Head-to-head evidence

Paliperidone palmitate (Invega Trinza) vs Risperidone (Risperdal)

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 palmitate (Invega Trinza)

Marketed by Johnson & Johnson

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

NCT02713282 · Phase 3 · completed

This was a single-group, open-label study without randomization or a comparator arm, so it could not directly compare the 3-month formulation with placebo or another treatment. Registry results were not posted at the time of grading; the key result shown was recovered from the cited external source.

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Risperidone (Risperdal)

Marketed by Johnson & Johnson

Approved in Schizophreniasmall molecule
Partial signal

NCT00253136 · Phase 3 · completed

The study randomized 458 participants to double-blind risperidone or placebo, with change in the clinical PANSS score as the primary endpoint. Because the registry does not report whether this endpoint was met, the trial provides a well-controlled design but no assessable result.

Next expected readout: December 2026 · NCT06482554 (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 palmitate (Invega Trinza)'s landscape · Risperidone (Risperdal)'s landscape