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Algernon Pharmaceuticals (also known as Algernon Health / Algernon NeuroScience) is the first company in the world to test DMT as an emergent treatment for ischemic stroke and traumatic brain injury. Their lead candidate AP-188 uses sub-hallucinogenic IV DMT to promote neuroplasticity and neuroprotection. Phase 1 completed at the Centre for Human Drug Research in Leiden; Phase 2a stroke trial planned.

Development Programmes

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AP-188 (Sub-hallucinogenic IV DMT)

DMT
Phase I

Ischemic stroke / traumatic brain injury

Programme Tracker

Neurological Injury

Primary: EU (EMA)
Phase IActive

Phase 1 complete (29 healthy volunteers, CHDR Netherlands, NCT05559931); Phase 2a planned for 40 ischemic stroke patients in Budapest, Hungary (target Q3 2025); corporate pivot to Alzheimer's diagnostics may affect funding

Milestones

phase-2-initiated

Planned

Phase 2a planned: 40 ischemic stroke patients in Budapest, Hungary, led by Dr Sandor Nardai; target Q3 2025

Why it matters: Phase 2a in actual stroke patients would generate the first efficacy signal for sub-hallucinogenic DMT in neurological recovery. However, the corporate pivot to diagnostics raises questions about funding and prioritization.

Watch next: Phase 2a enrollment start confirmation; Grey Matters Health rebrand completion; funding allocation for AP-188 vs NovaScan

Trial start

Completed

Actual: Jan 17, 2023

First subject dosed in Phase 1 study (NCT05559931) at Centre for Human Drug Research (CHDR), Leiden, Netherlands

Why it matters: First clinical trial of sub-hallucinogenic IV DMT for stroke/TBI. Six-hour continuous infusion design targets sustained neuroplasticity without psychedelic effects — a fundamentally different approach from acute psychedelic dosing.

phase-1-results

Completed

Actual: Jun 1, 2023

Final (3rd) cohort dosed at highest planned single dose; all dose escalations completed successfully

Why it matters: Clean safety across all dose cohorts confirms the sub-hallucinogenic IV infusion window. Dose-proportional PK enables predictable Phase 2a dosing.

phase-1-results

Completed

Actual: Mar 1, 2024

Phase 1 completed: 29 healthy volunteers, safe and well-tolerated across all doses; plasma levels reached neuroplasticity-associated thresholds (~35 ng/mL) without psychedelic effects

Why it matters: Critical proof-of-concept: demonstrated that therapeutic plasma concentrations for neuroplasticity can be achieved below the psychedelic threshold. This validates the sub-hallucinogenic dosing strategy central to AP-188's clinical positioning for stroke rehabilitation.

Efficacy data

Completed

Actual: Jun 7, 2024

Phase 1 data presented at Interdisciplinary Conference on Psychedelic Research (ICPR 2024), Haarlem, Netherlands

Why it matters: Peer conference presentation builds KOL awareness and validates the sub-hallucinogenic DMT stroke hypothesis in the scientific community.

Efficacy data

Completed

Actual: May 1, 2025

Phase 1 results published in Clinical and Translational Science (peer-reviewed journal)

Why it matters: Peer-reviewed publication provides the definitive Phase 1 data record and supports the Phase 2a protocol.

Company milestone

Completed

Actual: Oct 15, 2025

Company renamed from Algernon Pharmaceuticals to Algernon Health Inc.

Why it matters: Name change signals broader health focus beyond pharmaceuticals.

Company milestone

Completed

Actual: Mar 31, 2026

Proposed second rename to Grey Matters Health Inc. with 10:1 share consolidation; launching NovaScan Neuroimaging Clinics (Alzheimer's PET scanning diagnostics business)

Why it matters: Major corporate pivot to Alzheimer's diagnostics. The company stated it will "continue to advance legacy drug development programs" (AP-188 DMT for stroke, NP-251 Repirinast for CKD), but the primary corporate strategy has shifted. This creates funding uncertainty for Phase 2a — AP-188 may become a lower-priority legacy programme.

Recorded Events

Mar 31, 2026: Company milestone

Oct 15, 2025: Company milestone

May 1, 2025: Efficacy data

Jun 7, 2024: Efficacy data

Mar 1, 2024: phase-1-results

Quick Facts

Type
Public Biotech
Ticker
CSE: AGN
Lead Stage
Phase I
Website
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