Clinical trial Recruiting at 73 sites Phase2; Phase3 Interventional Ages 55 to 95

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.

More Psychosis Associated With Alzheimer's Disease trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages55 Years to 95 Years
SexAll
Enrollment1074 (estimated)
SponsorACADIA Pharmaceuticals Inc.
Industry-sponsored
Drugs / interventionsdonanemab
Locations155 sites (Chandler, Arizona and 154 other locations)
StatusRecruiting
StartedNovember 14, 2023
Main results expectedJanuary 2028
Study endsFebruary 2028
Registry record updatedNovember 5, 2026
Trial IDNCT06159673 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

  • 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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    Daytona Beach, Florida, United States
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    Doral, Florida, United States
    Recruiting
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    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
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  • Verus Clinical Research
    Miami, Florida, United States
    Recruiting
  • Future Care Solution, LLC
    Miami, Florida, United States
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  • 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
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  • Floridian Neuroscience Institutue
    Miami Lakes, Florida, United States
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  • 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
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  • 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

Similar studies

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

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.