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Milsaperidone

Phase 3FDA approved

Major Depressive Disorder (MDD) | Small molecule | Psychiatry |Vanda Pharmaceuticals Inc.|Trials Updated: Sep 24, 2026

Milsaperidone development status

FDA approval on record Feb 20, 2026 as Bysanti
Approval holderVanda Pharms Inc
ApplicationNDA220358
Highest phase Phase 3
Registered trials 2 across 1 sponsor since Jan 2025

Milsaperidone target and mechanism

Molecular targetD2/5-HT2A
ModalitySmall molecule

Also known as VHX-896

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment500

FDA Designations

No designations recorded

Milsaperidone clinical trials

Milsaperidone · 1 trial · 1 indication

Phase 3 1
NCT06830044Evaluation of Efficacy and Safety of Milsaperidone as Adjunctive Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder (MDD)
RECRUITING500 Analytics
PHASE3RECRUITING
Evaluation of Efficacy and Safety of Milsaperidone as Adjunctive Therapy in Patients With Major Depressive Disorder
Major Depressive Disorder (MDD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline in Montgomery-Asberg Depression Rating Scale (MADRS)
6 weeks

The MADRS is a clinician-rated 10 item scale. Individual item scores are summed for a total possible score of 0 to 60 with a higher score indicating increased severity of depressive symptoms.

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MilsaperidoneEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
MilsaperidoneDRUGOral milsaperidone
PlaceboDRUGOral placebo
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * Male or female patient 18 to 65 years of age, inclusive; * Meets DSM-5-TR criteria for MDD * Currently having an inadequate response to antidepressant therapy as confirmed by the Investigator using the Antidepressant Treatment Response Questionnaire (ATRQ) Exclusion Criteria:...

Countries:United StatesBulgariaCzechiaPoland
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Recent Changes (Last 90 Days)

LOWSep 24, 2026NCT06830044lastUpdatePostDate: changed
LOWSep 24, 2026NCT06830044lastUpdatePostDate: changed

Frequently asked questions about Milsaperidone

What is Milsaperidone used for in Major Depressive Disorder?

Milsaperidone is an investigational small molecule being studied as an adjunctive therapy for patients with Major Depressive Disorder (MDD). It is intended to be added to existing antidepressant treatment to improve efficacy in patients who have not responded adequately to standard therapy. The drug is currently in Phase 3 clinical development.

What does Milsaperidone target?

Milsaperidone targets the D2 and 5-HT2A receptors. By acting on these receptors, it is designed to modulate dopamine and serotonin pathways, which are implicated in the regulation of mood. This dual receptor activity is being investigated for its potential to enhance antidepressant effects when used as an adjunctive treatment for Major Depressive Disorder.

Who is developing Milsaperidone?

Milsaperidone is being developed by Vanda Pharmaceuticals Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol VNDA. Vanda is conducting the clinical development program for Milsaperidone, which is currently in Phase 3 trials for Major Depressive Disorder.

What phase is Milsaperidone in?

Milsaperidone is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The ongoing Phase 3 trial is evaluating its efficacy and safety as an adjunctive therapy in patients with Major Depressive Disorder.

What clinical trials is Milsaperidone in?

Milsaperidone is being evaluated in a Phase 3 clinical trial registered as NCT06830044. This randomized, double-blind, placebo-controlled study is assessing the efficacy and safety of Milsaperidone as adjunctive therapy in patients with Major Depressive Disorder. The trial is currently recruiting participants and aims to enroll approximately 500 patients.

Is Milsaperidone the same as any other drug?

Milsaperidone is the sole name provided for this investigational compound. It is not known to be marketed under any alternative brand names or aliases. The drug is being developed exclusively by Vanda Pharmaceuticals and is identified by its generic name, Milsaperidone, in clinical and regulatory contexts.