Head-to-head evidence

Quetiapine (Seroquel) vs Ziprasidone

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

Quetiapine (Seroquel)

Marketed by Cheplapharm Arzneimittel GmbH and partners

Approved in Schizophreniasmall molecule
Partial signal

NCT00305422 · Phase 3 · completed

The study was randomized and double-blinded with an active risperidone comparator, but its small sample of 45 participants limits the strength of the evidence. The primary comparison was not reported, and the primary focus included cognitive and functional brain-activation measures rather than a clearly specified hard clinical endpoint.

Next expected readout: June 2028 · NCT05603104 (registry estimate)

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Ziprasidone

Marketed by Pfizer and partners

Approved in Schizophreniasmall molecule
Partial signal

NCT00159770 · Phase 3 · completed

The study used randomization and active comparators but was open-label, with 290 participants, and its primary clinical endpoint was PANSS symptom change. No results are posted, so the primary endpoint cannot be classified as met or missed.

Next expected readout: February 2027 · NCT03781115 (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: Quetiapine (Seroquel)'s landscape · Ziprasidone's landscape