Neurocognitive Disorders

Agitation in Alzheimer's disease drug pipeline

4 compounds from 4 companies are in active clinical development for agitation in alzheimer's disease, including 2 at Phase 3 or beyond.

4Compounds
4Companies
2Phase 3+
4Upcoming readouts
1Trials recruiting
  • Approved 1
  • Phase 3 1
  • Phase 2 1
  • Phase 1 1

Mechanisms: Small molecule (4)

Pipeline data compiled July 2026 · every fact sourced.

Upcoming readouts & recent results

  • 2H 2026AnticipatedNMRA-511Interim analysis

    Anticipated readout from a multiple ascending dose (MAD) expansion cohort evaluating higher doses of NMRA-511, expected in 2H 2026.

  • Q1 2027AnticipatedNMRA-511Registry results

    Anticipated initiation of a Phase 2 study of NMRA-511 in Alzheimer's disease agitation, planned for Q1 2027.

  • Q4 2027AnticipatedITI-1284 (deulumateperone)Topline dataNCT06651567

    Anticipated Phase 2 topline for ITI-1284 in agitation associated with Alzheimer's dementia (NCT06651567); primary completion targeted October 2027.

  • Date TBDAnticipatedDexmedetomidine sublingual film (BXCL501)Topline data

    Confirmatory TRANQUILITY In-Care Phase 3 (~150 patients, 60 mcg PRN, care setting) planned but not yet started as of Q1 2026.

  • 2026-04-30ReportedAXS-05 (dextromethorphan-bupropion)Regulatorymet

    FDA approves AUVELITY (AXS-05) for agitation associated with dementia due to Alzheimer's disease — first non-antipsychotic approved

  • 2026-01-05ReportedNMRA-511Topline datametNCT06546995

    NMRA-511 Phase 1b signal-seeking study in Alzheimer's disease agitation met its goal: clinically meaningful placebo-adjusted CMAI reductions (notably 7.6/5.6 points at weeks 6/8 in the elevated-anxiety subgroup), favorable safety, no somnolence/sedation.

  • 2025-04-08ReportedAXS-05 (dextromethorphan-bupropion)Topline datametNCT04947553

    Phase 3 AXS-05 AD-agitation program complete: ACCORD-2 relapse-prevention positive (HR 0.276, P=.001); ADVANCE-2 supportive but missed primary endpoint

  • TRANQUILITY II Phase 3 met its primary endpoint: 60 mcg sublingual dexmedetomidine cut PEC by 7.5 points at 2h vs 5.4 placebo (p=0.0112).

See the full catalyst calendar →

Compounds in development (4)

CompoundCompanyPhaseStatusMechanism
AXS-05 (dextromethorphan-bupropion)BTDPriority ReviewAxsome Therapeutics, Inc.ApprovedApprovedNMDA receptor Antagonist
Dexmedetomidine sublingual film (BXCL501)BTDFast TrackBioXcel Therapeutics, Inc.Phase 3Activealpha-2A adrenoceptor Agonist
ITI-1284 (deulumateperone)Johnson & JohnsonPhase 2Recruiting5-HT2A Antagonist
NMRA-511Neumora Therapeutics, Inc.Phase 1ActiveV1a receptor Antagonist

Trials recruiting now (1)

1 drug-interventional agitation in alzheimer's disease trial recruiting now, of 10 registered interventional trials. Browse all on ClinicalTrials.gov →

Frequently asked

How many drugs are in development for agitation in alzheimer's disease?
4 compounds from 4 companies are in active clinical development for agitation in alzheimer's disease, including 2 at Phase 3 or beyond.
Which agitation in alzheimer's disease drugs are in Phase 3?
Phase 3 (or later) programs for agitation in alzheimer's disease include AXS-05 (dextromethorphan-bupropion) and Dexmedetomidine sublingual film (BXCL501).
What are the next agitation in alzheimer's disease trial readouts?
Upcoming catalysts include NMRA-511 (2H 2026), NMRA-511 (Q1 2027), ITI-1284 (deulumateperone) (Q4 2027) and Dexmedetomidine sublingual film (BXCL501) (Date TBD).
How many clinical trials are recruiting for agitation in alzheimer's disease?
1 drug-interventional agitation in alzheimer's disease trial is currently recruiting participants, out of 10 registered interventional trials.