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Actuate Therapeutics Announces Plans to Expand Clinical Pipeline, Advancing Elraglusib Tablet into a Phase 1/2 Clinical Program in Refractory Cancers

(Neutral)

Actuate Therapeutics (NASDAQ: ACTU) announced a planned Phase 1/2 clinical program to evaluate an oral tablet formulation of elraglusib in advanced cancers, with Phase 1 initiation planned in 2H 2026. The Phase 1 portion will determine MTD/MAD, DLTs, PK, and preliminary anti‑tumor activity to establish a recommended dose for Phase 2 expansion. Phase 2 will evaluate elraglusib in refractory metastatic melanoma and select solid tumor and hematologic indications. Prior IV data (Phase 1, n=67; 11 CPI‑refractory melanoma) showed disease control ≥12 weeks in 5 of 10 evaluable melanoma patients, median overall survival of 9.9 months, and one ongoing complete response exceeding 6 years.

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Positive

  • Phase 1 initiation planned in 2H 2026
  • Phase 2 to target CPI‑refractory metastatic melanoma and additional indications
  • Prior IV study: 5 of 10 CPI‑refractory melanoma patients had disease control ≥12 weeks
  • Prior IV study reported median overall survival of 9.9 months
  • One patient achieved a complete response with duration exceeding 6 years

Negative

  • CPI‑refractory melanoma cohort was small: 11 patients enrolled (10 evaluable)
  • Safety, MTD/MAD and recommended tablet dose not yet established; Phase 1 will determine DLTs and RDE

News Market Reaction – ACTU

+5.40%
3 alerts
+5.40% Session close to close
$136.21M Market Cap
1.1x Rel. Volume

In the Jan 21 session, ACTU gained 5.40%, reflecting a notable positive market reaction. Our momentum scanner triggered 3 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved +5.4% in the session following this news. A strong positive reaction aligns with man...
Analysis

The stock moved +5.4% in the session following this news. A strong positive reaction aligns with management’s push to broaden elraglusib into an oral tablet Phase 1/2 program for refractory cancers. Past clinical updates have produced both rallies and selloffs, including moves of +6.78% and -8.78%. Investors have also seen prior equity raises under the active S-3 shelf, so future financing or dilution risk could influence how durable any strength becomes.

Key Figures

Phase 1 study size: 67 patients Melanoma subset: 11 patients Disease control rate: 5 of 10 patients +5 more
8 metrics
Phase 1 study size 67 patients Prior Phase 1 elraglusib study in advanced cancers
Melanoma subset 11 patients CPI-refractory metastatic melanoma in prior Phase 1
Disease control rate 5 of 10 patients CPI-refractory metastatic melanoma with ≥12 weeks disease control
Overall survival threshold 5 patients ≥31 weeks CPI-refractory metastatic melanoma subgroup in Phase 1
Median OS (melanoma) 9.9 months CPI-refractory metastatic melanoma in Phase 1 study
Durable complete response >6 years Ongoing response in BRAFV600E-mutated metastatic melanoma patient
Historical chemo response 4–10% Chemotherapy response rates in R/R metastatic melanoma
Historical median OS 4–7 months Overall survival in R/R metastatic melanoma after CPI/targeted therapy

Historical Context

5 past events · Latest: Jan 12 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jan 12 Phase 2 pancreatic data Positive -6.3% Randomized Phase 2 pancreatic study met endpoint with survival benefit vs control.
Jan 06 Pediatric Phase 1 data Positive +5.0% Phase 1 pediatric trial showed disease control and responses in refractory cancers.
Dec 18 ASCO GI selection Positive +2.3% Pancreatic cancer Phase 2 data selected for high-profile ASCO GI presentations.
Dec 15 Salivary Phase II data Positive -8.8% Phase II salivary gland study reported encouraging survival and tolerability outcomes.
Sep 22 Regulatory data package Positive +6.8% Updated FDA/EMA package with Phase 2 pancreatic data and funding support.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent clinical updates have generally been positive scientifically but produced a mix of both gains and selloffs in the stock.

