Drugs / Paliperidone
last change Jul 2026 re-read 2 minutes ago

Paliperidone

Developed for
schizophrenia · schizoaffective disorder · bipolar disorder · methamphetamine dependence · psychotic disorder · amphetamine abuse · autism · heroin dependence
+9 more · insomnia · major depressive disorder · manic bipolar affective disorder · obsessive-compulsive disorder · post-traumatic stress disorder · schizophreniform disorder · substance abuse · substance dependence · substance-induced psychosis
Investigated by
Johnson & Johnson Pharmaceutical Research & Development, L.L.C. · Janssen Korea, Ltd., Korea · Janssen Research & Development, LLC · Johnson & Johnson Taiwan Ltd · Ortho-McNeil Janssen Scientific Affairs, LLC · Janssen, LP
+46 more · Janssen Pharmaceutical K.K. · Janssen-Cilag International NV · Beijing HuiLongGuan Hospital · Chonbuk National University Hospital · Indiana University · Instituto de Salud Carlos III · Janssen Scientific Affairs, LLC · Wei Hao · Xian-Janssen Pharmaceutical Ltd. · Yale University · ACI Pharmaceuticals · American Foundation for Suicide Prevention · AstraZeneca · Biomedical Research Networking Center (CIBER) · Calo Psychiatric Center · Centre for Addiction and Mental Health · Chonnam National University Hospital · Dr. M M Jalal Uddin · Dr.Ahsan Aziz Sarkar · Fundación Pública Andaluza Progreso y Salud · Hannover Medical School · Janssen Cilag N.V./S.A. · Janssen Pharmaceutica · Janssen-Cilag Farmaceutica Ltda. · Janssen-Cilag Pty Ltd · Janssen-Cilag S.p.A. · Janssen-Cilag Turkey · Janssen-Cilag, S.A. · Johnson & Johnson · Juntendo University · Korea Otsuka Pharmaceutical Co., Ltd. · Massachusetts General Hospital · Ministry of Health, Republic of Korea · National Taiwan University Hospital · Sanofi-Synthelabo · Seoul National University Hospital · Sher-E-Bangla Medical College · Taipei City Hospital · Taipei Institute of Pathology · Technical University of Munich · US-Bangla Medical College Hospital · Universiti Sains Malaysia · University of Alabama at Birmingham · University of California, Irvine · University of Maryland, Baltimore · University of South Florida

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) INVEGA 2007-12-21 – 2011-04-06 fda.gov
Approved EU (EMA) Invega 2007-06-24 europa.eu
Approved US (FDA) INVEGA 2006-12-19 fda.gov

