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

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Cognition Therapeutics (NASDAQ: CGTX) completed a Type C meeting with the U.S. Food and Drug Administration on January 21, 2026 to review plans for a proposed Phase 2b study of zervimesine (CT1812) in dementia with Lewy bodies (DLB).

The company reported the meeting was productive and that it discussed clinically meaningful endpoints for a next Phase 2b study in mild-to-moderate DLB. Cognition said it expects to receive formal meeting minutes later in the quarter and will continue dialogue with the FDA to advance clinical development in DLB, a condition with no FDA-approved therapies.

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Positive

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Negative

  • None.

Key Figures

SHIMMER participants: 130 patients START enrollment: 540 participants Zervimesine dose: 100 mg daily +5 more
8 metrics
SHIMMER participants 130 patients Phase 2 DLB SHIMMER trial daily dosing for six months
START enrollment 540 participants Phase 2 START study in mild cognitive impairment and early Alzheimer’s
Zervimesine dose 100 mg daily Oral dosing in multiple Alzheimer’s and DLB protocols
Cognitive slowing 95% slowing ADAS-Cog11 in lower p-tau217 subgroup in Phase 2 SHINE
Shelf capacity $300,000,000 Maximum aggregate amount under S-3 shelf registration
ATM program $75,000,000 At-the-market common stock offering capacity via Jefferies
Quarter-end cash $39.3 million Cash and equivalents as of September 30, 2025 (Q3 10-Q)
Short interest 7.29% Reported short interest as share of float, days to cover 6.83

Market Reality Check

Price: $1.32 Vol: Volume 785,477 is slightl...
normal vol
$1.32 Last Close
Volume Volume 785,477 is slightly below the 20-day average of 884,640, suggesting no pre-news accumulation surge. normal
Technical Shares closed at $1.38, trading above the 200-day moving average of $1.16 despite a -3.5% daily decline.

Peers on Argus

CGTX fell 3.5% while peers showed mixed moves: TRDA -2.12%, PRQR -3.98%, TNYA -3...

CGTX fell 3.5% while peers showed mixed moves: TRDA -2.12%, PRQR -3.98%, TNYA -3.29%, VYGR +0.25%, TLSA 0%. The mixed peer direction and lack of scanner momentum support a stock-specific setup around this FDA meeting update.

Historical Context

5 past events · Latest: Jan 06 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Jan 06 Phase 2 DLB data Positive +0.7% Published SHIMMER Phase 2 DLB data showing safety and favorable efficacy signals.
Dec 03 Access program update Positive +11.8% Expanded access program for DLB fully enrolled and regulatory interactions outlined.
Dec 01 Phase 3 AD plan Positive -7.5% Presented Phase 3 Alzheimer’s plan with prior Phase 2 biomarker and efficacy signals.
Nov 20 Conference appearance Neutral -4.3% Announced participation in a healthcare conference and investor presentation plans.
Nov 13 Trial enrollment complete Positive -10.5% Completed target enrollment in Phase 2 START study in early Alzheimer’s disease.
Pattern Detected

Recent history shows frequent downside reactions to otherwise constructive clinical and corporate updates, with 3 of 5 prior events selling off within 24 hours.

Recent Company History

Over the last few months, Cognition reported several milestones for zervimesine (CT1812), including completion of enrollment in the 540‑patient Phase 2 START Alzheimer’s study and positive Phase 2 SHIMMER DLB results in 130 participants. The company also outlined a Phase 3 Alzheimer’s plan and filled an expanded access program in DLB. Despite this, shares often declined following news, particularly around larger clinical readouts and trial progress, highlighting a pattern where constructive updates did not consistently translate into positive short-term price reactions.

Regulatory & Risk Context

Active S-3 Shelf · $300,000,000
Shelf Active
Active S-3 Shelf Registration 2025-12-18
$300,000,000 registered capacity

An effective S-3 shelf filed on 2025-12-18 allows Cognition Therapeutics to offer up to $300,000,000 in various securities, including an at-the-market program of up to $75,000,000 in common stock through Jefferies. This structure gives the company flexibility to raise capital for R&D and corporate purposes, which can introduce dilution risk if fully utilized.

