Drugs / Brexpiprazole
last change 4 days ago re-read 2 minutes ago

Brexpiprazole

Small molecule targets DRD2, HTR1A, HTR2A via activation / inhibition

Developed for
schizophrenia · major depressive disorder · post-traumatic stress disorder · Alzheimer disease · bipolar I disorder · borderline personality disorder · manic bipolar affective disorder · attention deficit-hyperactivity disorder
+9 more · autism spectrum disorder · bipolar depression · schizoaffective disorder · anxiety · schizophreniform disorder · sleep disorder · substance-related disorder · alcohol-related disorders · depressive disorder
Investigated by
Otsuka Pharmaceutical Development & Commercialization, Inc. · H. Lundbeck A/S · Otsuka Pharmaceutical Co., Ltd. · Otsuka Beijing Research Institute · Otsuka America Pharmaceutical · Augusta University
+18 more · Columbia University · Douglas Mental Health University Institute · Duke University · Jewish General Hospital · Lundbeck Canada Inc. · Massachusetts General Hospital · McMaster University · National Institute of Mental Health (NIMH) · New York State Psychiatric Institute · Otsuka Canada Pharmaceutical Inc. · Quintiles, Inc. · Sichuan Kelun Pharmaceutical Co.,Ltd. · Stony Brook Medicine · University of California, San Francisco · University of Chicago · University of Massachusetts, Worcester · University of North Carolina, Chapel Hill · University of Texas Southwestern Medical Center

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (5) US (FDA) REXULTI 2016-09-23 – 2025-05-09 fda.gov
Approved EU (EMA) Rxulti 2018-07-26 europa.eu
Approved US (FDA) REXULTI 2015-07-10 fda.gov

