Drug intelligence / Profile preview

risperidone + olanzapine

Development stage
Phase 4
Lead developer
Johnson & Johnson
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.

Other names
risperidone and olanzapine
02

Targets

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

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