Recent Company History

Over the past months, Actuate has repeatedly reported positive clinical data for elraglusib across several cancers. Pancreatic Phase 2 results showed improved survival, pediatric refractory data highlighted multiple meaningful responses, and salivary gland carcinoma results reported encouraging OS and PFS. Regulatory interactions with FDA and EMA were supported by updated data and prior financings. Today’s Phase 1/2 tablet program in refractory cancers extends this pattern of broadening elraglusib’s development across difficult indications.

Key Terms

maximum tolerated dose (mtd), maximum administered dose (mad), dose-limiting toxicities (dlts), pharmacokinetics (pk), +4 more
8 terms
maximum tolerated dose (mtd) medical
"aims to determine the maximum tolerated dose (MTD) or maximum administered"
Maximum tolerated dose (MTD) is the highest dose of an experimental drug that can be given to patients in early clinical testing without causing unacceptable or dangerous side effects. Investors watch the MTD because it frames whether a drug can reach effective levels safely, affects later trial design and approval chances, and influences expected development costs and market potential—like finding the fastest safe speed for a new vehicle before mass production.
maximum administered dose (mad) medical
"maximum tolerated dose (MTD) or maximum administered dose (MAD) and dose-limiting"
Maximum administered dose (MAD) is the highest amount of a drug given to participants in a clinical trial, typically determined during studies that step up doses to test safety and tolerability. It matters to investors because the MAD helps reveal whether a medicine causes harmful effects at higher doses, shapes the usable dose range for later trials and approval, and therefore influences development risk, time to market and potential commercial value—like finding the load limit of a new bridge before opening it to traffic.
dose-limiting toxicities (dlts) medical
"maximum administered dose (MAD) and dose-limiting toxicities (DLTs) of elraglusib"
Dose-limiting toxicities (DLTs) are the harmful side effects that become severe enough during a clinical trial to prevent giving a higher dose of an experimental drug. They matter to investors because DLTs determine the maximum safe dose, shape whether a drug can move forward in development, affect required study size and cost, and ultimately influence the drug’s market potential—think of them as the speed bumps that set how fast a candidate can go to market.
pharmacokinetics (pk) medical
"will investigate the pharmacokinetics (PK) of elraglusib tablets as well as"
Pharmacokinetics (PK) is the study of how a drug moves through and is processed by the body over time. It tracks how quickly a drug is absorbed, how it spreads, how it is broken down, and how it exits the body—similar to following a recipe’s ingredients from start to finish. For investors, understanding pharmacokinetics helps assess a drug’s effectiveness and safety, which can influence its market potential and valuation.
overall survival medical
"5 patients demonstrated overall survival of 31 weeks or more, with a"
Overall survival is the average or median length of time patients remain alive after starting a treatment or entering a clinical study, measured regardless of cause of death. Investors care because it is a clear, hard measure of a therapy’s real-world benefit — like timing how long a new battery actually runs — and strong improvements in overall survival can drive regulatory approval, market adoption and revenue potential.
brafv600e-mutated medical
"one patient with BRAFV600E-mutated metastatic melanoma with significant CNS involvement"
A BRAF V600E mutation is a specific change in a cancer cell’s DNA where one building block in the BRAF gene is swapped, causing the cell’s growth signal to act like a stuck accelerator. For investors, this matters because the mutation identifies patients who are likely to respond to certain targeted drugs and diagnostics, shaping clinical trial size, drug approvals, market demand, and revenue potential for treatments aimed at that genetic target.
immune checkpoint inhibitor (cpi) medical
"monotherapy activity observed in immune checkpoint inhibitor (CPI)-refractory metastatic"
An immune checkpoint inhibitor (CPI) is a type of drug that lifts molecular “brakes” that normally keep the immune system from attacking the body, allowing immune cells to recognize and destroy cancer cells; think of it as unlocking a gate so the immune system can do its job. Investors care because CPIs can produce long-lasting benefits for some patients, drive high drug sales, face specific regulatory and trial risks, and often command premium pricing, making them a major commercial and clinical development focus in oncology.
gsk-3β medical
"through the inhibition of glycogen synthase kinase-3 beta (GSK-3β), today announced"
GSK-3β is an enzyme inside cells that acts like a molecular switch, helping control processes such as cell growth, survival and response to signals. Investors pay attention because drugs that change this enzyme’s activity are being explored for conditions like neurodegenerative diseases, mood disorders and cancer, so clinical results or regulatory decisions targeting GSK-3β can materially affect a company’s drug pipeline value and risk profile.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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-Initiation of phase 1 portion of the trial planned in 2H 2026

