Testing ACP-204 for treating psychosis in Alzheimer's patients
Official title: A Master Protocol for Three Independent, Seamlessly Enrolling, Double-blind, Placebo-controlled Efficacy and Safety Studies of ACP-204 in Adults With Alzheimer's Disease Psychosis
Run by ACADIA Pharmaceuticals Inc. · NCT06159673 · Data updated 2026-11-12
This study is testing a new medication called ACP-204 to see if it can help reduce psychotic symptoms in people with Alzheimer's disease.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 55 Years to 95 Years |
| Sex | All |
| Enrollment | 1074 (estimated) |
| Sponsor | ACADIA Pharmaceuticals Inc. Industry-sponsored |
| Drugs / interventions | donanemab |
| Locations | 155 sites (Chandler, Arizona and 154 other locations) |
| Status | Recruiting |
| Started | November 14, 2023 |
| Main results expected | January 2028 |
| Study ends | February 2028 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT06159673 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 55 to 95 with a diagnosis of Alzheimer's disease and documented psychotic symptoms lasting at least two months.
✕Probably not a fit
Patients without documented evidence of amyloid plaque deposition or those with severe cognitive impairment (MMSE score <6) may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the efficacy and safety of ACP-204 in adults with Alzheimer's Disease Psychosis (ADP) through three independent substudies. The first substudy will assess the dose response of ACP-204 at 30 and 60 mg compared to a placebo, while the subsequent Phase 3 substudies will confirm the findings using either dose against a placebo. Each substudy includes a screening period, a double-blind treatment phase lasting six weeks, and a safety follow-up period. The trial aims to provide insights into the effectiveness of ACP-204 in managing psychotic symptoms associated with Alzheimer's disease.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the management of psychotic symptoms in Alzheimer's patients, enhancing their quality of life.
How similar studies have gone: Previous studies have shown promise in treating psychosis in Alzheimer's patients, but this specific approach with ACP-204 is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
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: * 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.
Where it's running
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Clinical Endpoint LLC
Scottsdale, Arizona, United States Recruiting -
ATP Clinical Research
Costa Mesa, California, United States Recruiting -
Neuro-Pain Medical Center
Fresno, California, United States Recruiting -
Havana Research Institute LLC
Pasadena, California, United States Recruiting -
Quantum Clinical Research, Inc.
Pasadena, California, United States Recruiting -
Humanity Clinical Research Corp
Aventura, Florida, United States Recruiting
Show 44 more locations
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Arrow Clinical Trials
Daytona Beach, Florida, United States Recruiting -
First Excellent Research Group
Doral, Florida, United States Recruiting -
New Life Medical Research Center Inc.
Hialeah, Florida, United States Recruiting -
Reliable Clinical Research LLC.
Hialeah, Florida, United States Recruiting -
Homestead Associates in Research Inc.
Miami, Florida, United States Recruiting -
Premier Clinical Research Institute, Inc.
Miami, Florida, United States Recruiting -
Advanced Clinical Research Network, Corp
Miami, Florida, United States Recruiting -
Verus Clinical Research
Miami, Florida, United States Recruiting -
Future Care Solution, LLC
Miami, Florida, United States Recruiting -
MediClear Medical & Research Center, Inc.
Miami, Florida, United States Recruiting -
ABBA Medical Group LLC
Miami, Florida, United States Recruiting -
Quantum Clinical Trials
Miami Beach, Florida, United States Recruiting -
New Med Research
Miami Gardens, Florida, United States Recruiting -
Floridian Neuroscience Institutue
Miami Lakes, Florida, United States Recruiting -
Combined Research Orlando Phase I IV
Orlando, Florida, United States Recruiting -
Neuroscience Research Institute
West Palm Beach, Florida, United States Recruiting -
Agile Clinical Research Trials LLC
Atlanta, Georgia, United States Recruiting -
Grace Research, LLC
Shreveport, Louisiana, United States Recruiting -
CBH Health LLC, dba CenExcel Gaithersburg
Gaithersburg, Maryland, United States Recruiting -
Tekton Research, LLC
St Louis, Missouri, United States Recruiting -
Advanced Memory Research Institute of New Jersey
Marlton, New Jersey, United States Recruiting -
SUNY Upstate Medical University
Syracuse, New York, United States Recruiting -
NDx Clinical Research Inc.
Dayton, Ohio, United States Recruiting -
Abington Neurological Associates
Abington, Pennsylvania, United States Recruiting -
Horizon Clinical Research Group
Cypress, Texas, United States Recruiting -
Prolato Clinical Research Center-Patton
Houston, Texas, United States Recruiting -
Clinical Trial Network LLC
Houston, Texas, United States Recruiting -
Kaleidoscope Clinical Research
Houston, Texas, United States Recruiting -
Steven South Goldstein MD and Associates
Houston, Texas, United States Recruiting -
World Research Link
Pasadena, Texas, United States Recruiting -
Clinica Neurologica e Neurocirurgica de Joinville
Joinville, Santa Catarina, Brazil Recruiting -
L2IP - Instituto de Pesquisas Clínicas Ltda
Brasília, Brazil Recruiting -
Hospital Universitario de Brasilia
Brasília, Brazil Recruiting -
CECPAR Centro de Estudos Clinicos do Parana
Curitiba, Brazil Recruiting -
TrialTech Tecnologia com Pesquisas em Medicamentos
Curitiba, Brazil Recruiting -
Inst. de Neurologia de Curitiba Hospital Ecoville
Curitiba, Brazil Recruiting -
Instituto Mederi de Pesquisa e Saude
Passo Fundo, Brazil Recruiting -
Hospital Moinhos de Vento
Porto Alegre, Brazil Recruiting -
Ruschel Medicina e Pesquisa Clínica
Rio de Janeiro, Brazil Recruiting -
Facili-Centro Integrado de Psiquiatria
São Bernardo do Campo, Brazil Recruiting -
BR Trials-Ensaios Clinicos e Consultoria
São Paulo, Brazil Recruiting -
Hospital Sao Paulo
São Paulo, Brazil Recruiting -
Santa Paula Hospital Clinical Research Center
São Paulo, Brazil Recruiting -
Psicomed Estudios Medicos
Antofagasta, Chile Recruiting
+105 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Christine Murphy
- Email: cmurphy@acadia-pharm.com
- Phone: 858-465-7480
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Multiple-dose safety and tolerability test of LY03020 in healthy adults and people with stable schizophrenia
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ACP-211 alone for adults whose depression hasn't improved with antidepressants
This trial tests whether ACP-211 can help adults with major depressive disorder who haven't improved on antidepressants do better than a placebo.
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ACP-204 extended treatment in Lewy Body Dementia psychosis
This study tests ACP-204 as a long-term treatment option for adults with Lewy Body Dementia psychosis who have completed prior ACP-204 treatment.
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ACP-204 for psychosis in Lewy body dementia (Phase 2)
This 6-week, randomized, double-blind trial tests whether ACP-204 reduces psychosis symptoms in people aged 55–84 with Lewy body dementia.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.