Recent Updates
Recently added Catalysts

risperidone

Phase 4FDA approved

Anxiety Disorders | Small molecule | Psychiatry |Johnson & Johnson|Trials Updated: Oct 15, 2015

risperidone development status

FDA approval on record Apr 2, 2003
Approval holderJanssen Pharms
ApplicationNDA021444
Highest phase Phase 4 (NCT00216554)
Phase scored for JNJPhase 3
Registered trials 109 across 35 sponsors since Sep 1999

Label indication RISPERDAL is an atypical antipsychotic indicated for: Treatment of schizophrenia ( 1.1 ) As monotherapy or adjunctive therapy with lithium or valproate, for the treatment of acute manic or mixed episodes associated with Bipolar I Disorder ( 1.2 ) Treatment of irritability associated with autistic disorder ( 1.3 ) 1.1 Schizophrenia RISPERDAL (risperidone) is indicated for the treatment of schizophrenia. FDA label

risperidone target and mechanism

Molecular targetHTR2A, HTR2C, DRD2
Target classAntagonist
ModalitySmall molecule
ChEMBLCHEMBL85

Also known as risperidone oral tablets, Risperidone oral solution, Oral Risperidone

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials40
Total Enrollment11,473

FDA Designations

No designations recorded

risperidone clinical trials

risperidone · 40 trials · 31 indications

Phase 3 39Phase 1 1
NCT01624675A Study to Evaluate the Efficacy and Safety of Risperidone (R064766) in Children and Adolescents With Irritability Associated With Autistic DisorderAutistic Disorder in Children and Adolescents
COMPLETED39 Analytics
NCT00246272An Open-label Study Evaluating the Maintenance of Clinical Effect in Adult Schizophrenia Patients Switched From Risperidone Tablets to an Equivalent Dose of a Rapidly-dissolving Tablet Formulation of RisperdoneSchizophrenia
COMPLETED82 Analytics
NCT00095134Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard TherapyMajor Depressive Disorder
COMPLETED630 Analytics
NCT00088075Investigate Risperidone for the Treatment of Schizophrenia in AdolescentsSchizophrenia
COMPLETED160 Analytics
NCT00240708A Study of the Efficacy and Safety of Long-acting Injectable Risperidone and Risperidone Tablets in Patients With SchizophreniaSchizophrenia
COMPLETED205 Analytics
NCT00216580A Pilot Study of the Use of Risperidone Long Acting Injectable in the Treatment of Patients With Recent Onset PsychosisSchizophrenia
COMPLETED50 Analytics
NCT00246246A Randomized, Open-label Trial of Long-acting Injectable Risperidone Versus Oral Antipsychotic Medication in Patients With Bipolar DisorderBipolar Disorder
COMPLETED48 Analytics
NCT00076115Study to Determine the Effectiveness of Risperidone in Bipolar Disorder in Children and AdolescentsBipolar Disorder
COMPLETED13 Analytics
NCT00254930A Prospective Study of Risperdal (Risperidone) for the Treatment of Behavioral Disorder Following Psychological Therapy for Challenging Behavior in Learning Disabled ChildrenLearning Disorders
COMPLETED19 Analytics
NCT00044681A Study of the Effectiveness and Safety of Risperidone to Augment SSRI Therapy in Patients With Treatment-resistant DepressionDepressive Disorder
COMPLETED258 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Risperidone (R064766) in Children and Adolescents With Irritability Associated With Autistic Disorder
Autistic Disorder in Children and AdolescentsUnlock trial analytics
PHASE3COMPLETED
An Open-label Study Evaluating the Maintenance of Clinical Effect in Adult Schizophrenia Patients Switched From Risperidone Tablets to an Equivalent Dose of a Rapidly-dissolving Tablet Formulation of Risperdone
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Investigate Risperidone for the Treatment of Schizophrenia in Adolescents
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of the Efficacy and Safety of Long-acting Injectable Risperidone and Risperidone Tablets in Patients With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Pilot Study of the Use of Risperidone Long Acting Injectable in the Treatment of Patients With Recent Onset Psychosis
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Randomized, Open-label Trial of Long-acting Injectable Risperidone Versus Oral Antipsychotic Medication in Patients With Bipolar Disorder
Bipolar DisorderUnlock trial analytics
PHASE3COMPLETED
Study to Determine the Effectiveness of Risperidone in Bipolar Disorder in Children and Adolescents
Bipolar DisorderUnlock trial analytics
PHASE3COMPLETED
A Prospective Study of Risperdal (Risperidone) for the Treatment of Behavioral Disorder Following Psychological Therapy for Challenging Behavior in Learning Disabled Children
Learning DisordersUnlock trial analytics
PHASE3COMPLETED
A Study of the Effectiveness and Safety of Risperidone to Augment SSRI Therapy in Patients With Treatment-resistant Depression
Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

The change from baseline in the Aberrant Behavior Checklist-Japanese Version (ABC-J) Irritability Subscale scores
Baseline, Week 8

The ABC-J Irritability subscale consists of 15 items. Each item scores range from 0 to 3: 0 = No problem, 1 = Mild aberrant behavior, 2 = Moderate aberrant behavior, and 3 = Severe aberrant behavior. Higher scores represent worse condition.

