Clinical Trials

Pimavanserin tartrate has been evaluated in numerous clinical trials across all development stages, from Early Phase 1 through Phase 4. Sponsored by industry, academic, and government entities, these studies assess therapeutic utility in neuropsychiatric conditions, including Parkinson's disease psychosis, schizophrenia, Alzheimer's disease psychosis, and irritability associated with autism spectrum disorder. The trials encompass various recruitment statuses, incorporating active, completed, and expanded access protocols.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07610135 RECRUITING
Mood (Psychological Function); Well Being; Mood; Healthy
Johns Hopkins University
2026-09-30 PHASE1; PHASE2
NCT06592833 RECRUITING
Major Depressive Disorder
Icahn School of Medicine at Mount Sinai
2025-02-25 PHASE2
NCT05999240 RECRUITING
Autism Spectrum Disorder
New York State Psychiatric Institute
2025-10-01 PHASE2
NCT04373317 RECRUITING
Parkinson's Disease Psychosis
VA Office of Research and Development
2022-10-24 PHASE4
NCT05441280 RECRUITING
Post-traumatic Stress Disorder; Insomnia
VA Office of Research and Development
2023-12-28 PHASE2
NCT05357612 RECRUITING
Neurodegenerative Diseases; Parkinson Disease; Parkinson Disease Psychosis
Vanderbilt University Medical Center
2023-01-23 PHASE4
NCT06455293 RECRUITING
Parkinson Disease; Depression
Joshua Woolley, MD, PhD
2024-08-19 PHASE2
NCT05895513 RECRUITING
Intermittent Explosive Disorder
Ohio State University
2024-08-01 PHASE2
NCT05590637 RECRUITING
Parkinson's Disease Psychosis; Dementia With Lewy Bodies
The University of Texas Health Science Center at San Antonio
2022-04-22 PHASE4
NCT07022366 RECRUITING
Healthy
University of Oxford
2025-02-10
NCT06068465 COMPLETED
Parkinson's Disease Psychosis
Tasly Pharmaceutical Group Co., Ltd
2024-09-27 PHASE3
NCT05555615 TERMINATED
Irritability Associated With Autism Spectrum Disorder
ACADIA Pharmaceuticals Inc.
2022-11-02 PHASE2; PHASE3
NCT03994965 WITHDRAWN
Schizophrenia; Psychosis
Bjorn H. Ebdrup
2024-12-01 PHASE2
NCT05523895 COMPLETED
Irritability Associated With Autism Spectrum Disorder
ACADIA Pharmaceuticals Inc.
2022-08-09 PHASE2; PHASE3
NCT05796167 WITHDRAWN
Parkinson Disease
State University of New York - Downstate Medical Center
2023-01-27 EARLY_PHASE1
NCT03121586 TERMINATED
Schizophrenia
ACADIA Pharmaceuticals Inc.
2017-01 PHASE3
NCT03947216 COMPLETED
Parkinson Disease
University Hospital, Strasbourg, France
2020-10-23 PHASE2
NCT05796167 Recruiting
Parkinson Disease
State University of New York - Downstate Medical Center|ACADIA Pharmaceuticals Inc.
2024-04-04 Early Phase 1
NCT04531982 COMPLETED
Schizophrenia
ACADIA Pharmaceuticals Inc.
2020-08-05 PHASE3
NCT06450184 COMPLETED
Parkinson Disease Psychosis
Humanis Saglık Anonim Sirketi
2024-01-11 PHASE1
NCT04809116 WITHDRAWN
Insomnia Chronic; Posttraumatic Stress Disorder
Baylor College of Medicine
2022-12-15 PHASE4
NCT03623321 COMPLETED
Neuropsychiatric Symptoms Related to Neurodegenerative Disease
ACADIA Pharmaceuticals Inc.
2018-07-17 PHASE3
NCT05555615 Recruiting
Irritability Associated With Autism Spectrum Disorder
ACADIA Pharmaceuticals Inc.
2022-11-02 Phase 2|Phase 3
NCT03575052 COMPLETED
Neuropsychiatric Symptoms Related to Neurodegenerative Disease
ACADIA Pharmaceuticals Inc.
2018-05-21 PHASE3
NCT04292223 COMPLETED
Parkinson Disease Psychosis
ACADIA Pharmaceuticals Inc.
2020-02-10 PHASE4
NCT04188392 COMPLETED
Post-traumatic Stress Disorder; Insomnia
Baylor College of Medicine
2020-01-06 PHASE4
NCT04794413 COMPLETED
Tourette Syndrome; Tardive Dyskinesia
Joseph Jankovic
2018-11-12 EARLY_PHASE1
NCT04000009 TERMINATED
Adjunctive Treatment of Major Depressive Disorder
ACADIA Pharmaceuticals Inc.
2019-06-06 PHASE3
NCT04164758 TERMINATED
Parkinson's Disease
ACADIA Pharmaceuticals Inc.
2019-10-23 PHASE2
NCT03968159 COMPLETED
Adjunctive Treatment of Major Depressive Disorder
ACADIA Pharmaceuticals Inc.
2019-04-25 PHASE3
NCT02970305 COMPLETED
Schizophrenia
ACADIA Pharmaceuticals Inc.
2016-11-04 PHASE2
NCT03325556 COMPLETED
Dementia-related Psychosis
ACADIA Pharmaceuticals Inc.
2017-09-27 PHASE3
NCT03482882 COMPLETED
Treatment of Depression in Adults With Parkinson's Disease (PD)
ACADIA Pharmaceuticals Inc.
2018-03-09 PHASE2
NCT02970292 COMPLETED
Schizophrenia
ACADIA Pharmaceuticals Inc.
2016-10-26 PHASE3
NCT03118947 COMPLETED
Agitation and Aggression in Alzheimer's Disease
ACADIA Pharmaceuticals Inc.
2017-02-23 PHASE2
NCT04794413 Completed
Tourette Syndrome|Tardive Dyskinesia
Joseph Jankovic|Andrew Billnitzer MD|Baylor College of Medicine
2018-11-12 Early Phase 1
NCT03018340 COMPLETED
Adjunctive Treatment of Major Depressive Disorder
ACADIA Pharmaceuticals Inc.
2016-12 PHASE2
NCT00550238 COMPLETED
Parkinson's Disease Psychosis
ACADIA Pharmaceuticals Inc.
2007-07 PHASE3
NCT02992132 TERMINATED
Agitation and Aggression in Alzheimer's Disease
ACADIA Pharmaceuticals Inc.
2016-11 PHASE2
NCT03121586 Active not recruiting
Schizophrenia
ACADIA Pharmaceuticals Inc.
2017-01 Phase 3
NCT02035553 COMPLETED
Alzheimer's Disease Psychosis
ACADIA Pharmaceuticals Inc.
2013-11 PHASE2
NCT01518309 COMPLETED
Parkinson's Disease Psychosis
ACADIA Pharmaceuticals Inc.
2004-11-17 PHASE2
NCT01174004 COMPLETED
Parkinson's Disease Psychosis
ACADIA Pharmaceuticals Inc.
2010-07 PHASE3
NCT00658567 COMPLETED
Parkinson's Disease Psychosis
ACADIA Pharmaceuticals Inc.
2008-03 PHASE3
NCT00477672 COMPLETED
Parkinson's Disease Psychosis
ACADIA Pharmaceuticals Inc.
2007-06 PHASE3
NCT00087542 Completed
Hallucinations|Psychoses|Parkinson''s Disease
ACADIA Pharmaceuticals Inc.
2004-03 Phase 2

(data from https://clinicaltrials.gov, updated on 2026-08-31)

Check the Pimavanserin tartrate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Pimavanserin tartrate functions as a potent and selective serotonin 5-HT2A receptor inverse agonist with a pIC50 of 8.73, stabilizing the receptor in an inactive conformation to suppress downstream constitutive receptor signaling. By selectively dampening hyperactive serotonergic signal transduction without interfering with dopaminergic pathways, it attenuates central nervous system hyperactivity, providing clinical efficacy in reducing hallucinations and delusions associated with Parkinson's disease psychosis and related neurodegenerative disorders.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.