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Axsome Therapeutics Acquires Selective PDE10A Inhibitor Balipodect for the Treatment of Schizophrenia and Other Neuropsychiatric Conditions

(Moderate)
(Positive)

Axsome Therapeutics (NASDAQ: AXSM) acquired exclusive global rights to balipodect (TAK-063), a selective PDE10A inhibitor aimed at schizophrenia and Tourette syndrome.

Balipodect completed a 164-patient Phase 2 proof-of-concept in schizophrenia and has been studied in over 360 individuals; Axsome plans Phase 3 trial-enabling activities in 2026. Takeda received an upfront payment plus potential milestone and royalty payments.

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Positive

  • Exclusive global rights to balipodect secured
  • 164-patient Phase 2 proof-of-concept completed
  • Clinical exposure in 360+ individuals showing favorable tolerability
  • Plans to start Phase 3 enabling activities in 2026

Negative

  • Acquisition includes upfront payment and milestone obligations
  • Efficacy details from Phase 2 are not quantified publicly

News Market Reaction – AXSM

+1.63%
+1.63% Session close to close

In the Apr 1 session, AXSM gained 1.63%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement adds balipodect, a selective PDE10A inhibitor, to Axsome’s CNS pipeline, targeting...
Analysis

This announcement adds balipodect, a selective PDE10A inhibitor, to Axsome’s CNS pipeline, targeting schizophrenia and Tourette syndrome with Phase 3-enabling work planned for 2026. The asset already has a 164-patient proof-of-concept Phase 2 trial and safety data in over 360 individuals. Historically, at least one similar acquisition produced a positive 2.74% move. Investors may focus on trial design, regulatory interactions, and how this fits alongside existing neurology and psychiatry programs.

Key Figures

Phase 2 sample size: 164 patients Clinical exposure: Over 360 individuals Planned Phase 3 timing: 2026
3 metrics
Phase 2 sample size 164 patients Proof-of-concept Phase 2 trial in schizophrenia for balipodect
Clinical exposure Over 360 individuals Balipodect safety and tolerability across clinical studies to date
Planned Phase 3 timing 2026 Phase 3 trial-enabling activities for schizophrenia indication

Previous Acquisition Reports

1 past event · Latest: Nov 06 (Positive)
Same Type Pattern 1 events
Date Event Sentiment 24h Move Catalyst
Nov 06 Asset acquisition Positive +2.7% Acquired AZD7325 epilepsy asset with favorable Phase 1 safety data.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Prior acquisition news for AXSM saw a positive price reaction of 2.74%, suggesting the market has historically welcomed pipeline-expanding deals.

Recent Company History

Over recent months, Axsome has highlighted multiple growth and pipeline initiatives alongside active corporate development. A notable prior acquisition on Nov 6, 2025 added AZD7325 for epilepsy and produced a 2.74% gain. Today’s balipodect acquisition similarly expands the CNS portfolio, this time into schizophrenia and Tourette syndrome, continuing a strategy of in-licensing late-stage or de‑risked assets to broaden its neuropsychiatric pipeline.

Key Terms

phosphodiesterase 10A, PDE10A, schizophrenia, Tourette syndrome, +4 more
8 terms
phosphodiesterase 10A medical
"balipodect, a potentially first-in-class selective phosphodiesterase 10A inhibitor"
Phosphodiesterase 10A (PDE10A) is an enzyme in the brain that controls levels of small messenger molecules involved in nerve-cell communication, like a faucet that turns down certain chemical signals. It matters to investors because drugs or imaging tests that target PDE10A can change brain function or serve as biomarkers for neurological and psychiatric conditions, so successful therapies or diagnostics can create significant commercial value while failures carry clear development risk.
PDE10A medical
"selective phosphodiesterase 10A (PDE10A) inhibitor from Takeda"
PDE10A is an enzyme in the brain that helps control how nerve cells send and receive chemical signals; think of it as a volume knob that dials down certain signaling pathways. It matters to investors because medicines or imaging tools that target PDE10A can change symptoms or diagnose brain disorders, making it a potential drug-development and diagnostic opportunity with implications for clinical trial progress, regulatory decisions, and market value.
schizophrenia medical
"develop the selective inhibitor for the treatment of schizophrenia and Tourette syndrome"
A chronic brain disorder that changes how a person thinks, perceives reality, feels and interacts with others, often causing hallucinations, false beliefs and trouble organizing thoughts or daily life. It matters to investors because the condition creates demand for long‑term treatments, diagnostics and support services; developing effective therapies can be costly, risky and highly regulated, but successful drugs or devices can open large, steady markets—think of it like fixing a deep, complex software bug that many users rely on.
Tourette syndrome medical
"develop the selective inhibitor for the treatment of schizophrenia and Tourette syndrome"
Tourette syndrome is a neurological condition that causes repeated, involuntary movements or sounds known as tics, which typically begin in childhood and vary widely in severity. Investors pay attention because it creates a defined need for medical treatments, therapies, and support services—similar to how recurring software bugs create demand for updates—affecting market size, regulatory scrutiny, clinical trial opportunities and potential workforce or cost implications for healthcare and education sectors.
central nervous system (CNS) medical
"treatment of central nervous system (CNS) disorders"
The central nervous system (CNS) is the part of the body that includes the brain and spinal cord, acting as the control center for processing information and directing actions. It is essential for coordinating all bodily functions, from movement to thinking. For investors, understanding the CNS is important because it illustrates how complex systems—like markets or organizations—rely on core components to operate smoothly.
Phase 3 medical
"plans to begin Phase 3 trial-enabling activities for the schizophrenia indication in 2026"
Phase 3 is the late-stage clinical testing step for a new drug or medical treatment, where the product is given to large groups of patients to confirm effectiveness, monitor side effects, and compare it to standard care. Successful Phase 3 results are often the final scientific hurdle before regulators decide on approval and market launch—like passing a final exam before graduation—and can sharply change a company's valuation and future revenue prospects.
Phase 2 medical
"completed a 164-patient proof-of-concept Phase 2 trial in schizophrenia"
Phase 2 is the mid-stage clinical trial where a new drug or treatment is tested in a larger group of patients to see if it works and to keep checking safety after initial human testing. Think of it as a field test that proves whether a product actually delivers its promised benefit. Investors watch Phase 2 closely because its results strongly influence a medicine’s chances of reaching the market, the size of its potential sales, and the company’s valuation.
proof-of-concept medical
"completed a 164-patient proof-of-concept Phase 2 trial in schizophrenia"
A proof-of-concept is a demonstration that shows a new idea or method can work as intended, serving as a small-scale test before full development. For investors, it signals that a concept has been successfully tested in principle, reducing uncertainty about whether it can be practically implemented. This helps determine if further investment or effort is justified to develop the idea further.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Axsome obtains exclusive global rights to balipodect, a potentially first-in-class selective phosphodiesterase 10A inhibitor

Acquisition further expands Axsome’s industry-leading CNS portfolio with a novel mechanism for neuropsychiatric conditions

NEW YORK, April 01, 2026 (GLOBE NEWSWIRE) -- Axsome Therapeutics, Inc. (NASDAQ: AXSM), a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) disorders, today announced that it has entered into an asset purchase agreement to obtain exclusive global rights to TAK-063 (balipodect), a novel, oral, potent, and selective phosphodiesterase 10A (PDE10A) inhibitor from Takeda. Axsome intends to develop the selective inhibitor for the treatment of schizophrenia and Tourette syndrome, and plans to begin Phase 3 trial-enabling activities for the schizophrenia indication in 2026.

“We are pleased to add balipodect, a selective PDE10A inhibitor, to our industry-leading neuroscience pipeline. We believe that its new and potentially first-in-class mechanism of action is relevant to multiple neuropsychiatric conditions, and we are well positioned to advance its development initially in schizophrenia and Tourette syndrome,” said Herriot Tabuteau, MD, Chief Executive Officer of Axsome. “This novel molecule complements and enhances our innovative pipeline as we continue to develop and deliver differentiated treatment options to improve the brain health of millions of individuals.”

Balipodect has completed a 164-patient proof-of-concept Phase 2 trial in schizophrenia. The selective PDE10A inhibitor has demonstrated a favorable safety and tolerability profile in clinical studies in over 360 individuals to date.

Under the terms of the agreement, Axsome obtained worldwide commercial, development, and manufacturing rights to balipodect. Takeda received an upfront payment and is eligible to receive additional payments related to development, regulatory, and commercial milestones for the first two indications, as well as royalties related to potential global net sales.

About Schizophrenia

Schizophrenia is a debilitating chronic neuropsychiatric condition characterized by three main symptom domains, including positive (e.g., hallucinations, delusions, disorganized thinking and speech), negative (e.g., loss of motivation, social withdrawal, diminished emotional expression, decreased ability to feel pleasure), and cognitive (e.g., impaired attention and concentration, memory deficits).1,2 It is part of a broader spectrum of related psychotic disorders that impact approximately 3.7 million people in the United States, and is one of the leading causes of disability worldwide.3,4 Schizophrenia is associated with significantly impaired daily functioning, markedly reduced life expectancy, and substantial social and economic burden.5,6

About Balipodect

Balipodect is a potent selective inhibitor of phosphodiesterase 10A (PDE10A), an enzyme selectively expressed in medium spiny neurons of the striatum.7 Inhibition of PDE10A is a new mechanism of action and potential therapeutic target for several neuropsychiatric conditions including schizophrenia and Tourette syndrome. The selective inhibitor regulates levels of cAMP and cGMP downstream of dopamine D1 and D2 receptor signaling in the medium spiny neurons of the striatum. In preclinical and clinical studies to date, balipodect did not increase glucose or prolactin levels, and this lack of metabolic effects may be due in part to the selective, striatal expression of PDE10A and the activity of balipodect downstream of the dopamine receptor in D1- and D2-receptor-expressing neurons.7-10

About Axsome Therapeutics

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X.

Forward Looking Statements

Certain matters discussed in this press release are “forward-looking statements”. The Company may, in some cases, use terms such as “predicts,” “believes,” “potential,” “continue,” “estimates,” “anticipates,” “expects,” “plans,” “intends,” “may,” “could,” “might,” “will,” “should” or other words that convey uncertainty of future events or outcomes to identify these forward-looking statements. In particular, the Company’s statements regarding trends and potential future results are examples of such forward-looking statements. The forward-looking statements include risks and uncertainties, including, but not limited to, the commercial success of the Company’s SUNOSI®, AUVELITY®, and SYMBRAVO® products and the success of the Company’s efforts to obtain any additional indication(s) with respect to solriamfetol and/or AXS-05; the Company’s ability to maintain and expand payer coverage; the success, timing and cost of the Company’s ongoing clinical trials and anticipated clinical trials for the Company’s current product candidates, including statements regarding the timing of initiation, pace of enrollment and completion of the trials (including the Company’s ability to fully fund the Company’s disclosed clinical trials, which assumes no material changes to the Company’s currently projected revenues or expenses), futility analyses and receipt of interim results, which are not necessarily indicative of the final results of the Company’s ongoing clinical trials, and/or data readouts, and the number or type of studies or nature of results necessary to support the filing of a new drug application (“NDA”) for any of the Company’s current product candidates; the Company’s ability to fund additional clinical trials to continue the advancement of the Company’s product candidates; the timing of and the Company’s ability to obtain and maintain U.S. Food and Drug Administration (“FDA”) or other regulatory authority approval of, or other action with respect to, the Company’s product candidates, including statements regarding the timing of any NDA submission; the Company’s ability to successfully defend its intellectual property or obtain the necessary licenses at a cost acceptable to the Company, if at all; the Company’s ability to successfully resolve any intellectual property litigation, and even if such disputes are settled, whether the applicable federal agencies will approve of such settlements; the successful implementation of the Company’s research and development programs and collaborations; the success of the Company’s license agreements; the acceptance by the market of the Company’s products and product candidates, if approved; the Company’s anticipated capital requirements, including the amount of capital required for the commercialization of SUNOSI, AUVELITY, and SYMBRAVO and for the Company’s commercial launch of its other product candidates, if approved, and the potential impact on the Company’s anticipated cash runway; the Company’s ability to convert sales to recognized revenue and maintain a favorable gross to net sales; unforeseen circumstances or other disruptions to normal business operations arising from or related to domestic political climate, geo-political conflicts or a global pandemic and other factors, including general economic conditions and regulatory developments, not within the Company’s control. The factors discussed herein could cause actual results and developments to be materially different from those expressed in or implied by such statements. The forward-looking statements are made only as of the date of this press release and the Company undertakes no obligation to publicly update such forward-looking statements to reflect subsequent events or circumstances.

Investors:
Ashley Dong
Senior Director, Investor Relations
(929) 687-1614
adong@axsome.com

Media:
Darren Opland
Senior Director, Corporate Communications
(929) 837-1065
dopland@axsome.com

References:

  1. Goldstone LW. Unmet Medical Needs and Other Challenges in the Treatment of Patients with Schizophrenia. Am J Manag Care. 2020;26:S48-S54.
  2. National Institute of Mental Health. Schizophrenia. Accessed March 2026. https://www.nimh.nih.gov/health/publications/schizophrenia
  3. Ringeisen, H. et al. Mental and Substance Use Disorders Prevalence Study: Findings report. 2023; RTI International.
  4. GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024; 403:2133–61.
  5. Chesney E. et al. Risks of all-cause and suicide mortality in mental disorders: a meta-review. 2014 Jun 2;13(2):153–160.
  6. Owen MJ. et al. Schizophrenia. Lancet. 2016 Jan 15;388(10039):86–97.
  7. Suzuki K. et al. In vivo pharmacological characterization of TAK-063, a potent and selective phosphodiesterase 10A inhibitor with antipsychotic-like activity in rodents. J Pharmacol Exp Ther. 2015;352(3):471–479.
  8. Ginovart N, Kapur S. Role of dopamine D(2) receptors for antipsychotic activity. Handb Exp Pharmacol. 2012;212:27–52.
  9. Suzuki K. et al. TAK-063, a PDE10A inhibitor with balanced activation of direct and indirect pathways, provides potent antipsychotic-like effects in multiple paradigms. Neuropsychopharmacology. 2016;41(9):2252–2262.
  10. Goldsmith P. et al. A Randomized Multiple Dose Pharmacokinetic Study of a Novel PDE10A Inhibitor TAK-063 in Subjects with Stable Schizophrenia and Japanese Subjects and Modeling of Exposure Relationships to Adverse Events. Drugs R D. 2017 Dec;17(4):631-643.

FAQ

What did Axsome (AXSM) acquire from Takeda on April 1, 2026?

Axsome acquired exclusive global commercial, development, and manufacturing rights to balipodect (TAK-063). According to the company, the asset purchase grants Axsome worldwide rights and control to develop balipodect for schizophrenia and Tourette syndrome.

What clinical data does balipodect have before Axsome's April 2026 acquisition?

Balipodect completed a 164-patient Phase 2 proof-of-concept trial in schizophrenia. According to the company, the molecule has been studied in over 360 individuals and showed a favorable safety and tolerability profile across studies.

How will the balipodect acquisition affect AXSM's development timeline in 2026?

Axsome plans to begin Phase 3 trial-enabling activities for schizophrenia in 2026. According to the company, these activities mark the transition from Phase 2 data toward pivotal development and regulatory planning.

What are the financial obligations tied to Axsome's purchase of balipodect (AXSM)?

Takeda received an upfront payment and may receive future milestone and royalty payments. According to the company, additional payments relate to development, regulatory, and commercial milestones for the first two indications.

What indications will Axsome pursue for balipodect following the acquisition?

Axsome intends to develop balipodect initially for schizophrenia and Tourette syndrome. According to the company, the selective PDE10A mechanism is viewed as relevant to multiple neuropsychiatric conditions beyond those two indications.