Trials 105 · started per year

today
US approved 2006
EU approved 2007
6
17
4
15
14
14
7
7
3
4
4
2
4
1
1
1
1
2003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 126 trials
Phase 1 NCT02087579 Feb → Oct 2014 bipolar disorder, depressive disorder, schizophrenia Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT01607762 Feb → Apr 2012 Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT01094249 Feb → Apr 2009 bipolar disorder, schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 1 NCT01060228 Jan → Feb 2009 epilepsy, schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 1 NCT01559272 Feb 2008 → Apr 2014 schizophrenia Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT00791193 Mar → May 2007 schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 1 NCT00892125 Sep 2006 → Mar 2007 bipolar disorder, schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 1 NCT00791167 Jun → Aug 2006 schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 1 NCT00791713 Mar → Jul 2006 schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 1 NCT00791622 Jan → Jun 2006 schizoaffective disorder, schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 25 trials
Phase 2 NCT02462473 May 2015 → Jan 2016 schizoaffective disorder, schizophrenia Janssen Research & Development, LLC Terminated No outcome recorded
Phase 2 NCT07445217 Mar → Jun 2008 Calo Psychiatric Center Completed No outcome recorded
Phase 2 NCT00632229 Oct 2007 → Sep 2013 obsessive-compulsive disorder University of South Florida Completed No outcome recorded
Phase 2 NCT00105326 Feb → Aug 2005 insomnia, schizophrenia Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 2 NCT00257023 Feb → Sep 2005 schizophrenia Janssen Pharmaceutical K.K. Completed No outcome recorded
Phase 336 trials
Phase 3 NCT02374567 Jan 2015 → Jun 2017 anxiety disorder, dementia, depressive disorder, schizophrenia +1 Hannover Medical School Terminated No outcome recorded
Phase 3 NCT02541513 May 2013 → Jan 2017 amphetamine abuse, heroin dependence Universiti Sains Malaysia Unknown No outcome recorded
Phase 3 NCT01765829 Nov 2012 → Nov 2015 psychotic disorder Fundación Pública Andaluza Progreso y Salud Unknown No outcome recorded
Phase 3 NCT01662310 Jun 2011 → Apr 2013 schizophrenia Janssen Research & Development, LLC Completed No outcome recorded
Phase 3 NCT01193153 Sep 2010 → Oct 2013 schizoaffective disorder Janssen Scientific Affairs, LLC Completed No outcome recorded
Phase 3 NCT01009047 Dec 2009 → Jun 2012 schizophrenia Janssen Research & Development, LLC Completed No outcome recorded
Phase 3 NCT01541371 Jul 2008 → Sep 2009 schizophrenia Xian-Janssen Pharmaceutical Ltd. Completed No outcome recorded
Phase 3 NCT01606228 Dec 2007 → Dec 2008 schizophrenia Janssen Pharmaceutica Completed No outcome recorded
Phase 3 NCT00549562 Nov 2007 → Sep 2010 autism Indiana University Completed No outcome recorded
Phase 3 NCT00645099 Oct 2007 → Apr 2009 schizophrenia Janssen-Cilag International NV Completed No outcome recorded
Phase 433 trials
Phase 4 NCT07153835 Sep 2025 → Mar 2026 overdue schizophrenia Sher-E-Bangla Medical College Not yet recruiting No outcome recorded
Phase 4 NCT06060886 Nov 2023 → Jun 2025 diabetes mellitus, fatty liver disease, schizophrenia Biomedical Research Networking Center (CIBER) Unknown No outcome recorded
Phase 4 NCT04478838 Jun 2022 → Sep 2027 expected schizophrenia Centre for Addiction and Mental Health Recruiting No outcome recorded
Phase 4 NCT02433717 Apr 2015 → Feb 2016 schizoaffective disorder, schizophrenia National Taiwan University Hospital Unknown No outcome recorded
Phase 4 NCT02307396 Feb 2015 → Jun 2016 schizoaffective disorder, schizophrenia Technical University of Munich Completed No outcome recorded
Phase 4 NCT01822730 Feb 2013 → Jan 2014 methamphetamine dependence Wei Hao Completed No outcome recorded
Phase 4 NCT01670071 Jan 2013 → Jun 2015 schizophrenia Johnson & Johnson Taiwan Ltd Terminated No outcome recorded
Phase 4 NCT01592201 Jul 2012 → Jun 2013 schizophrenia Janssen Korea, Ltd., Korea Terminated No outcome recorded
Phase 4 NCT01399450 Aug 2011 → Jul 2016 schizophrenia Seoul National University Hospital Completed No outcome recorded
Phase 4 NCT01193166 Aug 2010 → Sep 2012 schizophrenia Ortho-McNeil Janssen Scientific Affairs, LLC Withdrawn No outcome recorded
Phase not applicable5 trials
NCT02918825 Sep 2016 → Aug 2017 schizophrenia Beijing HuiLongGuan Hospital Completed No outcome recorded
NCT01584466 Jan 2014 schizophrenia University of Maryland, Baltimore Withdrawn No outcome recorded
NCT01825928 Feb 2013 → Apr 2014 methamphetamine dependence Wei Hao Completed No outcome recorded
NCT04076371 Jan 2012 → Dec 2018 schizophrenia Beijing HuiLongGuan Hospital Completed No outcome recorded
NCT03019887 Apr 2011 → Jan 2017 schizophrenia Juntendo University Completed No outcome recorded
Also used as a comparator or background therapy in 20 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT03565068 Background Jun 2018 → Apr 2020 schizophrenia Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT02634463 Background Nov 2015 → Nov 2016 Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT02181803 Background Aug 2014 → Apr 2015 schizophrenia Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT01556763 Background Apr → Aug 2008 schizoaffective disorder, schizophrenia FORUM Pharmaceuticals Inc Completed No outcome recorded
Phase 1 NCT03730857 Comparator Jan → Dec 2008 schizophrenia Calo Psychiatric Center Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT03425552 Comparator Mar 2018 → May 2019 schizophrenia Pharmathen S.A. Completed No outcome recorded
Phase 23 trials
Phase 2 NCT03557931 Background Jul 2018 → Oct 2019 schizophrenia Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 2 NCT03319953 Background Dec 2017 → Sep 2019 schizophrenia Neurocrine Biosciences Completed No outcome recorded
Phase 2 NCT01323205 Background May 2011 → Nov 2012 schizophrenia Janssen Research & Development, LLC Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT03485417 Comparator Jun 2019 → May 2024 schizophrenia, substance abuse, substance dependence, substance-induced psychosis The University of Hong Kong Completed No outcome recorded
Phase 32 trials
Phase 3 NCT02431702 Comparator Jul 2015 → Nov 2019 schizophrenia Janssen Scientific Affairs, LLC Completed No outcome recorded
Phase 3 NCT01795547 Comparator Feb 2013 → Sep 2014 schizophrenia H. Lundbeck A/S Completed No outcome recorded
Phase 48 trials
Phase 4 NCT07047651 Background Jun 2025 → Dec 2027 expected treatment-refractory schizophrenia Dr. Stavroula Rakitzi Active not recruiting No outcome recorded
Phase 4 NCT05741502 Comparator Aug 2023 → Jan 2026 schizophrenia Ohio State University Terminated No outcome recorded
Phase 4 NCT02146547 Comparator Feb 2015 → Aug 2020 schizophrenia UMC Utrecht Completed No outcome recorded
Phase 4 NCT01742390 Comparator Feb → Dec 2013 hyperprolactinemia, sexual disorder Si Tianmei Unknown No outcome recorded
Phase 4 NCT00934635 Comparator Sep → Dec 2009 schizophrenia Janssen-Cilag GmbH Terminated No outcome recorded

