Our Leading AI-Driven Drug
Discovery Pipeline

Our expansive therapeutic pipeline exemplifies the power of the Recursion OS. With every new discovery, our platform gets smarter, leading to pipeline growth.

We’re committed to building a pipeline in indications with potential for accelerated path to approval to reach patients faster, with a focus on Precision Oncology and Rare Diseases

Therapeutic Area
Disease Indication
Preclinical
Phase 1
Phase 2
Phase 3
Read More
Rare & Other
Cerebral Cavernous Malformation
Target / MOA:
Superoxide
Status:
Phase 2
Designation:
US & EU Orphan Drug
Population:

~360K1

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UPDATE: Recursion Announces Phase 2 Data of REC-994, a First-in-Disease Investigational Treatment for Symptomatic Cerebral Cavernous Malformation (CCM), has Met its Primary Endpoint of Safety and Tolerability. Read more.

REC-994 is an orally bioavailable small molecule superoxide scavenger being developed for the treatment of CCM. CCM is a devastating neurovascular disease with approximately 360,000 symptomatic patients in the US, France, Germany, Italy, Spain and the UK. In Phase 1 trials in healthy volunteers that Recursion conducted, REC-994 demonstrated tolerability and suitability for chronic dosing.

In March 2022, we announced the initiation of our Phase 2 SYCAMORE clinical trial, which is a double-blind, placebo-controlled safety, tolerability and exploratory efficacy study of REC-994 in participants with CCM. This study was fully enrolled as of June 2023 with 62 participants and all participants who have thus far finished their first year of treatment have enrolled in the long-term extension study. We expect to share Phase 2 topline data in the third quarter of 2024.

Learn more on clinicaltrials.gov.

1. Prevalence for hereditary and sporadic symptomatic population. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.
Rare & Other
Neurofibromatosis Type 2
Target / MOA:
HDAC Inhibitor
Status:
Phase 2/3
Designation:
Fast Track; US and EU Orphan Drug
Population:

~33K2

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REC-2282 is a CNS-penetrant, orally bioavailable, small molecule pan-HDAC inhibitor being developed for the treatment of NF2-mutated meningiomas. There are currently no FDA-approved drugs for the treatment of patients with NF2, an inherited genetic syndrome that can cause a variety of benign tumors in the central nervous system, including meningiomas. This molecule appears to be well tolerated, including in patients dosed for multiple years, and potentially has reduced cardiac toxicity that would differentiate it from other HDAC inhibitors. Its oral bioavailability and CNS penetrance distinguish it from currently-approved HDAC inhibitors.

In June 2022, we announced the initiation of our Phase 2/3 POPLAR clinical trial, which is a two part study of REC-2282 in participants with progressive NF2-mutated meningiomas. Part A of the study is ongoing and is exploring two doses of REC-2282 in approximately 23 adults and 9 adolescents. We expect to share Phase 2 safety, tolerability, pharmacokinetics, and preliminary efficacy data in the fourth quarter of 2024.

Learn more on clinicaltrials.gov.

2. Annual US and EU5 incidence for all NF2-driven meningiomas. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.
Rare & Other
Familial Adenomatous Polyposis
Target / MOA:
MEK Inhibitor
Status:
Phase 2
Designation:
Fast Track; US and EU Orphan Drug
Population:

~50K3

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|

REC-4881 is an orally bioavailable, non-ATP-competitive allosteric small molecule inhibitor of MEK1 and MEK2 being developed to reduce polyp burden and progression to adenocarcinoma in people living with FAP. There are currently no FDA-approved therapies for the treatment of FAP, a rare tumor predisposition syndrome affecting approximately 50,000 people in the US, France, Germany, Italy, Spain and the UK.

In September 2022, we announced the initiation of our Phase 2 TUPELO clinical trial, which is a multicenter, randomized, double-blind, placebo-controlled two-part clinical trial to evaluate efficacy, safety, and pharmacokinetics of REC-4881 in patients with FAP. We have enrolled multiple participants and expect to share Phase 2 safety, tolerability, pharmacokinetics, and preliminary efficacy data in the first half of 2025.

Learn more on clinicaltrials.gov.

3. Prevalence for adult and pediatric population. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.
Rare & Other
Clostridioides difficile Infection
Target / MOA:
Selective C. diff Toxin Inhibitor
Status:
Phase 2
Designation:
Population:

~730K

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|

REC-3964 represents a novel small molecule approach designed to selectively inhibit the toxin produced by Clostridioides difficile in the gastrointestinal tract. This molecule has the potential, when used as part of a treatment regimen, to prevent recurrent disease and/or other forms of C. diff infection, which is a leading cause of antibiotic-induced diarrhea sometimes leading to significant morbidity and mortality. More than 29,000 patients die in the US every year from C. diff infection.

In September 2023, we announced the completion of our Phase 1 clinical trial, which achieved its primary objectives of assessing the safety, tolerability and pharmacokinetic profile of REC-3964. REC-3964 was well tolerated with no serious adverse events reported. Based on these data, a Phase 2 proof-of-concept trial is expected to initiate in 2024 to further study the attributes of this molecule.