Trials 81 · started per year

today
US approved 2015
EU approved 2018
1
4
2
8
3
15
3
3
2
10
10
8
2
3
3
1
2
1
20092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 114 trials
Phase 1 NCT07715253 Dec 2026 → Aug 2030 expected schizoaffective disorder, schizophrenia, schizophreniform disorder New York State Psychiatric Institute Not yet recruiting No outcome recorded
Phase 1 NCT06674694 Apr 2024 → Jun 2026 overdue schizophrenia Sichuan Kelun Pharmaceutical Co.,Ltd. Recruiting No outcome recorded
Phase 1 NCT06036108 Oct 2023 → Mar 2025 schizophrenia Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT05119894 Nov → Dec 2021 schizophrenia Otsuka Pharmaceutical Co., Ltd. Withdrawn No outcome recorded
Phase 1 NCT04118127 Oct 2019 → Feb 2021 schizophrenia Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT03734302 Apr 2019 → Jun 2020 Otsuka Beijing Research Institute Completed No outcome recorded
Phase 1 NCT03734354 Apr 2019 → May 2020 Otsuka Beijing Research Institute Completed No outcome recorded
Phase 1 NCT03292848 Oct 2017 → May 2018 attention deficit-hyperactivity disorder, autism, bipolar I disorder, conduct disorder +1 Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 1 NCT02968121 Jan → Dec 2017 schizophrenia Otsuka Pharmaceutical Development & Commercialization, Inc. Terminated No outcome recorded
Phase 1 NCT02875080 Sep → Nov 2016 Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 210 trials
Phase 2 NCT04100096 Oct 2019 → Jun 2021 borderline personality disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT03418675 Nov 2018 → Dec 2020 borderline personality disorder University of Chicago Completed No outcome recorded
Phase 2 NCT02934932 Apr 2017 → Apr 2018 post-traumatic stress disorder Duke University Terminated No outcome recorded
Phase 2 NCT03033069 Jan 2017 → Nov 2018 post-traumatic stress disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01074294 Mar 2010 → Jun 2011 attention deficit-hyperactivity disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01052077 Mar 2010 → Oct 2011 major depressive disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01447576 Sep 2009 → Dec 2012 major depressive disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01649557 Aug 2009 → Aug 2011 schizophrenia Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT00905307 Jul 2009 → Sep 2010 schizophrenia Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT00797966 May 2009 → Jun 2010 major depressive disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2/34 trials
Phase 2/3 NCT04186403 Jan 2020 → Sep 2021 borderline personality disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2/3 NCT03620981 Aug 2018 → Apr 2023 Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 2/3 NCT03697603 Jul 2018 → Jun 2022 major depressive disorder Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 2/3 NCT01451164 Oct 2011 → Jun 2015 schizophrenia Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 348 trials
Phase 3 NCT05325645 Jul 2022 → Feb 2026 overdue schizophrenia Otsuka Pharmaceutical Co., Ltd. Recruiting No outcome recorded
Phase 3 NCT05326347 May 2022 → Aug 2025 overdue schizophrenia Otsuka Pharmaceutical Co., Ltd. Active not recruiting No outcome recorded
Phase 3 NCT04569448 May 2021 → Feb 2025 overdue bipolar depression Douglas Mental Health University Institute Recruiting No outcome recorded
Phase 3 NCT04258839 Jan 2020 → Mar 2023 autism spectrum disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT03874494 Nov 2019 → Aug 2021 schizophrenia Otsuka Beijing Research Institute Completed No outcome recorded
Phase 3 NCT04174170 Oct 2019 → Jul 2023 post-traumatic stress disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT04174365 Oct 2019 → Aug 2022 autism spectrum disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT04124614 Oct 2019 → Jul 2023 post-traumatic stress disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT03724942 Nov 2018 → Dec 2021 Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 3 NCT03594123 Oct 2018 → Sep 2022 Alzheimer disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 45 trials
Phase 4 NCT06580041 Nov 2024 → Sep 2029 expected major depressive disorder University of California, San Francisco Enrolling by invitation No outcome recorded
Phase 4 NCT05504486 Aug 2022 → Mar 2023 major depressive disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Withdrawn No outcome recorded
Phase 4 NCT04830215 Apr 2021 → May 2022 major depressive disorder Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 4 NCT03526354 Jun 2018 → Feb 2024 schizoaffective disorder, schizophrenia, substance-related disorder University of Massachusetts, Worcester Completed No outcome recorded
Phase 4 NCT03427892 Mar 2017 → Mar 2018 bipolar depression University of Texas Southwestern Medical Center Completed No outcome recorded
Also used as a comparator or background therapy in 8 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT01423916 Comparator Jul 2011 → Feb 2012 schizoaffective disorder, schizophrenia Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 1 NCT01289080 Comparator Jan → Dec 2011 schizophrenia Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 1 NCT01299454 Comparator Dec 2010 → Jun 2011 schizophrenia Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 22 trials
Phase 2 NCT04066192 Comparator Oct 2020 → Aug 2026 overdue alcohol-related disorders University of Colorado, Denver Recruiting No outcome recorded
Phase 2 NCT03557931 Background Jul 2018 → Oct 2019 schizophrenia Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 31 trial
Phase 3 NCT04162522 Comparator Dec 2019 → Dec 2022 major depressive disorder University Health Network, Toronto Completed No outcome recorded
Phase 42 trials
Phase 4 NCT05017311 Comparator Jan 2023 → Dec 2028 expected major depressive disorder Nova Scotia Health Authority Recruiting No outcome recorded
Phase 4 NCT03149991 Comparator Sep 2017 → Mar 2019 depressive disorder Massachusetts General Hospital Completed No outcome recorded

