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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 55 Years to 84 Years |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | ACADIA Pharmaceuticals Inc. Industry-sponsored |
| Locations | 62 sites (Irvine, California and 61 other locations) |
| Status | Recruiting |
| Started | August 6, 2025 |
| Main results expected | February 2028 |
| Study ends | March 2028 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07029581 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
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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
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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
- Study coordinator: Kristin Kidd
- Email: Kristin.kidd@acadia-pharm.com
- Phone: 434-841-3162
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.
-
Automated language analysis to help diagnose neurodegenerative diseases
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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.