Clinical trial Recruiting at 58 sites Phase 2 Interventional Ages 55 to 84

ACP-204 for psychosis in Lewy body dementia (Phase 2)

Official title: A Double-Blind, Placebo-Controlled, Phase 2, Efficacy and Safety Study of ACP-204 in Adults With Lewy Body Dementia Psychosis (LBDP)

Run by ACADIA Pharmaceuticals Inc. · NCT07029581 · Data updated 2026-11-12

This 6-week, randomized, double-blind trial tests whether ACP-204 reduces psychosis symptoms in people aged 55–84 with Lewy body dementia.

More Lewy Body Dementia trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages55 Years to 84 Years
SexAll
Enrollment180 (estimated)
SponsorACADIA Pharmaceuticals Inc.
Industry-sponsored
Locations62 sites (Irvine, California and 61 other locations)
StatusRecruiting
StartedAugust 6, 2025
Main results expectedFebruary 2028
Study endsMarch 2028
Registry record updatedNovember 4, 2026
Trial IDNCT07029581 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are people aged 55–84 with clinically diagnosed Lewy body dementia or Parkinson's disease dementia who meet criteria for psychosis in neurocognitive disorder and who can provide informed consent or have a legally authorized representative.

Probably not a fit

Patients in hospice or receiving end-of-life palliative care, those outside the age range, or those without LBD-related psychosis are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter, randomized, double-blind, placebo-controlled parallel-group Phase 2 trial enrolls adults with Lewy body dementia psychosis to receive ACP-204 or placebo for six weeks. Participants must meet established clinical criteria for dementia with Lewy bodies or Parkinson's disease dementia and criteria for psychosis in neurocognitive disorder, and must be 55–84 years old. The study measures changes in psychosis symptoms and closely monitors safety and tolerability over the treatment period. Assessments occur at baseline and at scheduled visits during the six-week treatment window at U.S. clinical sites.

Why it matters

Potential benefit: If effective, ACP-204 could reduce hallucinations and delusions and improve safety and quality of life for people with Lewy body dementia psychosis.

How similar studies have gone: Related serotonin-targeting drugs such as pimavanserin have shown benefit in Parkinson's disease psychosis, but evidence specifically in Lewy body dementia psychosis remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female ≥55 years to \<85 years of age at the Screening visit living in the community or, if permitted by local regulations, in an institutionalized setting
* Can provide written informed consent. If the subject is deemed not competent to provide informed consent, the following requirements for consent must be met:

  1. The subject's LAR must provide written informed consent.
  2. The subject must provide written (if capable) informed assent per local regulations.
* Meets either the clinical criteria for Parkinson's disease with dementia as defined by the Movement Disorder Society's Task Force or the revised clinical criteria for probable dementia with Lewy bodies (DLB) by consensus criteria (Fourth consensus report of the DLB Consortium).
* Meets the revised criteria for psychosis in major or mild neurocognitive disorder established by the International Psychogeriatrics Association

Exclusion Criteria:

* Is in hospice, is receiving end-of-life palliative care, or is bedridden
* Has psychotic symptoms that are primarily attributable to delirium, substance abuse, or a medical or psychiatric condition (e.g. schizophrenia, bipolar disorder, delusional disorder) other than dementia
* Is actively suicidal at Visit 1 (Screening) or Visit 2 (Baseline)
* Has a history or current evidence of a serious and/or significant unstable cardiovascular, respiratory, endocrine, gastrointestinal, renal, hepatic, hematologic, immunologic, genitourinary, psychiatric or neurologic (including stroke, chronic seizures, or clinically significant head injury) abnormality or disease or other medical disorder, including cancer or malignancies that could interfere with subject's ability to complete the study or comply with study procedures
* Has other clinically significant CNS abnormalities that are most likely contributing to the dementia or findings on MRI or CT

