Cognition Therapeutics aligns with FDA on registrational path for lewy body dementia treatment

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Cognition Therapeutics aligns with FDA on registrational path for lewy body dementia treatment
Cognition Therapeutics aligns with FDA on registrational path for lewy body dementia treatment
Isaac Francis
Written by Isaac Francis
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Cognition Therapeutics (NASDAQ:CGTX), a clinical-stage biopharmaceutical company developing next-generation therapies for neurodegenerative disorders, today reported financial results for the full year ended December 31, 2025, and provided a comprehensive update on its lead candidate, zervimesine (CT1812).

The company enters 2026 with a strengthened regulatory strategy and a fully funded clinical pipeline following landmark progress in its dementia with Lewy bodies (DLB) and Alzheimer’s disease programs.

A primary highlight of the fiscal year was the clinical validation of zervimesine in the Phase 2 SHIMMER study.

The trial demonstrated meaningful therapeutic responses in patients suffering from DLB psychosis, a condition with high unmet medical need and no currently approved disease-modifying therapies.

Building on this momentum, Cognition announced plans for a mid-2026 meeting with the FDA Division of Psychiatry to align on a registrational plan that could pave the way for a New Drug Application (NDA) in the DLB psychosis indication.

In the company’s Alzheimer’s disease program, the 545-patient Phase 2 START study has successfully completed enrollment.

This large-scale trial is designed to evaluate the long-term efficacy of zervimesine in slowing cognitive decline by preventing toxic amyloid-beta oligomers from binding to neuronal receptors.

The completion of enrollment marks a significant operational milestone, with data from this study expected to serve as a major value inflection point for the company's neuroprotective platform.

Financially, Cognition reported a net loss of $23.5 million for 2025, or $0.32 per basic and diluted share.

The company maintains a robust capital position, ending the year with approximately $37.0 million in cash and equivalents.

This is further supplemented by $35.7 million in obligated grant funds from the National Institutes of Health (NIH), which specifically support the START and SHIMMER trials.

Management estimates that this combined liquidity provides a sufficient financial runway through the second quarter of 2027.

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