Company Description
AC Immune SA (NASDAQ: ACIU) is a clinical-stage biopharmaceutical company focused on precision prevention and treatment of neurodegenerative diseases. According to the company’s disclosures, AC Immune concentrates on conditions driven by misfolded proteins, including Alzheimer’s disease, Parkinson’s disease and selected NeuroOrphan indications. It is described as a global leader in precision prevention for neurodegenerative diseases, with a pipeline that spans both therapeutic and diagnostic candidates in Phase 2 and Phase 3 clinical development.
Business focus and technology platforms
AC Immune’s business centers on discovering, designing and developing drug candidates that target pathological proteins implicated in neurodegeneration. The company states that it has two clinically validated technology platforms, SupraAntigen® and Morphomer®, which fuel a broad pipeline of what it characterizes as first- and best-in-class assets. These platforms are used to generate both active immunotherapies and small-molecule drugs directed against misfolded proteins such as amyloid-beta (Abeta), Tau, alpha-synuclein (a‑syn), TDP‑43 and NLRP3-related targets.
The SupraAntigen® platform is used to create active immunotherapies, including ACI‑24.060, an anti‑Abeta active immunotherapy, and ACI‑35.030 (also referenced as JNJ‑64042056 or JNJ‑2056), an active immunotherapy targeting pathological phosphorylated Tau (pTau). Morphomer® technology underpins small-molecule programs and diagnostic tracers, such as small-molecule inhibitors targeting NLRP3 and Tau, Morphomer® small molecules targeting a‑syn, and PET tracers including ACI‑19626 for imaging TDP‑43 pathology and ACI‑15916, an a‑syn PET tracer.
Therapeutic pipeline and clinical programs
AC Immune reports that its pipeline includes a range of therapeutic and diagnostic programs, with multiple candidates in mid- to late-stage clinical trials:
- ACI‑7104.056: A wholly owned anti‑alpha‑synuclein active immunotherapy in a Phase 2 VacSYn trial for early Parkinson’s disease. Interim data reported by the company show robust antibody responses against a‑syn, evidence of antibodies crossing the blood–brain barrier, and biomarker trends suggesting potential stabilization of disease-related pathology. The company also reports a favorable safety and tolerability profile in interim analyses.
- ACI‑24.060: An anti‑Abeta active immunotherapy evaluated in the Phase 2 ABATE trial in Alzheimer’s disease, with the company highlighting that the AD3 cohort is expected to reach a 12‑month treatment timepoint before interim results are reported.
- ACI‑35.030 (JNJ‑64042056 / JNJ‑2056): An anti‑pTau active immunotherapy developed using SupraAntigen® technology and partnered with Janssen Pharmaceuticals, Inc., a Johnson & Johnson company. Peer‑reviewed Phase 1b/2a data published in eBioMedicine show that ACI‑35.030 induced a rapid, robust and durable polyclonal antibody response against pathological Tau species, with no clinically relevant safety or tolerability observations reported in that study. ACI‑35.030 is being further investigated in the Phase 2b ReTain trial in preclinical Alzheimer’s disease.
- ACI‑19764: A Morphomer® small-molecule NLRP3 inhibitor that the company reports is in IND-enabling studies, with plans for regulatory filings.
- Morphomer® Tau and a‑syn aggregation inhibitors: Early-stage small-molecule programs targeting intracellular protein aggregation, for which AC Immune has disclosed lead declaration and initiation of IND-enabling work as key milestones.
- TDP‑43 and a‑syn PET tracers: Diagnostic imaging agents including ACI‑19626, a TDP‑43 PET tracer, and ACI‑15916, an a‑syn PET tracer. Preclinical data on ACI‑19626 published in Nature Communications show high specificity and selectivity for aggregated TDP‑43, rapid brain uptake and fast washout in non-human primates, supporting its advancement into a Phase 1 clinical study.
Precision prevention and disease targets
The company emphasizes a strategy of precision prevention in neurodegenerative diseases. This approach is reflected in its focus on active immunotherapies designed for long-term treatment and prevention, and in the development of PET tracers and other biomarkers intended to enable earlier and more accurate diagnosis, patient stratification and evaluation of target engagement. AC Immune highlights that its programs address key proteinopathies such as Abeta and Tau in Alzheimer’s disease, a‑syn in Parkinson’s disease, and TDP‑43 in conditions including ALS, frontotemporal degeneration (FTD) and limbic-predominant age-related TDP‑43 encephalopathy (LATE).
In Parkinson’s disease, interim Phase 2 data for ACI‑7104.056 reported by the company show that targeting a‑syn pathology with active immunotherapy can induce strong immunogenicity, with antibody titers in serum and cerebrospinal fluid markedly higher than placebo and correlated across compartments. Biomarker readouts such as cerebrospinal fluid a‑syn levels, neurofilament light chain (NfL), plasma GFAP and DaT SPECT imaging are described as suggesting stabilization of disease-related pathology in treated patients, with motor symptom assessments indicating a trend toward stabilization compared with placebo.
Collaborations and funding model
AC Immune states that it has a strong track record of securing strategic partnerships with global pharmaceutical companies, including collaborations with Janssen, Takeda and Lilly referenced in its news releases. These collaborations have provided substantial non-dilutive funding to advance its proprietary programs. Across its partnered agreements, the company reports more than USD 4.5 billion in potential milestone payments plus royalties, which form an important part of its long-term economic model alongside potential future product revenues.
The company has also disclosed that it sharpened its investment focus following a strategic review, concentrating resources on three clinical-stage active immunotherapy programs and selected small-molecule programs targeting NLRP3, Tau and a‑syn. As part of this refocusing, AC Immune reported a workforce reduction of around 30% and an extension of its projected cash runway.
Corporate profile and regulatory status
AC Immune SA is headquartered in Lausanne, Switzerland, and files as a foreign private issuer with the U.S. Securities and Exchange Commission under Form 20‑F. Its shares trade on the NASDAQ under the ticker symbol ACIU. The company regularly furnishes current reports on Form 6‑K that include interim condensed consolidated financial statements prepared under IFRS, management’s discussion and analysis, and press releases covering clinical and corporate developments.
Shareholders receive updates on corporate governance and compensation matters through annual general meeting materials, with voting results and related presentations filed on Form 6‑K. The company reports that its statutory auditors are based in Lausanne, Switzerland, and that it maintains an independent proxy in accordance with Swiss corporate practice.
Research, advisory network and scientific visibility
AC Immune highlights its involvement in major scientific and medical conferences, such as the International Conference on Alzheimer’s and Parkinson’s Disease (AD/PD™) and other industry meetings. Its programs and technologies have been featured in peer‑reviewed journals including eBioMedicine, Molecular Therapy and Nature Communications. The company has also established a Clinical Advisory Board (CAB) comprising experts in neurology and dementia clinical trials, which provides strategic clinical development and regulatory advice across its pipeline.
Through its combination of active immunotherapies, small-molecule programs, and imaging biomarkers, AC Immune positions itself as a specialized developer of precision therapeutics and diagnostics for protein-misfolding neurodegenerative diseases. Investors evaluating ACIU stock can review the company’s SEC filings, clinical trial disclosures and peer‑reviewed publications to understand the status and risk profile of its pipeline, its collaboration economics and its cash resources.