Cariprazine

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Vraylar, Cariprazine hydrochloride

AbbVie Inc. ABBV · Bipolar I Disorder; Schizophrenia; Depression; Major Depressive Disorder; Autism Spectrum Disorder

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    8

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA204370,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Bipolar I Disorder; Schizophrenia; Depression; Major Depressive Disorder; Autism Spectrum Disorder Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 15 Jun 20188 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 17 Sep 2015

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Cariprazine. Editors add each one with its source.

Filed application

No filed application is on record for Cariprazine. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Cariprazine.

Clinical trials

Trials linked to Cariprazine
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT05368558ClinicalTrials.gov record for NCT05368558 (opens in a new tab)509 JPN SchzStudy to Assess Adverse Events and Change in Disease Activity of Oral Cariprazine Capsules in Adult Participants With SchizophreniaPhase 3Terminated34 (actual)20 Sep 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT05368558 (opens in a new tab)

Posted results on ClinicalTrials.gov for 509 JPN Schz

  • Change in SCI-PANSS Total Score From Baseline (Wk 0) to Week 6. (score on a scale)
    • DBP Placebo vs DBP Cariprazine 3 mg: Mean Difference (Final Values) 9.6 (95% CI -4.0 to 23.1), superiority
    • DBP Placebo vs DBP Cariprazine 6 mg: Mean Difference (Final Values) -15.0 (95% CI -28.7 to -1.4), superiority

Serious adverse events (All-cause mortality were reported from enrollment to the end of study. In the DBP, median time on follow up (median time subjects were followed) was 42.0 days (d) for all arms (DBP: Pbo, C 3mg, and C 6mg). In the BEP, median time on follow up was 117.5, 126.0, and 97.5d for BEP: C1.5mg, C 3mg, and C 6mg, respectively. In the SF DBP, median time on follow up was 57.0, 1.0, and 47.0d for SF DBP: Pbo, C 3mg, and C 6mg, respectively.): DBP Placebo 0 of 16; DBP Cariprazine 3 mg 0 of 5; DBP Cariprazine 6 mg 0 of 13; BEP Cariprazine 1.5 mg 1 of 10; BEP Cariprazine 3 mg 1 of 4; BEP Cariprazine 6 mg 0 of 10; SF DBP Placebo 0 of 5; SF DBP Cariprazine 3 mg 0 of 1; SF DBP Cariprazine 6 mg 1 of 4; SF BEP Cariprazine 1.5 mg 0 of 10; SF BEP Cariprazine 3 mg 1 of 4; SF BEP Cariprazine 6 mg 0 of 10

Source: ClinicalTrials.gov results for NCT05368558 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

NCT05439616ClinicalTrials.gov record for NCT05439616 (opens in a new tab)Study of Cariprazine Oral Capsules or Solution to Assess Adverse Events and Change in Irritability Due to Autism Spectrum Disorder (ASD) in Participants Aged 5-17 Years With ASDPhase 3Completed161 (actual)4 Oct 2024 (actual) No
NCT04777357ClinicalTrials.gov record for NCT04777357 (opens in a new tab)3112 Ped BPDA Study to Assess Change in Disease Activity and Adverse Events (AEs) With Cariprazine in the Treatment of Depressive Episodes in Pediatric Participants Participants (10 to 17 Years of Age) With Bipolar I Disorder.Phase 3Recruiting380 (estimated)Mar 2027 (estimated) No
NCT04578756ClinicalTrials.gov record for NCT04578756 (opens in a new tab)3070 Ped OLEOpen-Label, Flexible-dose Study to Evaluate the Long-Term Safety and Tolerability of Cariprazine in the Treatment of Pediatric Participants With Schizophrenia, Bipolar I Disorder, or Autism Spectrum DisorderPhase 3Completed310 (actual)6 Oct 2025 (actual) No
NCT03739203ClinicalTrials.gov record for NCT03739203 (opens in a new tab)The Objective of This Study is to Evaluate the Efficacy, Safety and Tolerability of Cariprazine as an Adjunctive Treatment to Antidepressant Therapy (ADT) in Patients With Major Depressive Disorder (MDD) Who Have Had an Inadequate Response to Antidepressants AlonePhase 3Completed752 (actual)6 Sep 2021 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03739203 (opens in a new tab)

