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Biotechnology: Biological Products (No Diagnostic Substances)
USFDAJun 24, 2026, 07:41 AM

Cognition Therapeutics Aligns with FDA on Zervimesine Pivotal Study

AI Summary

Cognition Therapeutics announced it received written feedback from the U.S. Food and Drug Administration (FDA) following a recent meeting. The FDA agreed that psychosis associated with dementia with Lewy bodies (DLB) could be an approvable outcome and aligned with the company on key aspects of a pivotal trial for Zervimesine (CT1812). The registrational program is expected to commence in mid-2027, with the company developing the Neuropsychiatric Inventory (NPI) as a novel primary endpoint for DLB psychosis.

Key Highlights

  • FDA agreed that DLB psychosis could be an approvable outcome.
  • FDA aligned with Cognition Therapeutics on key aspects of a pivotal trial for Zervimesine (CT1812).
  • Registrational program for Zervimesine in DLB psychosis is expected to begin in mid-2027.
  • Phase 3 study will enroll DLB patients with psychosis symptoms, including those on off-label antipsychotics.
  • Company will work with FDA on using the Neuropsychiatric Inventory (NPI) as a novel primary endpoint.
  • Zervimesine slowed progression of hallucinations and delusions by 89% in the Phase 2 SHIMMER trial.