iloperidone
Trade name: fanapt
Approved
May 6, 2009
Iloperidone, also known as Fanapt, Fanapta, and previously known as Zomaril, is an atypical antipsychotic for the treatment of schizophrenia. Iloperidone shows high affinity and maximal receptor occupancy for dopamine D2 receptors in the caudate nucleus and putamen of the brains of schizophrenic patients. The improvement in cognition is attributed to iloperidone's high affinity for α adrenergic receptors. Iloperidone also binds with high affinity to serotonin 5-HT2a and dopamine 3 receptors. Iloperidone binds with moderate affinity to dopamine D4, serotonin 5-HT6 and 5-HT7, and norepinephrine NEα1 receptors. Furthermore, iloperidone binds with weak affinity to serotonin 5-HT1A, dopamine D1, and histamine H1 receptors. Iloperidone is indicated for the treatment of acute schizophrenia. — NCATS
Clinical trial activity
39 trials · 38 clinical orgs · 6 marketing orgs
Earliest trial started Nov 1, 2005 (NCT00254202)
Timeline
2000s
- Jan 1, 2005
Vanda Pharmaceuticals — Earliest Phase 3 Sponsor(trial)
- Jan 1, 2009
Earliest Phase 2 Sponsor(trial)
- May 6, 2009
Vanda Pharmaceuticals — Earliest FDA Approval
- May 6, 2009
Vanda Pharmaceuticals — NDA Secondary Org
- May 6, 2009
Vanda Pharmaceuticals — NDA Organization
2010s
- Jan 1, 2010
Earliest Phase 1 Sponsor(trial)
- Nov 28, 2016
Inventia Hlthcare — Marketing Organization
- Jul 2, 2018
Alembic — Marketing Organization
- Jul 22, 2019
Taro Pharmaceuticals — Marketing Organization
- Jul 22, 2019
Sun Pharmaceuticals — Marketing Organization
2020s
- May 5, 2022
Lupin — Marketing Organization
Indications
Approved for
Studied for
- Allergy and Immunology · Phase 3
- Alzheimer Disease · Phase 3
- Arthritis, Rheumatoid · Phase 2
- Bipolar Disorder · Phase 4
- Diabetes Mellitus · Phase 1
- Diabetes Mellitus, Type 1 · Phase 3
- Drug Evaluation · Phase 2
- Drugs, Investigational · Phase 2
- General Surgery · Phase 3
- Gingivitis · Phase 2
- Healthy Volunteers · Phase 4
- Hypertension · Phase 2
- Keratosis, Actinic · Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 2
- Liver Diseases · Phase 1
- Major Depressive Disorder · Phase 4
- Parkinson Disease · Phase 2
- Pharmacological and Toxicological Phenomena · Phase 1
- Psychotic Disorders · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 1
- Rhinitis, Allergic · Phase 3
- Rhinitis, Allergic, Perennial · Phase 3
- Stress Disorders, Post-Traumatic · Phase 2
- Therapeutic Equivalency · Phase 1
Mechanism of action
- Serotonin 2a (5-HT2a) receptorANTAGONIST
HTR2A antagonist
- Dopamine D2 receptorANTAGONIST
DRD2 antagonist
Approval history
- approvedMay 6, 2009
Chemistry & pharmacology
SMILES
COC1=CC(=CC=C1OCCCN2CCC(CC2)C3=NOC4=C3C=CC(F)=C4)C(C)=O- Mol. weight
- 426.4806 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaIloperidone ↗
- NCATSVPO7KJ050N ↗
- ChEMBLCHEMBL14376 ↗
Also known as
- 1-[4-[3-[4-(6-fluoro-1,2-benzisoxazol-3-yl)-1- piperidinyl]propoxy]-3-methoxyphenyl]ethanone
- 1-[4-[3-[4-(6-fluoro-1,2-benzisoxazol-3-yl)-1- piperidinyl]propoxy]-3-methoxyphenyl]ethanone
- 4'-(3-(4-(6-fluoro-1,2-benzisoxazol-3-yl)piperidino)propoxy)-3'-methoxyacetophenone
- 4'-(3-(4-(6-fluoro-1,2-benzisoxazol-3-yl)piperidino)propoxy)-3'-methoxyacetophenone
- ethanone, 1-(4-(3-(4-(6-fluoro-1,2-benzisoxazol-3-yl)-1-piperidinyl)propoxy)-3-methoxyphenyl)-
- fanapt
- fanapt
- fanapt
- fanapt
- fanapt
- fanapta
- fanapta
- hp 873
- hp 873
- hp-873
- hp-873
- hp-873
- hp-873
- hp-873
- hp-873
- iloperidona
- iloperidona
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidone
- iloperidonum
- iloperidonum
- zomaril
