Head-to-head evidence

Paliperidone (Invega) vs Paliperidone palmitate (Invega Sustenna)

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Schizophrenia

Shared mechanism: Dopamine D2 and serotonin 5-HT2A receptors (antagonist) · full Schizophrenia pipeline

Paliperidone (Invega)

Marketed by Johnson & Johnson

Approved in Schizophreniasmall molecule
Partial signal

NCT00077714 · Phase 3 · completed

The study was randomized and double-blind, but it enrolled only 12 participants and the registry does not clearly identify a comparator arm. Its primary endpoint was a clinical symptom measure (PANSS), but whether it was met cannot be determined because results are not posted.

Next expected readout: September 2027 · NCT04478838 (registry estimate)

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Paliperidone palmitate (Invega Sustenna)

Marketed by Johnson & Johnson

Approved in Schizophreniasmall molecule (palmitate ester prodrug, long-acting injectable suspension)
Partial signal

NCT00101634 · Phase 3 · completed

The study was randomized and double-blind, with 518 participants and a placebo comparison, and used a clinical symptom measure (change in total PANSS score) as its primary endpoint. Because no results are posted, it is not possible to determine whether the primary endpoint was met.

Next expected readout: December 2026 · NCT07493551 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Paliperidone (Invega)'s landscape · Paliperidone palmitate (Invega Sustenna)'s landscape