Press releases naming this drug 78 releases

DateIssuerRelease
2026-02-13 Otsuka Pharmaceutical Development & Commercialization, Inc. REXULTI Listed in the "Essential Medicines List for the Ultra-Acute Phase of Disasters" by the Japanese Association for Disaster Medicine ® otsuka.co.jp
2025-09-20 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka and Lundbeck Receive Complete Response Letter from U.S. FDA for sNDA of REXULTI (brexpiprazole) in Combination with Sertraline for the Treatment of Adults with Post-Traumatic Stress Disorder (PTSD)® otsuka.co.jp
2025-09-20 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka and Lundbeck Receive Complete Response Letter from U.S. FDA for sNDA of REXULTI® (brexpiprazole) in Combination with Sertraline for the Treatment of Adults with Post-Traumatic Stress Disorder (PTSD) otsuka-us.com
2025-07-19 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka and Lundbeck Issue Statement on U.S. Food and Drug Administration (FDA) Advisory Committee Meeting on REXULTI (brexpiprazole) in Combination with Sertraline for the Treatment of Adults with Post-Traumatic Stress Disorder (PTSD)® otsuka.co.jp
2025-03-13 Otsuka Pharmaceutical Development & Commercialization, Inc. Rxulti (brexpiprazole) approved in the European Union for the treatment of schizophrenia in adolescents aged 13 years and older® otsuka.co.jp
2025-01-10 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces FDA Plans to Host an Advisory Committee Meeting to Discuss the sNDA for Brexpiprazole in Combination with Sertraline for the Treatment of Adults with Post-Traumatic Stress Disorder (PTSD) otsuka.co.jp
2025-01-10 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces FDA Plans to Host an Advisory Committee Meeting to Discuss the sNDA for Brexpiprazole in Combination with Sertraline for the Treatment of Adults with Post-Traumatic Stress Disorder (PTSD) otsuka-us.com
2024-12-19 Otsuka Pharmaceutical Development & Commercialization, Inc. JAMA Psychiatry Publishes Results of Otsuka and Lundbeck's Phase 3 Trial of Brexpiprazole in Combination with Sertraline in Treatment of Post-Traumatic Stress Disorder (PTSD) in Adults otsuka.co.jp
2024-12-18 Otsuka Pharmaceutical Development & Commercialization, Inc. JAMA Psychiatry Publishes Results of Otsuka and Lundbeck's Phase 3 Trial of Brexpiprazole in Combination with Sertraline in Treatment of Post-Traumatic Stress Disorder (PTSD) in Adults otsuka-us.com
2024-08-02 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka and Lundbeck Present New REXULTI (brexpiprazole) Post Hoc Efficacy Data Analyses for Agitation Associated with Dementia Due to Alzheimer's Disease at Alzheimer's Association International Conference (AAIC) 2024® otsuka.co.jp
2024-07-31 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka and Lundbeck Present New REXULTI® (brexpiprazole) Post Hoc Efficacy Data Analyses for Agitation Associated with Dementia Due to Alzheimer’s Disease at Alzheimer’s Association International Conference (AAIC) 2024 otsuka-us.com
2024-06-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka and Lundbeck announce FDA acceptance of sNDA filing for brexpiprazole in combination with sertraline for the treatment of adults with post-traumatic stress disorder (PTSD) otsuka.co.jp

Evidence & citations 15 cited values

Every value below carries the sentence it was read from. 91 sources stand behind the page.

FieldValueCited text
Known as brexpiprazole “To compare the effect of OPC-34712 (brexpiprazole) to the effect of placebo (an inactive substance) as add on treatment to an assigned FDA approved antidepressant treatment...” NCT01360645
73

“A post hoc analysis was performed using data obtained over eight weeks from 200 Japanese patients with schizophrenia who were switched to brexpiprazole monotherapy in a...” PMID 32297486 Apr 2020

“In each cohort, subjects will receive a brexpiprazole 2 mg conventional tablet on Day 1of Period 1, the QW formulation on Day 1 of Period 2 and 3, as single and multiple dose...” NCT04118127

“oral OPC-34712 (brexpiprazole), given in addition to an FDA approved antidepressant (ADT) for the treatment of adults with Major Depressive Disorder (MDD)” NCT01360866

“CAU plan modified to include a trial of phenelzine (or, if contraindicated: brexpiprazole).” NCT06580041

