On June 9, 2026 Actuate Therapeutics, Inc. (NASDAQ: ACTU), a clinical-stage biopharmaceutical company focused on developing novel therapies for difficult-to-treat cancers, reported that elraglusib will be evaluated in the BEACON2 clinical trial, an international, multi-arm, multi-stage platform study designed to identify and advance promising treatment approaches for children with relapsed and refractory neuroblastoma.
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Under the BEACON2 trial design, the combination of elraglusib with dinutuximab beta plus chemotherapy will initially be assessed in a dose confirmation cohort of up to 20 patients to evaluate safety and to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), and pharmacokinetics (PK) profile of the regimen. Following successful completion of the dose confirmation stage, the regimen may advance into a randomized portion of the platform trial, where approximately 75 patients will be enrolled with a planned interim analysis.
"Selection for inclusion in BEACON2 represents a defining milestone for the elraglusib program and underscores growing recognition of its novel mechanism and potential applicability in treating pediatric cancers," said Daniel Schmitt, President & Chief Executive Officer of Actuate. "Neuroblastoma remains one of the most devastating diseases for many children whose cancer relapses or becomes resistant to treatment, and we are honored to be part of a collaborative effort dedicated to improving outcomes of these patients. BEACON2 is sponsored by the Cancer Research UK Clinical Trials Unit, University of Birmingham, enabling us to generate meaningful clinical data in a capital-efficient manner. We are particularly encouraged by the convergence of compelling preclinical evidence, early clinical evidence in pediatric cancer, including a complete response achieved in a neuroblastoma patient, and regulatory recognition through FDA Rare Pediatric Disease Designation. Together, these factors provide a strong foundation for further exploring the potential of elraglusib in this area of significant unmet medical need."
Scientific Rationale
The scientific rationale for evaluating elraglusib in neuroblastoma is firmly supported by a growing body of preclinical and clinical evidence. GSK-3β inhibition, elraglusib’s primary mechanism, has been shown to suppress neuroblastoma cell proliferation, promote apoptosis, and disrupt pathways involved in MYCN-driven disease biology, a key driver of high-risk neuroblastoma. Preclinical studies demonstrated that elraglusib enhanced the activity of both chemotherapy and anti-GD2-based immunotherapy, producing significant improvements in tumor control and survival across multiple neuroblastoma models. Notably, 60% of Th-MYCN mice treated with elraglusib plus temozolomide/irinotecan (TEMIRI)/14G2a, remained tumor-free at one year of age compared to 0% in the TEMIRI/14G2a only arm (P<0.0001). These effects were associated with increased infiltration of CD4+ and CD8+ T cells and NK cells within the tumor microenvironment, suggesting a meaningful immunomodulatory component.
Clinical findings further support the development in neuroblastoma. In the Phase 1/2 (NCT04239092) study of elraglusib in combination with cyclophosphamide plus topotecan chemotherapy, patients with advanced relapsed or refractory disease achieved clinical responses or disease control. Importantly, a heavily pretreated neuroblastoma patient with a high-risk molecular profile achieved a complete bone marrow response within 9 cycles.
About BEACON2
BEACON2 (EudraCT 2024-516115-24) is an international, open-label, multi-arm, multi-stage randomized Phase 1/2 trial evaluating multiple treatment regimens aimed at identifying treatment approaches that will lead to improved outcomes. BEACON2 is being conducted by the Cancer Research UK Clinical Trials Unit (CRCTU), University of Birmingham, one of the most respected academic clinical trials organizations in the world and one of only eight units directly funded by Cancer Research UK, the UK’s largest cancer research charity. The trial is currently active across 14 UK sites and has received European regulatory approval via CTIS, with an international network spanning up to 60 sites across 16 countries, including the European Union, UK, Switzerland, Israel, Australia, and New Zealand.
BEACON2 builds on the original BEACON trial, which established a pan-European platform for evaluating and comparing treatment regimens in relapsed and refractory neuroblastoma. Conducted between 2012 and 2021, BEACON enrolled 225 patients across Europe, making it the largest randomized clinical trial ever conducted in this patient population. The study successfully identified two combination regimens worthy of further investigation, including irinotecan and temozolomide and dinutuximab beta administered with a chemotherapy backbone, which demonstrated one-year progression-free survival rates of 65% and 49%, respectively.
About Neuroblastoma
Neuroblastoma is a rare pediatric cancer that develops from immature nerve cells and remains associated with persistently poor outcomes following relapse. Despite advances in frontline therapy, treatment options remain limited for patients whose disease recurs or becomes resistant to treatment, highlighting the need for new therapeutic approaches.
(Press release, Actuate Therapeutics, JUN 9, 2026, View Source [SID1234666518])