ACADIA Pharmaceuticals
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ACADIA Pharmaceuticals (ACAD) investor relations material

ACADIA Pharmaceuticals Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary6 May, 2026

Executive summary

  • Q1 2026 revenue reached $268.1 million, up 11% year-over-year, driven by strong growth in DAYBUE and NUPLAZID sales.

  • DAYBUE net sales were $101.2 million, up 20% year-over-year, with the highest growth since Q3 2024 and strong uptake of DAYBUE STIX.

  • NUPLAZID net sales were $167 million, up 6% year-over-year on an adjusted basis, with normalized refill dynamics and strong referral growth.

  • Net income for Q1 2026 was $3.6 million, down from $19 million in Q1 2025, primarily due to higher SG&A expenses.

  • Cash and investments totaled $851.5 million at quarter end, providing strong liquidity.

Financial highlights

  • Total Q1 2026 revenue: $268.1 million, up 11% year-over-year.

  • DAYBUE net sales: $101.2 million (up 20% YoY); NUPLAZID net sales: $166.9 million (up 6% YoY, non-GAAP adjusted).

  • R&D expenses: $76.9 million, nearly flat year-over-year.

  • SG&A expenses: $171 million, up from $126.4 million in Q1 2025, reflecting increased commercial investment.

  • Diluted EPS: $0.02, compared to $0.11 in Q1 2025.

Outlook and guidance

  • Reaffirmed full-year 2026 total revenue guidance: $1.22–$1.28 billion.

  • NUPLAZID net sales expected at $760–$790 million; DAYBUE net sales at $460–$490 million.

  • R&D expense guidance: $385–$410 million; SG&A expense guidance: $660–$700 million.

  • Anticipated topline results for remlifanserin (Alzheimer’s Disease Psychosis) in August–October 2026 and trofinetide (Japan Phase 3) in September–November 2026.

  • Revenue expected to be back-end loaded, with greater sales in H2 2026 due to expanded field force and broader DAYBUE STIX adoption.

Impact of DAYBUE STIX on patient retention
Remlifanserin advantages over pimavanserin
Sales force expansion impact on NUPLAZID growth
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Bank of America Global Healthcare Conference 202612 May, 2026
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