Skip to main content
UK clinical trials - updated daily from ClinicalTrials.gov
TrialConnect
← Back to Search
Looking for participantsPhase3

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

Sponsor: Eli Lilly and Company

NCT ID: NCT07218380

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Vepugratinib (drug), Placebo (other), EV (drug), Pembrolizumab (drug)
How long the study runs
Study runs about 89 months (dates as stated)
About the drug or intervention
Vepugratinib — drug: Administered orally · Placebo — other: Administered orally · EV — drug: Administered by IV infusion · Pembrolizumab — drug: Administered by IV infusion
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
450
Started
2025-12-12
Last checked
2026-10

Plain English Summary

What is this study?

  • • Testing a new treatment for carcinoma, transitional cell
  • • Phase3 - 450 participants
  • • 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

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with carcinoma, transitional cell

Where?

  • • Huddersfield - Huddersfield Royal Infirmary
  • • London - St Bartholomew's Hospital
  • • London - University College London Hospital
  • • London - Royal Marsden Hospital (Sutton)
  • • +3 more UK sites

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

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.

Carcinoma, Transitional CellUrinary Bladder NeoplasmsNeoplasm Metastasis

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Have cancer that can be measured on scans by investigator assessment defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • ✓Have an activity scale (ECOG) performance status of 0 to 2.
  • ✓Have adequate laboratory parameters

Who cannot take part

  • ✗Have received prior treatment that goes through your whole body for that has grown locally or that has spread urothelial cancer (mUC).
  • ✗Have any unresolved toxicities greater than Grade 1 Common Terminology Criteria for Adverse Events (\[CTCAE\]...
  • ✗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.
See the full criteria
Inclusion Criteria: * 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 Criteria: * 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 Is This Study? (7 UK sites)

Huddersfield Royal Infirmary

Huddersfield HD3 3EA, United Kingdom

Recruiting
Site contact (verified)
Ursula HofmannPrincipal Investigator

St Bartholomew's Hospital

London EC1A 7BE, United Kingdom

Recruiting
Site contact (verified)
Thomas PowlesPrincipal Investigator

University College London Hospital

London NW1 2PG, United Kingdom

Recruiting
Site contact (verified)
Ursula McGovernPrincipal Investigator

Royal Marsden Hospital (Sutton)

London SM2 5PT, United Kingdom

Recruiting
Site contact (verified)
Robert HuddartPrincipal Investigator

Royal Marsden Hospital (Chelsea)

London SW3 6JJ, United Kingdom

Recruiting
Site contact (verified)
Robert HuddartPrincipal Investigator

The Christie NHS Foundation Trust

Manchester M20 4BX, United Kingdom

Recruiting
Site contact (verified)
Yee Pei SongPrincipal Investigator

Weston Park Hospital

Sheffield S10 2SJ, United Kingdom

NOT_YET_RECRUITING
Site contact (verified)
Syed HussainPrincipal Investigator

How to Get in Touch

Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or

Sponsor contact

CONTACT

1-317-615-4559 LillyTrials@Lilly.com

Physicians interested in becoming principal investigators please contact

Sponsor contact

CONTACT

clinical_inquiry_hub@lilly.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-10