TheraRadar
Data updated: May 26, 2026

ARISTADA INITIO KIT (aripiprazole lauroxil)

CNS Approved 2018-06-29

ARISTADA INITIO (aripiprazole lauroxil) is an atypical antipsychotic. It is indicated for the initiation of ARISTADA for the treatment of schizophrenia in adults. Administered as a single intramuscular injection, it is used to provide a rapid start to treatment, typically in combination with a single dose of oral aripiprazole and the first dose of ARISTADA maintenance.

Source: FDA Label • ALKERMES INC

How ARISTADA INITIO KIT Works

Aripiprazole lauroxil is a prodrug of aripiprazole. Following intramuscular injection, it is converted by enzyme-mediated hydrolysis to N-hydroxymethyl aripiprazole, which is then further hydrolyzed to the active molecule, aripiprazole. While the precise mechanism of action in schizophrenia is unknown, its efficacy is thought to be mediated through a combination of partial agonist activity at dopamine D2 and serotonin 5-HT1A receptors and antagonist activity at serotonin 5-HT2A receptors.

1
Indication
--
Phase 3 Trials
7
Years on Market

Details

Status
Prescription
First Approved
2018-06-29
Patent Cliff
2039

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Routes
INTRAMUSCULAR
Dosage Forms
SUSPENSION, EXTENDED RELEASE

Companies

Active Ingredient: ARIPIPRAZOLE LAUROXIL

ARISTADA INITIO KIT Approval History

2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2018 to 2025
Jan 2025 SUPPL
Label · Labeling
Mar 2021 SUPPL
Label · Labeling
Aug 2020 SUPPL
Label · Labeling

What ARISTADA INITIO KIT Treats

1 indications

ARISTADA INITIO KIT is approved for 1 conditions since its original approval in 2018. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Schizophrenia
Source: FDA Label

ARISTADA INITIO KIT Boxed Warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. ARISTADA is not approved for the treatment of patients with dementia-related psychosis [see Warnings and Precautions ( 5.1 )] . WARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS See full prescribing information for complete boxed warning. Elderly patients with dementia-related ps...

ARISTADA INITIO KIT Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT05662306 results posted 20211098 Ph 4 terminated C-Cog in Early Course Schizophrenia Study
NCT04203056 APPRAISE results posted PATS 20184225 Ph 4 terminated Aripiprazole Lauroxil for Preventing Psychotic Relapse After an Initial Schizophrenia Episode
NCT02634320 results posted ALK9072-A401 Ph 4 completed A Study of Aripiprazole Lauroxil (Also Known as ARISTADA TM) in Subjects With Schizophrenia
NCT02320032 ALK9072-A105 Ph 1 completed An Open-Label Study of Aripiprazole Lauroxil in Subjects With Stable Schizophrenia
NCT02636842 ALK9072-A106 Ph 1 completed A Study of Aripiprazole Lauroxil in Subjects With Schizophrenia or Schizoaffective Disorder
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ARISTADA INITIO KIT FDA Label Details

Indications & Usage

FDA Label (PDF)

ARISTADA INITIO KIT is indicated for the treatment of Schizophrenia.

⚠️ BOXED WARNING

WARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. ARISTADA is not approved for the treatment of patients with dementia-related psychosis [see Warnings a...

View full patent landscape →
9 OB patents · 3 families · 83 international docs across 21 countries

ARISTADA INITIO KIT Patents & Exclusivity

Latest Patent: Apr 2039

Patents (9 active)

US12251381 Expires Apr 6, 2039
US11273158 Expires Apr 6, 2039
US10016415 Expires Sep 8, 2035
US10849894 Expires Aug 17, 2035
US11154552 Expires Aug 17, 2035
US10688091 Expires Aug 17, 2035
US8431576 Expires Oct 26, 2030
US8796276 Expires Jun 24, 2030
US10112903 Expires Jun 24, 2030
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2039
  • 9 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.