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Asenapine - Double Blind

Organon and Co · Phase 3 active Small molecule ✓ Verified Jun 2026

Asenapine - Double Blind is a Atypical antipsychotic Small molecule drug developed by Organon and Co. It is currently in Phase 3 development for Schizophrenia, Bipolar I disorder (acute manic or mixed episodes). Also known as: Org 5222, SCH 900274, Saphris.

Asenapine is an atypical antipsychotic that blocks dopamine and serotonin receptors in the brain to reduce psychotic symptoms and mood disturbances.

Asenapine is a small molecule medication used to treat conditions such as bipolar disorder, bipolar I disorder, schizophrenia, and schizophrenia with disorganized symptoms. The exact mechanism of action of asenapine is currently unknown.

Likelihood of approval
55.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
  • CNS / neurology attrition -3.0pp
    CNS drugs have historically high Phase 3 failure rates (notably in Alzheimer disease + major depression).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameAsenapine - Double Blind
Also known asOrg 5222, SCH 900274, Saphris
SponsorOrganon and Co
Drug classAtypical antipsychotic
TargetD2 dopamine receptor, 5-HT2A serotonin receptor
ModalitySmall molecule
Therapeutic areaPsychiatry/Neurology
PhasePhase 3

Mechanism of action

Asenapine acts as an antagonist at multiple neurotransmitter receptors, primarily D2 dopamine receptors and 5-HT2A serotonin receptors. This dual antagonism helps alleviate positive symptoms of psychosis (hallucinations, delusions) and mood symptoms associated with schizophrenia and bipolar disorder. The sublingual formulation allows for rapid absorption and potentially improved patient compliance.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Asenapine - Double Blind

What is Asenapine - Double Blind?

Asenapine - Double Blind is a Atypical antipsychotic drug developed by Organon and Co, indicated for Schizophrenia, Bipolar I disorder (acute manic or mixed episodes).

How does Asenapine - Double Blind work?

Asenapine is an atypical antipsychotic that blocks dopamine and serotonin receptors in the brain to reduce psychotic symptoms and mood disturbances.

What is Asenapine - Double Blind used for?

Asenapine - Double Blind is indicated for Schizophrenia, Bipolar I disorder (acute manic or mixed episodes).

Who makes Asenapine - Double Blind?

Asenapine - Double Blind is developed by Organon and Co (see full Organon and Co pipeline at /company/organon-and-co).

Is Asenapine - Double Blind also known as anything else?

Asenapine - Double Blind is also known as Org 5222, SCH 900274, Saphris.

What drug class is Asenapine - Double Blind in?

Asenapine - Double Blind belongs to the Atypical antipsychotic class. See all Atypical antipsychotic drugs at /class/atypical-antipsychotic.

What development phase is Asenapine - Double Blind in?

Asenapine - Double Blind is in Phase 3.

What are the side effects of Asenapine - Double Blind?

Common side effects of Asenapine - Double Blind include Akathisia, Somnolence, Parkinsonism, Oral hypoesthesia/paresthesia, Weight gain, Dizziness.

What does Asenapine - Double Blind target?

Asenapine - Double Blind targets D2 dopamine receptor, 5-HT2A serotonin receptor and is a Atypical antipsychotic.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing