A Study of Vepugratinib (LY3866288) in Participants With Cancer in the Urinary Tract
Eligible age
18+ yrs
Accepts
All genders
Locations
28 states
Healthy volunteers
No
See if you qualify for this study
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About this study
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. Vepugratinib or placebo will be administered in combination with enfortumab vedotin and pembrolizumab. Study participation could last up to approximately 6 years.
Sponsor: Eli Lilly and Company
You may qualify if…
- ✓ 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
You may not qualify if…
- ✕ 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.
Where it's recruiting
Huntsville
Tucson
Little Rock
Irvine · Los Angeles · Orange · Sacramento …
Denver · Grand Junction
New Haven
Washington D.C.
Orlando
Boise
Chicago · Evanston
Fort Wayne · Indianapolis
Lexington
Source: ClinicalTrials.gov · NCT07218380 · last updated 2026-07-13