About this trial
The main purpose of this study is to learn more about the safety, side effects, and effectiveness of Vepugratinib by itself or when it is combined with other medicines that treat cancer. Vepugratinib may be used to treat cancer of the cells that line the urinary system and other solid tumor cancers that have a change in a particular gene (known as the FGFR3 gene). Study participation could last up to approximately 6 years, depending on which part of the study you join.
Eligibility criteria
Qualifiers
Cohort A1, C1, D1, and D2: Locally advanced or metastatic solid tumor malignancy with a qualifying FGFR3 alteration.
Cohort A2, B2, B5 and B7: Urothelial cancer (UC) that is locally advanced or metastatic with a qualifying FGFR3 genetic alteration.
Cohorts B1 and B4: Urothelial cancer that is locally advanced or metastatic and have received prior erdafitinib.
Cohort B6: Muscle Invasive Bladder Cancer with a qualifying FGFR3 alteration.
Disqualifiers
Participants with primary central nervous system (CNS) malignancy.
Untreated or uncontrolled CNS metastases.
Current evidence of corneal keratopathy or retinal disorder. Individuals with asymptomatic ophthalmic conditions may be eligible.
Any serious unresolved toxicities from prior therapy.
Trial design
Treatments tested in this trial
- Vepugratinib
- Pembrolizumab
- enfortumab vedotin
- Trastuzumab Deruxtecan
- Midazolam
- Digoxin
- Rosuvastatin
Treatment groups
8
Treatment groupsSee each treatment group below.