300 or its ingredients
  • Use of strong CYP3A4 enzyme inhibitors or inducers
  • History of prolonged QT syndrome or QTcF interval >470 ms at baseline

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 39 locations

1

Urology Centers of Alabama

Homewood, Alabama, United States, 35209

Actively Recruiting

2

Arkansas Urology

Little Rock, Arkansas, United States, 72211

Actively Recruiting

3

Tri Valley Urology - Murrieta

Murrieta, California, United States, 92562

Actively Recruiting

4

Om Research LLC

San Diego, California, United States, 92123

Actively Recruiting

5

Associated Urological Specialists

Chicago Ridge, Illinois, United States, 60415

Actively Recruiting

6

Duly Health and Care

Lisle, Illinois, United States, 60532

Actively Recruiting

7

First Urology

Jeffersonville, Indiana, United States, 47130

Actively Recruiting

8

University of Kansas Medical Center (KUMC)

Kansas City, Kansas, United States, 66160

Actively Recruiting

9

Johns Hopkins University

Baltimore, Maryland, United States, 21205

Actively Recruiting

10

Greater Boston Urology

Plymouth, Massachusetts, United States, 02360

Actively Recruiting

11

Atlantic Health System

Morristown, New Jersey, United States, 07960

Actively Recruiting

12

New Jersey Urology, LLC (Summit Health - Washington Township)

Voorhees Township, New Jersey, United States, 08043

Actively Recruiting

13

Memorial Sloan Kettering Cancer Center - Sidney Kimmel Center for Prostate and Urologic Cancers

New York, New York, United States, 10065

Actively Recruiting

14

Associated Medical Professionals of NY

Syracuse, New York, United States, 13210

Actively Recruiting

15

The Bronx Veterans Medical Research Foundation, Inc.

The Bronx, New York, United States, 10468

Actively Recruiting

16

Duke Cancer Institute

Durham, North Carolina, United States, 27705

Actively Recruiting

17

Associate Urologist of North Carolina

Raleigh, North Carolina, United States, 27612

Actively Recruiting

18

Oregon Urology Institute

Springfield, Ohio, United States, 97477

Actively Recruiting

19

MidLantic Urology

Bala-Cynwyd, Pennsylvania, United States, 19004

Actively Recruiting

20

Keystone Urology Specialists

Lancaster, Pennsylvania, United States, 17604

Actively Recruiting

21

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States, 29572

Actively Recruiting

22

Lowcounty Urology Clinics, P.A.

North Charleston, South Carolina, United States, 29406

Actively Recruiting

23

Conrad Pearson-Memphis

Germantown, Tennessee, United States, 38138

Actively Recruiting

24

Urology Associates PC

Nashville, Tennessee, United States, 37209

Actively Recruiting

25

Urology Austin

Austin, Texas, United States, 78759

Actively Recruiting

26

Baylor College of Medicine

Houston, Texas, United States, 77030

Actively Recruiting

27

Urology San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

28

Epworth Freemasons-Victoria Parade

Richmond, Victoria, Australia, 3121

Actively Recruiting

29

Istituti Fisioterapici Ospitalieri (IFO)

Rome, Italy, Italy

Actively Recruiting

30

Istituto Europeo di Oncologia

Milan, Italy, 20141

Actively Recruiting

31

Azienda Ospedaliero Universitaria Pisana - Ospedale Santa Chiara

Pisa, Italy, 56126

Actively Recruiting

32

ASL Napoli 2 Nord - Ospedale Santa Maria delle Grazie

Pozzuoli, Italy, 80078

Actively Recruiting

33

Centro Médico Teknon

Barcelona, Spain, Spain, 08003

Actively Recruiting

34

Hospital Clínico San Carlos

Madrid, Spain, Spain, 28040

Active, Not Recruiting

35

Hospital Universitario 12 de Oc

Madrid, Spain, Spain, 28041

Actively Recruiting

36

Hospital Quirón Barcelona

Barcelona, Spain, 08908

Actively Recruiting

37

MD Anderson Cancer Center - Madrid

Madrid, Spain, 28003

Actively Recruiting

38

Hospital Universitario Ramón y Cajal

Madrid, Spain, 28034

Actively Recruiting

39

Hospital Universitario Marqués de Valdecilla

Santander, Spain, 39008

Actively Recruiting

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Research Team

G

Grace Indyk

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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