Drugs / Pimavanserin

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed parkinsonism with polyneuropathy 1 milestone
Filed US (FDA) NUPLAZID parkinsonism with polyneuropathy —

“September submission to the FDA of our New Drug Application for the use of NUPLAZID™ in the treatment of Parkinson’s disease psychosis” acadia.com ↗

“Submitted NDA for NUPLAZID in September 2015, which was accepted for filing with Priority Review by the FDA in October 2015” acadia.com ↗

“the NDA was submitted in September 2015” tonixpharma.com ↗

Filed substance-induced psychosis 2 milestones
Rejected (CRL) US (FDA) — substance-induced psychosis 2021-04-02

“FDA’s April 2, 2021 Complete Response Letter (CRL) to the sNDA originally submitted for a proposed indication for pimavanserin for the treatment of dementia-related psychosis.” acadia.com ↗

“FDA’s complete response letter (CRL) for the sNDA for pimavanserin for the treatment of hallucinations and delusions associated with dementia-related psychosis (DRP).” acadia.com ↗

Filed US (FDA) NUPLAZID substance-induced psychosis 2020-06-15

“the company submitted a supplemental New Drug Application (sNDA) to the U.S. Food and Drug Administration (FDA) to support a potential new indication for NUPLAZID® (pimavanserin)” acadia.com ↗

“filed the supplemental NDA for pimavanserin for the treatment of the hallucinations and delusions associated with dementia-related psychosis (DRP).” acadia.com ↗

Approved Indication not stated 2 milestones
Label expansions (3) US (FDA) NUPLAZID — 2018-06-28 – 2026-04-27 fda.gov ↗
Approved US (FDA) NUPLAZID — 2016-04-29 fda.gov ↗

Trials 38

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT05796167 Jan 2023 → Jun 2024 Parkinson disease State University of New York - Downstate Medical Center Withdrawn No outcome recorded
Phase 0 NCT04794413 Nov 2018 → Feb 2021 Tourette syndrome, tardive dyskinesia Joseph Jankovic Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT07610135 Oct 2026 → Jun 2028 expected — Johns Hopkins University Recruiting No outcome recorded
Phase 216 trials · 4 met primary · 1 missed
Phase 2 NCT05999240 Oct 2025 → Oct 2027 expected autism spectrum disorder New York State Psychiatric Institute Recruiting No outcome recorded
Phase 2 NCT03994965 Dec 2024 schizophrenia Bjorn H. Ebdrup Withdrawn No outcome recorded
Phase 2 NCT06455293 Aug 2024 → Jun 2027 expected Parkinson disease, depressive disorder Joshua Woolley, MD, PhD Recruiting No outcome recorded
Phase 2 NCT05895513 Aug 2024 → Jan 2027 expected intermittent explosive disorder Ohio State University Recruiting No outcome recorded
Phase 2 NCT03947216 Oct 2020 → Apr 2024 Parkinson disease University Hospital, Strasbourg, France Completed No outcome recorded
Phase 2 NCT04164758 Oct 2019 → Sep 2020 Parkinson disease ACADIA Pharmaceuticals Inc. Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT03482882 Mar 2018 → Jul 2019 — ACADIA Pharmaceuticals Inc. Completed No outcome recorded
Phase 2 NCT03118947 Feb 2017 → Feb 2019 — ACADIA Pharmaceuticals Inc. Completed No outcome recorded
Phase 2 NCT03018340 Dec 2016 → Sep 2018 — ACADIA Pharmaceuticals Inc. Completed Met primary
Phase 2 NCT02970305 Nov 2016 → Oct 2019 schizophrenia ACADIA Pharmaceuticals Inc. Completed Met primary
Phase 2/32 trials · 1 missed
Phase 2/3 NCT05555615 Nov 2022 → Feb 2025 autism spectrum disorder ACADIA Pharmaceuticals Inc. Terminated No outcome recorded Stop: Business
Phase 2/3 NCT05523895 Aug 2022 → Sep 2024 autism spectrum disorder ACADIA Pharmaceuticals Inc. Completed Missed primary
Phase 312 trials · 2 met primary · 3 missed
Phase 3 NCT06068465 Sep 2024 → Feb 2026 Parkinson disease Tasly Pharmaceutical Group Co., Ltd Completed No outcome recorded
Phase 3 NCT04531982 Aug 2020 → Jan 2024 schizophrenia ACADIA Pharmaceuticals Inc. Completed Missed primary
Phase 3 NCT04000009 Jun 2019 → Feb 2021 — ACADIA Pharmaceuticals Inc. Terminated No outcome recorded Stop: Business
Phase 3 NCT03968159 Apr 2019 → Apr 2020 — ACADIA Pharmaceuticals Inc. Completed Missed primary
Phase 3 NCT03623321 Jul 2018 → May 2023 neurodegenerative disease ACADIA Pharmaceuticals Inc. Completed No outcome recorded
Phase 3 NCT03575052 May 2018 → May 2022 neurodegenerative disease ACADIA Pharmaceuticals Inc. Completed No outcome recorded
Phase 3 NCT03325556 Sep 2017 → Jul 2019 psychotic disorder ACADIA Pharmaceuticals Inc. Completed Met primary
Phase 3 NCT03121586 Jan 2017 → Apr 2024 schizophrenia ACADIA Pharmaceuticals Inc. Terminated No outcome recorded
Phase 3 NCT02970292 Oct 2016 → May 2019 schizophrenia ACADIA Pharmaceuticals Inc. Completed Missed primary
Phase 3 NCT01174004 Jul 2010 → Nov 2012 Parkinson disease ACADIA Pharmaceuticals Inc. Completed Met primary
Phase 44 trials · 1 met primary
Phase 4 NCT05357612 Jan 2023 → Jun 2027 expected Parkinson disease, neurodegenerative disease Vanderbilt University Medical Center Recruiting No outcome recorded
Phase 4 NCT04809116 Dec 2022 → Dec 2023 insomnia, post-traumatic stress disorder Baylor College of Medicine Withdrawn No outcome recorded Stop: Business
Phase 4 NCT04292223 Feb 2020 → Apr 2022 Parkinson disease ACADIA Pharmaceuticals Inc. Completed Met primary
Phase 4 NCT04188392 Jan 2020 → Oct 2021 insomnia, post-traumatic stress disorder Baylor College of Medicine Completed No outcome recorded
Phase not applicable1 trial
— NCT07022366 Feb 2025 → Jun 2026 overdue — University of Oxford Recruiting No outcome recorded
Comparator or background therapy7 trials
Phase 1/2 NCT05350215 Comparator Jun 2022 → Dec 2026 expected obstructive sleep apnea syndrome Brigham and Women's Hospital Recruiting No outcome recorded
Phase 2 NCT06592833 Comparator Feb 2025 → Mar 2028 expected major depressive disorder Icahn School of Medicine at Mount Sinai Recruiting No outcome recorded
Phase 2 NCT05441280 Comparator Dec 2023 → Jul 2027 expected insomnia, post-traumatic stress disorder VA Office of Research and Development Recruiting No outcome recorded
Phase 3 NCT00658567 Comparator Mar 2008 → Dec 2009 Parkinson disease ACADIA Pharmaceuticals Inc. Completed No outcome recorded
Phase 4 NCT04373317 Comparator Oct 2022 → Oct 2026 expected Parkinson disease VA Office of Research and Development Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 63

DateIssuerRelease
2024-03-11 ACADIA Pharmaceuticals Inc. Results Acadia Pharmaceuticals Announces Top-Line Results from Phase 3 ADVANCE-2 Trial of Pimavanserin in Negative Symptoms of Schizophrenia acadia.com ↗
Pimavanserin did not demonstrate a statistically significant improvement over placebo on the study’s primary endpoint, the change from baseline to week 26 on the Negative Symptom Assessment-16 (NSA-16) total score (-11.8 vs. -11.1; p=0.4825; effect size=0.07).
2024-01-17 Zydus Lifesciences Limited Regulatory Zydus receives Final Approvals from the USFDA for Pimavanserin Capsules, 34 mg and Pimavanserin Tablets,10 mg zyduslife.com ↗
Zydus Lifesciences Limited (including its subsidiaries/affiliates, hereafter referred to as “Zydus”) has received final approvals from the United States Food and Drug Administration (USFDA) to manufacture and market Pimavanserin Capsules, 34 mg (USRLD: Nuplazid® Capsules) and Pimavanserin Tablets, 10 mg (USRLD: Nuplazid® Tablets), respectively.
2023-09-18 ACADIA Pharmaceuticals Inc. Regulatory Acadia Pharmaceuticals Announces Label Update for NUPLAZID® (pimavanserin) acadia.com ↗
Acadia Pharmaceuticals Inc. (Nasdaq: ACAD) today announced that the U.S. Food and Drug Administration (FDA) has made two changes to the NUPLAZID label that clarify its use in patients with Parkinson’s disease-related hallucinations and delusions, with or without dementia.
2023-01-03 ACADIA Pharmaceuticals Inc. Results Newly Published Retrospective Analysis Showed Lower All-Cause Mortality Risk Among Parkinson’s Disease Psychosis Patients Treated with NUPLAZID® (pimavanserin) Compared to Those Treated with Other Atypical Antipsychotics acadia.com ↗
2022-08-05 ACADIA Pharmaceuticals Inc. Regulatory Acadia Pharmaceuticals Receives Complete Response Letter from U.S. FDA for Supplemental New Drug Application for Pimavanserin for the Treatment of Hallucinations and Delusions Associated with Alzheimer’s Disease Psychosis acadia.com ↗
Acadia Pharmaceuticals Inc. (Nasdaq: ACAD) today announced that the Company has received a Complete Response Letter (CRL) from the U.S. Food and Drug Administration (FDA) regarding its supplemental New Drug Application (sNDA) for NUPLAZID® (pimavanserin) for the treatment of hallucinations and delusions associated with Alzheimer’s disease psychosis (ADP).
2022-06-18 ACADIA Pharmaceuticals Inc. Regulatory Acadia Pharmaceuticals Announces Outcome of FDA Advisory Committee for NUPLAZID® (pimavanserin) for the Treatment of Alzheimer’s Disease Psychosis acadia.com ↗
The PDAC voted 9 to 3 that the evidence presented does not support a conclusion that pimavanserin is effective for the treatment of hallucinations and delusions in the ADP population.
2022-03-09 ACADIA Pharmaceuticals Inc. Regulatory Acadia Pharmaceuticals Announces August 4, 2022 Action Date for Resubmitted Supplemental New Drug Application for NUPLAZID® (pimavanserin) for the Treatment of Alzheimer’s Disease Psychosis acadia.com ↗
The FDA’s Division of Psychiatry has also advised the company that it is planning to hold an Advisory Committee meeting in connection with its review.
2022-02-16 ACADIA Pharmaceuticals Inc. Regulatory Acadia Pharmaceuticals Announces Resubmission of Supplemental New Drug Application to U.S. FDA for NUPLAZID® (pimavanserin) to Treat Alzheimer’s Disease Psychosis acadia.com ↗
Acadia Pharmaceuticals Inc. (Nasdaq: ACAD) announced today that it has resubmitted its supplemental New Drug Application (sNDA) for pimavanserin for the treatment of hallucinations and delusions associated with Alzheimer’s disease psychosis (ADP) to the U.S. Food and Drug Administration (FDA).
2021-12-22 Zydus Lifesciences Limited Regulatory Zydus Cadila receives tentative approval from USFDA for Pimavanserin Tablets zyduslife.com ↗
Zydus Cadila has received tentative approval from the USFDA to market Pimavanserin Tablets, 10 mg (US RLD: Nuplazid Tablets).
2021-12-01 ACADIA Pharmaceuticals Inc. Results The Lancet Psychiatry Publishes Results from ADVANCE Study Evaluating Pimavanserin Treatment for Negative Symptoms of Schizophrenia acadia.com ↗
ADVANCE met its primary endpoint, with significant improvement observed with pimavanserin for the change from baseline to week 26 on the Negative Symptoms Assessment-16 (NSA-16) total score, compared with placebo (-10.4 vs. -8.5; p=0.043).
2021-07-21 ACADIA Pharmaceuticals Inc. Results The New England Journal of Medicine Publishes Results from the Phase 3 HARMONY Study Evaluating Pimavanserin in Patients with Dementia-Related Psychosis acadia.com ↗
HARMONY met its primary endpoint by significantly reducing the risk of relapse of psychosis by 2.8 fold compared to placebo in the double-blind period (hazard ratio (HR)=0.35, two-sided p=0.005; one-sided p=0.0023).
2021-06-03 ACADIA Pharmaceuticals Inc. Results NUPLAZID® (pimavanserin) Efficacy Data from Open-Label Extension (OLE) Study Published in Parkinsonism and Related Disorders acadia.com ↗
For patients treated with pimavanserin 8.5 mg or 17 mg investigational doses in the previous studies, further improvement was observed during the OLE with NUPLAZID 34 mg.

