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Drug information

Drug's link(s)
Generic name

Aripiprazole Lauroxil

Brand names

ARISTADA

Compound type

Small molecule

Drug class/category

Not provided

Summary

1) ARISTADA (Aripiprazole Lauroxil) is a long-acting antipsychotic (partial agonist—D2, D3, 5-HT1A, and 5-HT2A receptor) used for the treatment of schizophrenia and related psychotic disorders. 2) The efficacy of ARISTADA is produced by aripiprazole and dehydro-aripiprazole (major metabolite). 3) Pharmacokinetic parameters: t1/2—53.9 days to 57.2 days; Vd—268 L; 4) > 99% bound to albumin 5) The levels of Cmax and AUC values are 2.5% higher for extensive metabolizers of CYP2D6

Approval status

ARISTADA is approved by US FDA

Regulatory authorities

ARISTADA is approved by US FDA

Therapeutic area(s)

  • Mental Health Disorders (incl. schizophrenia, bipolar disorders, Schiz. Aff. Dis.)
Use case(s)
  • Treatment

Administration route

Intramuscular

Associated long-acting platforms

Inorganic nanoparticles

Use of drug

Ease of administration
  • Administered by a nurse
Frequency of administration
  • Monthly
  • Every 2 months
  • Every 6 weeks
User acceptance
Not provided

Dosage

Available dose and strength

injectable suspensions of 441mg/1.6ml (275.63mg/ml); 662mg/2.4ml (275.83mg/ml); 882mg/3.2ml (275.63mg/ml)

Maximum dose

1064 mg single dose as intramuscular injection

Recommended dosing regimen

Option 1: Administer one intramuscular injection of ARISTADA INITIO 675 mg (in either the deltoid or gluteal muscle) and one dose of oral aripiprazole 30 mg in conjunction with the first ARISTADA injection. The first ARISTADA injection may be administered on the same day as ARISTADA INITIO or up to 10 days thereafter. See the ARISTADA INITIO prescribing information for additional information regarding administration of ARISTADA INITIO. o Avoid injecting both ARISTADA INITIO and ARISTADA concomitantly into the same deltoid or gluteal muscle. Option 2: Administer 21 consecutive days of oral aripiprazole in conjunction with the first ARISTADA injection.

Additional comments

Not provided

Dosage link(s)

Associated compounds, formulations and regimens

Not provided

Associated technologies

Not provided

Additional information

Not provided

Developer(s)

Alkermes
Originator
United States

Alkermes

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

Reactor vessel; heating systems; Nitrogen atmosphere setup; Filtration apparatus; Vacuum distillation setup

Manufacturing

Manufacturing can be divided into two steps: 1) Formation of Aripiprazole Intermediate (Hydroxymethyl Aripiprazole) using paraformaldehyde, organic solvent (e.g., toluene), and base (e.g., DBU or potassium carbonate). 2) Esterification to form Aripiprazole lauroxil using lauric acid, DCC (activator), DMAP (catalyst), solvent (e.g., dichloromethane)

Specific analytical instrument required for characterization of formulation

1. High-Performance Liquid Chromatography (HPLC) 2. Mass Spectrometer

Excipients & delivery device(s)

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

Not provided

Residual solvents used

Not provided

Delivery device(s)

No delivery device

Safety, Efficacy and Evidence Summary

Safety

Not provided

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

Description

Methods for administering aripiprazole

Brief description

The present invention relates to pharmaceutical compositions comprising a compound of Formula (I) that are useful for the intramuscular delivery of antipsychotic drugs using rapid injection rates.

Representative patent

US8759351B2

Category

Formulation

Patent holder

Alkermes Pharma Ireland Ltd

Exclusivity

Not provided

Expiration date

March 13, 2035

Status

Active

Description

Pharmaceutical compositions comprising sorbitan esters

Brief description

The present invention relates to a pharmaceutical composition comprising sorbitan esters of carboxylic acids that are useful for the delivery of anti-psychotic drugs.

Representative patent

US20240131024A1

Category

Formulation

Patent holder

Alkermes Pharma Ireland Ltd

Exclusivity

Not provided

Expiration date

Not provided

Status

Pending