Press releases naming this drug 2 releases

DateIssuerRelease
2024-06-01 Teva Branded Pharmaceutical Products R&D, Inc. New Data Provide Schizophrenia Treatment Insights into Switching to UZEDY® (risperidone) Extended-Release Injectable Suspension from Invega Sustenna® (paliperidone palmitate) tevapharm.com
2014-11-03 Otsuka Pharmaceutical Development & Commercialization, Inc. Aripiprazole Once-Monthly Injectable Shows Superior Effectiveness to Paliperidone Palmitate Once-Monthly Injectable on Quality of Life Scale in Patients with Schizophrenia otsuka-us.com

Evidence & citations 20 cited values

Every value below carries the sentence it was read from. 136 sources stand behind the page.

FieldValueCited text
Known as Paliperidone “Regular antipsychotic medications (Risperidone, Olanzapine, Clozapine, Amisulpride, Quetiapine, Paliperidone, Aripiprazole, Haloperidol, Levomepromazine, Zuclopenthixol...” NCT01323205
124

“Drugs: Aripiprazole, Olanzapine, Zuclopenthixol, Clotiapine, Flupentixol, Risperidone, Sulpiride, Trifluoperazine, Haloperidol, Quetiapine, Paliperidone, Chlorpromazine,...” NCT01765829

“A Comparative Study of Patient Satisfaction Between Continued Administration of Previous Antipsychotics Versus Switched Administration to Paliperidone ER in Non-satisfied...” NCT01592201

“For Part 2 only: participants need to be on monotherapy with an atypical antipsychotic medication (eg, Olanzapine, Quetiapine, Paliperidone, Asenapine, Iloperidone,...” NCT02181803

“Concomitant therapy with antipsychotic medication (aripiprazole \[10 to 30 mg/day\], olanzapine \[10 to 20 mg/day\], paliperidone \[3 to 12 mg/day\], or risperidone \[2 to 16 mg/day\])” NCT01556763

“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

Paliperidone, the primary active metabolite of risperidone, is a long-acting atypical neuroleptic (antipsychotic) medication.” NCT02541513

“AAP medication (e.g., olanzapine, quetiapine, paliperidone, asenapine, iloperidone” NCT03565068

