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Acadia Pharmaceuticals Announces Phase 3 Enabling Topline Results from Phase 2 RADIANT Study of Remlifanserin for the Treatment of Alzheimer’s Disease Psychosis (ADP)

$ACADPress releaseSep 24, 2026, 7:00 AM ETRead the release

Acadia Pharmaceuticals announced Phase 3-enabling topline results from the Phase 2 RADIANT study of remlifanserin in Alzheimer's disease psychosis. The 60 mg once-daily dose narrowly missed the primary SAPS-H+D endpoint (p=0.0603, effect size 0.26) but achieved nominal significance on the key secondary CGI-S-ADP endpoint (p=0.0077, effect size 0.37), with a placebo-like safety profile and no QT or cognition/motor signal. Acadia will continue its two ongoing Phase 3 studies while amending the program to drop the 30 mg arm, which showed minimal improvement; detailed data will be presented at the CTAD conference November 16-19 in Boston.

Key figures

Drug Name
Remlifanserin
Phase Of Trial
Phase 2 (Phase 3-enabling)
Effect size saps h d
0.26
Saps h d 60mg change
-12.6
Effect size cgi s adp
0.37
Saps h d placebo change
-10.4
Primary endpoint p value
0.0603
Secondary endpoint p value
0.0077

AI analysis

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    ACAD: Acadia Pharmaceuticals Announces Phase 3 Enabling Topline Results from Phase 2 RADIANT Study of Remlifanserin for the Treatment of Alzheimer’s Disease Psychosis (ADP) — AI Analysis | Signal8