risperidone
Trade name: risperdal
Approved
Dec 29, 1993
Risperidone, a benzisoxazole derivative, is an atypical antipsychotic drug with high affinity for 5-hydrotryptamine (5-HT) and dopamine D2 receptors. It is FDA approved for the treatment of schizophrenia, bipolar mania, irritability associated with autistic disorder. Carbamazepine and other enzyme inducers decrease plasma concentrations of risperidone. Vice versa, Fluoxetine, paroxetine, and other CYP 2D6 enzyme inhibitors increase plasma concentrations of risperidone. Common adverse reactions include increased mortality in elderly patients with dementia-related psychosis, cerebrovascular adverse events, including stroke, in elderly patients with dementia-related psychosis, neuroleptic malignant syndrome, tardive dyskinesia , metabolic Changes (hyperglycemia and diabetes mellitus, dyslipidemia, weight gain), hyperprolactinemia, orthostatic hypotension, leukopenia, neutropenia, agranulocytosis, potential for cognitive and motor impairment, seizures, dysphagia, priapism, disruption of body temperature regulation. — NCATS
Clinical trial activity
444 trials · 272 clinical orgs · 42 marketing orgs
Earliest trial started Aug 1, 1994 (NCT00000309)
Timeline
1990s
- Dec 29, 1993
Johnson and Johnson — Earliest FDA Approval
- Dec 29, 1993
Johnson and Johnson — NDA Secondary Org
- Dec 29, 1993
Johnson and Johnson — NDA Organization
- Jan 1, 1994
Earliest Phase 2 Sponsor(trial)
- Jan 1, 1995
Johnson and Johnson — Earliest Phase 3 Sponsor(trial)
- Jan 1, 1996
Earliest Phase 1 Sponsor(trial)
2000s
- Aug 3, 2006
Ranbaxy — Marketing Organization
- Jun 30, 2008
Teva — Marketing Organization
- Jun 30, 2008
Heritage Pharma — Marketing Organization
- Sep 15, 2008
Apotex — Marketing Organization
- Sep 15, 2008
Mylan — Marketing Organization
- Sep 15, 2008
Dash Pharms — Marketing Organization
- Oct 8, 2008
Ceyone Life Sciences — Marketing Organization
- Oct 8, 2008
Rising Pharmaceuticals — Marketing Organization
- Oct 9, 2008
Wockhardt — Marketing Organization
- Oct 9, 2008
Celltrion — Marketing Organization
- Oct 16, 2008
Pliva — Marketing Organization
- Oct 24, 2008
Dr. Reddy's Laboratories — Marketing Organization
- Dec 5, 2008
Watson Pharmaceuticals — Marketing Organization
- Dec 29, 2008
Renata — Marketing Organization
- Jan 30, 2009
Ani Pharmaceuticals — Marketing Organization
- Mar 23, 2009
Jubilant Innovation Ltd. — Marketing Organization
- Apr 30, 2009
Par Pharmaceuticals — Marketing Organization
- May 1, 2009
Zydus Discovery DMCC — Marketing Organization
- May 29, 2009
West-Ward Pharmaceutical — Marketing Organization
- Jun 17, 2009
Oxford Pharmaceuticals — Marketing Organization
- Jul 29, 2009
Torrent Pharmaceuticals Limited — Marketing Organization
- Jul 29, 2009
Hikma — Marketing Organization
- Jul 29, 2009
Pharmaceutical Associates — Marketing Organization
- Sep 4, 2009
Aurobindo Pharma — Marketing Organization
- Oct 8, 2009
Atlantide Pharmaceuticals — Marketing Organization
- Oct 16, 2009
Sandoz — Marketing Organization
- Oct 16, 2009
Novartis — Marketing Organization
- Oct 22, 2009
Byondis — Marketing Organization
2010s
- Jun 8, 2010
Ratiopharm — Marketing Organization
- Jun 28, 2010
Precision Dose — Marketing Organization
- Dec 3, 2010
Lannett Company, Inc. — Marketing Organization
- Feb 7, 2011
Taro Pharmaceuticals — Marketing Organization
- Apr 19, 2011
Actavis — Marketing Organization
- May 18, 2011
Chartwell Pharmaceuticals — Marketing Organization
- May 25, 2011
Amneal Pharmaceuticals — Marketing Organization
- Aug 24, 2011
Ajanta Pharma Ltd — Marketing Organization
- Nov 29, 2011
