Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06950385

Phase 3 Trial of eRapa in Patients With Familial Adenomatous Polyposis

Led by Rapamycin Holdings Inc. · Updated on 2026-03-17

168

Participants Needed

26

Research Sites

284 weeks

Total Duration

On this page

Sponsors

R

Rapamycin Holdings Inc.

Lead Sponsor

B

Biodexa Pharmaceuticals

Collaborating Sponsor

AI-Summary

What this Trial Is About

The main goal of this clinical trial is to learn if the drug eRapa works to slow down the progression of disease in patients diagnosed with Familial Adenomatous Polyposis (FAP). Researchers will compare eRapa to Placebo. The questions to be answered by this trial are: * Does taking eRapa help to slow down the progression of the disease in patients with FAP? * Is eRapa a safe treatment for patients diagnosed with FAP? * What is the effect of eRapa on the number of polyps found in GI tract of patients diagnosed with FAP? * How does treatment with eRapa affect a patient's quality of life? Participants will: * Take eRapa or placebo once per day every other week until disease progresses (gets worse), stops taking part in the trial or dies. * Visit the clinic once every 3 months for check ups and tests. * Have an endoscopy at the start of the trial and then every 6 months to check on whether the disease is getting better or worse.

CONDITIONS

Official Title

Phase 3 Trial of eRapa in Patients With Familial Adenomatous Polyposis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participant must be 18 years of age or older.
  • Participant must have documented Familial Adenomatous Polyposis confirmed by adenomatous polyposis coli genotype mutation testing.
  • Participant must have at least one high-risk feature: more than 100 but 500 or fewer polyps in the colon; or 10 or more polyps in the retained rectum, sigmoid, or ileal pouch that are 3 mm or larger; or Spigelman stage 3 or 4 with at least one polyp 10 mm or larger removed at baseline or within 18 months before screening.
  • Participant or their partner must use contraception during the study and for at least 12 weeks after stopping treatment.
  • Participant agrees not to donate gametes for reproduction during the study and for at least 12 weeks after stopping treatment.
  • Participant is willing to undergo endoscopic evaluations.
Not Eligible

You will not qualify if you...

  • Participant has unresected or incompletely resected high-grade dysplasia or cancer in the duodenum, colon, rectum, or ileal pouch at screening.
  • Participant has any polyps 8 mm or larger remaining after screening endoscopy.
  • Participant has had surgery within 6 weeks before the trial.
  • Participant has active cancer or a history of cancer diagnosed within 24 months before the first dose.
  • Participant has a history of or currently has an acquired or congenital immunodeficiency.
  • Participant has active and clinically significant infections, including tuberculosis, bacterial, fungal, viral infections, or HIV.
  • Participant has any medical or social condition that may increase risk, reduce compliance, or confound safety or trial data according to the investigator.

AI-Screening

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Trial Site Locations

Total: 26 locations

1

City of Hope

Arcadia, California, United States, 91007

Not Yet Recruiting

2

Yale Cancer Center

New Haven, Connecticut, United States, 06520

Actively Recruiting

3

Georgetown University

Washington D.C., District of Columbia, United States, 20057

Actively Recruiting

4

Digestive & Liver Center of Florida

Orlando, Florida, United States, 32825

Actively Recruiting

5

Cleveland Clinic Florida

Weston, Florida, United States, 33331

Actively Recruiting

6

University of Chicago

Chicago, Illinois, United States, 60615

Not Yet Recruiting

7

University of Kansas Medical Center

Kansas City, Kansas, United States, 66160

Actively Recruiting

8

Johns Hopkins University

Baltimore, Maryland, United States, 21205

Actively Recruiting

9

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02115

Not Yet Recruiting

10

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

11

Department of Surgery, Section of Colon Rectal and Surgery

St Louis, Missouri, United States, 63110

Actively Recruiting

12

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

13

Ohio State University

Columbus, Ohio, United States, 43210

Actively Recruiting

14

Geisinger Medical Center

Danville, Pennsylvania, United States, 17822

Actively Recruiting

15

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States, 15213

Actively Recruiting

16

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

17

Benaroya Research Institute at Virginia Mason

Seattle, Washington, United States, 98101

Actively Recruiting

18

University of Washington - Fred Hutchinson

Seattle, Washington, United States, 98195

Actively Recruiting

19

Copenhagen University Hospital

Copenhagen, Denmark

Actively Recruiting

20

Universitätsklinikum Bonn

Bonn, Germany

Actively Recruiting

21

Amsterdam UMC

Amsterdam, Netherlands

Actively Recruiting

22

Radboud University Medical Center

Nijmegen, Netherlands

Actively Recruiting

23

Hospital Oncologico - Puerto Rico Medical Center

Rio Piedras, Puerto Rico, 00935

Actively Recruiting

24

Hospital Clínic de Barcelona

Barcelona, Spain

Actively Recruiting

25

Hospital Comarcal de Inca

Inca, Spain

Not Yet Recruiting

26

Hospital La Fe de Valencia

Valencia, Spain

Actively Recruiting

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Research Team

V

Vice President Clinical Operations

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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