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ACP-204

Phase 3

Alzheimer's Disease Psychosis | Small molecule | Neurology |ACADIA Pharmaceuticals Inc.|Trials Updated: Oct 19, 2026

ACP-204 development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Dec 2023

ACP-204 target and mechanism

Molecular target5-HT2A
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment2,132

FDA Designations

No designations recorded

ACP-204 clinical trials

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
RECRUITING126 Analytics
NCT06194799ACP-204 in Adults With Alzheimer's Disease Psychosis Open Label Extension StudyAlzheimer's Disease Psychosis
ENROLLING BY_INVITATION752 Analytics
PHASE3RECRUITING
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 Sites32

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)

LOWOct 19, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 19, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 19, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 15, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 15, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 5, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 5, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 1, 2026NCT06159673lastUpdatePostDate: changed
LOWOct 1, 2026NCT06159673lastUpdatePostDate: changed
LOWSep 29, 2026NCT07029581lastUpdatePostDate: changed
LOWSep 29, 2026NCT07095465Status: ENROLLING_BY_INVITATION → RECRUITING
LOWSep 29, 2026NCT07029581lastUpdatePostDate: changed
LOWSep 29, 2026NCT07095465Status: ENROLLING_BY_INVITATION → RECRUITING
LOWSep 25, 2026NCT06159673lastUpdatePostDate: changed
LOWSep 25, 2026NCT06159673lastUpdatePostDate: changed
LOWAug 31, 2026NCT06159673lastUpdatePostDate: changed
LOWAug 31, 2026NCT06159673lastUpdatePostDate: changed
LOWAug 24, 2026NCT07029581lastUpdatePostDate: changed
LOWAug 24, 2026NCT07029581lastUpdatePostDate: changed
LOWAug 5, 2026NCT06194799lastUpdatePostDate: changed

Frequently asked questions about ACP-204

What is ACP-204 used for?

ACP-204 is an investigational small molecule being developed for Alzheimer's disease psychosis and Lewy body dementia psychosis. It is designed to address psychotic symptoms, such as hallucinations and delusions, in patients with these neurodegenerative conditions. The drug is currently in Phase 3 clinical development and has not been approved for any indication.

What does ACP-204 target?

ACP-204 targets the 5-HT2A receptor, a serotonin receptor subtype. By acting on 5-HT2A, the drug is designed to modulate serotonin signaling associated with psychotic symptoms. This targeted mechanism distinguishes it from broad-spectrum antipsychotics and is intended to address psychosis in Alzheimer's disease and Lewy body dementia.

Who is developing ACP-204?

ACP-204 is being developed by ACADIA Pharmaceuticals Inc., which trades on the Nasdaq under the ticker ACAD. ACADIA is a biopharmaceutical company focused on central nervous system disorders. The company is advancing ACP-204 through late-stage clinical trials for psychosis associated with Alzheimer's disease and Lewy body dementia.

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 or any other regulatory agency. The program includes both Phase 2 and Phase 3 studies, with ongoing trials in Alzheimer's disease psychosis and Lewy body dementia psychosis.

What clinical trials is ACP-204 in?

ACP-204 is being evaluated in four registered trials. These include NCT06159673, a Phase 2 study in Alzheimer's disease psychosis, and its open-label extension NCT06194799. In Lewy body dementia psychosis, the trials are NCT07029581, a Phase 2 study, and the Phase 3 open-label extension NCT07095465. All four trials are actively recruiting or enrolling by invitation.

How many patients are enrolled in ACP-204 trials?

The ACP-204 clinical program has a total planned enrollment of 1,826 participants across its trials. The Alzheimer's disease psychosis studies account for 1,826 participants combined, with 1,074 in the Phase 2 trial and 752 in the open-label extension. The Lewy body dementia psychosis trials add 306 participants. All studies enroll adults aged 55 and older.