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RecruitingCarcinoma, Transitional CellUrinary Bladder NeoplasmsNeoplasm Metastasis

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

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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

Alabama

Huntsville

Arizona

Tucson

Arkansas

Little Rock

California

Irvine · Los Angeles · Orange · Sacramento

Colorado

Denver · Grand Junction

Connecticut

New Haven

District of Columbia

Washington D.C.

Florida

Orlando

Idaho

Boise

Illinois

Chicago · Evanston

Indiana

Fort Wayne · Indianapolis

Kentucky

Lexington

Source: ClinicalTrials.gov · NCT07218380 · last updated 2026-07-13

A Study of Vepugratinib (LY3866288) in Participants With Cancer in the · TrialPath