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Positive Phase 1b/2 Results from Ongoing REC-4881 TUPELO Trial for Familial Adenomatous Polyposis (FAP)

Recursion (RXRX) | December 8, 2025

By Hannah Lewis

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REC-4881 (4 mg QD) showed rapid reductions in total polyp burden with 75% of patients experiencing reductions after 12 weeks of treatment.

82% of patients maintained a durable reduction in polyp burden at Week 25, 12 weeks post-treatment.

REC-4881 demonstrated safety profile consistent with MEK1/2 inhibition, with majority of adverse events being Grade 1 or 2.

Clinical Activity

75% of patients had reductions in total polyp burden after 12 weeks of treatment.

Durable Reductions

82% of patients maintained reductions at Week 25, with a 53% median decrease from baseline.

Safety Profile

Majority of treatment-related adverse events were Grade 1 or 2, with no Grade ≥4 TRAEs reported to date.

First Clinical Validation of Recursion OS

REC-4881's positive results demonstrate the potential of unbiased phenotypic insights to develop novel therapeutics for FAP.

  • REC-4881's positive Phase 1b/2 results provide hope for the FAP community facing a lack of approved medical therapies.
  • Identification of MEK1/2 inhibition as a specific mechanism for FAP treatment opens new avenues for research and therapeutic development.

REC-4881's Phase 2 results offer promising outcomes for FAP patients, indicating a potential non-surgical option for polyp burden reduction and disease management.