Rare & Other
Fibrotic Diseases, Epsilon
Target / MOA:
Status:
IND-enabling studies
Designation:
Population:

~50K4,5,6

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|

This program originated under our initial fibrosis collaboration with Bayer and we have since in-licensed from Bayer all rights to this program. We are advancing our lead candidate through IND-enabling studies with IND submission expected in the near-term.

4. Our program has the potential to address several indications. 5. We have not finalized a target product profile for a specific indication. 6. Incidence for US only.
Oncology
Advanced AXIN1 or APC Mutant Cancers
Target / MOA:
MEK Inhibitor
Status:
Phase 2
Designation
Population:

~104K7

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|

In October 2022, we announced the nomination of REC-4881 for the potential treatment of advanced AXIN1/APC mutant cancers. We will evaluate REC-4881 in a Phase 2 biomarker enriched study in patients with unresectable, locally advanced or metastatic cancer with AXIN1 or APC mutations. This study was initiated at the end of 2023 with the first participant dosed in Q1 2024. Since that time, multiple participants are now enrolled. We expect to share Phase 2 safety and preliminary efficacy data in the first half of 2025.

Learn more on clinicaltrials.gov.

7. 2L+ drug-treatable population. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.
Oncology
Biomarker-Enriched Solid Tumors and Lymphoma
Target / MOA:
RBM39
Status:
Phase 1
Designation
Population:
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REC-1245 (previously identified as Target γ) targets RBM39, a novel CDK12-adjacent target identified by the Recursion OS. We believe we can modulate this target to produce a therapeutic effect in biomarker-enriched solid tumors and lymphoma. This program is in the preclinical stage and IND-enabling studies are progressing. The FDA has cleared an IND application for a Phase 1/2 clinical trial of REC-1245. Read more.

Therapeutic Area - Rare and Other
Phase 2

Cerebral Cavernous Malformation

|
|
Target / MOA:
Superoxide
Status:
Phase 2
Designation:
US & EU Orphan Drug
Population:

~360K1

UPDATE: Recursion Announces Phase 2 Data of REC-994, a First-in-Disease Investigational Treatment for Symptomatic Cerebral Cavernous Malformation (CCM), has Met its Primary Endpoint of Safety and Tolerability. Read more.

REC-994 is an orally bioavailable small molecule superoxide scavenger being developed for the treatment of CCM. CCM is a devastating neurovascular disease with approximately 360,000 symptomatic patients in the US, France, Germany, Italy, Spain and the UK. In Phase 1 trials in healthy volunteers that Recursion conducted, REC-994 demonstrated tolerability and suitability for chronic dosing.

In March 2022, we announced the initiation of our Phase 2 SYCAMORE clinical trial, which is a double-blind, placebo-controlled safety, tolerability and exploratory efficacy study of REC-994 in participants with CCM. This study was fully enrolled as of June 2023 with 62 participants and all participants who have thus far finished their first year of treatment have enrolled in the long-term extension study. We expect to share Phase 2 topline data in the third quarter of 2024.

Learn more on clinicaltrials.gov.

1. Prevalence for hereditary and sporadic symptomatic population. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.

Neurofibromatosis Type 2

|
|
Target / MOA:
HDAC Inhibitor
Status:
Phase 2/3
Designation:
Fast Track; US and EU Orphan Drug
Population:

~33K2

REC-2282 is a CNS-penetrant, orally bioavailable, small molecule pan-HDAC inhibitor being developed for the treatment of NF2-mutated meningiomas. There are currently no FDA-approved drugs for the treatment of patients with NF2, an inherited genetic syndrome that can cause a variety of benign tumors in the central nervous system, including meningiomas. This molecule appears to be well tolerated, including in patients dosed for multiple years, and potentially has reduced cardiac toxicity that would differentiate it from other HDAC inhibitors. Its oral bioavailability and CNS penetrance distinguish it from currently-approved HDAC inhibitors.

In June 2022, we announced the initiation of our Phase 2/3 POPLAR clinical trial, which is a two part study of REC-2282 in participants with progressive NF2-mutated meningiomas. Part A of the study is ongoing and is exploring two doses of REC-2282 in approximately 23 adults and 9 adolescents. We expect to share Phase 2 safety, tolerability, pharmacokinetics, and preliminary efficacy data in the fourth quarter of 2024.

Learn more on clinicaltrials.gov.

2. Annual US and EU5 incidence for all NF2-driven meningiomas. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.

Familial Adenomatous Polyposis

|
|
Target / MOA:
MEK Inhibitor
Status:
Phase 2
Designation:
Fast Track; US and EU Orphan Drug
Population:

~50K3

REC-4881 is an orally bioavailable, non-ATP-competitive allosteric small molecule inhibitor of MEK1 and MEK2 being developed to reduce polyp burden and progression to adenocarcinoma in people living with FAP. There are currently no FDA-approved therapies for the treatment of FAP, a rare tumor predisposition syndrome affecting approximately 50,000 people in the US, France, Germany, Italy, Spain and the UK.

