FDA Greenlights First Bi-Monthly Injectable for Schizophrenia, Bipolar 1 Disorder

BIOMARKER

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1. The FDA approved Otsuka and Lundbeck's extended-release injectable aripiprazole, Abilify Asimtufii, for schizophrenia treatment and bipolar I disorder maintenance therapy.

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2. Abilify Asimtufii is the first long-acting injectable for these indications, requiring administration once every two months.

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3. The new formulation is approved for use in adult patients.

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4. The 031-201-00181 trial compared Abilify Asimtufii's efficacy with the once-monthly aripiprazole formulation, Abilify Maintena.

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5. Pharmacokinetic analyses showed similar plasma aripiprazole concentrations for the once-every-two-month and once-monthly versions.

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6. The 960-mg Abilify Asimtufii dose is generally well-tolerated and has a similar adverse event profile to Abilify Maintena.

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7. Abilify Asimtufii comes in 960-mg and 720-mg prefilled syringes designed to deliver sustained plasma levels of aripiprazole.

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8. The drug is administered via intramuscular injection to the gluteal muscle by a healthcare professional.

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9. Abilify Asimtufii's label warns of an increased risk of death for elderly people with dementia-related psychosis treated with antipsychotic drugs.

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10. Otsuka and Lundbeck will compete with Johnson & Johnson in the schizophrenia market, following J&J's FDA approval for Invega Hafyera in September 2021.

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