Prinston Inc — Marketing Organization
- Dec 12, 2012
Tris Pharma, Inc. — Marketing Organization
- Mar 10, 2014
Sun Pharmaceuticals — Marketing Organization
- Jul 27, 2018
Indivior Inc. — NDA Secondary Org
- Jul 27, 2018
Indivior Inc. — Marketing Organization
2020s
- Jan 13, 2023
Luye Pharma — Marketing Organization
- Jan 13, 2023
Luye Pharma — NDA Secondary Org
- Apr 28, 2023
Teva — NDA Secondary Org
Indications
Approved for
Studied for
- Adenocarcinoma · Phase 2
- Adjustment Disorders · Phase 3
- Affective Disorders, Psychotic · Phase 4
- Aggression · Phase 4
- Alcoholism · Phase 4
- Alzheimer Disease · Phase 4
- Analgesics, Opioid · Early Phase 1
- Anorexia Nervosa · Phase 4
- Antipsychotic Agents · Phase 4
- Anxiety · Phase 4
- Anxiety Disorders · Phase 4
- Apathy · Phase 3
- Asperger Syndrome · Phase 4
- Attention · Phase 1
- Attention Deficit and Disruptive Behavior Disorders · Phase 4
- Attention Deficit Disorder with Hyperactivity · Phase 4
- Autism Spectrum Disorder · Phase 4
- Behavior, Addictive · Early Phase 1
- Borderline Personality Disorder · Phase 4
- Breast Neoplasms · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Central Nervous System Diseases · Phase 1
- Child Behavior Disorders · Phase 3
- Child Development Disorders, Pervasive · Phase 4
- Chorea · Phase 2
- Cocaine-Related Disorders · Phase 2
- Conduct Disorder · Phase 4
- Delirium · Phase 4
- Dementia · Phase 4
- Dementia, Vascular · Phase 3
- Depression · Phase 4
- Depressive Disorder · Phase 3
- Depressive Disorder, Treatment-Resistant · Phase 4
- Dermatology · Phase 4
- Developmental Disabilities · Phase 3
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Diagnosis, Dual (Psychiatry) · Phase 4
- DiGeorge Syndrome · Phase 4
- Disruptive, Impulse Control, and Conduct Disorders · Phase 3
- Drug Administration Schedule · Phase 4
- Drug Evaluation · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Drugs, Investigational · Phase 2
- Drug Therapy · Phase 4
- Dyskinesia, Drug-Induced · Phase 1
- Electroencephalography · Phase 1
- Emergency Treatment · Phase 4
- Fasting · Phase 1
- Food-Drug Interactions · Phase 1
- Fragile X Syndrome · Phase 4
- Growth and Development · Phase 3
- Healthy Volunteers · Phase 4
- Hot Flashes · Phase 2
- Huntington Disease · Phase 2
- Hyperglycemia · Phase 4
- Hyperprolactinemia · Phase 4
- Immunoassay · Phase 1
- Insulin Resistance · Phase 4
- Intellectual Disability · Phase 3
- Learning Disabilities · Phase 3
- Major Depressive Disorder · Phase 3
- Mania · Phase 4
- Marijuana Abuse · Phase 4
- Mental Disorders · Phase 3
- Mental Health · Phase 4
- Metabolic Syndrome · Phase 4
- Methamphetamine · Phase 4
- Mood Disorders · Phase 4
- Movement Disorders · Phase 4
- Obsessive-Compulsive Disorder · Phase 2
- Opioid-Related Disorders · Early Phase 1
- Panic Disorder · Phase 4
- Pharmacogenetics · Phase 1
- Physiological Effects of Drugs · Phase 4
- Premenstrual Syndrome · Phase 2
- Psychological Distress · Phase 2
- Psychophysiologic Disorders · Phase 3
- Psychotropic Drugs · Phase 4
- Rett Syndrome · Phase 3
- Risk Factors · Phase 4
- Schizophrenia Spectrum and Other Psychotic Disorders · Phase 4
- Schizophrenia, Treatment-Resistant · Phase 2
- Schizotypal Personality Disorder · Phase 1/Phase 2
- Sexual Dysfunction, Physiological · Phase 4
- Smoking Cessation · Phase 3
- Social Behavior · Phase 1
- Speech Disorders · Phase 1
- Stress Disorders, Post-Traumatic · Phase 4
- Substance-Related Disorders · Phase 4
- Therapeutic Uses · Phase 4
- Tourette Syndrome · Phase 2
- Tranquilizing Agents · Phase 4
- Traumatology · Phase 2
- Visual Perception · Phase 1
- Weight Gain · Phase 4
- Williams Syndrome · Phase 4
Mechanism of action
- Serotonin 2c (5-HT2c) receptorANTAGONIST
HTR2C antagonist
- Serotonin 2a (5-HT2a) receptorANTAGONIST
HTR2A antagonist
- Dopamine D2 receptorANTAGONIST
DRD2 antagonist
Approval history
- approvedPriority reviewDec 29, 1993
Chemistry & pharmacology
SMILES
CC1=C(CCN2CCC(CC2)C3=NOC4=C3C=CC(F)=C4)C(=O)N5CCCCC5=N1- Mol. weight
- 410.4845 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaRisperidone ↗
- NCATSL6UH7ZF8HC ↗
- ChEMBLCHEMBL85 ↗
Also known as
- espidone
- ly03004
- r 64,766
- r-64766
- r-64766
- r-64-766
- r-64-766
- rcn3028
- ripedon
- riperidone
- rispadal
- risperdal
- risperdal
- risperdal
- risperdal
- risperdal consta
- risperdal consta
- risperdal consta long acting
- risperdal m
- risperdal m-tab
- risperdal m-tab
- risperdal quicklet
- risperdone
- risperdone
- risperidal
- risperidona
- risperidona
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidone
- risperidonum
- risperidonum
- risperin
- risperin
- rispolept
- rispolept
- rispolin
- rispolin
- sequinan
- sequinan
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06969755 | Phase 4 | Jul 30, 2025 | National Institute of Mental Health (NIMH), Northwell Health |
| NCT07060872 | N/A | Jul 7, 2025 | Shahid Sadoughi University of Medical Science |
| NCT06878833 | Phase 3 | Apr 18, 2025 | Lyndra Inc. |
| NCT06512220 | Phase 2 | Aug 31, 2024 | University of Toronto |
| NCT06482554 | Phase 3 | Jun 30, 2024 | Louisiana State University |
| NCT06236451 | Phase 4 | Apr 5, 2024 | All India Institute of Medical Sciences |
| NCT06368726 | Phase 1 | Apr 1, 2024 | Fundacion para la Salud Materno Infantil, Spanish Foundation for Neurometrics Development |
| NCT07116850 | N/A | Jan 1, 2024 | Hebei University |
| NCT06218979 | Phase 1 | Dec 4, 2023 | University of Helsinki |
| NCT06276361 | Phase 1 | Sep 26, 2023 | Rovi Pharmaceuticals Laboratories |
| NCT05710237 | Phase 2 | Jul 1, 2023 | University of Toronto |
| NCT05868720 | N/A | Jul 1, 2023 | All India Institute of Medical Sciences |
| NCT05890768 | Phase 4 | May 11, 2023 | University of New Mexico |
| NCT05779241 | Phase 3 | Apr 30, 2023 | Lyndra Inc. |
| NCT05542264 | Phase 1 | Nov 15, 2022 | Sunovion |
| NCT05401019 | Phase 2 | Jun 30, 2022 | Clinical Academic Center, 2CA-Braga, Portugal, University of Minho |
| NCT05402111 | Phase 1 | Jun 13, 2022 | Sunovion |
| NCT05146245 | Phase 4 | Dec 1, 2021 | Erasmus University Rotterdam, Stichting de Merel, ZonMw: The Netherlands Organisation for Health Research and Development |
| NCT04903353 | Phase 4 | Nov 1, 2021 | Vanderbilt University |
| NCT05039489 | N/A | Sep 6, 2021 | Central South University |
Organizations
Research & Development (272)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Johnson and Johnson | For profit | 102 | 93 | 5 | 1995 |
| Janssen Pharmaceutica NV | For profit | 87 | 0 | 5 | 1995 |
| National Institute of Mental Health (NIMH) | Government | 38 | 6 | 5 | 1997 |
| Northwell Health | Academic/Hospital | 15 | 14 | 2 | 1998 |
| AstraZeneca | For profit | 12 | 9 | 4 | 2001 |
| Department of Veteran Affairs | Government | 11 | 6 | 4 | 1994 |
| Otsuka | For profit | 11 | 7 | 3 | 2004 |
| Pfizer | For profit | 10 | 8 | 3 | 2001 |
| Eli Lilly | For profit | 9 | 7 | 3 | 2001 |
| Harvard University | Academic/Hospital | 9 | 6 | 3 | 1998 |
| Jiao Tong University | Academic/Hospital | 9 | 4 | 4 | 2005 |
| Central South University | Academic/Hospital | 8 | 6 | 2 | 2003 |
| Columbia University | Academic/Hospital | 8 | 3 | 3 | 1995 |
| National Institute on Drug Abuse (NIDA) | Government | 8 | 6 | 2 | 1994 |
