NCT07689942

Brief Summary

This expanded access program provides 0.5 mg eRapa (encapsulated rapamycin) to patients with familial adenomatous polyposis (FAP) who have no satisfactory alternative treatment options and are not eligible to participate in a clinical trial. The objective is to provide access to eRapa based on the treating physician's assessment that the potential benefits outweigh the potential risks, with appropriate clinical monitoring for safety and tolerability.

Trial Health

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 30, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 8, 2026

Completed
Last Updated

July 8, 2026

Status Verified

June 1, 2026

First QC Date

June 30, 2026

Last Update Submit

June 30, 2026

Conditions

Keywords

rapamycinFAPeRapaExpanded AccessCompassionate Use

Interventions

eRapa is a proprietary oral encapsulated formulation of rapamycin (sirolimus) provided as 0.5 mg capsules. This expanded access program uses the 0.5 mg formulation specifically developed for long-term administration.

Also known as: Rapamycin, Sirolimus, Encapsulated Rapamycin

Eligibility Criteria

Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patient is post pubertal and reached full adult height
  • Patient has FAP confirmed by APC genotype mutation tesing or a history of FAP in one of the parents. Genetic mosaics or Attenuated (as well as classical) FAP may participate
  • Patient has significant colorectal and/or duodenal FAP disease burden.

You may not qualify if:

  • Patient has existing carcinoma or high-grade dysplasia in the GI tract and/or requires imminent definitive surgical intervention (either partial or complete colectomy or duodenectomy).
  • Patient with an acquired or congenital immunodeficiency, active and clinically significant tuberculosis, bacterial, fungal, or viral infections, including HIV.
  • Patient has clinically significant elevations of hepatic enzymes or bilirubin, or other evidence of active hepatitis.
  • Patient has clinically significant impairment of renal function.
  • Patient has a history or evidence of clinically significant hyperlipoproteinemia or hypertriglyceridemia.
  • Patient has active or recurrent bouts of pancreatitis, or clinically significant elevations of lipase or amylase.
  • Patient is taking medications that are considered strong inducers or inhibitors of cytochrome P450 (CYP) 3A4/5 or strong inducers or inhibitors of P-glycoprotein 1 (P-gp1) that cannot be discontinued at least 1 week prior to first dose of treatment intervention and for the duration of the treatment.
  • Patients with known hypersensitivity to rapamycin (sirolimus) or any of the excipients in eRapa.
  • Sexually active patients who are unwilling to use a highly effective contraceptive method and to refrain from donating gametes (sperm or oocytes) throughout the time they are receiving eRAPA and for 12 weeks beyond that time, and to refrain from breast-feeding their children while on treatment.
  • Patients who are pregnant or who are trying to become pregnant while taking eRapa.
  • Patients unwilling or unable to undergo continued endoscopic surveillance in accordance with standards of care while taking eRapa.
  • Patient has Mutations in the MUTYH gene.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

Adenomatous Polyposis Coli

Interventions

Sirolimus

Condition Hierarchy (Ancestors)

Adenomatous PolypsAdenomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplastic Syndromes, HereditaryDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesIntestinal PolyposisGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

MacrolidesLactonesOrganic Chemicals

Central Study Contacts

Study Design

Study Type
expanded access
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 30, 2026

First Posted

July 8, 2026

Last Updated

July 8, 2026

Record last verified: 2026-06