ACADIA Pharmaceuticals Inc. ((ACAD)) has held its Q3 earnings call. Read on for the main highlights of the call.
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ACADIA Pharmaceuticals Inc. recently conducted its third-quarter 2025 earnings call, revealing a strong performance characterized by robust revenue growth and strategic investments. The company reported significant sales increases for its key products, DAYBUE and NUPLAZID, while also advancing its pipeline. However, challenges such as DAYBUE’s market penetration and increased R&D expenses were also highlighted.
Strong Revenue Growth
ACADIA Pharmaceuticals reported total revenues of $278.6 million for Q3 2025, marking an 11% increase year-over-year. The growth was primarily driven by significant sales of DAYBUE and NUPLAZID, showcasing the company’s successful market strategies.
DAYBUE Sales Milestone
DAYBUE achieved a notable milestone with net sales of $101.1 million in Q3, representing the highest revenue and total prescription volume since its launch. This achievement underscores the product’s growing acceptance and market presence.
NUPLAZID Record Performance
NUPLAZID delivered a record performance with net sales of $177.5 million in Q3, reflecting a 12% year-over-year growth and a 9% increase in volume. This performance highlights the product’s strong market position and demand.
Pipeline Advancements
The company made significant pipeline advancements, initiating a Phase II study for ACP-204 in Lewy body dementia psychosis and a Phase III study of trofinetide in Japan. Additional studies are planned for the coming years, indicating a robust pipeline strategy.
Cash Position
ACADIA ended the quarter with a strong cash position of $847 million, up from $762 million at the end of the second quarter. This increase provides the company with financial flexibility to support its strategic initiatives.
DAYBUE Market Penetration Challenges
Despite its sales success, DAYBUE faces market penetration challenges, with overall penetration at about 40% in the U.S. and only 27% in the community setting. Addressing these challenges remains a priority for the company.
Disappointment in Canada
ACADIA encountered a setback in Canada with a disappointing reimbursement decision for DAYBUE, which could impact its market expansion efforts in the region.
R&D Expense Increase
R&D expenses rose to $87.8 million in Q3 2025, up from $66.6 million in the same period in 2024. The increase was driven by higher clinical trial and personnel expenses, reflecting the company’s commitment to advancing its pipeline.
Forward-Looking Guidance
ACADIA Pharmaceuticals provided forward-looking guidance, adjusting its 2025 expectations with NUPLAZID’s net sales projected at $685-$695 million and DAYBUE’s at $385-$400 million. The company plans to expand its customer-facing team by 30% in 2026 and aims for over $1 billion in total revenues by year-end, with sustained growth into 2026.
In summary, ACADIA Pharmaceuticals’ earnings call reflected a positive sentiment with strong revenue growth and strategic investments. While challenges such as DAYBUE’s market penetration and increased R&D expenses were noted, the company’s robust pipeline and forward-looking guidance indicate a promising future.