-Phase 2 portion of the trial will initiate development of the elraglusib tablet in specific indications, including refractory melanoma and additional target solid tumor and hematologic cancers

-Program builds on early clinical evidence of monotherapy activity observed in immune checkpoint inhibitor (CPI)-refractory metastatic melanoma in a previously completed trial

CHICAGO and FORT WORTH, Texas, Jan. 21, 2026 (GLOBE NEWSWIRE) -- Actuate Therapeutics, Inc. (NASDAQ: ACTU) (“Actuate” or the “Company”), a clinical-stage biopharmaceutical company focused on developing therapies for the treatment of high-impact, difficult-to-treat cancers through the inhibition of glycogen synthase kinase-3 beta (GSK-3β), today announced plans to initiate a Phase 1/2 clinical program evaluating the oral tablet dosage form of elraglusib in patients with advanced cancer.

The phase 1 portion of the planned Phase 1/2 program aims to determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and dose-limiting toxicities (DLTs) of elraglusib tablets administered once daily and will investigate the pharmacokinetics (PK) of elraglusib tablets as well as the preliminary anti-tumor activity of elraglusib when administered as tablets. The goal of the phase 1 portion of the program will be to establish the recommended dose(s) of elraglusib tablets for expansion (RDE) in subsequent development

The Company then plans to advance the RDE into phase 2 in patients with refractory metastatic melanoma and other potential target indications. Phase 2 trial will build on the early encouraging clinical activity observed with elraglusib monotherapy in CPI-refractory metastatic melanoma. In a Phase 1 study of 67 patients that included 11 patients with advanced relapsed, CPI-refractory, metastatic melanoma treated with escalating doses of elraglusib, 5 of the 10 patients achieved disease control lasting 12 weeks or longer, and 5 patients demonstrated overall survival of 31 weeks or more, with a median overall survival of 9.9 months. Most notably, one patient with BRAFV600E-mutated metastatic melanoma with significant CNS involvement achieved a complete radiographic and metabolic response that remains ongoing with a duration of response currently exceeding 6 years.

“With the promising results we have seen with the IV formulation of elraglusib across an array of difficult-to-treat cancers, we are excited to advance the oral tablet formulation in additional indications, including patients with R/R metastatic melanoma,” said Dan Schmitt, Chief Executive Officer of Actuate Therapeutics. “Elraglusib oral tablet will allow us to further explore elraglusib dose using a convenient and easily administered tablet dosage form that will be amenable to evaluation as a single agent. The program builds on encouraging results from our phase 1 monotherapy clinical trial with the IV formulation, including a remarkable complete response lasting more than 6 years from a patient with highly advanced, highly disseminated, refractory BRAFV600E-mutated metastatic melanoma. We believe the elraglusib oral tablet will have the potential to play an important role in addressing a significant unmet need in the treatment of refractory melanoma as well as other advanced cancer indications.”

R/R metastatic melanoma is one of the most difficult-to-treat cancers. For patients who exhibit disease progression after CPI therapy or targeted agents, treatment options are limited, with historically low chemotherapy response rates of approximately 4 to 10% and a median overall survival of approximately 4 to 7 months. Elraglusib targets both GSK3α and GSK3β, an important consideration in melanoma, where both isoforms have been implicated in disease progression. Inhibition of GSK3α/β may also provide synergistic potential with BRAF and MEK inhibitors, as well as ICIs, where elraglusib could help restore sensitivity or prolong response duration.

To support the broader development of the oral tablet formulation of elraglusib, Actuate also anticipates including additional targeted histologies in the final design of the Phase 1/2 study, including select hematologic malignancies where GSK3β inhibition has demonstrated activity and the potential for clinical benefit.

About Actuate Therapeutics, Inc.

Actuate is a clinical-stage biopharmaceutical company focused on developing therapies for the treatment of high-impact, difficult-to-treat cancers. Actuate’s lead investigational drug, elraglusib (a novel GSK-3β inhibitor), targets molecular pathways in cancer that are involved in promoting tumor growth and resistance to conventional cancer drugs such as chemotherapy through the inhibition of nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) and DNA Damage Response (DDR). Elraglusib may also mediate anti-tumor immunity through the regulation of multiple immune checkpoints and immune cell function.

