Drugs / Ziprasidone
last change Jan 2026 re-read 8 days ago

Ziprasidone

Small molecule targets DRD2, HTR2A, HTR2C via inhibition

Developed for
schizophrenia · bipolar disorder · schizoaffective disorder · psychotic disorder · manic bipolar affective disorder · bipolar I disorder · depressive disorder · major depressive disorder
+20 more · bipolar depression · delirium · generalized anxiety disorder · alcohol dependence · anxiety · autism · bipolar II disorder · conduct disorder · delusional disorder · drug dependence · metabolic syndrome X · mood disorder · oppositional defiant disorder · panic disorder · post-traumatic stress disorder · schizophreniform disorder · social phobia · borderline personality disorder · opiate dependence · opioid abuse
Investigated by
Viatris Inc. · Pfizer · National Institute of Mental Health (NIMH) · Massachusetts General Hospital · Northwell Health · Beijing HuiLongGuan Hospital
+56 more · Bronx Psychiatric Center · Buffalo Psychiatric Center · Central Institute of Mental Health, Mannheim · Centre for Addiction and Mental Health · Chonbuk National University Hospital · Creighton University · Donald C. Goff, MD · Drexel University College of Medicine · Duke University · Eli Lilly and Company · Federal University of Rio Grande do Sul · Fundación Pública Andaluza Progreso y Salud · George Washington University · Guiyun Xu · H. Lundbeck A/S · Hannover Medical School · Hospital de Clinicas de Porto Alegre · Instituto de Salud Carlos III · Liebowitz, Michael R., M.D. · Lindner Center of HOPE · MDS Pharma Services · Manhattan Psychiatric Center · Medical College of Wisconsin · Medical University of Vienna · New York State Psychiatric Institute · North Suffolk Mental Health Association · Providence Health & Services · Queen's University · Rochester Psychiatric Center · Sant Pau Research Institute · Second Affiliated Hospital, School of Medicine, Zhejiang University · Shanghai Jiao Tong University School of Medicine · Shanghai Mental Health Center · Shanxi Medical University · Sidney R. Baer, Jr. Foundation · Solvay Pharmaceuticals · Soonchunhyang University Hospital · Stanford University · Technical University of Munich · The Medical Research Network · The University of Hong Kong · The University of Texas Health Science Center at San Antonio · University Hospital Freiburg · University Hospitals Cleveland Medical Center · University of Alabama at Birmingham · University of Arizona · University of North Carolina, Chapel Hill · University of Sao Paulo · University of South Florida · VA Palo Alto Health Care System · Vanderbilt University Medical Center · Veterans Medical Research Foundation · Washington University School of Medicine · Wyeth is now a wholly owned subsidiary of Pfizer · Yale University · Yang Fude

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) GEODON — 2004-08-19 – 2022-01-28 fda.gov ↗
Approved US (FDA) GEODON — 2001-02-05 fda.gov ↗

Trials 80 · started per year

today
US approved 2001
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200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT04587115 Jun 2017 → Jun 2019 drug dependence The University of Texas Health Science Center at San Antonio Completed No outcome recorded
Phase 11 trial
Phase 1 NCT03781115 Nov 2017 → Feb 2027 expected schizophrenia University of Arizona Active not recruiting No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT02650102 Jan 2013 → Dec 2016 schizophrenia Shanxi Medical University Unknown No outcome recorded
Phase 1/2 NCT04975035 Jan → Jul 2012 schizophrenia Second Affiliated Hospital, School of Medicine, Zhejiang University Terminated No outcome recorded
Phase 26 trials · 1 met primary · 1 missed
Phase 2 NCT00633399 Jul 2008 → Mar 2014 major depressive disorder Massachusetts General Hospital Completed Met primary
Phase 2 NCT00635700 Mar 2008 → Nov 2012 psychotic disorder Yale University Completed No outcome recorded
Phase 2 NCT00676429 Jul 2006 → Jun 2008 conduct disorder, oppositional defiant disorder University Hospital Freiburg Completed No outcome recorded
Phase 2 NCT00215150 Nov 2004 → Dec 2008 social phobia Duke University Completed Missed primary
Phase 2 NCT01006551 Dec 2002 → Feb 2006 schizophrenia University of North Carolina, Chapel Hill Completed No outcome recorded
Phase 2 NCT00208559 Feb 2002 → Jun 2005 autism Drexel University College of Medicine Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT00395031 Sep 2003 → Jan 2010 schizoaffective disorder, schizophrenia Manhattan Psychiatric Center Completed No outcome recorded
Phase 328 trials · 4 met primary · 5 missed
Phase 3 NCT03768726 Dec 2018 → Jul 2020 bipolar disorder Viatris Inc. Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT02374567 Jan 2015 → Jun 2017 anxiety disorder, dementia, depressive disorder, schizophrenia +1 Hannover Medical School Terminated No outcome recorded
Phase 3 NCT02075047 May 2014 → Apr 2020 bipolar I disorder Viatris Inc. Terminated Met primary Stop: Enrollment
Phase 3 NCT01765829 Nov 2012 → Nov 2015 psychotic disorder Fundación Pública Andaluza Progreso y Salud Unknown No outcome recorded
Phase 3 NCT01211522 Dec 2011 → Aug 2017 delirium, mental disorder Vanderbilt University Medical Center Completed Missed primary
Phase 3 NCT01113541 Jul 2010 → Feb 2011 bipolar disorder Viatris Inc. Terminated No outcome recorded
Phase 3 NCT01124877 Jul 2010 → Oct 2011 bipolar disorder Viatris Inc. Withdrawn No outcome recorded
Phase 3 NCT00723606 Sep 2008 → Jul 2009 schizophrenia Viatris Inc. Completed No outcome recorded
Phase 3 NCT00483548 Oct 2007 → Dec 2008 bipolar I disorder, bipolar depression Viatris Inc. Completed Missed primary
Phase 3 NCT00347425 Dec 2006 → Feb 2008 schizophrenia Solvay Pharmaceuticals Completed No outcome recorded
Phase 437 trials · 1 met primary · 3 missed
Phase 4 NCT04446234 May 2021 → Dec 2022 schizophrenia Shanghai Mental Health Center Unknown No outcome recorded
Phase 4 NCT02935998 Oct 2016 → Dec 2017 schizophrenia Yang Fude Unknown No outcome recorded
Phase 4 NCT02307396 Feb 2015 → Jun 2016 schizoaffective disorder, schizophrenia Technical University of Munich Completed No outcome recorded
Phase 4 NCT01893229 Sep 2013 → Dec 2015 bipolar disorder Guiyun Xu Unknown No outcome recorded
Phase 4 NCT01293825 Jan 2011 → Aug 2012 bipolar disorder University Hospitals Cleveland Medical Center Completed No outcome recorded
Phase 4 NCT01198353 Sep 2010 → Jun 2013 schizoaffective disorder, schizophrenia Soonchunhyang University Hospital Completed No outcome recorded
Phase 4 NCT01172652 Apr 2010 → Oct 2011 bipolar disorder, generalized anxiety disorder, panic disorder VA Palo Alto Health Care System Completed Missed primary
Phase 4 NCT01016145 Apr 2009 → Jun 2010 psychotic disorder University of Sao Paulo Unknown No outcome recorded
Phase 4 NCT00835107 Feb 2009 → Jun 2011 bipolar depression Queen's University Completed No outcome recorded
Phase 4 NCT00748566 Dec 2008 → May 2012 psychotic disorder Viatris Inc. Terminated No outcome recorded
Phase not applicable4 trials
— NCT04076371 Jan 2012 → Dec 2018 schizophrenia Beijing HuiLongGuan Hospital Completed No outcome recorded
— NCT00818298 Jan 2009 → Jan 2011 schizoaffective disorder, schizophrenia Centre for Addiction and Mental Health Completed No outcome recorded
— NCT00225498 Jun 2002 → Oct 2008 schizophrenia Northwell Health Completed No outcome recorded
— NCT00205725 Nov 2000 → Oct 2006 schizophrenia, type 2 diabetes mellitus Washington University School of Medicine Completed No outcome recorded
Comparator or background therapy46 trials
Phase 0 NCT03837860 Comparator Apr 2019 → Mar 2021 opiate dependence, opioid abuse The University of Texas Health Science Center at San Antonio Terminated No outcome recorded
Phase 1 NCT03565068 Background Jun 2018 → Apr 2020 schizophrenia Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT03011645 Comparator May 2018 → Jan 2020 cardiovascular disorder Duke University Terminated No outcome recorded
Phase 1 NCT02181803 Background Aug 2014 → Apr 2015 schizophrenia Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT00821444 Comparator Jan → Mar 2009 — Viatris Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 6