Posted results on ClinicalTrials.gov for NCT03739203

  • Change From Baseline to Week 6 in the MADRS (Montgomery-Åsberg Depression Rating Scale) Total Score (score on a scale)
    • Placebo + ADT vs Cariprazine 1.5 mg/Day + ADT: Least Squares Mean Difference -0.4 (95% CI -2.10 to 1.37), p-value 0.6798, MMRM, superiority
    • Placebo + ADT vs Cariprazine 3 mg/Day + ADT: Least Squares Mean Difference -1.4 (95% CI -3.11 to 0.38), p-value 0.1245, MMRM, superiority

Serious adverse events (First dose of study drug until 30 days after the last dose of study drug (up to 12 weeks)): Placebo + ADT 2 of 250; Cariprazine 1.5 mg/Day + ADT 3 of 250; Cariprazine 3 mg/Day + ADT 1 of 251

Source: ClinicalTrials.gov results for NCT03739203 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing NCT03739203 (1), newest first

  1. Cariprazine for the Adjunctive Treatment of Major Depressive Disorder in Patients With Inadequate Response to Antidepressant Therapy: Results of a Randomized, Double-Blind, Placebo-Controlled Study.

    The Journal of clinical psychiatry · 2023 Aug 16

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT03738215ClinicalTrials.gov record for NCT03738215 (opens in a new tab)Efficacy, Safety and Tolerability of Cariprazine as an Adjunctive Treatment to Antidepressant Therapy (ADT) in Patients With Major Depressive Disorder (MDD) Who Have Had an Inadequate Response to Antidepressants AlonePhase 3Completed759 (actual)30 Sep 2021 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03738215 (opens in a new tab)

Posted results on ClinicalTrials.gov for NCT03738215

  • Total Score Change From Baseline to Week 6 in the MADRS (Montgomery-Åsberg Depression Rating Scale) (score on a scale)
    • Placebo + ADT vs Cariprazine 1.5 mg/Day + ADT: Least Squares Mean Difference -2.5 (95% CI -4.17 to -0.89), p-value 0.0050, MMRM, superiority
    • Placebo + ADT vs Cariprazine 3 mg/Day + ADT: Least Squares Mean Difference -1.5 (95% CI -3.16 to 0.12), p-value 0.0727, MMRM, superiority

Serious adverse events (First Dose of study drug until 30 days after the last dose of study drug (up to 12 weeks)): Placebo + ADT 2 of 253; Cariprazine 1.5 mg/Day + ADT 3 of 252; Cariprazine 3 mg/Day + ADT 3 of 252

Source: ClinicalTrials.gov results for NCT03738215 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing NCT03738215 (2), newest first

  1. Efficacy of Adjunctive Cariprazine on Anxiety Symptoms in Patients With Major Depressive Disorder: Post Hoc Analysis of a Randomized Placebo-Controlled Trial.

    The Journal of clinical psychiatry · 2025 Apr 30

  2. Adjunctive Cariprazine for the Treatment of Patients With Major Depressive Disorder: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study.

    The American journal of psychiatry · 2023 Mar 1

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT03593213ClinicalTrials.gov record for NCT03593213 (opens in a new tab)Clinical Trial Evaluating the Efficacy, Safety, and Tolerability of Cariprazine in a Dose-Reduction Paradigm in the Prevention of Relapse in Participants With SchizophreniaPhase 3Terminated587 (actual)11 Feb 2021 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03593213 (opens in a new tab)

Posted results on ClinicalTrials.gov for NCT03593213

  • Time to First Relapse During Double-blind Treatment Period (days)
    • Placebo (Double-blind Treatment Period) vs Cariprazine 3.0 mg/Day (Double-blind Treatment Period): Hazard Ratio (HR) 0.56 (95% CI 0.25 to 1.29), p-value =0.1576, Log Rank, superiority
    • Placebo (Double-blind Treatment Period) vs Cariprazine 4.5 mg/Day (Double-blind Treatment Period): Hazard Ratio (HR) 0.61 (95% CI 0.26 to 1.45), p-value =0.2066, Log Rank, superiority

Serious adverse events (First dose to last dose + 30 days in the Open-label Treatment Period (Up to 23 weeks); First dose to last dose + 30 days in the Double-blind Treatment Period (Up to 35 weeks)): Cariprazine 4.5 mg/Day (Open-label Treatment Period) 20 of 587; Cariprazine 4.5 mg/Day (Open-label Safety Follow-up) 7 of 273; Placebo (Double-blind Treatment Period) 5 of 53; Cariprazine 3.0 mg/Day (Double-blind Treatment Period) 0 of 49; Cariprazine 4.5 mg/Day (Double-blind Treatment Period) 1 of 54; Placebo (Double-blind Safety Follow-up) 0 of 53; Cariprazine 3.0 mg/Day (Double-blind Safety Follow-up) 0 of 49; Cariprazine 4.5 mg/Day (Double-blind Safety Follow-up) 2 of 54

Source: ClinicalTrials.gov results for NCT03593213 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

NCT03573297ClinicalTrials.gov record for NCT03573297 (opens in a new tab)A Cariprazine Study in the Prevention of Relapse in Bipolar I Disorder Patients Whose Current Episode is Manic or Depressive, With or Without Mixed FeaturesPhase 3Completed901 (actual)5 Sep 2022 (actual) Yes First posted Results on ClinicalTrials.gov for NCT03573297 (opens in a new tab)

Posted results on ClinicalTrials.gov for NCT03573297

  • Time to First Relapse of Any Mood Episode During the Double-Blind Treatment Period (days)
    • Double-Blind Placebo QD vs Double-Blind Cariprazine 1.5 mg QD: Hazard Ratio (HR) 0.83 (95% CI 0.48 to 1.43), p-value 0.5745, Log Rank, superiority
    • Double-Blind Placebo QD vs Double-Blind Cariprazine 3.0 mg QD: Hazard Ratio (HR) 0.89 (95% CI 0.52 to 1.51), p-value 0.6308, Log Rank, superiority

Serious adverse events (Open Label Treatment Period: from enrollment (all-cause mortality [ACM]) or first dose of study drug (adverse events [AEs]) through Week 16 (Day113). Double-Blind Treatment Period (ACM/AEs): From first dose of double-blind treatment up to end of study, Week 59 (Day 414).): Open Label Treatment Period 19 of 896; Double-Blind Placebo QD 5 of 145; Double-Blind Cariprazine 1.5 mg QD 7 of 144; Double-Blind Cariprazine 3.0 mg QD 3 of 147

Source: ClinicalTrials.gov results for NCT03573297 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

Loading trial quality…

FDA actions

Original approvals and new-indication supplements for Cariprazine, newest first
ApplicationActionDateOutcomeReviewSource
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 14 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 15 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 16 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 17 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 9 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 6 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Supplement 2 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA204370Action letter for NDA204370 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA204370 Original 2 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

FDA recalls load here.

FDA drug shortages load here.

Orange Book patents load here.

FAERS adverse event counts load here.

Papers and preprints load here.

Community discussion loads here.

EU status (EMA)

Authorised

Reagila (EMEA/H/C/002770)

Authorised
Therapeutic area
Schizophrenia
Marketing authorisation holder
Gedeon Richter
Active substance (INN)
cariprazine
ATC code
N05AX15
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

No recent headlines mention this drug.

Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.