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ACP-204

Phase 3

Alzheimer's Disease Psychosis | Small molecule | Neurology |ACADIA Pharmaceuticals Inc.|Last Updated: Aug 31, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment1,826

FDA Designations

No designations recorded

Clinical trial landscape

ACP-204 · 4 trials · 2 indications

Phase 3 2Phase 2 2
NCT07095465Phase 3, Open Label Extension Study of ACP-204 in Lewy Body Dementia PsychosisLewy Body Dementia Psychosis
ENROLLING BY_INVITATION126 Analytics
NCT06194799ACP-204 in Adults With Alzheimer's Disease Psychosis Open Label Extension StudyAlzheimer's Disease Psychosis
ENROLLING BY_INVITATION752 Analytics
PHASE3ENROLLING BY_INVITATION
Phase 3, Open Label Extension Study of ACP-204 in Lewy Body Dementia Psychosis
Lewy Body Dementia PsychosisUnlock trial analytics
PHASE3ENROLLING BY_INVITATION
ACP-204 in Adults With Alzheimer's Disease Psychosis Open Label Extension Study
Alzheimer's Disease PsychosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects who experience treatment-emergent adverse events (TEAEs)
52 weeks
Treatment-emergent adverse events
52 Weeks

Number of Subjects With Adverse Events (AEs), Discontinuations Due to AEs and Serious AEs (SAEs) over 52 weeks of treatment. The Safety population consists of all subjects who received at least one dose of study drug in this study.

Change from Baseline in SAPS-LBDP total score at Week 6
6 weeks

Change from Baseline in Scale for the Assessment of Positive Symptoms- Lewy Body Dementia Psychosis (SAPS-LBDP) total score at Week 6

Scale for the Assessment of Positive Symptoms-Hallucinations and Delusions subscales (SAPS-H+D) total score change from baseline (Substudies 1, 2A, 2B)
From baseline to Week 6

The SAPS-H+D subscales are a measure of two psychotic symptoms: hallucinations and delusions. The SAPS-H+D total score is the sum of the scores of the Hallucinations and Delusions subscales. The hallucinations domain score (SAPS-H) is the sum of the 7 hallucinations item scores, and the delusions domain core (SAPS-D) is the sum of the 13 delusions item scores.

Secondary Endpoints

Clinical Global Impression-Improvement in the ADP context (CGI-I-ADP) score
52 Weeks
Clinical Global Impression-Severity in the ADP context (CGI-S-ADP) score
Baseline to Week 6
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ACP-204EXPERIMENTALInitiation of treatment with ACP-204 at a dose of 30 mg once daily. During the trial, the dose may be adjusted, i.e. uptitration to 60 mg in case of suboptimal efficacy or subsequent down titration to 30 mg. Repeated titration steps are allowed.
ACP-204 30 mgEXPERIMENTALACP-204 dose of 30 mg once daily
ACP-204 60 mgEXPERIMENTALACP-204 dose of 60 mg once daily
PlaceboPLACEBO_COMPARATORPlacebo once daily

Interventions

NameTypeDescription
ACP-204DRUGProvided as 1 capsule, to be taken orally once daily
PlaceboDRUGProvided as 1 capsule, to be taken orally once daily
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Eligibility Criteria

Age Range55 Years to 84 Years
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: * The subject may benefit from long-term therapy with open-label ACP-204 treatment in the judgment of the Investigator * Subject has completed Visit 6 (EOT) of the antecedent ACP-204-012 study and did not have an early discontinuation from the antecedent study * Can complete all...

Countries:United StatesBulgariaCzechiaFranceItalySerbiaBrazilChileMexicoSouth KoreaSpainTaiwan
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Recent Changes (Last 90 Days)

LOWAug 31, 2026NCT06159673lastUpdatePostDate: changed
LOWAug 31, 2026NCT06159673lastUpdatePostDate: changed
LOWAug 24, 2026NCT07029581lastUpdatePostDate: changed
LOWAug 24, 2026NCT07029581lastUpdatePostDate: changed
LOWAug 5, 2026NCT06194799lastUpdatePostDate: changed
LOWJul 24, 2026NCT06159673lastUpdatePostDate: changed
LOWJul 24, 2026NCT07029581lastUpdatePostDate: changed
LOWJul 24, 2026NCT07095465lastUpdatePostDate: changed
LOWJul 24, 2026NCT06159673lastUpdatePostDate: changed
LOWJul 24, 2026NCT07029581lastUpdatePostDate: changed
LOWJul 24, 2026NCT07095465lastUpdatePostDate: changed
LOWJul 2, 2026NCT06194799lastUpdatePostDate: changed
LOWJul 2, 2026NCT06194799lastUpdatePostDate: changed
LOWJun 30, 2026NCT07029581lastUpdatePostDate: changed
LOWJun 30, 2026NCT07029581lastUpdatePostDate: changed
LOWJun 30, 2026NCT07029581lastUpdatePostDate: changed
LOWJun 16, 2026NCT06159673lastUpdatePostDate: changed
LOWJun 16, 2026NCT06159673lastUpdatePostDate: changed
LOWJun 16, 2026NCT06159673lastUpdatePostDate: changed
LOWJun 12, 2026NCT06159673lastUpdatePostDate: changed

Frequently asked questions about ACP-204

What is ACP-204 used for?

ACP-204 is an investigational small molecule being developed for the treatment of psychosis associated with Alzheimer's disease and Lewy body dementia. It is currently in Phase 3 clinical development for these indications.

Who makes ACP-204?

ACP-204 is being developed by ACADIA Pharmaceuticals Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol ACAD.

What phase is ACP-204 in?

ACP-204 is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. Clinical trials are ongoing for psychosis associated with Alzheimer's disease and Lewy body dementia.

What clinical trials is ACP-204 in?

ACP-204 is being studied in several clinical trials. NCT06159673 is a Phase 2 study in Alzheimer's disease psychosis, and NCT06194799 is its open-label extension. NCT07029581 is a Phase 2 study in Lewy body dementia psychosis, with NCT07095465 as its open-label extension.

How does ACP-204 work?

ACP-204 is a small molecule designed to treat psychosis in Alzheimer's disease and Lewy body dementia. Its specific molecular target has not been disclosed in available information.