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OncoMatch/Clinical Trials/NCT06160752

Safety and Anti-Tumor Activity of TYRA-200 in Advanced Cholangiocarcinoma With Activating FGFR2 Gene Alterations

Is NCT06160752 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Phase 1 Part A - dose escalation TYRA-200 taken once daily by mouth in 28-day cycles and Phase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cycles for locally advanced cholangiocarcinoma.

Phase 1RecruitingTyra Biosciences, IncNCT06160752Data as of May 2026

Treatment: 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 cyclesThe 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.

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Extracted eligibility criteria

Cancer type

Cholangiocarcinoma

Tumor Agnostic

Biomarker criteria

Required: FGFR2 mutation

FGFR2 gene mutation

Required: FGFR2 rearrangement

FGFR2 gene rearrangement

Required: FGFR2 kinase domain mutation that confers resistance to previous/other FGFR inhibitors

Presence of an FGFR2 kinase domain mutation that confers resistance to previous/other FGFR inhibitors

Allowed: FGFR1 mutation

FGFR gene mutations

Allowed: FGFR1 fusion

FGFR gene fusions

Allowed: FGFR1 amplification

FGFR gene amplifications

Allowed: FGFR3 mutation

FGFR gene mutations

Allowed: FGFR3 fusion

FGFR gene fusions

Allowed: FGFR3 amplification

FGFR gene amplifications

Allowed: FGFR4 mutation

FGFR gene mutations

Allowed: FGFR4 fusion

FGFR gene fusions

Allowed: FGFR4 amplification

FGFR gene amplifications

Allowed: FGF3 amplification

gene amplifications of FGFR ligands

Allowed: FGF4 amplification

gene amplifications of FGFR ligands

Allowed: FGF19 amplification

gene amplifications of FGFR ligands

Disease stage

Required: Stage III, IV

locally advanced/metastatic intrahepatic cholangiocarcinoma; Any histologically confirmed advanced solid tumor

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: FGFR inhibitor

Must have received a prior FGFR inhibitor. Participants may have received more than 1 prior FGFR inhibitor.

Cannot have received: anti-FGFR therapy

Exception: Discontinued due to significant toxicity, defined as hepatotoxicity ≥Grade 3 or any Grade 4 toxicity according to CTCAE v5.0

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

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • University of California San Francisco (UCSF) · San Francisco, California
  • Massachusetts General Hospital · Boston, Massachusetts
  • The Ohio State University · Columbus, Ohio
  • The University of Texas MD Anderson Cancer Center · Houston, Texas

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