Rexulti

Schizophrenia, Depression, Antidepressants

Treatment

20 Active Studies for Rexulti

What is Rexulti

Brexpiprazole

The Generic name of this drug

Treatment Summary

Brexpiprazole is a medication prescribed to treat schizophrenia and major depressive disorder (MDD). It works by modulating the activity of serotonin and dopamine in the brain, while also blocking serotonin 2A receptors. Brexpiprazole has been designed to provide better results than other treatments for depression, with fewer side effects such as restlessness and insomnia.

Rexulti

is the brand name

image of different drug pills on a surface

Rexulti Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Rexulti

Brexpiprazole

2015

22

Effectiveness

How Rexulti works in the body

Brexpiprazole helps treat depression and schizophrenia, but exactly how it works is not known. It appears to work by partially activating serotonin and dopamine receptors, while blocking serotonin 2A receptors.

When to interrupt dosage

The amount of Rexulti is contingent upon the indicated disorder, including Depression, Schizophrenia and Antidepressive Agents. The measure of dosage is subject to the mode of administration (e.g. Oral or Kit; Tablet) featured in the table beneath.

Condition

Dosage

Administration

Schizophrenia

0.25 mg, , 0.5 mg, 1.0 mg, 2.0 mg, 3.0 mg, 4.0 mg

, Tablet, Oral, Tablet - Oral, Kit; Tablet, Kit; Tablet - Oral, Tablet, film coated - Oral, Tablet, film coated

Depression

0.25 mg, , 0.5 mg, 1.0 mg, 2.0 mg, 3.0 mg, 4.0 mg

, Tablet, Oral, Tablet - Oral, Kit; Tablet, Kit; Tablet - Oral, Tablet, film coated - Oral, Tablet, film coated

Antidepressants

0.25 mg, , 0.5 mg, 1.0 mg, 2.0 mg, 3.0 mg, 4.0 mg

, Tablet, Oral, Tablet - Oral, Kit; Tablet, Kit; Tablet - Oral, Tablet, film coated - Oral, Tablet, film coated

Warnings

Rexulti has one restriction. Therefore, it should not be consumed when any of the conditions outlined in the table below are present.

Rexulti Contraindications

Condition

Risk Level

Notes

Severe Hypersensitivity Reactions

Do Not Combine

Brexpiprazole may interact with Pulse Frequency

There are 20 known major drug interactions with Rexulti.

Common Rexulti Drug Interactions

Drug Name

Risk Level

Description

Alfuzosin

Major

Brexpiprazole may increase the hypotensive activities of Alfuzosin.

Amisulpride

Major

Brexpiprazole may increase the antipsychotic activities of Amisulpride.

Aripiprazole lauroxil

Major

Brexpiprazole may increase the orthostatic hypotensive, hypotensive, and antihypertensive activities of Aripiprazole lauroxil.

Astemizole

Major

The metabolism of Astemizole can be decreased when combined with Brexpiprazole.

Azelastine

Major

Brexpiprazole may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Rexulti Toxicity & Overdose Risk

Common side effects of antipsychotic drugs include weight gain, restlessness, fatigue, trembling, and a sore throat. Babies exposed to antipsychotics during the third trimester of pregnancy may experience symptoms such as muscle stiffness or withdrawal.

image of a doctor in a lab doing drug, clinical research

Rexulti Novel Uses: Which Conditions Have a Clinical Trial Featuring Rexulti?

There are currently 356 active studies investigating the efficacy of Rexulti in treating Depression, Schizophrenia and other Antidepressive-related ailments.

Condition

Clinical Trials

Trial Phases

Schizophrenia

88 Actively Recruiting

Phase 3, Not Applicable, Early Phase 1, Phase 4, Phase 1, Phase 2

Depression

209 Actively Recruiting

Phase 3, Phase 2, Not Applicable, Phase 4, Phase 1, Early Phase 1

Antidepressants

0 Actively Recruiting

Rexulti Reviews: What are patients saying about Rexulti?

4.3

Patient Review

6/24/2022

Rexulti for Additional Medications to Treat Depression

So far, Rexulti has been working well for me in combination with Lexapro. If you're considering this medication for depression, just know that you should also be taking an antidepressant. I'd say it's worth giving Rexulti a chance if you're starting out.

4

Patient Review

1/26/2022

Rexulti for Major Depressive Disorder

I've been taking this medication for a few years now and it's really helped me become more stable and level-headed. I used to have a lot of negative and racing thoughts, but that has reduced significantly. I'm also a lot less snippy and short tempered. Additionally, I've even lost 50 pounds since starting the medication–which is great considering I'm still 80 pounds overweight. Thankful for modern medicine indeed.

2.7

Patient Review

9/5/2022

Rexulti for Major Depressive Disorder

This medication helped with my anxiety, but the restlessness and increased appetite were too much to handle. I had to stop taking it.

2.7

Patient Review

9/24/2021

Rexulti for Additional Medications to Treat Depression

I didn't see many results from this treatment, even after taking it for several months. The only real changes I noticed were weight gain and fatigue.

