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Ziprasidone

Phase 4FDA approved

Bipolar Disorder | Small molecule | Psychiatry |Viatris Inc.|Trials Updated: Mar 3, 2021

Ziprasidone development status

FDA approval on record Feb 5, 2001 as Geodon
Approval holderViatris
ApplicationNDA020825
Highest phase Phase 4 (NCT00137020)
Phase scored for VTRSPhase 3
Registered trials 31 across 7 sponsors since May 2002

Label indication GEODON is indicated for the treatment of schizophrenia, as monotherapy for the acute treatment of bipolar manic or mixed episodes, and as an adjunct to lithium or valproate for the maintenance treatment of bipolar disorder. GEODON intramuscular is indicated for acute agitation in schizophrenic patients. FDA label

Ziprasidone target and mechanism

Molecular targetHTR2A, DRD2, HTR2C
Target classAntagonist
ModalitySmall molecule
ChEMBLCHEMBL708

Also known as Ziprasidone oral capsules

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment238

FDA Designations

No designations recorded

Ziprasidone clinical trials

Ziprasidone · 1 trial · 1 indication

Phase 3 1
NCT00257166Safety and Efficacy of Ziprasidone in Children and Adolescents With Bipolar I Disorder (Manic or Mixed)Bipolar Disorder
COMPLETED238 Analytics
PHASE3COMPLETED
Safety and Efficacy of Ziprasidone in Children and Adolescents With Bipolar I Disorder (Manic or Mixed)
Bipolar DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Young Mania Rating Scale (YMRS) Score at Week 4
Baseline, Week 4

YMRS: an 11-item scale that measured the severity of manic episodes. Four items were rated on a scale from 0 (symptom absent) to 8 (symptom extremely severe). The remaining items were rated on a scale from 0 (symptom absent) to 4 (symptom extremely severe). YMRS total score ranged from 0 to 60, higher score indicated higher severity of mania.

Secondary Endpoints

Change From Baseline in Young Mania Rating Scale (YMRS) Score at Week 1, 2 and 3
Baseline, Week 1, 2, 3
Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 1, 2, 3 and 4
Baseline, Week 1, 2, 3, 4
Clinical Global Impression - Improvement (CGI-I) Score
Week 1, 2, 3, 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ziprasidone oral capsulesEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
Ziprasidone oral capsulesDRUGOral ziprasidone capsules of 20 mg, 40 mg, 60 mg, and 80 mg strength administered BID.
placebo oral capsulesDRUGOral placebo capsules of 20 mg, 40 mg, 60 mg, and 80 mg strength administered BID.
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Eligibility Criteria

Age Range10 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites50

Inclusion Criteria: * DSM-IV criteria for Bipolar I disorder (manic or mixed); age 10 - 17 years Exclusion Criteria: * Imminent risk of suicide or homicide, as judged by the site investigator; any history of serious or unstable medical illness, including risk for QT prolongation

Countries:United States
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Frequently asked questions about Ziprasidone

What is Ziprasidone used for in Bipolar Disorder?

Ziprasidone is being studied for the treatment of bipolar I disorder in children and adolescents, specifically for manic or mixed episodes. It is an investigational use in this pediatric population, evaluated in a Phase 3 clinical trial. Ziprasidone oral capsules are the formulation referenced for this development program.

What does Ziprasidone target?

Ziprasidone targets the serotonin 2A receptor (HTR2A), the dopamine D2 receptor (DRD2), and the serotonin 2C receptor (HTR2C). It acts as an antagonist at these receptors. This receptor binding profile is the basis for its activity in psychiatric conditions such as bipolar disorder.

Who is developing Ziprasidone for Bipolar Disorder?

Viatris Inc. (ticker: VTRS) is the developer of Ziprasidone for bipolar disorder. The company is associated with the clinical development program evaluating ziprasidone oral capsules in pediatric patients with bipolar I disorder.

What phase is Ziprasidone in for Bipolar Disorder?

Ziprasidone is in Phase 3 development for bipolar disorder. The program includes one completed Phase 3 trial. Ziprasidone is not approved for this pediatric bipolar disorder indication based on the available development information, and it remains an investigational use in this setting.

What clinical trials is Ziprasidone in for Bipolar Disorder?

Ziprasidone has been studied in the Phase 3 trial NCT00257166, titled Safety and Efficacy of Ziprasidone in Children and Adolescents With Bipolar I Disorder (Manic or Mixed). The trial was completed, enrolled 238 participants, was randomized, double-blind, and placebo-controlled, and was conducted in the United States.

Is Ziprasidone the same as Ziprasidone oral capsules?

Yes, Ziprasidone oral capsules is an alternative name for Ziprasidone. Both refer to the same small molecule drug. The oral capsule formulation is the one referenced in the clinical development program for bipolar disorder.