Serotonin 2A Receptor Antagonist Market: Competitive Landscape, Pipeline, and Market Analysis 2023

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Serotonin 2A receptor antagonist is a class of drugs that block the activity of the serotonin 2A receptor, which is involved in the regulation of various physiological and psychological functions. These antagonists work by binding to the serotonin 2A receptor and preventing serotonin from binding and activating it. By blocking this receptor, serotonin 2A receptor antagonists can modulate serotonin levels in the brain, leading to various therapeutic effects. Serotonin 2A receptor antagonists are used in the treatment of several disease indications. These include major depressive disorder, anxiety disorders, and schizophrenia. They are also being explored for their potential in treating substance use disorders and certain neurological conditions. According to WHO, major depressive disorder affects approximately 300 million people worldwide, with an estimated 17.3 million adults in the United States experiencing at least one major depressive episode in a given year. Anxiety disorders affect around 40 million adults in the United States, and schizophrenia affects about 20 million people globally.

In terms of growth drivers, the serotonin 2A receptor antagonist market is expected to be driven by increasing awareness about mental health disorders and the need for effective treatment options. Additionally, advancements in research and development, along with collaborations between pharmaceutical companies and academic institutions, are likely to contribute to the development of new and improved serotonin 2A receptor antagonists. Companies such as Lundbeck, Otsuka, Alkermes, J&J, Intra-Cellular Therapies, Mitsubishi Tanabe, Luye Group, Minerva Neurosciences, NRx Pharma, Sumitomo Pharma, Teva, Tonix, AOP Orphan Pharma, AbbVie, Abbott, Acadia Pharma, Ache Lab, Acorda, Alvogen, Angelini Group, Astellas, BMS. cater to this category. Moreover, many companies are coming up with new molecules in this space. For instance, Lundbeck is one such company that is currently conducting a clinical trial of the drug Lu31-130 for the treatment of schizophrenia.

Key Developments

  • In May 2023, Otsuka completed phase-II/III trial in Agitation in Japan
  • In March 2023, Minerva Neurosciences has patent protection for methods of use for Roluperidone in Russia, Canada, Anguilla, Bermuda, Cayman Islands, Gibraltar, Jersey, Turks & Caicos Islands, and British Virgin Islands

Approved Serotonin 2A Receptor Antagonist molecules

  • Aripiprazole
  • Quetiapine
  • Haloperidol
  • Clozapine
  • Ziprasidone
  • Quetiapine extended-release.
  • Paliperidone extended release
  • Rexulti (brexpiprazole)
  • lurasidone
  • Risperdal Consta (risperidone depot formulation)
  • Invega Sustenna (paliperidone palmitate extended-release 1-month injection)
  • Vraylar (cariprazine)
  • Trazodone ER
  • Abilify Maintena (aripiprazole depot formulation)
  • Nuplazid (pimavanserin)
  • Adasuve (staccato loxapine)
  • Tonmya (cyclobenzaprine SL)
  • Serlect (sertindole)
  • Addyi (flibanserin)
  • Caplyta (lumateperone)
  • Lybalvi (olanzapine
  • Flupentixol
  • Unafra (opiranserin)
  • Invega Trinza (paliperidone palmitate extended-release 3-month injection)
  • Levomepromazine
  • Thioridazine
  • Abilify MyCite (aripiprazole tablets embedded with sensor)
  • Doria (risperidone extended release)
  • Ziprasidone mesylate injection
  • Perseris (risperidone sustained-release 1-month depot)
  • Aristada once-monthly (aripiprazole lauroxil once-monthly formulation)
  • Rykindo (risperidone extended-release microspheres)
  • Clozapine orally disintegrating tablets
  • Aristada two-month (aripiprazole lauroxil XR)
  • Invega Hafyera (paliperidone palmitate extended-release 6-month injection)
  • Lodopin (zotepine)
  • Brexpiprazole QW (OPC-34712 once weekly)
  • Abilify Asimtufii (aripiprazole two-month)
  • Aristada Initio (aripiprazole lauroxil nanocrystal dispersion)
  • Lonasen tape (blonanserin transdermal patch)
  • Relday (once-monthly formulation of risperidone)
  • Uzedy (risperidone XR SC suspension)
  • Blonanserin
  • Perospirone
  • Aristada LAI 6-Week (aripiprazole lauroxil 6-week formulation)
  • Secuado (asenapine transdermal)
  • Loxapine oral
  • Pizotifen malate

Serotonin 2A Receptor Antagonist Pipeline Molecules

  • Lu AF35700
  • Roluperidone (MIN-101)
  • Paliperidone palmitate ER (LY03010)
  • Zicronapine (Lu31-130)
  • ITI-333
  • Olanzapine intranasal (INP105)
  • Risperidone controlled-release implant (BB-0817)
  • Risperidone extended release (LYN-005)
  • MIN-117
  • TPN-672
  • Cyclobenzaprine (TNX-201)
  • Risperidone CR (DLP-114)
  • ACH-000029
  • GM-60106
  • JX11502MA
  • Landipirdine (SYN120)
  • Long-acting lumateperone (ITI-007 LAI)
  • Lurasidone injection suspension (DSP-1349M)

