Status:

RECRUITING

A Study of Vepugratinib (LY3866288) in Participants With Cancer in the Urinary Tract

Lead Sponsor:

Eli Lilly and Company

Conditions:

Carcinoma, Transitional Cell

Urinary Bladder Neoplasms

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to test a new medicine, vepugratinib, in comparison with placebo, to see if it is safe and can help people with a bladder cancer that is advanced or has spread. Vepugrati...

Eligibility Criteria

Inclusion

  • Have histologically confirmed, unresectable locally advanced or metastatic urothelial cancer (mUC). Individuals with mixed histology other than small cell or neuroendocrine carcinoma are eligible if a urothelial component is present.
  • Have a qualifying fibroblast growth factor receptor 3 (FGFR3) genetic alteration determined via molecular testing from a tumor or blood sample obtained at or any time after diagnosis of advanced or metastatic urothelial cancer.
  • Have measurable disease by investigator assessment defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • Have adequate laboratory parameters

Exclusion

  • Have received prior systemic therapy for locally advanced or metastatic urothelial cancer (mUC).
  • Have any unresolved toxicities greater than Grade 1 Common Terminology Criteria for Adverse Events (\[CTCAE\] version 5.0) from prior neoadjuvant or adjuvant systemic therapy.
  • Have ongoing sensory or motor neuropathy of Grade 2 or higher
  • Have untreated or uncontrolled central nervous system (CNS) involvement or any history of leptomeningeal disease.
  • Current evidence corneal keratopathy or retinal disorder confirmed by ocular examination at screening.

Key Trial Info

Start Date :

December 12 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2033

Estimated Enrollment :

450 Patients enrolled

Trial Details

Trial ID

NCT07218380

Start Date

December 12 2025

End Date

May 1 2033

Last Update

December 18 2025

Active Locations (271)

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Page 1 of 68 (271 locations)

1

Clearview Cancer Institute

Huntsville, Alabama, United States, 35805

2

The University of Arizona Cancer Center - North Campus

Tucson, Arizona, United States, 85719

3

TRIO-US (Translational Research in Oncology-US)

Los Angeles, California, United States, 90024

4

UCLA Hematology/Oncology - Santa Monica

Los Angeles, California, United States, 90404