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Comparison of INVEGA SUSTENNA or INVEGA TRINZA to Once Monthly or Once Every Two Months Subcutaneous Risperidone Long-Acting Injectables

Last Updated: 04/26/2024

SUMMARY

  • Perseris (risperidone) and Uzedy (risperidone) are not Janssen products.1,2
  • Perseris and Uzedy are subcutaneous, long-acting injectables available as once monthly and once monthly or once every 2 months, respectively.1,2
  • There are currently no head-to-head studies examining the efficacy and safety of INVEGA SUSTENNA or INVEGA TRINZA compared to the once monthly or once every
    2 months subcutaneous risperidone injections.3,4
  • The subcutaneous risperidone injections are not substitutable generics for any product currently on the market.

BACKGROUND

Perseris (90 mg or 120 mg) is administered once-monthly in the abdomen or back of the upper arm by a healthcare professional and is indicated for the treatment of schizophrenia in adults.1

Uzedy (50 mg, 75 mg, 100 mg, 125 mg, 150 mg, 200 mg, and 250 mg) is administered as either a once monthly or a once every 2 month in the abdomen or upper arm via subcutaneous injection by a healthcare professional. Uzedy is indicated for the treatment of schizophrenia in adults.2

For questions on these products, please refer to the respective manufacturer.

INVEGA SUSTENNA (39 mg, 78 mg, 117 mg, 156 mg, and 234 mg) is a 1-month intramuscular deltoid or gluteal injection administered by a healthcare professional. INVEGA SUSTENNA is indicated in adults for the treatment of schizophrenia and for schizoaffective disorder as monotherapy and as an adjunct to mood stabilizers or antidepressants.3

INVEGA TRINZA (273 mg, 410 mg, 546 mg, or 819 mg) is a 3-month intramuscular deltoid or gluteal injection administered by a healthcare professional. INVEGA TRINZA is indicated for the treatment of schizophrenia in adults after they have been adequately treated with INVEGA SUSTENNA for at least four months.4

Literature Search

A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, DERWENT® (and/or other resources, including internal/external databases) pertaining to this topic was conducted on 09 April 2024.

References

1 PERSERIS (extended-release risperidone subcutaneous injection) [Prescribing Information]. North Chesterfield, VA: Indivior Inc.; https://www.perserishcp.com/prescribing-information.pdf.  
2 UZEDY (risperidone long-acting injection) [Prescribing Information]. Parsippany, NJ: Teva Neuroscience, Inc.; https://www.uzedy.com/globalassets/uzedy/prescribing-information.pdf.  
3 INVEGA SUSTENNA (paliperidone palmitate) extended-release injectable suspension [Prescribing Information]. Titusville, NJ: Janssen Pharmaceuticals, Inc; https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/INVEGA+SUSTENNA-pi.pdf.  
4 INVEGA TRINZA (paliperidone palmitate) extended-release injectable suspension [Prescribing Information]. Titusville, NJ: Janssen Pharmaceuticals, Inc; https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/INVEGA+TRINZA-pi.pdf.