All press releases naming this drug 101 releases

DateIssuerRelease
Show all 101 releases opens the full record — a long page

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 46 sources stand behind the page.

FieldValueCited text
Known as Pimavanserin “Pimavanserin, a promising serotonin 2A receptor antagonist, may help to counteract atomoxetine's noradrenergic effects by increasing arousal threshold and possibly reducing OSA...” PMID 40158847 ↗ Mar 2025
40

NCT03482882 ↗

NCT04809116 ↗

NCT02970305 ↗

NCT04000009 ↗

NCT05895513 ↗

NCT04531982 ↗

NCT06592833 ↗

NCT03575052 ↗

NCT00550238 ↗

NCT05357612 ↗

Show 30 more sources

Known as ACP-103 “pimavanserin tartrate (ACP-103) 20 mg, tablet, once daily by mouth, 6 weeks” NCT00658567 ↗
6

“Pimavanserin tartrate (ACP-103)” NCT00477672 ↗

“pimavanserin tartrate (ACP-103)” NCT01518309 ↗

“Pimavanserin tartrate (ACP-103)” NCT00550238 ↗

NCT00361166 ↗

NCT00086294 ↗

NCT00087542 ↗

Known as Nuplazid “Pimavanserin, marketed under the tradename NUPLAZID® was approved in 2016 by the U.S. Food and Drug Administration (FDA) for the treatment of hallucinations and delusions...” NCT03947216 ↗
5

“Pimavanserin 34 mg total daily dose, tablets, once daily by mouth (provided as two 17 mg NUPLAZID® tablets)” NCT03575052 ↗

“Pimavanserin 34 mg total daily dose, tablets, once daily by mouth (provided as two 17 mg NUPLAZID® tablets)” NCT03482882 ↗

“It is currently marketed under the name NUPLAZID (pimavanserin) capsules by Acadia Pharmaceuticals.” NCT04794413 ↗

“Pimavanserin Tartrate 34 Mg ORAL CAPSULE [NUPLAZID]” NCT05999240 ↗

“Drug: Pimavanserin 34 milligrams (MG) [Nuplazid]” NCT03994965 ↗

Known as pimavanserin tartrate “Pimavanserin tartrate, 40 mg (two 20 mg tablets), once daily by mouth (equivalent to 34 mg free base pimavanserin)” NCT02035553 ↗
7

“Drug- pimavanserin tartrate, 34 mg, taken as two 17 mg tablets, once daily by mouth” NCT02992132 ↗

“pimavanserin tartrate (ACP-103) 20 mg, tablet, once daily by mouth, 6 weeks” NCT00658567 ↗

“Pimavanserin Tartrate 34 Mg ORAL CAPSULE [NUPLAZID]” NCT05999240 ↗

“pimavanserin tartrate (ACP-103)” NCT01518309 ↗

“Pimavanserin tartrate (ACP-103)” NCT00477672 ↗

“Pimavanserin tartrate (ACP-103)” NCT00550238 ↗

NCT06068465 ↗

Known as Pimavanserina ChEMBL registry synonym — accepted as the source's own label CHEMBL2111101 ↗
Known as Pimavanserine ChEMBL registry synonym — accepted as the source's own label CHEMBL2111101 ↗
Action Inhibit “the effect of the 5HT2A/C receptor inverse agonist ACP-103” NCT00086294 ↗
Modality Small molecule — CHEMBL2111101 ↗
Route Oral “Patients are randomly assigned to take either ACP-103 followed by placebo (a look-alike pill with no active ingredient) once a week for 10 weeks or vice versa (placebo followed...” NCT00086294 ↗
Target HTR2A “Serotonin 2a (5-HT2a) receptor inverse agonist” CHEMBL2111101 ↗