ACADIA Pharmaceuticals Inc. ((ACAD)) has held its Q1 earnings call. Read on for the main highlights of the call.
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The recent earnings call of ACADIA Pharmaceuticals Inc. exuded a positive sentiment, highlighting significant revenue growth and accelerated pipeline progress. Despite facing challenges such as sequential sales decline and increased R&D expenses, the overall tone was optimistic, reflecting the company’s robust performance and strategic advancements.
Strong Revenue Growth
ACADIA Pharmaceuticals reported impressive revenue growth in the first quarter of 2025, with total revenues reaching $244.3 million, marking a 19% increase from the previous year. This substantial growth underscores the company’s successful strategies in expanding its market presence and product offerings.
DAYBUE Sales Increase
DAYBUE, one of ACADIA’s key products, achieved sales of $84.6 million in the first quarter, representing an 11% increase from the previous year. The product reached a milestone with 954 unique patients, setting an all-time record for the brand, which highlights its growing acceptance and demand in the market.
NUPLAZID Revenue Growth
NUPLAZID also demonstrated strong performance, with first-quarter sales of $159.7 million, up 23% from the prior year. The product experienced a 6% growth in volume, indicating its continued success and importance in ACADIA’s portfolio.
Accelerated Pipeline Progress
The company announced an accelerated timeline for the COMPASS PWS Phase 3 trial, with top-line results expected by early fourth quarter 2025. This acceleration reflects ACADIA’s commitment to advancing its pipeline and bringing innovative solutions to the market.
European Expansion Plans
ACADIA is preparing for the European launch of DAYBUE, with regulatory approval anticipated in the first quarter of 2026. This expansion is a strategic move to broaden the company’s international footprint and capitalize on new market opportunities.
Sequential Decline in DAYBUE Sales
Despite the overall positive performance, DAYBUE sales experienced a sequential decline from the previous quarter. This was attributed to factors such as a $3.5 million pull forward in Q4 and seasonality, which the company is addressing to stabilize future sales.
Increased R&D Expenses
Research and development expenses rose significantly to $78.3 million, up from $59.7 million in the prior year. This increase is due to heightened spending on clinical programs, reflecting ACADIA’s investment in future growth and innovation.
Discontinuation of Programs
ACADIA has decided to discontinue efforts for two programs in collaboration with Stokes Therapeutics due to the lack of a viable path forward. This decision allows the company to reallocate resources to more promising initiatives.
Forward-Looking Guidance
ACADIA Pharmaceuticals provided forward-looking guidance that underscores its strong financial performance and strategic initiatives. The company reiterated its full-year guidance for DAYBUE and NUPLAZID, projecting R&D expenses to rise to $330-350 million. The accelerated timeline for the COMPASS PWS Phase 3 study and plans for DAYBUE’s European launch highlight ACADIA’s commitment to expanding its commercial reach and advancing its pipeline.
In conclusion, ACADIA Pharmaceuticals’ earnings call reflected a positive outlook, driven by significant revenue growth and strategic advancements in its pipeline. Despite some challenges, the company’s commitment to innovation and expansion positions it well for future success.