For additional information, please visit the Company’s website at www.actuatetherapeutics.com or follow us on LinkedInX, and Facebook.

Forward Looking Statements

This press release contains forward-looking statements about us, including our and other parties’ clinical trials and development plans, and our industry. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “might,” “ongoing,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would,” or the negative of these terms or other comparable terminology are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. All statements, other than statements related to present facts or current conditions or of historical facts, contained in this press release are forward-looking statements. Accordingly, these statements involve estimates, assumptions, substantial risks and uncertainties which could cause actual results to differ materially from those expressed in them, including but not limited to that preliminary and unpublished data may be subject to change and further interpretation following the availability of more data or following a more comprehensive review of the data and should not be relied upon as a final analysis; clinical and preclinical drug development involves a lengthy and expensive process with uncertain timelines and outcomes, results of prior preclinical studies, early clinical trials and sub-group studies are not necessarily predictive of future results and may not correlate with improved responses, and elraglusib may not achieve positive clinical results or favorable preclinical results or receive regulatory approval on a timely basis, if at all; that we may not successfully enroll additional patients or establish or advance plans for further development, including through conversations with the FDA or EMA and the standards such bodies may impose for such development; that elraglusib could be associated with side effects, adverse events or other properties or safety risks, which could delay or preclude regulatory approval, cause us to suspend or discontinue clinical trials or result in other negative consequences; our reliance on third parties to conduct our non-clinical studies and our clinical trials; our reliance on third-party licensors and ability to preserve and protect our intellectual property rights; that we face significant competition from other biotechnology and pharmaceutical companies; our ability to fund development activities, including because our financial condition raises substantial doubt as to our ability to continue as a going concern and we require additional capital to finance our operations beyond the second quarter of fiscal year 2026, and a failure to obtain this necessary capital in the near term on acceptable terms, or at all, could force us to delay, limit, reduce or terminate our development programs, commercialization efforts or other operations. In addition, any forward-looking statements are qualified in their entirety by reference to the factors discussed under the heading “Item 1A. Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024, filed with the SEC on March 13, 2025, and our Quarterly Reports on Form 10-Q, and other filings with the SEC. Because the risk factors referred to above could cause actual results or outcomes to differ materially from those expressed in any forward-looking statements made by us or on our behalf, you should not place undue reliance on any forward-looking statements. Further, any forward-looking statement speaks only as of the date on which it is made. New factors emerge from time to time, and it is not possible for us to predict which factors will arise. In addition, we cannot assess the impact of each factor on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Unless legally required, we do not undertake any obligation to release publicly any revisions to such forward-looking statements to reflect events or circumstances after the date of this press release or to reflect the occurrence of unanticipated events.

Investor Contact
Mike Moyer
Managing Director
LifeSci Advisors, LLC
mmoyer@lifesciadvisors.com

Media Contact
Ignacio Guerrero-Ros, Ph.D., or David Schull
Russo Partners, LLC
Ignacio.guerrero-ros@russopartnersllc.com
David.schull@russopartnersllc.com
(858) 717-2310 or (646) 942-5604


FAQ

When will Actuate (ACTU) start the Phase 1 portion of the elraglusib tablet study?

The company plans to initiate the Phase 1 portion in 2H 2026 to determine MTD/MAD, DLTs and PK.

What indications will Actuate (ACTU) evaluate in the elraglusib Phase 2 expansion?

Phase 2 will include CPI‑refractory metastatic melanoma and selected solid tumor and hematologic malignancies.

What efficacy was observed previously for elraglusib in CPI‑refractory metastatic melanoma?

In the prior Phase 1 IV study, 5 of 10 evaluable CPI‑refractory melanoma patients had disease control ≥12 weeks and median OS was 9.9 months.

How durable was the best response seen with elraglusib in prior studies reported by Actuate (ACTU)?

One patient with BRAFV600E‑mutant metastatic melanoma had a complete radiographic and metabolic response ongoing for more than 6 years.

Will the elraglusib tablet study assess dosing and safety for ACTU investors?

Yes; the Phase 1 portion will assess dosing limits, DLTs and PK to establish a recommended dose for expansion.