NCT00396565

NCT00473434

NCT07047651

NCT01279213

NCT00827840

NCT02431702

NCT00650793

NCT00397033

NCT00766064

NCT06060886

NCT00535132

NCT00330863

NCT01662310

NCT01795547

NCT03730857

NCT00535145

NCT02433717

NCT01010776

NCT01724359

NCT00309686

NCT01157351

NCT00784238

NCT00791713

NCT00334126

NCT01094249

NCT00668837

NCT00761189

NCT00796471

NCT00796432

NCT00488319

NCT01577160

NCT01670071

NCT01009047

NCT02634463

NCT01193153

NCT01822730

NCT00518323

NCT01577186

NCT00077714

NCT04076371

NCT01193166

NCT01157585

NCT00806234

NCT02087579

NCT00350467

NCT00791622

NCT01825928

NCT01060228

NCT00078039

NCT01050478

NCT00796029

NCT00791401

NCT03485417

NCT02374567

NCT00791349

NCT01399450

NCT00589914

NCT00915512

NCT02462473

NCT00791284

NCT00796640

NCT02146547

NCT01606228

NCT01561898

NCT01559272

NCT00934635

NCT00105326

NCT00566631

NCT00309699

NCT02918825

NCT00892541

NCT02307396

NCT00791232

NCT03557931

NCT00838669

NCT00757705

NCT07153835

NCT03019887

NCT00796081

NCT00892320

NCT00412373

NCT01607762

NCT00761579

NCT00761605

NCT00490971

NCT01742390

NCT00549562

NCT01584466

NCT04478838

NCT00645307

NCT00796835

NCT00892125

NCT01541371

NCT00257023

NCT01134731

NCT00791193

NCT03425552

NCT00083668

NCT00791167

NCT00937261

NCT00758030

NCT00645099

NCT01362439

NCT00592358

NCT00085748

NCT00796185

NCT02075528

NCT00796276

NCT00299715

NCT01284959

NCT00460512

NCT00752427

NCT00086320

NCT07445217

NCT00210769

NCT00632229

Known as 9-hydroxy-risperidone “Paliperidone (9-hydroxy-risperidone) is an active metabolite of the second-generation antipsychotics risperidone.” NCT02433717
Known as 9-OH-risperidone “Paliperidone (9-OH-risperidone, metabolite of risperidone), when used with OROS technology has a unique pharmacokinetic profile undergoing limited hepatic metabolism.” PMID 17466492 Apr 2007
Known as ER OROS paliperidone ER OROS paliperidone (12 mg, oral) on Days 2 to 6, ER OROS paliperidone (12 mg, oral) on Days 1 to 6, or IR risperidone (oral) 2 mg on Day 1 and 4 mg on Days 2 to 6” NCT00791232
3

“All volunteers will receive single doses of 3 mg ER OROS paliperidone with and without a standard Japanese breakfast.” NCT00892320

“A Dose-proportionality Study of Five Tablet Strengths of ER OROS PaliperidoneNCT00796835

ER OROS paliperidone, paliperidone ER” NCT00796081

Known as extended-release paliperidone “The purpose of this open-label study is to evaluate the long-term (6-month) safety and tolerability of extended-release paliperidone, an atypical antipsychotic, given in...” NCT00488319
Known as Immediate release (IR) Paliperidone Immediate release (IR) PaliperidoneNCT00791349
Known as Invega Sustenna “Patients without previous exposure to paliperidone ER (Invega), paliperidone palmitate (Invega Sustenna), risperidone, or RISPERDAL CONSTA will be given 4 to 6 days of...” NCT01193153
Known as JNS007ER “Paliperidone extended-release (JNS007ER)” NCT01561898
Known as Oral Paliperidone ER “Drug: Oral Paliperidone ERNCT02431702
Known as PALI “Plateau switch to aripiprazole (ARI) from risperidone (RIS) or paliperidone (PALI)” NCT01742390
Known as Paliperidone ER Paliperidone ER tablet in dose range of 3 to12 milligram (mg) per day was given orally for 6 months as per Investigator's discretion to participants who transitioned to...” NCT00460512
20

“Patients previously treated with any oral antipsychotic, except those treated with paliperidone ER, olanzapine or clozapine during the last 6 months, can be enrolled and will...” NCT00645099

“Participants will receive paliperidone ER tablet in dose range of 3 to12 milligram (mg) per day orally once daily for 24 weeks as per Investigator's discretion based on the...” NCT00757705

“The purpose of this study is to evaluate the efficacy (effectiveness of drug) and safety of the antipsychotic paliperidone ER compared to another antipsychotic, quetiapine, and...” NCT00334126

“The purpose of this study is to evaluate the effects of a CYP2D6 inhibitor, paroxetine, on the pharmacokinetics of a single dose of orally administered paliperidone ER and to...” NCT00791713

Paliperidone ER has been shown to be effective in treating schizophrenia, and has an improved delivery system (with delivery at a relatively controlled rate over 24 hours) and...” NCT00309686

“This study will investigate the effect of paliperidone ER (in combination with or without benzodiazepines) in patients presenting with symptoms of agitation and/or aggression...” NCT01050478

“The purpose of this study is to determine the efficacy (effectiveness) and safety of paliperidone ER compared with placebo in the prevention of recurrence of symptoms of schizophrenia.” NCT00086320

