FDA Approves 6-Month Schizophrenia Drug

Share

FDA has approved Janssen’s Invega Hafyera (paliperidone palmitate) extended-release injectable suspension to treat schizophrenia in some adults. An agency statement says the atypical antipsychotic is the first long-acting schizophrenia medication to be injected once every six months.

Other long-acting injectable antipsychotics are administered every few weeks to every three months, FDA says.

Hafyera’s efficacy was evaluated in a study of 702 adults with schizophrenia who had previously been treated with either Invega Sustenna, a one-month extended-release injectable suspension, for at least four months, or Invega Trinza, a one-time three-month extended-release injectable suspension.

FDA says the trial was designed to evaluate whether the time to relapse for Hafyera administered every six months provided similar effectiveness as Trinza administered every three months. Among the treatment groups, 7.5% of patients in the Hafyera group experienced a relapse, compared to 4.9% of patients in the Trinza group.

Hafyera should only be used after a patient has been adequately treated with a one-month injectable suspension, such as Sustenna, for at least four months, or a one-time three-month injectable suspension such as Trinza, the statement says.

The most common side effects of Hafyera were upper respiratory tract infection, injection site reaction, weight gain, headache, and movement abnormalities. The drug includes a Boxed Warning that elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. The labeling contains additional Warnings and Precautions including possible cerebrovascular adverse reactions and neuroleptic malignant syndrome.

Read more