Asset profile

Zervimesine

Small molecule

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Partialdesign only

Evidence outlook · results not reported

NCT03507790 · Mild to Moderate Alzheimer's Disease

The lead study's design has limits that temper confidence (see the rationale below), and its results have not been reported. This tier describes the design, not an outcome.

NCT03507790: The study was randomized, quadruple-blind, placebo-controlled, and included 153 randomized participants across two active-treatment groups and placebo. Its posted primary outcomes were safety measures rather than a clinical efficacy endpoint, and the registry does not state whether the primary comparisons were statistically significant, so the findings support a moderate evidence rating rather than a strong one.

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Competitive landscape

61 competitors in this universe: 0 direct rivals (same mechanism and indication), 1 same-class, 60 same-indication; 32 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Zervimesine: this drugPhase 2Small moleculeSigma-2 receptor complex
RoluperidonePhase 3Small moleculeSigma-2 receptor complex, Serotonin 5-HT2A receptor (antagonist / inverse agonist)
Benzgalantamine (Zunveyl)ApprovedSmall moleculeAcetylcholinesterase/nicotinic receptor (prodrug)
Brexpiprazole (Rexulti)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA
Donanemab (Kisunla)ApprovedMonoclonal antibodyAmyloid-beta (monoclonal antibody)
Lecanemab (Leqembi)ApprovedMonoclonal antibodyAmyloid-beta (monoclonal antibody)
Xanomeline / Trospium Chloride (Cobenfy)ApprovedSmall moleculeMuscarinic M1/M4 receptor (agonist/antagonist combination)
ACP-204Phase 3Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist)
AR1001Phase 3Small moleculePDE5
BezisterimPhase 3Small moleculeERK/NF-kB inflammatory
BlarcamesinePhase 3Small moleculeSigma-1 receptor / muscarinic receptor (dual)
BuntanetapPhase 3Small moleculeAPP/tau/alpha-synuclein/TDP-43 (translation)
CerebrolysinPhase 3PeptideMulti-target (ginsenoside)
GV1001Phase 3PeptideTelomerase (hTERT)
Hydromethylthionine MesylatePhase 3Small moleculeTau aggregation; Acetylcholine

…and 46 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

(1 total)

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

2027 (1)
May 2027 (1)
Phase 2Alzheimer's DiseaseActive not recruiting
Est. primary completion 2027-05-31 · NCT05531656 · CT.gov ↗
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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 (5)
Phase 1/2 (2)
Phase 1 (5)