In September 2022, we announced the initiation of our Phase 2 TUPELO clinical trial, which is a multicenter, randomized, double-blind, placebo-controlled two-part clinical trial to evaluate efficacy, safety, and pharmacokinetics of REC-4881 in patients with FAP. We have enrolled multiple participants and expect to share Phase 2 safety, tolerability, pharmacokinetics, and preliminary efficacy data in the first half of 2025.

Learn more on clinicaltrials.gov.

3. Prevalence for adult and pediatric population. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.

Clostridioides difficile Infection

|
|
Target / MOA:
Selective C. diff Toxin Inhibitor
Status:
Phase 2
Designation:
Population:

~730K

REC-3964 represents a novel small molecule approach designed to selectively inhibit the toxin produced by Clostridioides difficile in the gastrointestinal tract. This molecule has the potential, when used as part of a treatment regimen, to prevent recurrent disease and/or other forms of C. diff infection, which is a leading cause of antibiotic-induced diarrhea sometimes leading to significant morbidity and mortality. More than 29,000 patients die in the US every year from C. diff infection.

In September 2023, we announced the completion of our Phase 1 clinical trial, which achieved its primary objectives of assessing the safety, tolerability and pharmacokinetic profile of REC-3964. REC-3964 was well tolerated with no serious adverse events reported. Based on these data, a Phase 2 proof-of-concept trial is expected to initiate in 2024 to further study the attributes of this molecule.

Preclinical

Fibrotic Diseases, Epsilon

|
|
Target / MOA:
Status:
IND-enabling studies
Designation:
Population:
Population:

~50K4,5,6

This program originated under our initial fibrosis collaboration with Bayer and we have since in-licensed from Bayer all rights to this program. We are advancing our lead candidate through IND-enabling studies with IND submission expected in the near-term.

4. Our program has the potential to address several indications. 5. We have not finalized a target product profile for a specific indication. 6. Incidence for US only.
Therapeutic Area - Oncology
Phase 2

Advanced AXIN1 or APC Mutant Cancers

|
|
Target / MOA:
MEK Inhibitor
Status:
Phase 2
Designation:
Population:

~104K7

In October 2022, we announced the nomination of REC-4881 for the potential treatment of advanced AXIN1/APC mutant cancers. We will evaluate REC-4881 in a Phase 2 biomarker enriched study in patients with unresectable, locally advanced or metastatic cancer with AXIN1 or APC mutations. This study was initiated at the end of 2023 with the first participant dosed in Q1 2024. Since that time, multiple participants are now enrolled. We expect to share Phase 2 safety and preliminary efficacy data in the first half of 2025.

Learn more on clinicaltrials.gov.

7. 2L+ drug-treatable population. All populations defined above are US and EU5 incidence unless otherwise noted. EU5 is defined as France, Germany, Italy, Spain, and UK.
Preclinical
Currently no items in this phase

More than a dozen additional early discovery and research programs in oncology or with our partners - first program already optioned by Roche-Genentech in GI-oncology.

Expanded Access Policy
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At Recursion Pharmaceuticals, we are committed to radically improving the lives of patients and their families by developing therapies that will make a lasting, positive, and transformative impact on diseases and conditions for which there are high unmet needs.

We believe that the best way to succeed in our mission is through well-designed clinical trials that determine the safety and effectiveness of investigational medicines. We understand that in some rare and specific circumstances, when enrollment into a clinical trial is not possible, physicians caring for patients with serious or life-threatening conditions or diseases may seek special access to investigational medicines. When appropriate and through an expanded access protocol, Recursion will consider individual Expanded Access, sometimes called “Compassionate Use” or “Early Access”, requests for an investigational medicine outside of an ongoing clinical trial for the indication being investigated by the company.

There may be additional requirements, but to start, a licensed treating physician must submit the request for Expanded Access in writing by contacting ExpandedAccess@Recursion.com. The physician must be able and willing to obtain a treatment IND, or regional equivalent, and Institutional Review Board or Ethics Committee approval, for the patient prior to initiating treatment with our investigational medicine.

We will consider applications to provide the investigational drug that will not, among other things, compromise the scientific validity of our broader development programs, or interfere with or delay clinical trials or regulatory filings designed to make the drug available to a larger patient population.

We endeavor to respond to Expanded Access requests within one week after the steps for submission are completed.

It is important to remember that investigational medicinal products have not yet received regulatory approval; thus, their potential risks and benefits are not yet established. Physicians and patients should consider all possible benefits and risks when seeking access to an investigational medicinal product. For information on available clinical trials visit: www.ClinicalTrials.gov.

Clinical Trial Transparency
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Recursion is committed to maintaining the highest level of integrity and ethics across all clinical trials and investigational programs, including the timely and transparent disclosure of clinical trial information and results.

All company-sponsored Phase 2 and 3 clinical trials are posted on country-specific registries of clinical trials, such as clinicaltrials.gov. As part of our commitment to advancing science in the therapeutic areas in which we work, Recursion discloses results of these trials on public registries within 12 months following the trial completion date. To keep our patients informed, clinical trial results will be made available to participants in that trial upon request. Additionally, Recursion aims to submit an abstract of the primary analysis of clinical trial results for publication regardless of trial outcome or regulatory approval status.

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