FDA Asks For Additional Study For Acadia's Pimavanserin In Alzheimer's-Associated Delusions

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  • The FDA has issued a Complete Response Letter (CRL) to Acadia Pharmaceuticals Inc ACAD regarding its supplemental marketing application for pimavanserin in hallucinations and delusions associated with Alzheimer's disease psychosis (ADP).
  • The CRL recommended that Acadia conduct an additional trial in ADP. 
  • The advisory committee voted 9-3 that Acadia's pimavanserin doesn't appear effective in treating ADP patients.
  • While the FDA stated that Study 019 demonstrated a statistically significant treatment effect on its primary endpoint, they concluded that there are limitations in the interpretability of the 019 results. 
  • Also Read: Analysts Try To See Beyond Acadia's Alzheimer's Disease Psychosis.
  • The FDA also stated that the positive treatment effect of pimavanserin on dementia-related psychosis in Study 045 (HARMONY) appeared to be driven by positive results in the Parkinson's disease dementia (PDD) subgroup.
  • The agency stated that PDD is subsumed within the currently approved Nuplazid Parkinson's disease psychosis (PDP) indication. Up to 50% of PDP patients have dementia.
  • Nuplazid was approved in the U.S. in 2016 and is the first and only treatment for hallucinations and delusions associated with PDP.
  • Price Action: ACAD shares are down 3.01% at $15.15 during the premarket session on the last check Friday.
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