2.3

Patient Review

9/5/2022

Rexulti for Major Depressive Disorder

At first, this medication was highly effective for me. However, the longer I took it, the more my emotions became blunted. Eventually, I had to stop taking the medication entirely due to the lack of feelings.

2

Patient Review

1/10/2022

Rexulti for Additional Medications to Treat Depression

Unfortunately, this medication caused my throat to close up and I had a lot of trouble swallowing. This then led to me having my first panic attack as I felt like I couldn't breathe. It was awful and scary. Thankfully, after stopping the medication and having an endoscopy done to fix my throat, I finally started feeling normal again after about three months.

1.3

Patient Review

2/28/2022

Rexulti for Major Depressive Disorder

I had the Mirena IUD inserted which stopped my periods. Rexulti, however, brought them back with a vengeance after about six months. When I stopped taking Rexulti for just three days, the periods went away; but as soon as I started up again, they came back full force and lasted over nine days. Needless to say, I'll be stoppingRexulti--the benefits are not worth it.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about rexulti

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is Rexulti the same as Abilify?

"The company Otsuka claims that the drug Rexulti has a stronger activity at dopamine (D2) receptors as well as 5-HT2A serotonin receptors than the drug Abilify. They say that these attributes make Rexulti an improvement on Abilify, but only time will tell whether or not this is the actually the case."

Answered by AI

Is Rexulti good for depression?

"Adding Rexulti to ongoing antidepressant treatment led to a 62% greater reduction in symptoms of depression in a 6-week long study in adults."

Answered by AI

Is Rexulti an antidepressant?

"Rexulti may cause serious side effects, including:

Suicidal thoughts or actions

Abnormal bleeding

Swelling of the hands, legs, and feet

High blood sugar

Low sodium levels in the blood

Low white blood cell counts

Liver problems

Low platelet counts

Rexulti may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

Rexulti is a prescription medicine used to treat adults with major depressive disorder (MDD).

Rexulti is not approved for use in children.

Important Safety Information

Suicidal Thoughts and Actions

Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older.

Depression and other serious mental illnesses are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Rexulti is not approved for use in pediatric patients.

Abnormal Bleeding

Rexulti and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin®, Jantoven®), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin.

Swelling of the Hands, Legs, and Feet

Rexulti and other antidepressant medicines may increase your risk of swelling, especially of your hands, legs, and feet. Tell your doctor if you have swelling in any of these areas."

Answered by AI

What is Rexulti used to treat?

"This medication is used to manage certain mental/mood disorders (e.g. schizophrenia, depression). It helps patients to think more clearly, feel less anxious, and participate in everyday activities. Additionally, it may diminish hallucinations (e.g. hearing/seeing things that are not actually there)."

Answered by AI

How does Rexulti make you feel?

"Most of the side effects associated with REXULTI are common, such as weight gain and feeling restless. These were reported during clinical studies of adults with major depressive disorder."

Answered by AI

Is Abilify the same as Rexulti?

"Otsuka Pharmaceuticals claims that Rexulti has a stronger effect on dopamine (D2) receptors and 5-HT2A serotonin receptors than Abilify. They say that this makes Rexulti an improvement on Abilify, but only time will tell if this is truly the case."

Answered by AI

Clinical Trials for Rexulti

Image of Centre for Addiction and Mental Health in Toronto, Canada.

Psilocybin-Assisted Therapy for Depression and Alcoholism

18 - 65
All Sexes
Toronto, Canada

The goal of this clinical trial is to determine the safety and efficacy of psilocybin assisted Therapy (PAT) in individuals with comorbid Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD). The main question it aims to answer is: \- What is the feasibility and safety of administering PAT in adults with MDD-AUD by evaluating recruitment, retention, tolerability, and safety? Researchers will compare the psilocybin (25 mg) and placebo groups to see if there are any significant differences in frequency of dropouts or serious adverse events. Participants will: * be randomized to receive either psilocybin (25 mg) or placebo * visit the site (in-person and remotely) for a total of 14 times to complete study tasks * receive psilocybin-assisted therapy (PAT) at five various timepoints

Phase 2
Waitlist Available

Centre for Addiction and Mental Health

Image of Sunnybrook Health Sciences Centre in Toronto, Canada.

Ketogenic Diet and Neuromodulation for Depression

18 - 65
All Sexes
Toronto, Canada

The goal of this clinical trial is to test whether combining a ketogenic diet (KD) with personalized, accelerated intermittent theta burst stimulation (iTBS) produces greater reductions in depressive symptoms than iTBS combined with a standard healthy diet in adults with treatment-resistant depression. The trial also aims to determine whether participants can feasibly follow a ketogenic diet during an accelerated iTBS treatment course and whether the diet produces measurable changes in ketone levels. Specifically, the study aims to determine whether the combined intervention: 1. Reduces depressive symptoms 2. Increases circulating ketone levels 3. Is feasible and tolerable during accelerated iTBS treatment Participants will begin either a KD or a Canadian Food Guide-aligned diet (CFGD) with a 3-week dietary lead-in period, after which they will undergo a course of personalized, accelerated iTBS while continuing their assigned diet. Before and after the iTBS treatment course, participants will complete clinical assessments, provide blood samples for metabolic testing, and undergo MRI scans to assess brain connectivity. Ketone levels will be measured daily throughout the 12-week dietary intervention. Within-group and between-group differences will be compared to characterize changes in clinical outcomes, metabolism, and brain functioning.

