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Pimavanserin · Nuplazid

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Parkinson's Disease Psychosis

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

Also in development:Parkinson's Disease · Phase 3

How the evidence outlook works ↗

Competitive landscape

66 competitors in this universe: 1 direct rival (same mechanism and indication), 5 same-class, 60 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Pimavanserin (Nuplazid): this drugApprovedSmall moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist), 5-HT2A/2C receptor
LY03017Phase 1Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist), 5-HT2A/5-HT2C, 5-HT2A/2C receptor
ACP-204Phase 3Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist)
Anplag TabPhase 3Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist)
RoluperidonePhase 3Small moleculeSigma-2 receptor complex, Serotonin 5-HT2A receptor (antagonist / inverse agonist)
Sarpogrelate (Anplag)Phase 3Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist)
DeramciclanePhase 2/3Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist)
Amantadine ER (Gocovri / ADS-5102)ApprovedSmall moleculeNMDA receptor
Apomorphine (Apokyn)ApprovedSmall moleculedopamine
Apomorphine Sublingual Film (Kynmobi)ApprovedSmall moleculedopamine
Crexont (IPX203)ApprovedSmall moleculedopamine precursor
Entacapone (Comtess)ApprovedSmall moleculeCOMT
Foslevodopa / Foscarbidopa (Vyalev)ApprovedSmall moleculedopamine precursor
Inbrija (CVT-301)ApprovedSmall moleculedopamine precursor
Istradefylline (Nourianz)ApprovedSmall moleculeadenosine A2A
Levodopa-Carbidopa Intestinal Gel (Duopa)ApprovedSmall moleculedopamine precursor

…and 51 more. Research shows the complete landscape.

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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

(8 total)

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

2027 (6)
January 2027 (1)
Phase 2Intermittent Explosive DisorderRecruiting
Est. primary completion 2027-01 · NCT05895513 · CT.gov ↗
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June 2027 (2)
Phase 2Parkinson's DiseaseRecruiting
Est. primary completion 2027-06 · NCT06455293 · CT.gov ↗
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Phase 4Parkinson's DiseaseRecruiting
Est. primary completion 2027-06 · NCT05357612 · CT.gov ↗
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July 2027 (1)
Phase 2Post-traumatic Stress Disorder, InsomniaRecruiting
Est. primary completion 2027-07-12 · NCT05441280 · CT.gov ↗
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October 2027 (2)
Phase 4Parkinson's DiseaseRecruiting
Est. primary completion 2027-10-24 · NCT04373317 · CT.gov ↗
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Phase 2Autism Spectrum DisorderRecruiting
Est. primary completion 2027-10-31 · NCT05999240 · CT.gov ↗
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2028 (2)
March 2028 (1)
Phase 2Major Depressive DisorderRecruiting
Est. primary completion 2028-03-01 · NCT06592833 · CT.gov ↗
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June 2028 (1)
Phase 1/2Mood (Psychological Function), Well Being, Mood, HealthyRecruiting
Est. primary completion 2028-06 · NCT07610135 · 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 3 (13)
Phase 2/3 (2)
Phase 2 (18)
Phase 1/2 (1)
Phase 1 (3)
Phase 4 (6)
Early phase / not applicable (1)