Fase 2A/B Effektivitet og Sikkerhed af Dabogratinib hos Deltagere med Lavgrads Øvre Urinvejskarcinom (SURF303)
En fase 2A/B, multicenter, åben-label undersøgelse, der evaluerer effektiviteten og sikkerheden af Dabogratinib (TYRA-300) hos deltagere med lavgradet overste urinvejsløbscarcinom (SURF303)
A Phase 2A/B study of Dabogratinib (TYRA-300) in Low Grade Upper Tract Urothelial Carcinoma
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
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)
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Lara Balick
- Telefonnummer: 929-792-5633
- E-mail: TyraClinicalTrials@tyra.bio
Studiesteder
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California
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Loma Linda, California, Forenede Stater, 92354-3450
- Rekruttering
- Loma Linda University (LLU) - Loma Linda University Medical Center (LLUM)
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Los Angeles, California, Forenede Stater, 90033
- Rekruttering
- USC Norris Comprehensive Cancer Center
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Florida
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Tampa, Florida, Forenede Stater, 33612-9416
- Rekruttering
- Moffitt Cancer Center
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Georgia
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Atlanta, Georgia, Forenede Stater, 30322-1013
- Rekruttering
- The Winship Cancer Institute of Emory University
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Illinois
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Chicago, Illinois, Forenede Stater, 60637
- Rekruttering
- The University of Chicago
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Lisle, Illinois, Forenede Stater, 60532
- Rekruttering
- Duly Health and Care Chicago
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Indiana
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Greenwood, Indiana, Forenede Stater, 46143
- Rekruttering
- Urology of Indiana, LLC
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Indianapolis, Indiana, Forenede Stater, 46202
- Rekruttering
- Indiana University (IU) Health Physicians - Urology
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Jeffersonville, Indiana, Forenede Stater, 47130
- Rekruttering
- First Urology
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Massachusetts
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Plymouth, Massachusetts, Forenede Stater, 02360
- Rekruttering
- Greater Boston Urology - Plymouth Care Center
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Michigan
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Ann Arbor, Michigan, Forenede Stater, 48109-5000
- Rekruttering
- University of Michigan Health System (UMHS)
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Royal Oak, Michigan, Forenede Stater, 48073-0996
- Rekruttering
- Michigan Healthcare Professionals - William Beaumont University Hospital
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Missouri
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St Louis, Missouri, Forenede Stater, 63141
- Rekruttering
- Urology of St. Louis
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New Jersey
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Sewell, New Jersey, Forenede Stater, 08080-2359
- Rekruttering
- Summit Health - Washington Township
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New York
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Albany, New York, Forenede Stater, 12208-3412
- Rekruttering
- Albany Medical College
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Syracuse, New York, Forenede Stater, 13210
- Rekruttering
- Associated Medical Professionals of NY, PLLC
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Ohio
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Cleveland, Ohio, Forenede Stater, 44111
- Rekruttering
- Cleveland Clinic
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Columbus, Ohio, Forenede Stater, 43210-1280
- Rekruttering
- The Ohio State University Wexner Medical Center
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Gahanna, Ohio, Forenede Stater, 43230
- Rekruttering
- Central Ohio Urology Group
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Pennsylvania
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Radnor, Pennsylvania, Forenede Stater, 19087
- Rekruttering
- Penn Medicine Radnor
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South Carolina
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Mt. Pleasant, South Carolina, Forenede Stater, 29464-3771
- Rekruttering
- Medical University of South Carolina (MUSC)
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37209-4035
- Rekruttering
- Urology Associates, P C
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Texas
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Austin, Texas, Forenede Stater, 78705-2009
- Rekruttering
- Urology Austin - Apex Cancer Care - Austin
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Dallas, Texas, Forenede Stater, 75235
- Rekruttering
- The University of Texas Southwestern Medical Center
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- The University of Texas MD Anderson Cancer Center
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Paris, Frankrig, 75015
- Rekruttering
- Hôpital Européen Georges Pompidou (HEGP)
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Paris, Frankrig, 75013
- Rekruttering
- Hopital Pitie-Salpetriere
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Saint-Etienne, Frankrig
- Rekruttering
- CHU de Saint-Etienne - Hopital Bellevue
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Jerusalem, Israel
- Rekruttering
