Drug intelligence / Profile preview

risperidone + olanzapine

Development stage
Unknown
Lead developer
Janssen Pharmaceutical
Modality
Small Molecules
Administration
Oral, Intramuscular
01

Overview

Risperidone and olanzapine are second-generation (atypical) antipsychotics used primarily for the treatment of schizophrenia and bipolar disorder. In the context of clinical research for treatment-resistant schizophrenia (TRS), such as the Lu AF35700 'DayBreak' trial, they are frequently utilized as the 'conventional therapy' or active comparator. Risperidone is a benzisoxazole derivative that acts as a potent D2 and 5-HT2A receptor antagonist. Olanzapine is a thienobenzodiazepine with a broader pharmacological profile, antagonizing D2, 5-HT2A, H1, M1, and alpha-1 receptors. Both agents are designed to provide antipsychotic efficacy with a lower incidence of extrapyramidal symptoms compared to first-generation antipsychotics.

Brand names
RisperdalZyprexa
Other names
risperidone and olanzapine
02

Targets

DRD4 (Dopamine D4 Receptor)HTR2A (Serotonin receptor 5-HT2A)HTR2C (5-hydroxytryptamine 2C receptor)HTR1A (Serotonin receptor 1A (5-hydroxytryptamine receptor 1A))HRH1 (Histamine H1 Receptor)M1 (Muscarinic acetylcholine receptor M1)HTR3A (5-hydroxytryptamine receptor 3A)DRD1 (Dopamine D1 Receptor)DRD2 (Dopamine D2 Receptor)ADRA1A (α1A)HTR6 (5-hydroxytryptamine receptor 6)ADRA2A (α2A)

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