DateIssuerRelease
2012-08-22 Wockhardt Regulatory WOCKHARDT RECEIVES TENTATIVE US FDA APPROVAL FOR GENERIC VERSION OF ANTI – PSYCHOTIC DRUG GECDON® wockhardt.com ↗
Pharmaceutical and biotechnology major Wockhardt has received tentative US FDA approval for marketing a generic version of 20mg, 40mg, 60mg & 80mg capsules containing Ziprasidone hydrochloride, which is used in the treatment of bipolar disorders and schizophrenia.
2006-12-01 Eli Lilly and Company Results Lilly Responds to the Cost-Effectiveness Analysis of the CATIE Schizophrenia Trial lilly.com ↗
Zyprexa was less costly by about $2,700 per year than quetiapine, $1,212 per year less than risperidone, and $3,564 per year less than ziprasidone.
2006-04-01 Eli Lilly and Company Results CATIE Phase 2 Data Confirm Patients Stay on Treatment Longer Because of Symptom Improvement More So Than Tolerability lilly.com ↗
In the tolerability arm, risperidone and Zyprexa performed best in terms of all-cause discontinuation, which was contrary to the study's hypothesis that ziprasidone would be the most effective atypical because it caused little or no weight gain(ii).
2005-09-19 Eli Lilly and Company Results According to CATIE, Zyprexa(R) More Effective on Discontinuation Rate than Other Antipsychotics Studied lilly.com ↗
CATIE found that for Zyprexa the average time to discontinuation was 9.2 months as compared with 4.6 months for quetiapine, 4.8 months for risperidone, 3.5 months for ziprasidone and 5.6 months for perphenazine.
2005-05-23 Eli Lilly and Company Results New Study Showed Efficacy was Most Important Factor in Decision to Stay on Antipsychotic Treatment for Schizophrenia lilly.com ↗
People taking atypical antipsychotics for schizophrenia were most likely to discontinue therapy due to continued presence of psychiatric symptoms, according to data presented today at the 158th annual meeting of the American Psychiatric Association (APA).
2005-04-06 Eli Lilly and Company Results Studies Show Schizophrenia Patients Taking Atypicals Stayed on Treatment Longer Than Patients Taking Older, Typical Antipsychotics lilly.com ↗
One of the studies revealed that patients taking olanzapine or clozapine remained on treatment longer than other atypicals (risperidone, quetiapine, ziprasidone) or the typical perphenazine.

Evidence & citations 25 cited values

Every value below carries the sentence it was read from. 127 sources stand behind the page.

FieldValueCited text
Known as Ziprasidone “Drugs: Aripiprazole, Olanzapine, Zuclopenthixol, Clotiapine, Flupentixol, Risperidone, Sulpiride, Trifluoperazine, Haloperidol, Quetiapine, Paliperidone, Chlorpromazine,...” NCT01765829 ↗
124

“There has been evidence that ziprasidone is efficacious in decreasing the magnitude of both positive and negative symptoms of schizophrenia, and also effective in the treatment...” NCT00159757 ↗

“Thirty patients will receive ziprasidone treatment, in progressively increasing doses, starting from 40 mg per day, and the other 30 patients will receive placebo” NCT00197951 ↗

“Second generation antipsychotics included risperidone, paliperidone, iloperidone, quetiapine, olanzapine, ziprasidone, asenapine and lurasidone.” NCT03319953 ↗

“Including Olanzapine, Risperidone, Paliperidone, Quetiapine, Aripiprazole, Ziprasidone, Lurasidone, Cariprazine, and all Typical antipsychotics” NCT05741502 ↗

“Participants who are switched to ziprasidone will take a max daily dose of 200 mg, flexibly dosed based on symptoms and adverse effects.” NCT00338949 ↗

