CClinicalTrials.gg
RecruitingNCT06159673Updated Sep 25, 2026

ACP-204 in Adults With Alzheimer's Disease Psychosis

A Phase 2/3 interventional study of ACP-204 and Placebo in Alzheimer's Disease Psychosis, sponsored by ACADIA Pharmaceuticals Inc.. Recruiting at 150 sites in 12 countries. Open to participants aged 55 Years to 95 Years. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by ACADIA Pharmaceuticals Inc. · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
1,074
Allocation
Randomized
Ages
55 Years to 95 Years
Sex
All
01

Study summary

This is a master protocol for 3 independent, seamlessly enrolling, multicenter, randomized, double-blind, placebo-controlled, parallel-group studies in patients with ADP

  • Substudy 1 (Phase 2) will evaluate efficacy and dose response of ACP-204 30 and 60 mg vs placebo. This substudy will be initiated first.
  • Substudies 2A and 2B (both: Phase 3) will be confirmatory studies of either both doses (ACP-204 30 and 60 mg, respectively) or a single dose from Part 1 vs placebo. Substudies 2A and 2B will be performed independently of each other and will commence after enrollment of Part 1.

All 3 substudies will be analyzed independently of each other.

Each substudy individually will consist of a screening period (up to 49 days); a double-blind treatment period (6 weeks); a safety follow-up period (30 days) for patients not rolling over into an open-label extension study; and vital status follow-up (for patients who terminated their substudy early).

02

Conditions studied

  • Alzheimer's Disease Psychosis

Keywords

  • Alzheimer's disease psychosis
  • Hallucinations
  • Delusions
03

Who can participate

Ages eligible
55 Years to 95 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Is male or female and ≥55 and ≤95 years of age living in the community or in an institutionalized setting
  • Meets clinical criteria for possible or probable AD based on the 2011 National Institute on Aging-Alzheimer Association (NIA-AA) criteria
  • Meets the revised criteria for psychosis in major or mild neurocognitive disorder established by the International Psychogeriatrics Association (IPA)
  • Has either blood-based biomarker or documented evidence (e.g. positron emission tomography, cerebrospinal fluid biomarker) indicating amyloid plaque deposition and neuropathologic change consistent with AD
  • Has a prior magnetic resonance imaging or computed tomography scan of the brain that is consistent with the diagnosis of AD
  • Meets revised criteria for psychosis in major or mild neurocognitive disorder as per International Psychogeriatrics Association
  • MMSE score ≥6 and ≤24
  • Psychotic symptoms for at least 2 months
  • Lives in a stable place of residence and there are no plans to change living arrangements
  • Has a designated study partner/caregiver
  • Able to complete all study visits with a study partner/caregiver
  • Must be on a stable dose of cholinesterase inhibitor or memantine, if applicable

Exclusion criteria

Exclusion Criteria:

  • Requires treatment with a medication prohibited by the protocol
  • Is in hospice and receiving end-of-life palliative care, or has become bedridden
  • Requires skilled nursing care
  • Psychotic symptoms that are primarily attributable to delirium, substance abuse, or a medical or psychiatric condition other than dementia
  • Known history of cerebral amyloid angiopathy, epilepsy, central nervous system neoplasm, or unexplained syncope
  • Atrial fibrillation
  • Symptomatic orthostatic hypotension
  • Protocol-defined exclusionary clinical laboratory findings
  • Treatment with anti-tau therapy or donanemab within 2 months prior to Screening

Additional inclusion/exclusion criteria apply. Subjects will be evaluated at screening to ensure that all criteria for study participation are met.

04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,074 participants (estimated)

Study arms

  • Experimental
    ACP-204 30 mg

    Administration once daily at approximately the same time of day, with or without food

    Drug: ACP-204

  • Experimental
    ACP-204 60 mg

    Administration once daily at approximately the same time of day, with or without food

    Drug: ACP-204

  • Placebo comparator
    Placebo

    Administration once daily at approximately the same time of day, with or without food

    Drug: Placebo

Interventions

  • DrugACP-204

    ACP-204 is a potent and selective antagonist/inverse agonist of 5-hydroxytryptamine (serotonin) receptor subtype 2A.