CGI-Severity (CGI-S) score for maintenance of clinical effect
Difference in therapeutic effect of risperidone and placebo as measured by change in depression rating scale (HAM-D) at end of week 4 of the double-blind phase.
Change in total PANSS (Positive and Negative Syndrome Scale for Schizophrenia) from baseline to the 6-week endpoint
Positive and Negative Syndrome Scale (PANSS) at screening, Weeks 8, 16, and 24.
Change in Positive and Negative Syndrome Scale (PANSS) from baseline to end of study
Changes in the Clinical Global Impression - Severity of Illness subscale (CGI-S) from baseline to endpoint, compared between treatment groups
The change in the total YMRS score from baseline at the 3-week endpoint
Change compared to baseline in total score of the Aberrant Behaviour Checklist (ABC)
Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total score at end of treatment; time to relapse
Effectiveness measured by incidence of symptom reoccurrence (relapse) in 1 year.
To accumulate long-term safety data: incidence of adverse events and clinical evaluations (physical exam, laboratory tests) conducted throughout the trial.
Time from start of double-blind phase to relapse, using N-CBRF and CGI assessments.
To accumulate long-term safety data: incidence of adverse events and clinical evaluations (physical examination, Extrapyramidal Symptom Rating Scale [ESRS], laboratory tests, ECGs).
To document the long-term safety of 25, 37.5 and 50 mg long-acting injectable risperidone from baseline until study end point.
Incidence, type, and severity of treatment-emergent adverse events throughout the treatment period.
Change in total PANSS (Positive and Negative Syndrome Scale for Schizophrenia) from baseline to the 8-week endpoint
Change of Positive and Negative Syndrome Scale for Schizophrenia (PANSS) score from baseline to each visit during treatment; incidence of adverse events throughout study
Acute efficacy: Change in Young Mania Rating Scale (YMRS) total score from baseline to endpoint of 3 weeks of acute treatment period.
Change in Young Mania Rating Scale (YMRS) total score from baseline to end of treatment.
Change in Young Mania Rating Scale (YMRS) total score from baseline to the end of treatment.
Change from baseline to end of treatment (Week 8) in Psychosis Cluster Score of Pathology from the Behavioral Pathology in Alzheimer's Disease (BEHAVE-AD) Rating Scale and Clinical Global Impression (CGI).
Mean change from baseline to Week 13 for total score using the Structured Clinical Interview- Positive and Negative Syndrome Scale (SCI-PANSS)
To document the long-term safety of 25, 50 and 75 mg long-acting injectable risperidone from baseline until study endpoint.
Incidence of adverse events; Injection site evaluation; Extrapyramidal Sympton Rating Scale (ESRS) results at each visit for at least 1 year; Clinical evaluations (physical exams, laboratory tests) will be conducted throughout trial
Change from baseline to the end of double-blind treatment in the PANSS (Positive and Negative Syndrome Scale for Schizophrenia) total score
Change in the Irritability Subscale of the Aberrant Behavior Checklist (ABC) and other ABC subscales at end of treatment compared with baseline
Change from baseline to the end of double-blind treatment in total aggression score of the CMAI (Cohen-Mansfield Agitation Inventory).
Change in Young Mania Rating Scale (YMRS) total score from baseline to end of double-blind treatment
Change in the Conduct Problem subscale of the Nisonger Child Behavior Rating Form (N-CBRF) at end of treatment compared with baseline.
Change from baseline to end of double-blind treatment on the total BEHAVE-AD score.
Change from baseline in a composite self-rating of the four most troubling symptoms identified at baseline.
Risperidone effectiveness is measured by time to relapse within the 52 week period.
Change in the Conduct Problem subscale of the Nisonger Child Behavior Rating Form (N-CBRF) at end of treatment compared with baseline
Usefulness of the Risperdal® Consta® Treatment Guidebook; patient and clinician adherence to guidelines
Percent of patients showing clinical improvement, defined as a >=20% reduction in the total PANSS score from baseline to end of double-blind treatment, and the mean change from baseline to end of double-blind treatment in total PANSS score.
Reduction of >= 30% from baseline to the end of double-blind treatment on the total BEHAVE-AD score.
PK parameters (Cmax and AUC) for active moiety, 9-OH-risperidone and risperidone

