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Cognition Therapeutics Completes Meeting with FDA for Zervimesine (CT1812) in Dementia with Lewy Bodies with Psychosis

(Positive)
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Cognition Therapeutics (NASDAQ:CGTX) held a planned FDA meeting on May 20, 2026 to review Phase 2 data for zervimesine (CT1812) and discuss design and endpoints of a registrational study in dementia with Lewy bodies (DLB) with psychosis. The company reports a productive discussion and believes there is a path forward for developing zervimesine for DLB psychosis, and expects to receive the FDA’s formal meeting minutes in June 2026.

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Positive

  • Planned FDA meeting completed on May 20, 2026 for zervimesine (CT1812)
  • Phase 2 COG1201 SHIMMER DLB study discussed with FDA
  • FDA engagement on design and endpoints of a registrational DLB psychosis study
  • Company believes there is a path forward to develop zervimesine for DLB psychosis
  • Formal FDA meeting minutes expected in June 2026, offering further regulatory clarity

Negative

  • None.

News Market Reaction – CGTX

-3.10%
1 alert
-3.10% Session close to close
$115.45M Market Cap
0.0x Rel. Volume

In the May 21 session, CGTX declined 3.10%, reflecting a moderate negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement indicates Cognition completed an FDA meeting on May 20, 2026 to review Phase 2 zer...
Analysis

This announcement indicates Cognition completed an FDA meeting on May 20, 2026 to review Phase 2 zervimesine data in DLB psychosis and discuss a registrational study design. It follows earlier communications about SHIMMER results and plans for a DLB psychosis program. Investors may watch for the FDA’s formal minutes in June, subsequent trial design details, and how these align with previously disclosed late‑stage development timelines and funding plans.

Key Figures

Development stage: Phase 2 FDA meeting date: May 20, 2026
2 metrics
Development stage Phase 2 Zervimesine (CT1812) study in DLB psychosis discussed with FDA
FDA meeting date May 20, 2026 Planned FDA meeting to review Phase 2 data and registrational design

Historical Context

5 past events · Latest: May 14 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 14 EAP funding update Positive +0.0% Second donation extended expanded access program for DLB patients on zervimesine.
May 07 Q1 2026 earnings Positive +4.3% Reported Q1 results with detailed cash, NIH grants and clinical development plans.
Apr 07 Conference presentation Neutral -2.4% Announced Needham conference presentation to provide program updates in DLB and Alzheimer’s.
Mar 31 Shareholder letter Positive +17.4% Outlined late‑stage plans, Phase 2 data and upcoming FDA discussions for zervimesine.
Mar 26 2025 results, update Positive -2.7% Reported 2025 results, cash runway and Phase 2 data while planning mid‑2026 FDA meeting.

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

Pattern Detected

Positive clinical and regulatory milestones, especially around zervimesine and DLB/Alzheimer’s updates, have often coincided with favorable price reactions, though not uniformly.

Recent Company History

Over the past months, Cognition has repeatedly highlighted progress for zervimesine in dementia with Lewy bodies (DLB) and Alzheimer’s disease. A shareholder letter on Mar 31, 2026 outlining strong Phase 2 data and an FDA meeting plan coincided with a 17.37% move. Earnings and philanthropic funding updates in Q1–Q2 2026 underscored cash runway into Q2 2027 and support for expanded access. Today’s FDA meeting outcome fits this ongoing transition toward a registrational path in DLB psychosis.