  • DrugPlacebo

    ACP-204 matching placebo

05

What researchers measure

Primary outcomes

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

    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.

    Time frame: From baseline to Week 6

Secondary outcomes

  1. Clinical Global Impression-Severity in the ADP context (CGI-S-ADP) score

    The CGI-S scale is a clinician-rated, 7-point scale that is designed to rate the severity of the subject's symptoms at the time of assessment using the Investigator's judgment and past experience with subjects who have the same disorder. The CGI-S-ADP scale is the CGI-S scale applied in the ADP context, in which hallucinations and delusions are the symptoms of interest.

    Time frame: Baseline to Week 6

06

Study locations

69 of 150 sites recruiting
  • Chandler Clinical Trials
    Chandler, Arizona 85224, United States
    Recruiting
  • Clinical Endpoint LLC
    Scottsdale, Arizona 85258, United States
    Recruiting
  • Advanced Research Center, Inc.
    Anaheim, California 92805, United States
    Withdrawn
  • ATP Clinical Research
    Costa Mesa, California 92626, United States
    Recruiting
  • Neuro-Pain Medical Center
    Fresno, California 93710, United States
    Recruiting
  • National Institute of Clinical Research
    Garden Grove, California 92844, United States
    Terminated
  • Humanity Clinical Research Corp
    Aventura, Florida 33180, United States
    Recruiting
  • Arrow Clinical Trials
    Daytona Beach, Florida 32117, United States
    Recruiting
  • First Excellent Research Group
    Doral, Florida 33178, United States
    Recruiting
  • New Life Medical Research Center Inc.
    Hialeah, Florida 33012, United States
    Recruiting
  • Reliable Clinical Research LLC.
    Hialeah, Florida 33012, United States
    Recruiting
  • Homestead Associates in Research Inc.
    Miami, Florida 33032, United States
    Recruiting
  • Premier Clinical Research Institute, Inc.
    Miami, Florida 33122, United States
    Recruiting
  • Central Miami Medical Institute
    Miami, Florida 33125, United States
    Withdrawn
  • Advanced Clinical Research Network, Corp
    Miami, Florida 33135, United States
    Recruiting
  • Verus Clinical Research
    Miami, Florida 33135, United States
    Recruiting
  • Future Care Solution, LLC
    Miami, Florida 33165, United States
    Recruiting
  • MediClear Medical & Research Center, Inc.
    Miami, Florida 33165, United States
    Recruiting
  • ABBA Medical Group LLC
    Miami, Florida 33176, United States
    Recruiting
  • Visionary Investigators Network
    Miami, Florida 33176, United States
    Withdrawn
  • Quantum Clinical Trials
    Miami Beach, Florida 33140, United States
    Recruiting
  • New Med Research
    Miami Gardens, Florida 33056, United States
    Recruiting
  • Floridian Neuroscience Institutue
    Miami Lakes, Florida 33016, United States
    Recruiting
  • Combined Research Orlando Phase I IV
    Orlando, Florida 32807, United States
    Recruiting
  • Psych Me Medical Research Inc
    Tampa, Florida 33614, United States
    Withdrawn
  • Neuroscience Research Institute
    West Palm Beach, Florida 33407, United States
    Recruiting
  • Revive Research Institute, Inc.
    Elgin, Illinois 60123, United States
    Withdrawn
  • Grace Research, LLC
    Shreveport, Louisiana 71105, United States
    Recruiting
  • CBH Health LLC, dba CenExcel Gaitherburg
