Asset profile

Brexpiprazole (Rexulti)

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Alzheimer's Disease, Major Depressive Disorder, Schizophrenia

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Reliable signal

How the evidence outlook works ↗

Competitive landscape

180 competitors in this universe: 6 direct rivals (same mechanism and indication), 0 same-class, 174 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Brexpiprazole (Rexulti): this drugApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole (Abilify Maintena)ApprovedSmall moleculeDopamine D2 and serotonin 5-HT1A receptors (partial agonist), Dopamine D2/D3 and serotonin 5-HT1A receptor, Dopamine D2 receptor (partial agonist)
Aripiprazole (Abilify)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole Lauroxil (Aristada Initio)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole Lauroxil (Aristada)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
ITI-1284Phase 2Small moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Brexpiprazole Long-Acting Injection (Kelun)Phase 1Small moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole (Abilify MyCite)ApprovedCombinationDopamine D2 and serotonin 5-HT1A receptors (partial agonist); serotonin 5-HT2A receptor (antagonist)
AsenapineApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)
Benzgalantamine (Zunveyl)ApprovedSmall moleculeAcetylcholinesterase/nicotinic receptor (prodrug)
Cariprazine (Vraylar)ApprovedSmall moleculeDopamine D3/D2 receptor (partial agonist)
ClozapineApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)
Cyclobenzaprine (Tonmya)ApprovedSmall molecule5-HT2A, α1-adrenergic, H1-histaminergic, and M1-muscarinic acetylcholine receptors (functional antagonism)
Dexmedetomidine (Igalmi)Approved——
Dexmedetomidine (Igalmi)ApprovedSmall moleculeAlpha-2 adrenergic receptor (agonist)
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA

…and 165 more. Research shows the complete landscape.

Research

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(5 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2027 (2)
August 2027 (1)
Phase 2/3SchizophreniaNot yet recruiting
Est. primary completion 2027-08 · NCT07742280 · CT.gov ↗
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September 2027 (1)
Phase 3SchizophreniaRecruiting
Est. primary completion 2027-09 · NCT05325645 · CT.gov ↗
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2028 (1)
December 2028 (1)
Phase 4Major Depressive DisorderRecruiting
Est. primary completion 2028-12-31 · NCT05017311 · CT.gov ↗
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2030 (2)
August 2030 (1)
Phase 1SchizophreniaNot yet recruiting
Est. primary completion 2030-08-30 · NCT07715253 · CT.gov ↗
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September 2030 (1)
Phase 3Bipolar DepressionRecruiting
Est. primary completion 2030-09 · NCT04569448 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (49)
Phase 2/3 (5)
Phase 2 (12)
Phase 1 (19)
Phase 4 (6)
Appears in other studies (1)