Clinical Activity and Development of Serotonin 2A Receptor Antagonist

In the Serotonin 2A Receptor Antagonist space, more than 40 companies are conducting more than 200 clinical trials in this category of drugs. For instance,

  • In March 2023, European Medicinal Agency approved the clinical trial approval application for a phase I trial of paliperidone palmitate in Schizophrenia in Europe
  • In June 2022, Janssen completed a phase III trial of Invega Sustenna in Schizophrenia in Argentina, Hong Kong, Italy, Poland, Russia and Ukraine 

Product Name

Total Studies

Lu AF35700

13

Roluperidone (MIN-101)

6

Paliperidone palmitate ER (LY03010)

4

Zicronapine (Lu31-130)

4

ITI-333

3

Olanzapine intranasal (INP105)

3

Risperidone controlled-release implant (BB-0817)

3

Risperidone extended-release (LYN-005)

3

                       

Target Indication Analysis of Serotonin 2A Receptor Antagonist

Serotonin 2A receptor antagonists target various indications related to mental health disorders. One of the primary target indications is major depressive disorder (MDD), a debilitating condition characterized by persistent feelings of sadness, loss of interest, and impaired daily functioning. Serotonin 2A receptor antagonists can help alleviate depressive symptoms by modulating serotonin levels in the brain. These drugs are also used in the treatment of anxiety disorders, including generalized anxiety disorder, social anxiety disorder, and panic disorder. Additionally, Serotonin 2A receptor antagonists have shown promise in managing symptoms of schizophrenia, a chronic psychiatric disorder characterized by hallucinations, delusions, and disorganized thinking. The potential of these drugs is also being explored in substance use disorders and other neurological conditions where serotonin dysregulation plays a role.

Key Features of the Reports

  • The report provides granular level information about the market size, regional market share, historic market (2019-2023), and forecast (2024-2030)
  • The report covers in-detail insights about the competitor’s overview, company share analysis, key market developments, and their key strategies
  • The report outlines drivers, restraints, unmet needs, and trends that are currently affecting the market
  • The report tracks recent innovations, key developments, and start-up details that are actively working in the market
  • The report provides a plethora of information about market entry strategies, regulatory framework, and reimbursement scenario

Frequently Asked Questions

Serotonin 2A receptor antagonist drugs are used in the management of major depressive disorder (MDD), a debilitating condition characterized by persistent feelings of sadness, loss of interest, and impaired daily functioning.

The market is primarily driven by factors such as increasing awareness about mental health disorders and the need for effective treatment options. Additionally, advancements in research and development, along with collaborations between pharmaceutical companies and academic institutions, are likely to contribute to the development of new and improved serotonin 2A receptor antagonists.

The major players in this space are Lundbeck, Otsuka, Alkermes, J&J, Intra-Cellular Therapies, Mitsubishi Tanabe, Luye Group, Minerva Neurosciences, NRx Pharma, Sumitomo Pharma, Teva, Tonix, AOP Orphan Pharma, AbbVie, Abbott, Acadia Pharma, Ache Lab, Acorda, Alvogen, Angelini Group, Astellas, BMS.

One of the key restraints of the Serotonin 2A receptor antagonist market is the potential for adverse effects associated with these drugs, such as sedation, nausea, and sexual dysfunction. These side effects can limit patient adherence and satisfaction with the treatment. Additionally, the regulatory landscape and the complex nature of mental health disorders pose challenges in terms of drug development, approval, and market access for Serotonin 2A receptor antagonists.

  • Lundbeck
  • Otsuka
  • Alkermes
  • J&J
  • Intra-Cellular Therapies
  • Mitsubishi Tanabe
  • Luye Group
  • Minerva Neurosciences
  • NRx Pharma
  • Sumitomo Pharma
  • Teva
  • Tonix
  • AOP Orphan Pharma
  • AbbVie
  • Abbott
  • Acadia Pharma
  • Ache Lab
  • Acorda
  • Alvogen
  • Angelini Group
  • Astellas
  • BMS
  • Braeburn
  • Delpor
  • Durect
  • Ferrer International
  • Galen
  • Gedeon Richter
  • HLS Therap
  • Hisamitsu
  • Hwanin Pharma
  • Impel Pharma
  • Indivior
  • JD Biosci
  • Jiangsu Kanion Pharma
  • Jiangsu NHWA Pharma
  • Lyndra
  • MedinCell
  • Medivir
  • Nitto Denko
  • PharmaNeuroBoost
  • ROVI Pharmaceuticals Laboratories
  • Reckitt Benckiser
  • Recordati
  • Sprout Pharma
  • SyneuRx
  • Vivozon
  • Zhejiang Jingxin Pharma

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