    Gaithersburg, Maryland 20877, United States
    Recruiting
  • Khan Revive Research Institute
    Rochester Hills, Michigan 48307, United States
    Withdrawn
  • Tekton Research, LLC
    St Louis, Missouri 63128, United States
    Recruiting
  • Alivation Research, LLC
    Lincoln, Nebraska 68526, United States
    Withdrawn
  • Dent Neurologic Institute
    Amherst, New York 14226, United States
    Withdrawn
  • Finger Lakes Clinical Research
    Rochester, New York 14618, United States
    Withdrawn
  • SUNY Upstate Medical University
    Syracuse, New York 13210, United States
    Recruiting
  • Regional Neurological Associates
    The Bronx, New York 10466, United States
    Withdrawn
  • Insight Clinical Trials LLC
    Beachwood, Ohio 44122, United States
    Withdrawn
  • Valley Medical Research
    Centerville, Ohio 45459, United States
    Withdrawn
  • Abington Neurological Associates
    Abington, Pennsylvania 19001, United States
    Recruiting
  • Horizon Clinical Research Group
    Cypress, Texas 77429, United States
    Recruiting
  • Prolato Clinical Research Center-Patton
    Houston, Texas 77054, United States
    Recruiting
  • University of Texas Health Science Center
    Houston, Texas 77054, United States
    Terminated
  • Clinical Trial Network LLC
    Houston, Texas 77074, United States
    Recruiting
  • Kaleidoscope Clinical Research
    Houston, Texas 77089, United States
    Recruiting
  • Steven South Goldstein MD and Associates
    Houston, Texas 77089, United States
    Recruiting
  • World Research Link
    Pasadena, Texas 77504, United States
    Recruiting
  • R & H Clinical Research Inc.
    Stafford, Texas 77477, United States
    Withdrawn
  • Tranquil Clinical Research
    Webster, Texas 77598, United States
    Withdrawn
  • Clinica Neurologica e Neurocirurgica de Joinville
    Joinville, Santa Catarina 89202-190, Brazil
    Recruiting
  • L2IP - Instituto de Pesquisas Clínicas Ltda
    Brasília, 70200-730, Brazil
    Recruiting
  • Hospital Universitario de Brasilia
    Brasília, 70840-901, Brazil
    Recruiting
  • CECPAR Centro de Estudos Clinicos do Parana
    Curitiba, 80030-310, Brazil
    Recruiting
  • TrialTech Tecnologia com Pesquisas em Medicamentos
    Curitiba, 80240-280, Brazil
    Recruiting
  • Inst. de Neurologia de Curitiba Hospital Ecoville
    Curitiba, 81210-310, Brazil
    Recruiting
  • Instituto Mederi de Pesquisa e Saude
    Passo Fundo, 99010-120, Brazil
    Recruiting
  • Hospital Moinhos de Vento
    Porto Alegre, 90035-001, Brazil
    Recruiting
  • Nucleo de Pesquisa Clínica do Rio Grande do Sul
    Porto Alegre, 90430-001, Brazil
    Withdrawn
  • Ruschel Medicina e Pesquisa Clínica
    Rio de Janeiro, 22270-060, Brazil
    Recruiting
  • Facili-Centro Integrado de Psiquiatria
    São Bernardo do Campo, 09726-150, Brazil
    Recruiting
  • BR Trials-Ensaios Clinicos e Consultoria
    São Paulo, 01236-030, Brazil
    Recruiting
  • Hospital Sao Paulo
    São Paulo, 04024-002, Brazil
    Recruiting
  • Santa Paula Hospital Clinical Research Center
    São Paulo, 04550-000, Brazil
    Recruiting
  • Hospital das Clínicas da Faculdade de Medicina USP
    São Paulo, 05403-000, Brazil
    Withdrawn
  • ET Dr. Ivo Natsov - AIPSMC in Psychiatry
    Cherven Bryag, 5980, Bulgaria
    Active, not recruiting
  • Medical Center Lifemed
    Kardzhali, 6600, Bulgaria
    Withdrawn