Waitlist Available
Has No Placebo

Sunnybrook Health Sciences Centre

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Lumateperone for Depression and Childhood Trauma

21 - 70
All Sexes
Austin, TX

The purpose of this clinical research study is to understand how effective and safe an investigational study drug called lumateperone is and whether it works to reduce the severity of depressive symptoms in adults with Major Depressive Disorder (MDD) and early life trauma. The main questions it aims to answer are: Aim 1: To assess the efficacy of lumateperone 42 mg administered once daily compared with placebo in the treatment of patients with Major Depressive Disorder and early life abuse. Aim 2: To assess neurocircuitry encoding of threat and reward learning as predictors of lumateperone response and as mechanisms of treatment action, and assess the change from pre-dose to post-dose of task-evoked brain activation.

Phase 4
Waitlist Available

Health Discovery Building

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We made a collection of clinical trials featuring Rexulti, we think they might fit your search criteria.
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Psilocybin-assisted CBT for Depression

21 - 60
All Sexes
Los Angeles, CA

The primary objectives of this clinical investigation are to (1) determine the acceptability and feasibility of joining psilocybin-assisted therapy with cognitive-behavioral therapy (PA-CBT) for patients with depression, (2) optimize CBT to most effectively integrate the psilocybin experience with psychotherapy and (3) examine the clinical benefit of psilocybin as an adjunct to cognitive-behavioral therapy (CBT) for major depressive disorder. This study is a randomized, two-arm, fixed dose trial that will test the feasibility, acceptability, and participant and therapist adherence to PA-CBT. Both treatment arms will receive two doses of psilocybin (10mg and then 25mg, separated by one month). In Phase II, participants will be randomized (1:1) to either a 12-session PA-CBT or a 6-session standard psilocybin-assisted therapy (PAT) condition (3 hours of preparation plus 3 hours of supportive therapy integration following the psilocybin experiences).

Phase 1 & 2
Recruiting

UCLA Semel Institute

Image of University of Rochester Medical Center in Rochester, United States.

Deaf CBT-TS for Suicide Risk

18+
All Sexes
Rochester, NY

The goal of this clinical trial is to learn if a short, Zoom-based intervention, Cognitive Behavioral Therapy for Treatment-Seeking for Deaf Individuals (Deaf CBT-TS) can change beliefs about mental health treatment and increase treatment-seeking behaviors in Deaf adults with untreated mental health or alcohol use problems. It will also see if Deaf CBT-TS may reduce suicide risk and explore factors that may increase the effectiveness of Deaf CBT-TS. The main questions it aims to answer are: * Does Deaf CBT-TS increase positive beliefs about treatment and increase treatment-seeking behaviors? * Does Deaf CBT-TS increase hope and reduce mental health symptoms, suicide ideation, and alcohol use? * Is Deaf CBT-TS more effective for individuals with less cultural stress compared to those with high levels of cultural stress? * Is Deaf CBT-TS more effective for Deaf individuals in residential areas with more Deaf resources than those with less Deaf resources? Researchers will compare individuals who complete Deaf CBT-TS to those on a waitlist to see if Deaf CBT-TS works to increase positive beliefs about treatment and treatment-seeking behaviors. Participants will: * Complete a baseline assessment including demographic information, measures of hope, general mental health and functioning, alcohol use, suicide ideation, cultural stress, and beliefs about treatment. * Receive Deaf CBT-TS (2 sessions) or be placed on a waitlist with the option of receiving Deaf CBT-Ts after 4 months * Complete two follow-up assessments in 2 and 4 months.

Waitlist Available
Has No Placebo

University of Rochester Medical Center

Image of Sunwise Clinical Research /ID# 277555 in Walnut Creek, United States.

Icalcaprant for Depression

18 - 65
All Sexes
Walnut Creek, CA

Major depressive disorder (MDD; depression) is a mood disorder that causes a continued feeling of sadness and loss of interest. It is a common and serious illness that can cause both emotional and physical symptoms such as feelings of sadness, irritability, not being able to focus on activities, tiredness, changes in eating habits, and aches and pains. This study will assess the changes in disease activity and adverse events of oral Icalcaprant in adult participants with major depressive disorder who are currently experiencing a major depressive episode (MDE). Icalcaprant is an investigational drug being developed for the treatment of depressive episodes in adult participants with major depressive disorder. Participants are placed in 1 of 3 groups, called treatment arms. There is a 1 in 3 chance that a participant will be assigned to placebo treatment. Around 195 adult participant with major depressive disorder will be enrolled in approximately 35 sites in North America. Participants will receive oral capsules of Icalcaprant or matching placebo once daily for 6 weeks, with a 30-day safety follow-up. There may be a higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Phase 2
Recruiting

Sunwise Clinical Research /ID# 277555 (+23 Sites)

ABBVIE INC.

AbbVie

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