Where it's running

  • ATP Clinical Research Inc.
    Irvine, California, United States
    Recruiting
  • The University of Colorado
    Aurora, Colorado, United States
    Recruiting
  • Georgetown University
    Washington D.C., District of Columbia, United States
    Recruiting
  • Humanity Clinical Research, Corp
    Aventura, Florida, United States
    Recruiting
  • Parkinson's Disease and Movement Disorders Center of Boca Raton
    Boca Raton, Florida, United States
    Recruiting
  • K2 Medical Research Winter Garden LLC
    Clermont, Florida, United States
    Recruiting
Show 44 more locations
  • University of Florida - Shands
    Gainesville, Florida, United States
    Recruiting
  • Reliable Clinical Research LLV
    Hialeah, Florida, United States
    Recruiting
  • K2 Summit Research
    Lady Lake, 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
  • MediClear Medical & Research Center, Inc.
    Miami, Florida, United States
    Recruiting
  • Health Synergy Clinical Research, LLC
    West Palm Beach, Florida, United States
    Recruiting
  • Hawaii Pacific Neuroscience
    Honolulu, Hawaii, United States
    Recruiting
  • Rush University Medical Center
    Chicago, Illinois, United States
    Recruiting
  • University of Kansas Medical Center Research Institute Inc.
    Kansas City, Kansas, United States
    Recruiting
  • Parkinson's Disease and Movement Disorders Center of Boca Raton d/b/a Parkinson's Research Center of America-Long Island
    Commack, New York, United States
    Recruiting
  • UNC Hospitals
    Chapel Hill, North Carolina, United States
    Recruiting
  • Cleveland Clinic Foundation
    Cleveland, Ohio, United States
    Recruiting
  • The Ohio State University, Energy Advancement and Innovation Center
    Columbus, Ohio, United States
    Recruiting
  • The Movement Disorder Clinic of Oklahoma
    Tulsa, Oklahoma, United States
    Recruiting
  • Horizon Clinical Research Group
    Cypress, Texas, United States
    Recruiting
  • Prolato Clinical Research Center
    Houston, Texas, United States
    Recruiting
  • The University of Texas Health Science Center San Antonio
    San Antonio, Texas, United States
    Recruiting
  • R and H Clinical Research
    Stafford, Texas, United States
    Recruiting
  • Virginia Commonwealth University (a public institution of higher education)
    Richmond, Virginia, United States
    Recruiting
  • EvergreenHealth
    Kirkland, Washington, United States
    Recruiting
  • Ambulatory for Individual Practice for Specialized Medical Care in Psychiatry - Dr Ivo Natsov
    Cherven Bryag, Bulgaria
    Recruiting
  • UMHAT Sv Georgi EAD
    Plovdiv, Bulgaria
    Recruiting
  • Medical Center SV.Naum
    Sofia, Bulgaria
    Recruiting
  • DCC "Sv. Vrach and Sv. Sv. Kuzma and Damyan", OOD
    Sofia, Bulgaria
    Recruiting
  • UMHAT "Alexandrovska" EAD
    Sofia, Bulgaria
    Recruiting
  • DCC Mladost M- Varna, OOD
    Varna, Bulgaria
    Recruiting
  • Fakultni nemocnice u sv. Anny v Brne
    Brno, Czechia
    Recruiting
  • NEUROHK s.r.o. Poliklinika Chocen a.s.
    Choceň, Czechia
    Recruiting
  • Vseobecna fakultni nemocnice v Praze
    Prague, Czechia
    Recruiting
  • Neuropsychiatrie s.r.o.
    Prague, Czechia
    Recruiting
  • Vestra Clinics s.r.o
    Rychnov nad Kněžnou, Czechia
    Recruiting
  • CHU de Toulouse- Hopital Purpan
    Toulouse, Cedex 9, France
    Recruiting
  • Gérontopôle Centre de Recherche Clinique
    Toulouse, Cedex 9, France
    Recruiting
  • Hopital Roger Salengro - CHU Lille
    Lille, Nord, France
    Recruiting
  • Hôpital Lariboisière, Histologie et CMRR
    Paris, Paris, France
    Recruiting
  • Hôpital des Chapennes
    Villeurbanne, Rhone, France
    Recruiting
  • Hopital Neurologique Bron
    Bron, France
    Recruiting
  • CHU Strasbourg-Hopital Hautepierre
    Strasbourg, France
    Recruiting
  • CHRU de Tours- Hopital Bretonneau
    Tours, France
    Recruiting
  • CHRU de Nancy- Hospital de Brabois
    Vandœuvre-lès-Nancy, France
    Recruiting
  • Azienda Ospedaliera Univerrsitaria
    Naples, Napoli, Italy
    Recruiting

+12 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • 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.

    Recruiting at 36 sites Phase 3 ACADIA Pharmaceuticals Inc. · Irvine, California and 35 other locations · NCT07095465

  • Automated language analysis to help diagnose neurodegenerative diseases

    A multilingual AI-powered language test is being tried to see if speech and language patterns can help differentiate Alzheimer’s, frontotemporal dementia, Lewy body dementia, and Parkinson’s from healthy aging.

    Recruiting Istituti Clinici Scientifici Maugeri SpA · Bari · NCT07906769

  • A look at why Lewy body conditions cause visual hallucinations

    This study tests brain‑imaging in people with Lewy body diseases who do or don’t experience visual hallucinations, and in healthy volunteers, to see how brain networks might create these images.

    Recruiting NYU Langone Health · New York, New York · NCT07849413

  • Pulsed electromagnetic field treatment for dementia patients

    This study is testing a pulsed electromagnetic device to see if it can help people with mild to moderate Alzheimer's disease improve their thinking and memory over 120 days.

    Recruiting Herrick Medical LLC · Boca Raton, Florida · NCT06862557

  • Exergaming for improving health in dementia patients

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    Recruiting Eastern Switzerland University of Applied Sciences · Wetzikon, Canton of Zurich · NCT06631742

  • Evaluating retinal imaging for neurodegenerative diseases

    This study is testing if special eye scans can help spot early signs of neurodegenerative diseases like Alzheimer's and Parkinson's in people.

    Recruiting Duke University · Durham, North Carolina · NCT03233646

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.