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Emraclidine

Phase 2

Schizophrenia | Small molecule | Psychiatry |AbbVie Inc.|Last Updated: Feb 10, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,044
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07145918A Study to Assess Adverse Events, Change in Disease Activity, and How Oral Emraclidine Moves Through the Body in Adult Participants With SchizophreniaPHASE2 RECRUITING 268Aug 4, 2025Feb 1, 2028Feb 10, 20267 United States
NCT05227703A Trial of 15 and 30 mg Doses of CVL-231 (Emraclidine) in Participants With SchizophreniaPHASE2 COMPLETED 391Jul 5, 2022Sep 11, 2024Oct 28, 202526 United States, Bulgaria +1
NCT05227690A Trial of 10 and 30 mg Doses of CVL-231 (Emraclidine) in Participants With SchizophreniaPHASE2 COMPLETED 385Jun 30, 2022Aug 26, 2024Sep 17, 202525 United States, Bulgaria
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Study Endpoints
Primary Endpoints
Number of Participants with Adverse Events (AEs)
Up to approximately 74 days

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study.

Part A Only-Maximum Observed Plasma Concentration (Cmax) of Emraclidine
Up to approximately 24 days

Cmax of Emraclidine

Part A Only-Time to Cmax (Tmax) of Emraclidine
Up to approximately 24 days

Tmax of Emraclidine

Part A Only-Area Under the Concentration-Time Curve from Time 0 to Time t (AUCt) of Emraclidine
Up to approximately 24 days

AUCt of Emraclidine

Part A Only-Area under the plasma concentration-time curve over the dosing interval (AUCtau) of Emraclidine
Up to approximately 24 days

AUCtau of Emraclidine

Part A Only-Maximum metabolite concentration (MRCmax) of Emraclidine
Up to approximately 21 days

MRCmax of Emraclidine

Part A Only- Area under the metabolite concentration-time curve over the dosing interval (MRAUCtau) of Emraclidine
Up to approximately 21 days

MRAUCtau of Emraclidine

Part A Only- Minimum plasma concentration (Cmin) of Emraclidine
Up to approximately 21 days

Cmin of Emraclidine

Part A Only-Average plasma concentration (Cavg) of Emraclidine
Up to approximately 21 days

Cavg of Emraclidine

Part A Only- Terminal Phase Elimination Half-Life (t1/2) of Emraclidine
Up to approximately 21 days

Terminal phase elimination half-life of Emraclidine

Part A Only-Terminal elimination rate constant (λz) of Emraclidine
Up to approximately 21 days

λz of Emraclidine

Part A Only-Apparent Clearance of Drug from Plasma (CL/F) of Emraclidine
Up to approximately 21 days

CL/F of Emraclidine

Part A Only-Apparent Volume of Distribution DuringTerminal Phase (Vz/F) of Emraclidine
Up to approximately 21 days

Vz/F of Emraclidine

Part A Only-Peak-to-trough ratio (PTR) of Emraclidine
Up to approximately 21 days

PTR of Emraclidine

Part A Only- Accumulation ratio for Cmax (RacCmax) of Emraclidine
Up to approximately 21 days

RacCmax of Emraclidine

Part A Only-Accumulation ratio for AUCta (RacAUCtau) of Emraclidine
Up to approximately 21 days

RacAUCta of Emraclidine

Part A Only-Maximum Observed Plasma Concentration (Cmax) of Metabolite (CV-0000364)
Up to approximately 24 days

Cmax of Metabolite (CV-0000364)

Part A Only-Time to Cmax (Tmax) of Metabolite (CV-0000364)
Up to approximately 24 days

Tmax of Metabolite (CV-000036)

Part A Only-Area under the plasma concentration-time curve over the dosing interval (AUCtau) of Metabolite (CV-000036)
Up to approximately 24 days

AUCtau of Metabolite (CV-000036)

Part A Only-Area Under the Concentration-Time Curve from Time 0 to Time t (AUCt) Metabolite (CV-000036)
Up to approximately 24 days

AUCt of Metabolite (CV-000036)

