TheraRadar
Data updated: May 26, 2026

ASENAPINE MALEATE

CNS Approved 2020-12-10

ASENAPINE MALEATE is indicated for the treatment of Schizophrenia; Bipolar I Disorder; Mania.

Source: FDA Label • BRECKENRIDGE

How ASENAPINE MALEATE Works

The exact mechanism of action of asenapine is unknown. However, its efficacy in schizophrenia and Bipolar I disorder is believed to be mediated through a combination of antagonist activity at dopamine D2 and serotonin 5-HT2A receptors. Asenapine exhibits high affinity for a broad range of receptors, acting as an antagonist at serotonin 5-HT1A, 5-HT1B, 5-HT2A, 5-HT2B, 5-HT2C, 5-HT5, 5-HT6, and 5-HT7 receptors; dopamine D1, D2, D3, and D4 receptors; α1 and α2-adrenergic receptors; and histamine H1 receptors. It possesses no appreciable affinity for cholinergic muscarinic receptors.

Source: FDA Label
2
Indications
--
Phase 3 Trials
5
Years on Market

Details

Status
Prescription
First Approved
2020-12-10
Routes
SUBLINGUAL
Dosage Forms
TABLET

ASENAPINE MALEATE Approval History

2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
19 FDA actions from 2020 to 2026
Mar 2026 SUPPL
Label · Labeling
May 2025 SUPPL
Label · Labeling
Jul 2021 SUPPL
Mfg · Manufacturing (CMC)

What ASENAPINE MALEATE Treats

3 indications

ASENAPINE MALEATE is approved for 3 conditions since its original approval in 2020. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Schizophrenia
  • Bipolar I Disorder
  • Mania
Source: FDA Label

ASENAPINE MALEATE 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. Asenapine sublingual tablets are not approved for the treatment of patients with dementia-related psychosis [see Warnings and Precautions (5.1 , 5.2 )]. WARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS See full prescribing information for complete boxed warning. Elderly patients...

ASENAPINE MALEATE 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.

Drugs Similar to ASENAPINE MALEATE

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ASENAPINE MALEATE
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VANDA PHARMS INC
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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.

ASENAPINE MALEATE FDA Label Details

Indications & Usage

ASENAPINE MALEATE is indicated for the treatment of Schizophrenia; Bipolar I Disorder; Mania.

⚠️ 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. Asenapine sublingual tablets are not approved for the treatment of patients with dementia-related psyc...

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Full clinical data, patents, trials, and competitive landscape for asenapine maleate.

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Data Sources

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