Head-to-head evidence

Paliperidone (Invega) vs Risperidone (QUAR)

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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Risperidone (QUAR)

Developed by Laboratorios Farmacéuticos Rovi, S.A.

Phase 3 in Schizophreniasmall molecule
Weak signal

NCT06276361 · Phase 1 · completed

A sequential, open-label pharmacokinetic study of quarterly-injection risperidone in 58 participants, with pharmacokinetic parameters as the primary measures. The design is uncontrolled for treatment effect and no results have been posted to the registry, so this is weak evidence.

Next expected readout: December 2027 · NCT07047651 (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 · Risperidone (QUAR)'s landscape