NCT06160752|Active Not RecruitingPhase 1DMCFDA Drug
Safety and Anti-Tumor Activity of TYRA-200 in Advanced Cholangiocarcinoma With Activating FGFR2 Gene Alterations
SURF201
A Multicenter, Open-label, First-in-Human Study of TYRA-200 in Advanced Intrahepatic Cholangiocarcinoma and Other Solid Tumors With Activating FGFR2 Gene Alterations (SURF-201)
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief 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.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
active not recruiting
Estimated enrollment
40 participants
Study completion date
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
1 countries · 4 sites
Trial Relationships
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Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
November 22, 2023
Actual (reported)
First Submitted
November 29, 2023
Actual (reported)
First Posted
December 7, 2023
Actual (reported)
Primary Completion
March 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Phase 1 Part A: To determine the maximum tolerated dose (MTD) of TYRA-200.
Initiation of study treatment through 28 Days
Phase 1 Part B: To determine the optimal dose of TYRA-200.
Initiation of study treatment through 28 days (up to approximately 18 months
Secondary Outcomes (11)
Number of participants with adverse events (AEs) and serious adverse events (SAEs) as a measure of safety and tolerability.
From day 1 treatment through 28-days post treatment (up to 2 years)
Study Arms (1)
Phase 1 Part A and Part B
EXPERIMENTAL
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 cyclesDrug: Phase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cycles
Interventions
Phase 1 Part A - dose escalation TYRA-200 taken once daily by mouth in 28-day cyclesDrug
TYRA-200 is an oral, novel potent FGFR 1/2/3 tyrosine kinase inhibitor that targets tumors that contain activating gene alterations of FGFR2.
Phase 1 Part A and Part B
Phase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cyclesDrug
TYRA-200 is an oral, novel potent FGFR 1/2/3 tyrosine kinase inhibitor that targets tumors that contain activating gene alterations of FGFR2.
Frequency in changes in laboratory parameters and physical signs of toxicity.
From day 1 treatment through 28-days post treatment (up to 2 years)
Pharmacokinetics: maximum plasma concentration (Cmax).
From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)
Pharmacokinetics: time to reach maximum plasma concentration (Tmax).
From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)
Pharmacokinetics: area under the plasma concentration-time curve (AUC).
From Day 1 through Cycle 3 Day 1 (each cycle is 28 days)
+6 more secondary outcomes
Phase 1 Part A and Part B
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
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.
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/metastatic 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 measurable lesion by RECIST v1.1.
You may not qualify if:
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.
Active, symptomatic, or untreated brain metastases.
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.
Contact the study team to confirm eligibility.
Craniofacial Abnormalities
Musculoskeletal Abnormalities
Limb Deformities, Congenital
Congenital Abnormalities
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Neoplastic Processes
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Study Completion
September 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 14, 2026
Record last verified: 2026-10
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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