Autism spectrum disorder drug pipeline
- ICD-11 6A02
- MeSH D000067877
4 compounds from 4 companies are in active clinical development for autism spectrum disorder, including 2 at Phase 3 or beyond.
Mechanisms: Small molecule (2) · Natural product (1) · Psychedelic (1)
Pipeline data compiled October 2026 · every fact sourced.
Upcoming readouts & recent results
Initial Phase 2a data for DT402 in autism spectrum disorder anticipated in 2026 ↗
Anticipated topline of Study 602, the second pivotal Phase 3 of lumateperone for irritability associated with autism spectrum disorder (pediatric); primary endpoint ABC-Irritability at Week 6. ↗
Anticipated topline of Study 601, the first pivotal Phase 3 of lumateperone for irritability associated with autism spectrum disorder (pediatric); primary endpoint ABC-Irritability at Week 6. ↗
ClinicalTrials.gov estimated primary completion of the Phase 3 Beyond Harmony study of NTI164 in autism spectrum disorder: July 2029. ↗
HARMONY Phase II/III (54 children with Level II/III ASD, NTI164 up to 20 mg/kg/day vs placebo for 8 weeks) published: statistically significant improvements over placebo in overall clinical severity, adaptive functioning, social responsiveness and affective symptoms, with a favourable safety profile. ↗
aV1ation Phase 2 (339 children and adolescents 5-17 with ASD, 24 weeks): no difference vs placebo on Vineland-II 2DC (LS-mean difference -0.16; 90% CI -2.56 to 2.23; P=.91) or any secondary endpoint. ↗
V1aduct Phase 3 (322 autistic adults, balovaptan 10 mg vs placebo, 24 weeks): terminated for futility; no improvement on Vineland-II 2DC (interim LS-mean change 2.91 vs 4.75 placebo; difference -1.84, 95% CI -5.15 to 1.48). ↗
VANILLA Phase 2 (223 adult men with ASD, 12 weeks): no separation from placebo on the primary endpoint (SRS-2); dose-dependent improvements on the secondary Vineland-II composite at 4 mg and 10 mg. ↗
Compounds in development (4)
| Compound | Company | Phase | Status | Mechanism |
|---|---|---|---|---|
| Lumateperone (ITI-007) | Johnson & Johnson | Phase 3 | Recruiting | 5-HT2A Antagonist |
| NTI164 | Neurotech International Limited | Phase 3 | Recruiting | Natural product |
| DT402 | Definium Therapeutics, Inc. | Phase 2 | Recruiting | SERT Releaser |
| BalovaptanFDA Breakthrough Therapy (Autism Spectrum Disorder; Granted 2018-01-29) | F. Hoffmann-La Roche Ltd | Discontinued | Discontinued | V1A receptor Antagonist |
Trials recruiting now (56)
56 drug-interventional autism spectrum disorder trials recruiting now, of 420 registered interventional trials. Browse all on ClinicalTrials.gov →
buspirone, Placebo
Adderall XR (mixed salts amphetamine), Placebo
Randomization to either Amphetamine (AMP) class of stimulant medication or Methylphenidate (MPH) class of stimulant medication, Randomization to either Alpha 2 agonist class of medication or alternate class of stimulant.
NTI164, Placebo
KarXT, KarX-EC, KarXT + KarX-EC Matching Placebo
- Phase 3A Study of KarXT + KarX-EC for Treatment of Irritability in Children and Adolescents With Autism
KarXT, KarX-EC, KarXT + KarX-EC Matching Placebo
KarXT
Arbaclofen
Lumateperone high dose, Lumateperone low dose, Placebo
Lumateperone high dose, Lumateperone low dose, Placebo
Lumateperone
Bumetanide, Placebo
Showing the 12 most advanced of 56 recruiting drug trials · see all on ClinicalTrials.gov →
Frequently asked
- How many drugs are in development for autism spectrum disorder?
- 4 compounds from 4 companies are in active clinical development for autism spectrum disorder, including 2 at Phase 3 or beyond.
- Which autism spectrum disorder drugs are in Phase 3?
- Phase 3 (or later) programs for autism spectrum disorder include Lumateperone (ITI-007) and NTI164.
- What are the next autism spectrum disorder trial readouts?
- Upcoming catalysts include DT402 (2026), Lumateperone (ITI-007) (1H 2027), Lumateperone (ITI-007) (1H 2027) and NTI164 (July 2029).
- How many clinical trials are recruiting for autism spectrum disorder?
- 56 drug-interventional autism spectrum disorder trials are currently recruiting participants, out of 420 registered interventional trials.