Part A Only-Maximum metabolite concentration (MRCmax) of Metabolite (CV-000036)
Up to approximately 21 days

MRCmax of Metabolite (CV-000036)

Part A Only- Area under the metabolite concentration-time curve over the dosing interval (MRAUCtau) of Metabolite (CV-000036)
Up to approximately 21 days

MRAUCtau of Metabolite (CV-000036)

Part B Only-Change from Baseline in Positive and Negative Syndrome Scale (PANSS) total score
Up to approximately week 6

PANSS is a 30-item clinician-reported rating scale which assesses both the positive and negative symptom syndromes of patients with schizophrenia. The PANSS consists of 3 subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating the absence of symptoms and a score of 7 indicating extremely severe symptoms.

Change From Baseline at Week 6 in the Positive and Negative Syndrome Scale (PANSS) Total Score
Baseline through Week 6

The PANSS measures symptom severity of participants with schizophrenia and contains 7 positive symptom scales, 7 negative system scales, and 16 general psychopathology symptom scales. Participants are rated from 1 to 7 on each symptom scale with a total minimum score of 30 and a maximum score of 210. Baseline was defined as the last value obtained prior to initiation of investigational medicinal product (IMP). Change from baseline for a given endpoint was defined as the value on a given Study Day (Time Point) minus the Baseline Value. A decrease in PANSS total score correlates with an improvement in schizophrenia symptoms.

Secondary Endpoints
Part B Only-Change from Baseline in in Clinical Global Impression of Severity (CGIS) score
Up to approximately Week 6
Part B Only-Change from Baseline in Positive and Negative Syndrome Scale (PANSS) total score
Up to approximately 74 days
Part B Only-Number of Participants achieving ≥ 30% improvement in PANSS total score
Up to approximately week 6
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Emraclidine Part AEXPERIMENTALParticipants will be assigned to received one of multiple ascending doses of oral emraclidine for 14 or up to 21 days, followed by a 30-day safety follow-up period.
Placebo-Part AEXPERIMENTALParticipants will be assigned to received one of multiple ascending doses of oral placebo for 14 or up to 21 days, followed by a 30-day safety follow-up period.
Emraclidine-Part BEXPERIMENTALParticipants will receive oral emraclidine for 42 days followed by a 30-day safety follow-up period.
Placebo-Part BEXPERIMENTALParticipants will receive placebo for 42 days followed by a 30-day safety follow-up period.
CVL-231 15 mg, once daily (QD)EXPERIMENTALOral Dose
CVL-231 30 mg, once daily (QD)EXPERIMENTALOral Dose
Placebo, once daily (QD)PLACEBO_COMPARATOROral Dose
PlaceboPLACEBO_COMPARATORParticipants received placebo tablets orally once daily (QD) through Day 45 of Week 6.
Emraclidine 10 mg, once daily (QD)EXPERIMENTALParticipants received emraclidine 10 mg tablets orally once daily (QD) through Day 45 of Week 6.
Emraclidine 30 mg, once daily (QD)EXPERIMENTALParticipants received emraclidine 30 mg tablets orally once daily (QD) through Day 45 of Week 6.
Interventions
NameTypeDescription
EmraclidineDRUGOral Tablets
PlaceboDRUGOral Tablets
Emraclidine 15 mgDRUGEmraclidine 15 mg, oral (tablet), once per day (QD) for 6 weeks
Emraclidine 30 mgDRUGEmraclidine 30 mg, oral (tablet), QD for 6 weeks
Emraclidine 10 mgDRUGEmraclidine 10 mg, oral (tablet), once per day for 6 weeks
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * BMI within 18 to 40 kg/m2 (inclusive of both values), and body weight \> 50 kg (110 lbs). * (Part A only): Positive and Negative Syndrome Scale (PANSS) total score \< 80 at Screening and at Baseline * (Part B only): Participant experiencing an acute exacerbation of psychotic s...

Countries:United StatesBulgariaHungary
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07145918primaryCompletionDate: changed
LOWMay 24, 2026NCT07145918studyFirstPostDate: changed