Asset profile

Emraclidine

Small molecule

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Negativelead readout

Evidence outlook · lead readout

NCT05227703 · Schizophrenia

The lead readout missed its primary endpoint. The grade and rationale below record what the trial was designed to show and what it found.

NCT05227703: Participants were randomly assigned to emraclidine 15 mg, emraclidine 30 mg, or matching placebo and were double-blinded, with 130–131 participants per group. The primary clinical endpoint was not met: the Week 6 PANSS comparison was nonsignificant for both 15 mg versus placebo (p=0.2925) and 30 mg versus placebo (p=0.3914).

Also in development:Alzheimer's Disease · Phase 1

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Competitive landscape

120 competitors in this universe: 2 direct rivals (same mechanism and indication), 0 same-class, 118 same-indication; 78 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Emraclidine: this drugPhase 2Small moleculeMuscarinic M4 receptor
NBI-1117568Phase 3Small moleculeMuscarinic M4 receptor
NTX-253Phase 1Small moleculeMuscarinic M4 receptor
Aripiprazole (Abilify Maintena)ApprovedSmall moleculeDopamine D2 and serotonin 5-HT1A receptors (partial agonist), Dopamine D2/D3 and serotonin 5-HT1A receptor, Dopamine D2 receptor (partial agonist)
Aripiprazole (Abilify MyCite)ApprovedCombinationDopamine D2 and serotonin 5-HT1A receptors (partial agonist); serotonin 5-HT2A receptor (antagonist)
Aripiprazole (Abilify)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole Lauroxil (Aristada Initio)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole Lauroxil (Aristada)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
AsenapineApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)
Benzgalantamine (Zunveyl)ApprovedSmall moleculeAcetylcholinesterase/nicotinic receptor (prodrug)
Brexpiprazole (Rexulti)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Cariprazine (Vraylar)ApprovedSmall moleculeDopamine D3/D2 receptor (partial agonist)
ClozapineApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)
Dexmedetomidine (Igalmi)Approved——
Dexmedetomidine (Igalmi)ApprovedSmall moleculeAlpha-2 adrenergic receptor (agonist)
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA

…and 105 more. Research shows the complete landscape.

Research

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(2 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (1)
December 2026 (1)
Phase 1Healthy VolunteerRecruiting
Est. primary completion 2026-12 · NCT07219030 · CT.gov ↗
What to watch
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2028 (1)
February 2028 (1)
Phase 2SchizophreniaRecruiting
Est. primary completion 2028-02 · NCT07145918 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 2 (4)
Phase 1 (15)