IGALMI (dexmedetomidine) sublingual film

Acute agitation associated with bipolar disorders or schizophrenia in the at-home setting · Adults with agitation associated with bipolar I or II disorder or schizophrenia receiving treatment in an at-home outpatient setting

BTAI · BioXcel

Regulatory designations

Full timeline

4 milestones

FDA decision expected

FDA assigned a November 14, 2026 PDUFA target action date to the IGALMI at-home-use sNDA.

BioXcel — sNDA acceptance and PDUFA date↗

FDA accepted the sNDA

FDA accepted the application seeking use of IGALMI without healthcare-provider supervision in the at-home setting.

BioXcel — sNDA acceptance↗

SERENITY At-Home met its primary endpoint

The pivotal Phase 3 safety study found BXCL501 was well tolerated for repeated treatment of agitation episodes in patients' homes.

BioXcel — SERENITY At-Home topline results↗

Phase 3 SERENITY III study started

SERENITY III began evaluating at-home sublingual dexmedetomidine for acute agitation associated with bipolar disorder or schizophrenia.

ClinicalTrials.gov — SERENITY III study record (NCT05658510)↗

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Information for research purposes only · Dates can change · Last updated Oct 1, 2026