- Hadassah University Hospital - Ein Kerem
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Kfar Saba, Israel, 4428164
- Rekruttering
- Meir Medical Center
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Tel Aviv
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Holon, Tel Aviv, Israel, 5822012
- Rekruttering
- Edith Wolfson Medical Center
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Ramat Gan, Tel Aviv, Israel
- Rekruttering
- Chaim Sheba Medical Center
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Tel Aviv, Tel Aviv, Israel, 6423906
- Rekruttering
- Tel Aviv Sourasky Medical Center
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Cadiz, Spanien, 11009
- Rekruttering
- Hospital Universitario Puerta del Mar
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Madrid, Spanien, 28041
- Rekruttering
- Hospital Universitario 12 de Octubre
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Valencia
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Valencia, Valencia, Spanien, 46026
- Rekruttering
- Hospital Universitari i Politècnic La Fe
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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Participants ≥ 18 years of age at the time of informed consent and willing and able to comply with all required study procedures
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Confirmed LG UTUC (both favorable and unfavorable) per AUA
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At least 5mm of marker lesion(s) left behind
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Identification of marker lesion(s) within 8 weeks prior to randomization (refer to Inclusion Criterion #2)
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If synchronous NMIBC, NMIBC must be fully resected and low-grade Ta or T1
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No prior BCG administration within 1 year of date of consent.
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No intravesical chemotherapy within 8 weeks prior to C1D1 (including UGN-101).
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No systemic chemotherapy within 3 months prior to C1D1
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ECOG PS 0-2
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Pathology consists of pure urothelial carcinoma
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Adequate bone marrow function:
i. Absolute neutrophil count (ANC) ≥1,500/mm3 ii. Platelet count ≥75,000/mm3 iii. Hemoglobin ≥10.0 g/dL
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Adequate liver function:
i. Total bilirubin ≤ ULN ii. Alanine aminotransferase (ALT) ≤ ULN iii. Aspartate aminotransferase (AST) ≤ ULN
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Adequate renal function:
i. Estimated glomerular filtration rate >30 mL/min ii. Serum Phosphate level ≤ ULN prior to starting treatment iii. International normalized ratio (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 metastatic 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 investigational 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 CYP3A or inhibitors of P-gp and BCRP transporters (prohibited list of medications)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Study Drug Dose Cohort A (DCA) 60mg
Dabogratinib (TYRA-300) monotherapy in Participants |
Self-administered 60mg dose Oral tablet(s) given daily
Andre navne:
|
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Eksperimentel: Study Drug Dose Cohort B (DCB) 80mg
Dabogratinib (TYRA-300) monotherapy in Participants |
Self-administered 80mg dose Oral tablet(s) given daily
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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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)
Tidsramme: within 6 months
|
Complete response (CR) rate |
within 6 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Varigheden af respons (DOR) (median tid for CR-varighed hos de deltagere, der opnår en CR)
Tidsramme: op til 36 måneder
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op til 36 måneder
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Komplet respons (andel af deltagere, der fortsat har en CR efter 12 og 24 måneder)
Tidsramme: efter 12 og 24 måneder
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efter 12 og 24 måneder
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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)
Tidsramme: at 6 months
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Complete Response (CR) rate |
at 6 months
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Safety and tolerability of dabogratinib
Tidsramme: Up to 2 years
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Incidence rate and severity of adverse events |
Up to 2 years
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Rate of renal preservation after treatment with dabogratinib
Tidsramme: Up to 2 years
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Proportion of participants who did not undergo a nephrectomy or nephroureterectomy |
Up to 2 years
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Change from unresectable UTUC to resectable UTUC
Tidsramme: Up to 2 years
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Proportion of participants with unresectable disease at baseline who convert to resectable disease on dabogratinib, as assessed by the Investigator |
Up to 2 years
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studiestol: Doug Warner, Tyra Biosciences, Inc
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TYR300-203
- 2025-523539-20-00 (Ctis)
- 2025 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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