  • DCC "Higia"
    Pazardzhik, 4400, Bulgaria
    Active, not recruiting
  • Medical center Medconsult Pleven OOD
    Pleven, 5800, Bulgaria
    Active, not recruiting
  • UMHAT Sv. Georgi EAD
    Plovdiv, 4000, Bulgaria
    Active, not recruiting
  • Medical center Spectar-Plovdic EOOD
    Plovdiv, 4004, Bulgaria
    Withdrawn
  • Mental Health Centre - Prof. N Shipkovenski EOOD
    Sofia, 1377, Bulgaria
    Active, not recruiting
  • DCC St. Vrach and St. St. Kuzma and Damian OOD
    Sofia, 1408, Bulgaria
    Active, not recruiting
  • UMHAT "Alexandrovska" EAD
    Sofia, 1431, Bulgaria
    Active, not recruiting
  • UMHAT Alexandrovska EAD
    Sofia, 1431, Bulgaria
    Active, not recruiting
  • Medical Center Hera EOOD
    Sofia, 1510, Bulgaria
    Withdrawn
  • Medical Center Intermedica
    Sofia, 1680, Bulgaria
    Withdrawn
  • UMHAT Prof. Dr. St. Kirkovich AD
    Stara Zagora, 6003, Bulgaria
    Withdrawn
  • Psicomed Estudios Medicos
    Antofagasta, 1270244, Chile
    Recruiting
  • Biomedica Research Group
    Santiago, 7500710, Chile
    Recruiting
  • Especialidades Medicas L y S
    Santiago, 7560356, Chile
    Recruiting
  • CIC de la Universidad Catolica CICUC
    Santiago, 8330024, Chile
    Recruiting
  • BRAIN-SOUL THERAPY s.r.o.
    Kladno, Czech Republic 27201, Czechia
    Active, not recruiting
  • Ad71 S.R.O.
    Prague, Czech Republic 109 00, Czechia
    Active, not recruiting
  • Fakultni nemocnice u sv. Anny v Brne
    Brno, 656 91, Czechia
    Active, not recruiting
  • NEUROHK s.r.o
    Choceň, 56501, Czechia
    Active, not recruiting
  • CLINTRIAL s.r.o.
    Prague, 100 00, Czechia
    Active, not recruiting
  • FORBELI s.r.o.
    Prague, 160 00, Czechia
    Withdrawn
  • INEP medical s.r.o
    Prague, 186 00, Czechia
    Withdrawn
  • Vestra Clinics s.r.o.
    Rychnov nad Kněžnou, 516 01, Czechia
    Active, not recruiting
  • Hopital Neurologique Bron
    Bron, 69677, France
    Withdrawn
  • Centre pour Personnes Âgées
    Colmar, 68000, France
    Withdrawn
  • Centre Memoire Ressources Recherche CMRR
    Dijon, 21000, France
    Active, not recruiting
  • CHU de Limoges-Hopital Dupuytren
    Limoges, 87042, France
    Active, not recruiting
  • Hospices Civils de Lyon HCL
    Lyon, 69002, France
    Withdrawn
  • Hôpital Lariboisière
    Paris, 75010, France
    Active, not recruiting
  • Hopital BROCA
    Paris, 75013, France
    Active, not recruiting
  • CHU Rouen-Hospital Charles Nicolle
    Rouen, 76031, France
    Active, not recruiting
  • Hopital Purpan
    Toulouse, 31059, France
    Withdrawn
  • Hôpital La Grave
    Toulouse, 31059, France
    Active, not recruiting
  • CHRU de Tours- Hopital Bretonneau
    Tours, 37044, France
    Active, not recruiting
  • Hôpital de Brabois Adultes
    Vandœuvre-lès-Nancy, 545000, France
    Active, not recruiting

Showing the first 100 of 150 sites across 12 countries.

07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06159673
Lead sponsor
ACADIA Pharmaceuticals Inc.
Responsible party
Sponsor
First posted
Dec 7, 2023
Start date
Nov 14, 2023
Primary completion
Jan 2028 (estimated)
Completion
Feb 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

Christine Murphy
Contact
cmurphy@acadia-pharm.com
858-465-7480
Kristen White
Contact
kristen.white@acadia-pharm.com
813-838-6468

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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