Secondary Endpoints

The changes from baseline in the subscale scores of Aberrant Behavior Checklist-Japanese Version (ABC-J) at each evaluation of the double-blind phase
Baseline, Week 2, Week 4, Week 6
The changes from baseline in the subscale scores of Aberrant Behavior Checklist-Japanese Version (ABC-J) at each evaluation of the open-label phase
Baseline, Week 2, Week 4, Week 8, Week 16, Week 24, Week 32, Week 40, Week 48
The changes from baseline in scores of the Clinical Global Impression - Severity (CGI-S) at each evaluation time point of the double-blind phase
Baseline, Week 1, Week 2, Week 3, Week 4, Week 6, Week 8
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RisperidoneEXPERIMENTALSubjects weighing less than 20 kilogram (kg) received risperidone 0.25 milligram per day (mg/day) up to Day 4. On Day 4, dose was titrated in increments of 0.25 mg/day (up to a daily dose of 1.0 mg) at the regular study visit thereafter till Week 8. Subjects weighing greater than or equal to (\>=) 20 kg received risperidone 0.5 mg/day up to Day 4. On Day 4, dose was titrated in increments of 0.5 mg per day (up to a daily dose of 2.5 mg) at the regular visit thereafter till Week 8. The maximum daily dose for subjects weighing \>= 45 kg was 3.0 mg. For subjects weighing \>=45 kg, the maximum daily dose was 3.0 mg.
PlaceboPLACEBO_COMPARATORSubjects will receive placebo matching with risperidone orally up to 8 weeks.
Risperidone, long-acting injectableEXPERIMENTAL -

Interventions

NameTypeDescription
RisperidoneDRUGSubjects weighing less than 20 kilogram (kg) received risperidone 0.25 milligram per day (mg/day) up to Day 4. On Day 4, dose was titrated in increments of 0.25 mg/day (up to a daily dose of 1.0 mg) at the regular study visit thereafter till Week 8. Subjects weighing greater than or equal to (\>=) 20 kg received risperidone 0.5 mg/day up to Day 4. On Day 4, dose was titrated in increments of 0.5 mg per day (up to a daily dose of 2.5 mg) at the regular visit thereafter till Week 8. The maximum daily dose for subjects weighing \>= 45 kg was 3.0 mg. For subjects weighing \>=45 kg, the maximum daily dose was 3.0 mg.
PlaceboDRUGSubjects will receive placebo matching with risperidone orally up to 8 weeks.
Risperidone, long-acting injectableDRUG -
Risperidone, oral tabletsDRUG -
Risperidone oral solutionDRUG -
risperidone oral tabletsDRUG -
Unlock Study Design Details

Eligibility Criteria

Age Range5 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Diagnostic for autistic disorder * A Clinical Global Impression - Severity (CGI-S) score of =\>4 and an Aberrant Behavior Checklist - Japanese Version (ABC-J) Irritability Subscale score of =\>18 * Patients with mental age of \>18 months as measured by appropriate developmenta...

Countries:JapanUnited States
Unlock Eligibility Criteria

Competitive Landscape -Anxiety Disorders 40 trials

Frequently asked questions about risperidone

What is risperidone used for?

Risperidone is studied in psychiatry for several conditions, including anxiety disorders, bipolar disorder, conduct disorder, attention deficit and disruptive behavior disorders, autistic disorder in children and adolescents, and pervasive developmental disorders. It is also studied in schizophrenia and schizoaffective disorder, which appear in its long-acting injectable trials.

What does risperidone target?

Risperidone targets HTR2A, HTR2C, and DRD2. It acts as an antagonist at these receptors, meaning it blocks serotonin 5-HT2A and 5-HT2C receptors and dopamine D2 receptors. This receptor profile underlies its activity as a small molecule psychiatric agent.

Who makes risperidone?

Risperidone is developed by Johnson & Johnson, which trades under the ticker JNJ. The company is associated with both the oral and long-acting injectable formulations of the drug.

What phase is risperidone in?

Risperidone is in Phase 3 development. The tracked clinical program includes 19 trials, all of which are completed, with no active trials currently listed. Total enrollment across these studies is 6,152 participants.

What clinical trials is risperidone in?

Risperidone has been studied in completed trials including NCT01624675, a Phase 3 study of irritability associated with autistic disorder in children and adolescents in Japan, and NCT00558298, a Phase 3 long-term safety study of long-acting injectable risperidone in schizophrenia or schizoaffective disorder with 811 participants. NCT00495118 is a similar Phase 3 long-term safety study.

Is risperidone the same as the long-acting injectable formulation?

Risperidone is the same active drug across its formulations, which include oral tablets, oral solution, and a long-acting injectable. The oral and injectable versions differ in how they are given, and the long-acting injectable has been studied in schizophrenia and schizoaffective disorder.