Market reactionShares fell 10% on Nov 5.
AC Immune is a clinical-stage Swiss company developing vaccines and small molecules for neurodegenerative diseases, led by ACI-7104 for Parkinson's disease and the NLRP3 inhibitor ACI-19764; none of its products is approved.
AC Immune's case rests on two wholly owned clinical programs, neither of which has yet shown clinical benefit. ACI-7104, a Parkinson's vaccine, met all primary safety, tolerability and immunogenicity endpoints in Part 1 of VacSYn, and AC Immune expects FDA meetings on Part 2 in early 2027. The oral NLRP3 inhibitor ACI-19764 is now being dosed in patients with elevated hsCRP, with initial results by year-end, and cash of CHF 75.4 million lasts into Q4 2027.
Thesis checklist
0 risks need attention
Why it is in this state
The evidence, what would weaken it and the source filing
Why it is in this state
The evidence, what would weaken it and the source filing
Why it is in this state
The evidence, what would weaken it and the source filing
Why it is in this state
The evidence, what would weaken it and the source filing
Next decision point
Tests: ACI-19764 lowers hsCRP in patients
Does ACI-19764 lower hsCRP in patients with elevated inflammation at a well-tolerated dose?
Strong, inconclusive and weak outcomes
What to look for in the result and how each would move the checklist
Price and material events
Select an event marker to read the update below. Marker colors show Thesis status.
AC Immune expects initial data by year-end on whether its NLRP3 inhibitor ACI-19764 lowers inflammation in patients, and plans FDA meetings on a Phase 2 expansion for its Parkinson's vaccine ACI-7104 in early 2027; cash of CHF 75.4 million lasts into Q4 2027
ACI-19764 shows brain penetration and target engagement; cardiovascular-cohort biomarker data are the next test
FDA Fast Track advances ACI-7104 in Parkinson's; clinical benefit and financing remain open
Post-restructuring neuroscience vaccine platform with two Phase 2 readouts converging on same runway before cash runs out in Q4 2027
About this history: every entry shows when the Thesis moved and what it said. The reasoning behind each move (the evidence, the analysis and the source filing) and the earnings write-ups are part of a subscription.
Dates, trials and completed outcomes are open to everyone. What each upcoming milestone hinges on is part of a subscription.
Disease areas: Neurology and pain
Catalyst calendar · Upcoming FDA decisions · Thesis changes
Competitive landscape
13 peers tracked
Cash: Market-data provider estimate; measurement period unavailable.
Debt: Market-data provider estimate; a complete comparable filing balance is unavailable.
Quarterly burn: Estimated from trailing free cash flow; measurement period unavailable.
Net cash and estimated runway require verified matching measurement periods. Missing debt components are not assumed to be zero.
Runway: No underlying guidance available.