“This study is designed to evaluate the efficacy and safety of 3 fixed dosages of paliperidone ER (6, 9, and 12 mg/day) compared with placebo in patients with schizophrenia.” NCT00078039

“In this uncontrolled population of patients with schizophrenia who were treated with paliperidone ER, the percentage of patients who were employed increased over time.” PMID 21155708 Dec 2010

Paliperidone ER is an atypical antipsychotic agent approved by the U.S. Food and Drug Administration for the treatment of schizophrenia in adults.” NCT00518323

Paliperidone ER tablets will be administered orally once daily as flexible dose ranging from 3 to 12 milligram (mg) per day for 12 months.” NCT00915512

“Paliperidone extended-release tablet (paliperidone ER) is an oral psychotropic agent developed for schizophrenia treatment.” PMID 17466492 Apr 2007

“assessing the efficacy and safety of paliperidone ER in a real-world, multi-site setting” NCT07153835

“Subjects received higher-dose (12 mg/d) or lower-dose (6 mg/d) paliperidone ER.” PMID 20492853 May 2010

Paliperidone ER, 3, 6, or 12 mg/day or placebo once daily for 3 weeks.” NCT00299715

“6-mg paliperidone ER once daily from Day 1 through Day 7, route oral” NCT00892125

“ER OROS paliperidone, paliperidone ERNCT00796081

“Drug: Paliperidone ERNCT01577186

“Drug: Paliperidone ERNCT00488319

“Drug: Paliperidone ERNCT00412373

Known as paliperidone extended release “We evaluated the efficacy of paliperidone extended-release (ER), an investigational psychotropic agent, in delaying symptom recurrence in adult patients with schizophrenia and...” PMID 17224706 Feb 2007
5

“Participants with suboptimal response to oral risperidone were randomized to paliperidone extended release (ER) immediate or delayed (week 2) initiation.” PMID 20216424 May 2010

Paliperidone extended release (ER) might be considered as a treatment option for patients presenting with agitation and/or aggression” NCT01050478

“This study explores relevant outcomes with flexibly dosed paliperidone extended-release (ER) in a real-world design.” PMID 24491033 Feb 2014

“randomly assigned to treatment with paliperidone extended-release, quetiapine, or placebo.” PMID 19411369 May 2009

“paliperidone extended-release (ER) tablets were assessed in patients with acute mania.” PMID 20624657 Jul 2010

Known as paliperidone extended-release (ER) “The purpose of this study is to measure the effectiveness and assess the safety of two dosages of the antipsychotic paliperidone extended-release (ER) in patients who are...” NCT00397033
4

“This study assessed potentially prolactin-related treatment-emergent adverse events (PPRL-TEAEs) and sexual maturation during long-term treatment of adolescents with...” PMID 28660406 Sep 2017

“Data were from three 52-week open-label extensions of the double-blind pivotal trials of paliperidone extended-release (ER) (trial numbers NCT00650793, NCT00210769 and NCT00668837).” PMID 21155708 Dec 2010

Paliperidone extended-release (ER) tablets will be administered orally once daily at flexible doses ranging from 6 mg to 12 mg” NCT07153835

“This study explores relevant outcomes with flexibly dosed paliperidone extended-release (ER) in a real-world design.” PMID 24491033 Feb 2014

Known as Paliperidone Extended-Release Tablets “F. Trial medications Paliperidone Extended-Release Tablets (Invega): 9 mg/tab, 3 mg/tab” NCT02433717
Known as Paliperidone palmitate “Two formulations of paliperidone have been studied for these indications: an extended-release oral formulation (NCT00397033, NCT00412373) and long-acting injectable...” PMID 26934062 Mar 2016
2

“injectable atypical antipsychotic paliperidone palmitate (PP) versus risperidone long-acting injectable (RIS-LAI)” PMID 21092748 Nov 2010

“Drug: Paliperidone palmitateNCT02146547

Known as Paliperidone: Invega Paliperidone: Invega®” NCT01795547
Known as R078543 (+) “Treatment D, 1 mg (+)-paliperidone (R078543) oral solution” NCT00796276
Known as R078544 (-) “Treatment E, 1 mg (-)-paliperidone (R078544) oral solution” NCT00796276
Action Inhibit “Antipsychotic medications like risperidone and paliperidone ER are used to treat psychosis by blocking the dopamine receptors.” NCT00934635
Route Oral “Patients will be randomized into 1 of 4 treatment groups to receive oral dosages of paliperidone ER 6 mg or 12 mg, olanzapine 10 mg, or placebo once daily for a 6-week period.” NCT00077714