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Journal Autophagy & cellular renewal
Discovery

Phase 3 Trial of eRapa in Patients With Familial Adenomatous Polyposis

Hypothesis
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Editor's note
Rapamycin's ability to trigger cellular cleanup offers a potential brake on polyposis progression before surgery becomes necessary—a meaningful shift for FAP patients who face inevitable adenocarcinoma risk. This Phase 3 trial represents the field's first direct test of autophagy enhancement as a disease-modifying strategy in hereditary cancer, moving beyond preclinical evidence. Gastroenterologists and medical oncologists managing FAP should monitor results closely, as a positive outcome could reshape prevention protocols for this high-risk population.

Source: ctgov · Rapamycin Holdings Inc. · RECRUITING · 2026-05-22

URL: https://clinicaltrials.gov/study/NCT06950385

AI rationale (4/5, tier: emerging): Phase 3 rapalog trial in cancer; rapamycin explicitly listed in brief as autophagy inducer with clinical relevance.


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.

Published 2026-05-28 · Last kit-update 2026-05-28