Drug intelligence / Profile preview

milsaperidone

Development stage
Approved
Lead developer
Vanda Pharmaceuticals
Modality
Small Molecules
Administration
Oral
01

Overview

Milsaperidone is an oral **atypical antipsychotic** developed by Vanda that was initially identified as the major active metabolite of iloperidone and later advanced as a distinct new chemical entity. Public sources describe milsaperidone as rapidly interconverting with iloperidone after oral dosing and being bioequivalent to iloperidone across the approved therapeutic dose range, while retaining a receptor-binding profile characterized by high affinity for **dopamine D2**, **serotonin 5-HT2A**, and **adrenergic alpha-1/alpha-2C** receptors. It is marketed in the United States as **Bysanti** tablets for schizophrenia and for the acute treatment of manic or mixed episodes associated with bipolar I disorder in adults, and it is also in Phase 3 development as adjunctive therapy for major depressive disorder.

Brand names
Bysanti
Other names
milsaperidoneVHX 896VHX896VHX-896P-88P88P 88Bysanti
02

Targets

HTR2A (Serotonin receptor 5-HT2A)ADRA2C (α2C)ADRA1A (α1A)DRD2 (Dopamine D2 Receptor)

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