Market Pulse Summary

This announcement highlights completion of a Type C meeting with the FDA to refine plans for a Phase...
Analysis

This announcement highlights completion of a Type C meeting with the FDA to refine plans for a Phase 2b study of zervimesine (CT1812) in dementia with Lewy bodies, following earlier favorable Phase 2 SHIMMER data. It sits within a broader strategy that includes a large $300,000,000 shelf and $75,000,000 ATM capacity to fund late-stage trials. Investors may monitor upcoming meeting minutes, future DLB trial designs, and subsequent financing activity as key milestones.

Key Terms

dementia with lewy bodies
1 terms
dementia with lewy bodies medical
"Phase 2b study of zervimesine in dementia with Lewy bodies (DLB)"
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.

AI-generated analysis. Not financial advice.

PURCHASE, N.Y., Jan. 27, 2026 (GLOBE NEWSWIRE) -- Cognition Therapeutics, Inc., (the Company or Cognition) (NASDAQ: CGTX), a clinical stage company developing drugs that treat neurodegenerative disorders, conducted a Type C meeting with the U.S. Food and Drug Administration (FDA) on January 21, 2026. The objective of this meeting was to review plans for the proposed Phase 2b study of zervimesine in dementia with Lewy bodies (DLB), a disease with no FDA-approved therapies.

“We had a productive meeting with the FDA, during which we discussed clinically meaningful endpoints for the next Phase 2b study of mild-to-moderate DLB,” stated Anthony O. Caggiano, MD, PhD, Cognition’s chief medical officer. “We look forward to receiving meeting minutes later this quarter and continuing our dialogue with the FDA to advance clinical development in DLB.”

About Zervimesine (CT1812)
Zervimesine (CT1812) is an investigational, oral, once-daily pill in development for the treatment of CNS diseases such as Alzheimer’s disease and dementia with Lewy bodies (DLB). While these diseases have different symptoms, both are associated with the buildup of certain proteins in the brain – Aβ and ɑ-synuclein. As these proteins bind to receptors on the surface of neurons, they can damage and ultimately destroy the neurons. This results in a progressive loss in a person’s ability to learn, recall memories, move efficiently, or communicate. These diseases progress relentlessly and ultimately result in death. Zervimesine has been shown to interrupt the toxic effects of Aβ and ɑ-synuclein, which may slow progression of disease and improve the lives of those suffering from Alzheimer’s and DLB. 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.

About Cognition Therapeutics, Inc.  
Cognition Therapeutics, Inc., is a clinical-stage biopharmaceutical company discovering and developing innovative, small molecule therapeutics targeting age-related degenerative disorders of the central nervous system. We recently completed Phase 2 studies of our lead candidate, zervimesine (CT1812) in dementia with Lewy bodies (DLB), mild-to-moderate Alzheimer’s disease and geographic atrophy secondary to dry AMD. The Phase 2 START study (NCT05531656) in early Alzheimer’s disease is ongoing with $81 million in grant support from the National Institute of Aging (NIA) at the National Institutes of Health. We believe zervimesine can regulate pathways that are impaired in these diseases though its interaction with the sigma-2 receptor, a mechanism that is functionally distinct from other approaches for the treatment of degenerative diseases. More about Cognition Therapeutics and our pipeline can be found at https://cogrx.com.

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 product candidates, including zervimesine (CT1812), our clinical studies of zervimesine, analyses of the results from clinical studies and any expected or implied clinical benefits, expectations regarding our clinical development plans for zervimesine, including statements regarding our Type C meeting and the design of future clinical trials of zervimesine in DLB 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; 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 (CGTX) announce on January 27, 2026 about zervimesine?

Cognition announced it completed a Type C meeting with the FDA on January 21, 2026 to review plans for a proposed Phase 2b study of zervimesine in DLB.

What was discussed at the FDA Type C meeting for CGTX's CT1812 (zervimesine)?

The company said the meeting covered clinically meaningful endpoints for a Phase 2b study in mild-to-moderate dementia with Lewy bodies.

When will Cognition Therapeutics (CGTX) receive FDA meeting minutes for the Type C meeting?

Cognition expects to receive the FDA meeting minutes later in the quarter following the January 21, 2026 meeting.

Does zervimesine (CT1812) have FDA approval for dementia with Lewy bodies (DLB)?

No; the announcement notes DLB currently has no FDA-approved therapies and zervimesine is in clinical development.

What is the next development step for CGTX after the Type C meeting about CT1812?

The company plans to continue discussions with the FDA and advance preparations for a proposed Phase 2b study in DLB.
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