“OPC-34712 (brexpiprazole)” NCT01360632

NCT03287869

NCT02013622

NCT01922258

NCT02968121

NCT02400346

NCT02758067

NCT03737474

NCT03548584

NCT02196506

NCT01396421

NCT04174170

NCT03557931

NCT04174365

NCT03734354

NCT03734302

NCT04124614

NCT03724942

NCT01670279

NCT05504486

NCT06036108

NCT02212613

NCT02054702

NCT01838681

NCT05017311

NCT03427892

NCT04258839

NCT04162522

NCT04569448

NCT01987960

NCT01944969

NCT05119894

NCT02934932

NCT03620981

NCT04186403

NCT03149991

NCT01668797

NCT04066192

NCT05326347

NCT03538691

NCT01837797

NCT03526354

NCT02012218

NCT01810783

NCT02411695

NCT05325645

NCT03292848

NCT03697603

NCT02013531

NCT02194933

NCT03487198

NCT03874494

NCT01862640

NCT03033069

NCT01810380

NCT01854944

NCT03594123

NCT04100096

NCT01942785

NCT01727726

NCT03238326

NCT01942733

NCT03257865

NCT07715253

NCT03259555

NCT06674694

NCT03198078

NCT02013609

NCT04830215

Known as Brexpiprazol ChEMBL registry synonym — accepted as the source's own label CHEMBL2105760
Known as Brexpiprazole fumarate “OPC-34712FUM/ Brexpiprazole fumarateNCT05325645
2

“OPC-34712FUM/ Brexpiprazole fumarateNCT05326347

“OPC-34712FUM/ Brexpiprazole fumarateNCT06036108

Known as OPC-34712 “A Phase 2/3 Multicenter, Placebo-controlled, Randomized, Double-blind, Parallel-group Comparison Trial to Evaluate the Efficacy and Safety of Brexpiprazole (OPC-34712) in the...” NCT03620981
26

“Fixed-dose Brexpiprazole (OPC-34712) as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder With and Without Anxious Distress” NCT02196506

“To compare the effect of OPC-34712 (brexpiprazole) to the effect of placebo (an inactive substance) as add on treatment” NCT01360632

“Efficacy, Safety, and Tolerability of Brexpiprazole (OPC-34712) as Maintenance Treatment in Adults With Schizophrenia” NCT01668797

“Brexpiprazole (OPC-34712) as an Adjunctive Treatment in Adults With Major Depressive Disorder and Anxiety Symptoms” NCT02013531

“Monotherapy Brexpiprazole (OPC-34712) Trial in the Treatment of Adults With Early-Episode Schizophrenia” NCT02013622

OPC-34712 [Brexpiprazole] High Dose” NCT01396421

“Brexpiprazole (OPC-34712)” NCT03198078

“Brexpiprazole (OPC-34712)” NCT02411695

“Brexpiprazole, OPC-34712NCT01862640

“Brexpiprazole, OPC-34712NCT01922258

“Drug: OPC-34712NCT01456897

NCT01393613

NCT02875080

NCT00805454

NCT01447576

NCT01299454

NCT01360866

NCT01451164

NCT00905307

NCT01289080

NCT00797966

NCT01360645

NCT01052077

NCT01649557

NCT01423916

NCT01397786

Known as OPC-34712FUM OPC-34712FUM/ Brexpiprazole fumarate” NCT05325645
2

OPC-34712FUM/ Brexpiprazole fumarate” NCT05326347

OPC-34712FUM/ Brexpiprazole fumarate” NCT06036108

Known as OPDC-34712 “Brexpiprazole, OPDC-34712NCT02968121
1

NCT01074294

Known as Rexulti ClinicalTrials.gov intervention name — accepted as the source's own label NCT03418675
Known as Rxulti ChEMBL registry synonym — accepted as the source's own label CHEMBL2105760
Action Activate “Serotonin 1a (5-HT1a) receptor partial agonist” CHEMBL2105760
1

“Dopamine D2 receptor partial agonist” CHEMBL2105760

Action Inhibit “Serotonin 2a (5-HT2a) receptor antagonist” CHEMBL2105760
Modality Small molecule CHEMBL2105760
Route Oral “Tablets, Oral, 1 - 4 mg OPC-34712 variable dose once daily, 14 weeks” NCT00797966
Target DRD2 “Dopamine D2 receptor partial agonist” CHEMBL2105760
Target HTR1A “Serotonin 1a (5-HT1a) receptor partial agonist” CHEMBL2105760
Target HTR2A “Serotonin 2a (5-HT2a) receptor antagonist” CHEMBL2105760