| National Institutes of Health (NIH) | Government | 8 | 1 | 3 | 1997 |
| Rovi Pharmaceuticals Laboratories | For profit | 8 | 8 | 3 | 2011 |
| University of California, Los Angeles | Academic/Hospital | 8 | 7 | 3 | 1997 |
| University of Toronto | Academic/Hospital | 8 | 7 | 4 | 2002 |
| Washington University in St. Louis | Academic/Hospital | 8 | 7 | 3 | 2000 |
| Indivior Inc. | For profit | 7 | 7 | 4 | 2010 |
Marketing (57)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | Apr 19, 2011 |
| Ajanta Pharma Ltd | For profit | MKTG | Aug 24, 2011 |
| Amneal Pharmaceuticals | For profit | MKTG | May 25, 2011 |
| Amneal Pharmaceuticals | For profit | SYN | Jun 17, 2009 |
| Ani Pharmaceuticals | For profit | MKTG | Jan 30, 2009 |
| Ani Pharmaceuticals | For profit | SYN | Jan 30, 2009 |
| Apotex | For profit | MKTG | Sep 15, 2008 |
| Atlantide Pharmaceuticals | For profit | MKTG | Oct 8, 2009 |
| Aurobindo Pharma | For profit | MKTG | Sep 4, 2009 |
| Byondis | For profit | MKTG | Oct 22, 2009 |
| Celltrion | For profit | MKTG | Oct 9, 2008 |
| Ceyone Life Sciences | For profit | MKTG | Oct 8, 2008 |
| Chartwell Pharmaceuticals | For profit | MKTG | May 18, 2011 |
| Chartwell Pharmaceuticals | For profit | SYN | Mar 12, 2012 |
| Dash Pharms | For profit | MKTG | Sep 15, 2008 |
| Dr. Reddy's Laboratories | For profit | MKTG | Oct 24, 2008 |
| Heritage Pharma | For profit | SYN | Jun 30, 2008 |
| Heritage Pharma | For profit | MKTG | Jun 30, 2008 |
| Hikma | For profit | MKTG | Jul 29, 2009 |
| Hikma | For profit | SYN | Jul 29, 2009 |
| Indivior Inc. | For profit | NDA2 | Jul 27, 2018 |
| Indivior Inc. | For profit | MKTG | Jul 27, 2018 |
| Johnson and Johnson | For profit | NDA2 | Dec 29, 1993 |
| Johnson and Johnson | For profit | NDA | Dec 29, 1993 |
| Jubilant Innovation Ltd. | For profit | MKTG | Mar 23, 2009 |
| Jubilant Innovation Ltd. | For profit | SYN | Nov 4, 2011 |
| Lannett Company, Inc. | For profit | MKTG | Dec 3, 2010 |
| Luye Pharma | For profit | MKTG | Jan 13, 2023 |
| Luye Pharma | For profit | NDA2 | Jan 13, 2023 |
| Mylan | For profit | MKTG | Sep 15, 2008 |
| Mylan | For profit | SYN | Mar 30, 2011 |
| Novartis | For profit | MKTG | Oct 16, 2009 |
| Oxford Pharmaceuticals | For profit | MKTG | Jun 17, 2009 |
| Par Pharmaceuticals | For profit | MKTG | Apr 30, 2009 |
| Pharmaceutical Associates | For profit | MKTG | Jul 29, 2009 |
| Pliva | For profit | MKTG | Oct 16, 2008 |
| Precision Dose | For profit | MKTG | Jun 28, 2010 |
| Prinston Inc | For profit | MKTG | Nov 29, 2011 |
| Ranbaxy | For profit | MKTG | Aug 3, 2006 |
| Ratiopharm | For profit | MKTG | Jun 8, 2010 |
| Renata | For profit | MKTG | Dec 29, 2008 |
| Rising Pharmaceuticals | For profit | MKTG | Oct 8, 2008 |
| Sandoz | For profit | MKTG | Oct 16, 2009 |
| Sun Pharmaceuticals | For profit | MKTG | Mar 10, 2014 |
| Sun Pharmaceuticals | For profit | SYN | Aug 6, 2010 |
| Taro Pharmaceuticals | For profit | MKTG | Feb 7, 2011 |
| Teva | For profit | MKTG | Jun 30, 2008 |
| Teva | For profit | NDA2 | Apr 28, 2023 |
| Torrent Pharmaceuticals Limited | For profit | MKTG | Jul 29, 2009 |
| Torrent Pharmaceuticals Limited | For profit | SYN | Oct 30, 2008 |
| Tris Pharma, Inc. | For profit | MKTG | Dec 12, 2012 |
| Watson Pharmaceuticals | For profit | MKTG | Dec 5, 2008 |
| West-Ward Pharmaceutical | For profit | MKTG | May 29, 2009 |
| West-Ward Pharmaceutical | For profit | SYN | Jul 29, 2009 |
| Wockhardt | For profit | MKTG | Oct 9, 2008 |
| Zydus Discovery DMCC | For profit | MKTG | May 1, 2009 |
| Zydus Discovery DMCC | For profit | SYN | Oct 16, 2008 |