Stock Markets April 7, 2026

AC Immune Shares Rally After Revised Eli Lilly Collaboration on Tau Inhibitors

Amended deal delivers upfront cash, expanded milestone potential and advances timelines for Morphomer Tau small molecules

By Derek Hwang ACIU
AC Immune Shares Rally After Revised Eli Lilly Collaboration on Tau Inhibitors
ACIU

AC Immune SA (NASDAQ:ACIU) stock climbed sharply after the company and Eli Lilly amended their existing collaboration to advance orally dosed Morphomer Tau small molecules aimed at Alzheimer’s and other neurodegenerative diseases. The revised agreement includes an upfront CHF10 million payment, an additional milestone tied to Phase 1 dosing, and continued eligibility for more than CHF1.7 billion in development, regulatory and commercial milestones plus tiered low-double-digit royalties. AC Immune expects to begin Investigational New Drug-enabling studies in the first half of 2026.

Key Points

  • AC Immune and Eli Lilly amended their 2018 collaboration to develop Morphomer Tau small molecules for Alzheimer’s disease and other neurodegenerative diseases.
  • AC Immune will receive a CHF10 million upfront payment and a subsequent milestone tied to Phase 1 dosing; it remains eligible for over CHF1.7 billion in milestones plus tiered low double-digit royalties.
  • The Morphomer Tau candidates are selected for oral brain exposure and specific binding to pathological Tau; AC Immune expects to begin IND-enabling studies in the first half of 2026.
  • Sectors impacted include biotechnology, pharmaceuticals, and health-focused equity markets, given the deal structure and potential clinical program advancement.

Shares of AC Immune SA (NASDAQ:ACIU) rose 13.9% on Tuesday after the company announced an amendment to its license and collaboration agreement with Eli Lilly and Company focused on Tau aggregation inhibitor small molecules for Alzheimer’s disease and other neurodegenerative conditions.

The updated terms build on a partnership that began in 2018 and focus on the companies' Morphomer Tau candidates. Under the amended agreement, AC Immune will receive a CHF10 million upfront payment and an additional milestone payment tied to Phase 1 dosing. The company remains eligible to collect development, regulatory and commercial milestone payments that exceed CHF1.7 billion, as well as tiered royalty payments in the low double digits.

AC Immune said the Morphomer Tau candidates were chosen because of their ability to enter the brain after oral dosing and their specific binding to the pathological conformation of the Tau protein targeted by the collaboration. The company indicated it expects to start Investigational New Drug-enabling studies in the first half of 2026.

Andrea Pfeifer, AC Immune's CEO, characterized the progress as evidence of breakthroughs with Morphomer small molecules directed at intracellular Tau. She said scientific evidence increasingly supports the idea that targeting intracellular Tau has the potential to slow or halt the underlying pathology.

Market analysts reacted to the amended deal. Marc Goodman of Leerink Partners kept an Outperform rating and a $9.00 price target on AC Immune, noting that the amendment serves as validation of the company's Morphomer small molecule platform. Goodman emphasized that the platform's oral administration and potential cost advantages would differentiate it from other modalities being developed to target Tau.

The revised collaboration maintains the companies' shared focus on developing orally bioavailable small molecules that specifically bind pathological Tau, while preserving significant upside through milestone and royalty arrangements. AC Immune's stated near-term operational goal under the amended agreement is to initiate IND-enabling studies during the first half of 2026.


Context and market impact - The announcement prompted a notable intraday rise in AC Immune's stock price, reflecting investor response to the upfront payment, continued milestone potential, and the platform validation signaled by Lilly's amended commitment.

Risks

  • Milestone and royalty payments are contingent on future development, regulatory and commercial outcomes, posing execution and regulatory risk to expected payments - impacts biotech and pharmaceutical investors.
  • Planned IND-enabling studies are scheduled for the first half of 2026, introducing timeline uncertainty tied to preclinical and regulatory processes - affects clinical development timelines in the sector.
  • The program's success depends on the scientific hypothesis that targeting intracellular Tau will slow or halt pathology; this remains an area of ongoing scientific validation and regulatory review - relevant to drug developers and investors.

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