- zomaril
- zomaril
- zomaril
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07090161 | Phase 2 | Jul 28, 2025 | Vanda Pharmaceuticals |
| NCT06961968 | Phase 3 | May 14, 2025 | Vanda Pharmaceuticals |
| NCT06494397 | Phase 1 | Jul 31, 2024 | Vanda Pharmaceuticals |
| NCT05648591 | Phase 4 | Dec 31, 2022 | Vanda Pharmaceuticals |
| NCT05344365 | Phase 2 | Jun 30, 2022 | Vanda Pharmaceuticals |
| NCT04969211 | Phase 1 | Jun 30, 2021 | Vanda Pharmaceuticals |
| NCT04819776 | Phase 3 | Mar 22, 2021 | Vanda Pharmaceuticals |
| NCT04712734 | Phase 1 | Jan 13, 2021 | Vanda Pharmaceuticals |
| NCT04127058 | Phase 1 | Oct 7, 2019 | Vanda Pharmaceuticals |
| NCT03420534 | Phase 1 | Nov 17, 2017 | Shijiazhuang Pharma Group (CSPC) |
| NCT03051685 | Phase 1 | Jul 20, 2015 | Dr. Reddy's Laboratories |
| NCT02404389 | Phase 2 | Mar 1, 2015 | Novartis |
| NCT02302443 | Phase 1 | Feb 1, 2015 | Hanmi Pharmaceutical |
| NCT02243046 | Phase 2 | Dec 1, 2014 | Colgate Palmolive |
| NCT02224625 | Phase 3 | Aug 1, 2014 | Bio-Science Laboratories, Medline Industries |
| NCT02181803 | Phase 1 | Aug 1, 2014 | Merck |
| NCT01982916 | Phase 3 | Dec 1, 2013 | Ahn-Gook Pharmaceuticals Co.,Ltd, Catholic University of Korea, Inha University, Konkuk University, Kyung Hee University, Seoul National University, Sungkyunkwan University, Yonsei University |
| NCT02453893 | Phase 3 | Nov 1, 2013 | Jiao Tong University, Shijiazhuang Pharma Group (CSPC) |
| NCT01917318 | Phase 2 | Jul 1, 2013 | Novartis, University of Colorado, University of Colorado, Denver |
| NCT01921712 | Phase 1 | Jul 1, 2013 | Pulmatrix Inc., Quotient |
Organizations
Research & Development (38)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Vanda Pharmaceuticals | For profit | 13 | 12 | 4 | 2005 |
| Novartis | For profit | 12 | 5 | 4 | 2010 |
| Asahi Kasei Pharma | For profit | 2 | 2 | 1 | 2009 |
| Northwestern University | Academic/Hospital | 2 | 2 | 2 | 2010 |
| Shijiazhuang Pharma Group (CSPC) | For profit | 2 | 2 | 2 | 2013 |
| Ahn-Gook Pharmaceuticals Co.,Ltd | For profit | 1 | 1 | 1 | 2013 |
| Bio-Science Laboratories | For profit | 1 | 0 | 1 | 2014 |
| Catholic University of Korea | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Colgate Palmolive | For profit | 1 | 1 | 1 | 2014 |
| Columbia University | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Dr. Reddy's Laboratories | For profit | 1 | 1 | 1 | 2015 |
| Hanmi Pharmaceutical | For profit | 1 | 1 | 1 | 2015 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Inha University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Jiangsu Hansoh Pharmaceutical Co., Ltd. | For profit | 1 | 1 | 1 | 2012 |
| Jiao Tong University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Johns Hopkins University | Academic/Hospital | 1 | 1 | 1 | 2009 |
| Konkuk University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Kyung Hee University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| MannKind Corp | For profit | 1 | 1 | 1 | 2006 |
Marketing (10)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Alembic | For profit | MKTG | Jul 2, 2018 |
| Inventia Hlthcare | For profit | MKTG | Nov 28, 2016 |
| Inventia Hlthcare | For profit | SYN | Nov 28, 2016 |
| Lupin | For profit | MKTG | May 5, 2022 |
| Lupin | For profit | SYN | May 5, 2022 |
| Sun Pharmaceuticals | For profit | MKTG | Jul 22, 2019 |
| Taro Pharmaceuticals | For profit | SYN | Jul 22, 2019 |
| Taro Pharmaceuticals | For profit | MKTG | Jul 22, 2019 |
| Vanda Pharmaceuticals | For profit | NDA2 | May 6, 2009 |
| Vanda Pharmaceuticals | For profit | NDA | May 6, 2009 |