Acadia Pharmaceuticals Upgraded to Buy After 25% Pullback, Maintains $29 Target

ACADACAD

Bank of America upgraded Acadia Pharmaceuticals to Buy from Neutral after a 25% year-to-date pullback and maintained a $29 price target. They estimate Nuplazid peak sales of $888 million by 2029 and expect a Phase 2 Alzheimer’s psychosis readout by October targeting $2.1 billion in peak sales.

1. Bank of America Upgrade

Bank of America moved Acadia Pharmaceuticals from Neutral to Buy after the stock fell approximately 25% year-to-date, arguing the decline reflects macro factors rather than fundamental issues. The firm left its price objective at $29 per share.

2. Nuplazid Provides Valuation Floor

Analysts highlight Nuplazid’s stable Parkinson’s disease psychosis sales as a downside protector, projecting $888 million in peak revenue by 2029 and noting intellectual property protection through 2038. Acadia has also expanded its Nuplazid commercial team by about 30%, with management anticipating sales benefits in the second half of the year.

3. Pipeline Upside with Remlifanserin

Beyond Nuplazid, the $11 billion pipeline opportunity is viewed as underappreciated, with particular focus on remlifanserin for Alzheimer’s and Lewy body dementia psychosis. A Phase 2 readout in Alzheimer’s disease psychosis is expected between August and October, and the program is modeled to reach $2.1 billion in peak sales.

4. Key Risks

Potential headwinds include slower-than-expected Nuplazid growth, negative clinical or regulatory outcomes for pipeline candidates that could shift valuation reliance back to Nuplazid, and continued stagnation in Daybue sales for Rett syndrome.

Sources

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