TheraRadar
Data updated: May 26, 2026

SECUADO (asenapine)

Trial Activity: Declining
CNS Approved 2019-10-11

SECUADO is indicated for the treatment of Schizophrenia.

Source: FDA Label • HISAMITSU • Atypical Antipsychotic

How SECUADO Works

The exact mechanism of action of asenapine in treating schizophrenia is not fully understood. However, its therapeutic efficacy is believed to be mediated through its activity at specific biological targets. The drug functions as an antagonist, blocking both D2 and 5-HT 2A receptors to produce its clinical effects.

Development Insights

Organon and Co conducting 8 trials (47%)
11 indications explored (Broad Platform)
schizophrenia (5 trials)
bipolar 1 disorder (3 trials)
bipolar disorder (3 trials)
1
Indication
--
Phase 3 Trials
6
Years on Market

Details

Status
Prescription
First Approved
2019-10-11
Patent Cliff
2033

Pro Metrics

Patent cliff and revenue data

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Routes
TRANSDERMAL
Dosage Forms
SYSTEM

Companies

Active Ingredient: ASENAPINE

SECUADO Approval History

2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
6 FDA actions from 2019 to 2025
Jan 2025 SUPPL
Label · Labeling
Oct 2019 ORIGINAL
New Form · Type 3 - New Dosage Form

What SECUADO Treats

1 indications

SECUADO is approved for 1 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Schizophrenia
Source: FDA Label

SECUADO 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. SECUADO 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 psyc...

SECUADO Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Direct competitors

1

Same target(s) AND same indication — head-to-head.

MoA expansion candidates

2

Same target(s), different indications — where else is this mechanism being explored?

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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 SECUADO

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Clinical Trial Registry

15 trials
Trial Sponsor ID Phase Status Title
NCT01244815 results posted P06107 Ph 3 completed Efficacy and Safety of Asenapine Treatment for Pediatric Bipolar Disorder (P06107 Has an Extension [P05898; NCT01349907])(P06107)
NCT00764478 results posted P05691 2010-018409-13, MK-8274-003 Ph 3 completed Fixed-dose Safety and Efficacy Study of Asenapine for the Treatment of Acute Manic or Mixed Episode in Bipolar 1 Disorder (P05691)
NCT01617187 results posted P05688 2010-018407-28 Ph 3 completed A Study of the Efficacy and Safety of Asenapine in Participants With an Acute Exacerbation of Schizophrenia (P05688)
NCT01142596 results posted P06125 132324 Ph 3 completed Long-term Extension Trial of Asenapine in Subjects With Schizophrenia (Study P06125)
NCT01244828 results posted P06238 132325, MK-8274-042 Ph 3 completed Long-term Study of Asenapine in Participants With Residual Subtype, Receiving Multiple or/and High Dose Drugs, or Treatment Refractory Schizophrenia (P06238)
NCT01190267 results posted P05897 2009-018038-12, MK-8274-021 Ph 3 completed Flexible Dose, Long-term Safety Study of Asenapine for the Treatment of Schizophrenia in Adolescents (P05897)
NCT01349907 ADDRESS-98 results posted P05898 MK-8274-022 Ph 3 completed Extension Study of Asenapine [P06107 (NCT01244815)] for Pediatric Bipolar Disorder (P05898)
NCT01948024 ASN ASN-101 Ph 1 completed Bio-equivalence Study Between SAPHRIS and Asenapine
NCT01807741 2012-4181 Ph 2 terminated Asenapine for Bipolar Depression
NCT01400113 results posted P00184 Ph 4 completed Treating Acutely Agitated Patients With Asenapine Sublingual Tablets
NCT01396291 P06384 2010-018671-20 Ph 3 completed Efficacy and Safety of Asenapine in the Prevention of Recurrence of Mood Episodes in Participants With Bipolar 1 Disorder (P06384)
NCT01395992 P05692 2010-018410-78 Ph 3 completed Long-Term Safety Extension Trial of Asenapine in Bipolar 1 Disorder Participants Who Completed Protocol P05691 (P05692)
NCT01617200 P05689 2010-018408-96 Ph 3 completed Long-Term Safety Extension Trial of Asenapine in Schizophrenia Participants Who Completed Protocol P05688 (P05689)
NCT01460290 results posted 39358 Ph 4 completed Asenapine in the Treatment of Older Adults With Bipolar Disorder
NCT01684657 Asenapine Stuttering Ph 3 suspended A Randomized, Placebo-Controlled Study to Evaluate the Efficacy and Tolerability of Asenapine With Flexible Dosing From 5mg to 20mg in Adults With Developmental Stuttering
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

SECUADO FDA Label Details

Indications & Usage

FDA Label (PDF)

SECUADO 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. SECUADO is not approved for the treatment of patients with dementia-related psychosis [ see Warnings a...

View full patent landscape →
6 OB patents · 3 families · 65 international docs across 10 countries

SECUADO Patents & Exclusivity

Latest Patent: Sep 2033

Patents (6 active)

US11813364 Expires Sep 22, 2033
US10583121 Expires Jul 25, 2033
US10814002 Expires Jul 25, 2033
US11123305 Expires Jul 25, 2033
US10022445 Expires Jul 25, 2033
US9687474 Expires Jul 25, 2033
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for SECUADO

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2033
  • 54 active patents

Trial Analysis

  • 17 total trials
  • Stage: Declining

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

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

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment