Head-to-head evidence

ACI-35.030 vs BMS-986446

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Alzheimer's Disease

Shared mechanism: Tau (monoclonal antibody) · full Alzheimer's Disease pipeline

ACI-35.030

Developed by AC Immune and partners

Phase 1/2 in Alzheimer's DiseaseBiologic (active vaccine)
Partial signal

NCT04445831 · Phase 1/2 · completed

This was a randomized, quadruple-blinded, placebo-controlled study, which is a strong design foundation, but the enrollment was very small (57 participants split across seven arms, several with only 4-6 subjects), and the primary endpoints were safety/tolerability counts and antibody-titer levels rather than a hard clinical or cognitive outcome - cognitive and functional scales (CDR-SB, RBANS, NPI) were only exploratory and their results were not even posted. Because the primary comparisons here are immunogenicity/safety readouts rather than a statistically tested clinical efficacy endpoint, this evidence is real but limited.

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BMS-986446

Developed by Bristol-Myers Squibb

Phase 2 in Alzheimer's Diseasemonoclonal antibody
not yet graded

No graded featured trial for this indication yet; the grade above reflects that absence, not a judgment.

Next expected readout: March 2027 · NCT06268886 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: ACI-35.030's landscape · BMS-986446's landscape