“Oral antipsychotic agents, olanzapine, quetiapine, ziprasidone, aripiprazole in doses approved in the US for bipolar disorder” NCT00177164 ↗

“Quetiapine 25-800 mg; ziprasidone 80-160 mg; olanzapine 5-20mg; risperidone 2-8 mg; aripiprazole 15-30 mg” NCT01016145 ↗

“Ziprasidone is an atypical antipsychotic recommended to be administered twice daily.” PMID 23417515 ↗ Feb 2013

“switched to Zoladine capsules (ziprasidone hydrochloride capsules)” NCT04975035 ↗

“Ziprasidone(according to response, and tolerance)40-160mg” NCT01000402 ↗

Show 114 more sources

Known as CP-88, 059-27 ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as CP-88,059-1 ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as CP-88059 ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Geodon “Patients will be switched from their current antipsychotic medication to aripiprazole (Abilify) or ziprasidone (Geodon) (unless clinically contraindicated) for comparison with...” NCT00288366 ↗
13

“The purpose of this study is to evaluate the antidepressant effectiveness of Geodon for the treatment of patients diagnosed with Bipolar II disorder who are currently...” NCT00237666 ↗

“This is a 6-week trial that evaluates the efficacy and safety of Geodon (ziprasidone) in outpatient subjects ages 18 and older with Bipolar Disorder type I, depressed.” NCT00282464 ↗

“This open-label study will assess the medication Geodon® (Ziprasidone) in pediatric patients” NCT00421954 ↗

“Olanzapine (Zyprexa), Quetiapine (Seroquel), Ziprasidone (Geodon), Aripiprazole (Ablify)” NCT00177164 ↗

“Geodon (Ziprasidone) for Posttraumatic Stress Disorder” NCT00208208 ↗

“ziprasidone HCI(Geodon®)” NCT02237417 ↗

“ziprasidone (Geodon)” NCT00181922 ↗

“ziprasidone (Geodon)” NCT00490542 ↗

“ziprasidone (Geodon)” NCT00288353 ↗

“Ziprasidone/Geodon” NCT00472641 ↗

Show 3 more sources

Known as NSC-760351 ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Zeldox “Geodon, Zeldox” NCT00650429 ↗
Known as ZIP “5. 220 begin double-blind treatment with ziprasidone (ZIP)” NCT00014001 ↗
Known as Zipradon ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Ziprasidona ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as ziprasidone HCI “ziprasidone HCI(Geodon®)” NCT02237417 ↗
Known as ziprasidone hydrochloride “switched to Zoladine capsules (ziprasidone hydrochloride capsules)” NCT04975035 ↗
3

“Drug: ziprasidone hydrochloride” NCT00329108 ↗

“Drug: ziprasidone hydrochloride” NCT00835107 ↗

NCT00676429 ↗

Known as Ziprasidone hydrochloride hydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Ziprasidone hydrochloride monohydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Ziprasidone mesilate ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Ziprasidone mesilate trihydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as ZIPRASIDONE MESYLATE ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Ziprasidone mesylate anhydrous ChEMBL registry synonym — accepted as the source's own label CHEMBL708 ↗
Known as Zoladine “switched to Zoladine capsules (ziprasidone hydrochloride capsules)” NCT04975035 ↗
Action Inhibit “Serotonin 2a (5-HT2a) receptor antagonist” CHEMBL708 ↗
2

“both D2 and 5HT2 antagonistic effects” NCT00181922 ↗

“Dopamine D2 receptor antagonist” CHEMBL708 ↗

Modality Small molecule — CHEMBL708 ↗
Route Oral “oral liquid formulations of haloperidol versus ziprasidone versus placebo” NCT00096863 ↗
Target DRD2 “Dopamine D2 receptor antagonist” CHEMBL708 ↗
Target HTR2A “Serotonin 2a (5-HT2a) receptor antagonist” CHEMBL708 ↗
Target HTR2C “antagonist (ziprasidone) to reduce cortisol response to mental and metabolic stress in men carrying the rs6318 C allele and women in the rs6318 CC genotype of 5HTR2C.” NCT03011645 ↗