Key Terms

u.s. food and drug administration, fda, phase 2, registrational study, +3 more
7 terms
u.s. food and drug administration regulatory
"conducted a planned meeting with the U.S. Food and Drug Administration (FDA) on May 20"
The U.S. Food and Drug Administration is the federal agency that evaluates and enforces safety, effectiveness and labeling standards for medicines, medical devices, vaccines, food and related products before they reach consumers. For investors it matters because FDA approvals, warnings or recalls determine whether a product can be sold, how quickly it reaches the market and how costly compliance will be—changes that directly affect a company’s revenue, costs and stock value.
fda regulatory
"Yesterday we held a productive meeting with the FDA. The agency and we discussed"
The FDA is the U.S. federal agency that evaluates and approves medical drugs, devices, biological therapies and certain foods; think of it as the gatekeeper that decides whether a medical product is safe and effective for patients. For investors, FDA decisions determine whether a company can sell a product, affect expected revenue and introduce regulatory risk, so approvals, rejections or safety warnings can quickly move a company's valuation and stock price.
phase 2 medical
"review results from the Phase 2 study of zervimesine (CT1812)"
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.
registrational study regulatory
"discuss the design and endpoints of a registrational study in dementia with Lewy bodies"
A registrational study is a late-stage clinical trial designed to give the government regulators the evidence they need to decide whether a drug, therapy, or medical device can be approved for sale. Think of it as the final exam or road test for a medical product: its results largely determine whether the product can reach the market, which directly affects potential revenue, company valuation, and investor risk.
dementia with lewy bodies medical
"a registrational study in dementia with Lewy bodies (DLB) patients with psychosis"
Dementia with Lewy bodies is a brain disorder characterized by progressive memory loss, confusion, and movement difficulties, similar to symptoms seen in Parkinson’s disease. It occurs when abnormal protein deposits, called Lewy bodies, develop in brain cells, disrupting their function. This condition matters to investors because it can impact healthcare needs, medication development, and the financial stability of related industries.
dlb medical
"COG1201 ‘SHIMMER’ Study in DLB and our proposed plan to advance zervimesine"
Dementia with Lewy bodies (DLB) is a progressive brain disorder caused by abnormal protein deposits that disrupt thinking, movement and behavior; it often presents with fluctuating alertness, visual hallucinations and Parkinson-like symptoms. For investors, DLB represents a significant unmet medical need and a potential commercial market for drugs, diagnostics and care services, so clinical trial results or regulatory news can materially affect biotech and healthcare company valuations.
psychosis medical
"for the development of zervimesine for the treatment of DLB psychosis."
Psychosis is a medical condition in which a person loses touch with shared reality, often experiencing strong false beliefs (delusions) or sensing things that others do not (hallucinations). Investors watch psychosis closely because it drives demand for treatments, affects clinical trial outcomes and regulatory decisions, and can create safety concerns or legal exposure for companies developing or marketing drugs and devices—similar to how a sudden change in a key ingredient alters a product’s market prospects.

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

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- Positive Discussion on Path Forward for Registrational Program -

PURCHASE, N.Y., May 21, 2026 (GLOBE NEWSWIRE) -- Cognition Therapeutics, Inc., (the Company or Cognition) (NASDAQ: CGTX), a clinical-stage company developing product candidates that treat neurodegenerative disorders, (the “Company” or “Cognition”), conducted a planned meeting with the U.S. Food and Drug Administration (FDA) on May 20, 2026. The objective of this meeting was to review results from the Phase 2 study of zervimesine (CT1812) and discuss the design and endpoints of a registrational study in dementia with Lewy bodies (DLB) patients with psychosis.  

Lisa Ricciardi, president and CEO of Cognition, stated, “Yesterday we held a productive meeting with the FDA. The agency and we discussed the results from our Phase 2 COG1201 ‘SHIMMER’ Study in DLB and our proposed plan to advance zervimesine into a registrational program. We believe we have a path forward for the development of zervimesine for the treatment of DLB psychosis. We look forward to reviewing the FDA’s formal minutes in June.”

About Cognition Therapeutics:
Cognition Therapeutics, Inc. is a clinical-stage biopharmaceutical company dedicated to helping millions of families seeking effective treatments for devastating neurodegenerative diseases through the development of novel, accessible therapies. The company has led pioneering research into the underlying mechanisms of degenerative nerve disorders. Our scientific approach builds on well-established biological pathways and translates across indications in which toxic oligomers drive disease progression, offering potential in dementia with Lewy bodies (DLB), Alzheimer’s disease, geographic atrophy, Parkinson’s, among others. The company’s lead candidate, zervimesine (CT1812), is an investigational once-daily oral therapy that has demonstrated promise in Phase 2 clinical trials in DLB and mild-to-moderate Alzheimer’s disease. Backed by nearly $200 million in National Institutes of Health and related foundation grants, Cognition Therapeutics continues to advance clinical research in its efforts to bring forth solutions that meet patients where they are and reduce caregiver burden. Learn more at cogrx.com.

About Zervimesine (CT1812)  
Zervimesine (CT1812) is currently being studied in the Phase 2 START Study (NCT05531656) in patients with MCI and early Alzheimer’s disease. Phase 2 clinical studies have concluded in dementia with Lewy bodies (DLB), mild-to-moderate Alzheimer’s disease, and geographic atrophy secondary to dry AMD. Based in part on the strong efficacy signals observed in the Phase 2 SHIMMER study in DLB (NCT05225415), the company plans to advance zervimesine into a late-stage clinical trial for people with DLB psychosis. Zervimesine has been generally well tolerated in clinical studies to date.

