Achieve Life Sciences Submits NDA for Cytisinicline, Expected U.S. Launch in 2026
- NDA Submission: Achieve Life Sciences submitted a New Drug Application for cytisinicline to the FDA in June 2025, with a U.S. launch expected in 2026, which could mark the first FDA-approved smoking cessation therapy in nearly 20 years, significantly enhancing the company's competitive position in the tobacco alternatives market.
- Market Potential: According to the Hunterbrook report, cytisinicline is considered the best therapy for quitting smoking, and with most U.S. health plans required to cover FDA-approved cessation therapies, it is expected to attract a large user base, driving revenue growth for the company.
- Safety Advantage: Cytisinicline demonstrates a more favorable safety and efficacy profile compared to former market leaders like Pfizer's Chantix, showing no risk of suicidal ideation, which will enhance confidence among healthcare providers and patients, promoting market acceptance.
- Strong Expert Support: Numerous public health experts and researchers unanimously agree that cytisinicline warrants FDA approval without the need for additional clinical data, and this broad support is likely to expedite its market entry, further solidifying Achieve Life Sciences' leadership in smoking cessation treatments.
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- Leadership Change: Achieve Life Sciences has confirmed the promotion of Mark Rubinstein from Interim Chief Medical Officer to Chief Medical Officer, having played a crucial role in achieving significant clinical and regulatory milestones since September 2025.
- Clinical Achievements: Under Rubinstein's leadership, the company co-authored a paper published in Thorax, demonstrating the potential efficacy and tolerability of cytisinicline for smoking cessation in COPD patients, further advancing the product's clinical development.
- Company Confidence: Achieve Life Sciences' CEO Rick Stewart stated that Rubinstein's expertise strengthens the company's medical leadership, ensuring continued progress toward regulatory review.
- Strategic Implications: This appointment not only solidifies the company's leadership position in nicotine cessation but also lays the groundwork for future regulatory approvals and market entry, reflecting the company's commitment to advancing its product pipeline.

- NDA Submission: Achieve Life Sciences submitted a New Drug Application for cytisinicline to the FDA in June 2025, with a U.S. launch expected in 2026, which could mark the first FDA-approved smoking cessation therapy in nearly 20 years, significantly enhancing the company's competitive position in the tobacco alternatives market.
- Market Potential: According to the Hunterbrook report, cytisinicline is considered the best therapy for quitting smoking, and with most U.S. health plans required to cover FDA-approved cessation therapies, it is expected to attract a large user base, driving revenue growth for the company.
- Safety Advantage: Cytisinicline demonstrates a more favorable safety and efficacy profile compared to former market leaders like Pfizer's Chantix, showing no risk of suicidal ideation, which will enhance confidence among healthcare providers and patients, promoting market acceptance.
- Strong Expert Support: Numerous public health experts and researchers unanimously agree that cytisinicline warrants FDA approval without the need for additional clinical data, and this broad support is likely to expedite its market entry, further solidifying Achieve Life Sciences' leadership in smoking cessation treatments.

- Meeting Schedule: Achieve Life Sciences will host in-person one-on-one investor meetings from January 12-15, 2026, at the J.P. Morgan Healthcare Conference in San Francisco, where CEO Rick Stewart will provide insights into the company's late-stage cytisinicline program, aiming to enhance investor confidence in future growth.
- NDA Progress: The New Drug Application for cytisinicline submitted in June 2025 has been accepted for review by the FDA, with a PDUFA date set for June 20, 2026, paving the way for commercialization in the tobacco dependence treatment market.
- Market Demand: With approximately 29 million adults in the U.S. smoking, and tobacco being the leading cause of preventable death, the development of cytisinicline not only addresses this significant market need but also has the potential to greatly improve public health outcomes.
- Clinical Research Results: Based on two successful Phase 3 studies and an open-label safety study, cytisinicline shows promise for smoking and vaping cessation, potentially becoming the first FDA-approved treatment specifically for e-cigarette cessation in the market.

- Executive Incentive Program: Achieve Life Sciences has granted 250,000 stock options to new Chief Legal Officer Erik Atkisson, aimed at attracting and retaining key talent, thereby enhancing management stability and execution capability.
- Option Grant Details: These options will vest over four years, with 25% vesting on the first anniversary and the remainder vesting monthly, ensuring Atkisson's commitment to the company's long-term growth.
- Employee Incentive Expansion: Additionally, Achieve has granted a total of 45,000 stock options to two other new employees, further strengthening team building and boosting overall employee morale and loyalty.
- Strategic Development Focus: This option grant aligns with Nasdaq regulations, demonstrating the company's strategic emphasis on talent acquisition and business development, particularly during the critical period of its New Drug Application under FDA review.

Analyst Coverage Initiation: Citizens initiated coverage of Achieve Life Sciences (NasdaqCM:ACHV) with a "Market Outperform" recommendation, projecting a 298.24% upside based on an average one-year price target of $15.81/share.
Institutional Ownership Trends: There are currently 136 funds reporting positions in Achieve Life Sciences, with a 5.56% decrease in the number of owners over the last quarter, while the average portfolio weight dedicated to ACHV increased by 10.81%.
Shareholder Activity: Propel Bio Management significantly reduced its holdings in ACHV by 62.50%, while other firms like SURI and FBDIX increased their allocations by 949.78% and 73.84%, respectively, indicating mixed sentiment among shareholders.
Market Sentiment Indicators: The put/call ratio for ACHV stands at 0.02, suggesting a bullish outlook, despite a 26.54% decrease in total shares owned by institutions over the past three months.

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