The USAN Council has adopted zervimesine as the United States Adopted Name (USAN) for CT1812.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. All statements contained in this press release or made during the conference, other than statements of historical facts or statements that relate to present facts or current conditions, including but not limited to, statements regarding our cash runway, our product candidates, including zervimesine (CT1812), and any expected or implied benefits or results, including that initial clinical results observed with respect to zervimesine will be replicated in later trials and our clinical development plans, including statements regarding our clinical studies of zervimesine, any analyses of the results therefrom, as well as statements regarding our regulatory plans, are forward-looking statements. These statements, including statements relating to the timing and expected results of our clinical trials involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance, or achievements to be materially different from any future results, performance, or achievements expressed or implied by the forward-looking statements. In some cases, you can identify forward-looking statements by terms such as “may,” “might,” “will,” “should,” “expect,” “plan,” “aim,” “seek,” “anticipate,” “could,” “intend,” “target,” “project,” “contemplate,” “believe,” “estimate,” “predict,” “forecast,” “potential” or “continue” or the negative of these terms or other similar expressions. We have based these forward-looking statements largely on our current expectations and projections about future events and financial trends that we believe may affect our business, financial condition, and results of operations. These forward-looking statements speak only as of the date of this press release and are subject to a number of risks, uncertainties and assumptions, some of which cannot be predicted or quantified and some of which are beyond our control. Factors that may cause actual results to differ materially from current expectations include, but are not limited to: competition; our ability to secure new (and retain existing) grant funding; our ability to grow and manage growth, maintain relationships with suppliers and retain our management and key employees; our ability to successfully advance our current and future product candidates through development activities, preclinical studies and clinical trials and costs related thereto; uncertainties inherent in the results of preliminary data, pre-clinical studies and earlier-stage clinical trials being predictive of the results of early or later-stage clinical trials; the timing, scope and likelihood of regulatory filings and approvals, including regulatory approval of our product candidates; changes in applicable laws or regulations; the possibility that we may be adversely affected by other economic, business or competitive factors, including ongoing economic uncertainty; our estimates of expenses and profitability; the evolution of the markets in which we compete; our ability to implement our strategic initiatives and continue to innovate our existing products; our ability to defend our intellectual property; the impacts of ongoing global and regional conflicts on our business, supply chain and labor force; our ability to maintain the listing of our common stock on the Nasdaq Capital Market; and the risks and uncertainties described more fully in the “Risk Factors” section of our annual and quarterly reports filed with the Securities & Exchange Commission and are available at www.sec.gov. These risks are not exhaustive and we face both known and unknown risks. You should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur, and actual results could differ materially from those projected in the forward-looking statements. Moreover, we operate in a dynamic industry and economy. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties that we may face. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise.

Contact Information:   
Cognition Therapeutics, Inc.    
info@cogrx.com  
Mike Moyer (investors)
LifeSci Advisors
mmoyer@lifesciadvisors.com  


This press release was published by a CLEAR® Verified individual.


FAQ

What did Cognition Therapeutics (NASDAQ:CGTX) announce about its FDA meeting for zervimesine in May 2026?

Cognition Therapeutics announced it completed a planned FDA meeting on May 20, 2026 about zervimesine (CT1812). According to Cognition, the discussion covered Phase 2 results and plans for a registrational program in dementia with Lewy bodies (DLB) patients with psychosis.

How does the May 2026 FDA meeting affect zervimesine’s registrational plans for DLB psychosis for CGTX?

The meeting helped clarify discussion topics for a potential registrational study of zervimesine in DLB psychosis. According to Cognition, the FDA and company reviewed Phase 2 data and design concepts for a future registrational program, which the company believes offers a development path forward.

What is the Phase 2 COG1201 SHIMMER study of zervimesine mentioned by Cognition Therapeutics?

The COG1201 “SHIMMER” study is a Phase 2 trial of zervimesine in dementia with Lewy bodies. According to Cognition, results from this study were reviewed with the FDA as part of discussions on advancing zervimesine into a registrational program for DLB patients with psychosis.

When will Cognition Therapeutics receive FDA meeting minutes for the zervimesine DLB psychosis program?

Cognition Therapeutics expects to receive the FDA’s formal meeting minutes in June 2026. According to Cognition, these minutes will document the May 20, 2026 discussion, including feedback on Phase 2 results and considerations for a registrational study in DLB psychosis.

What indication is Cognition Therapeutics targeting with zervimesine (CT1812) after the May 2026 FDA meeting?

Cognition is targeting dementia with Lewy bodies patients with psychosis for zervimesine’s development. According to Cognition, the recent FDA meeting focused on Phase 2 results and the design and endpoints of a potential registrational study in this DLB psychosis population.

Did the FDA approve zervimesine (CT1812) for dementia with Lewy bodies psychosis as of May 2026?

No approval was announced; the update concerns a regulatory meeting and study planning. According to Cognition, the FDA discussion addressed Phase 2 data and potential registrational study design, with formal written minutes expected in June 2026 to guide next development steps.