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Vanda Surges as FDA Approves Bysanti for Bipolar Disorder, Schizophrenia

BYSANTI offers a new first-line atypical antipsychotic option for bipolar I and schizophrenia with a safety profile supported by over 100,000 patient-years of clinical experience.

  • Vanda said the FDA approved BYSANTI on Feb. 20, 2026, with commercial availability expected in Q3 2026.
  • BYSANTI is a new chemical entity that rapidly interconverts to iloperidone, yielding dual active molecules that antagonize dopamine D2, serotonin 5‑HT2A, and alpha1‑adrenergic receptors.
  • The FDA‑approved prescribing information lists a boxed WARNING about increased mortality in elderly patients with dementia‑related psychosis and risks of QTc interval prolongation with torsade de pointes; common schizophrenia adverse reactions include dizziness and weight gain, while bipolar mania adverse reactions include tachycardia and somnolence.
  • As Vanda scores a second approval, BYSANTI marketing exclusivity and US patents extend protection until 2044, reaching roughly 10 million with bipolar I disorder and about 2.8 million with schizophrenia.
  • BYSANTI is currently being tested as a once-daily adjunctive treatment in treatment-resistant major depressive disorder with study completion expected this year; prescribing guidance recommends CYP2D6 genetic testing and dose reductions with strong CYP2D6 or CYP3A4 inhibitors.
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Vanda Pharmaceuticals Announces FDA Approval of BYSANTI™ (milsaperidone) for the treatment of Bipolar I Disorder and Schizophrenia - A New Chemical Entity Opening New Horizons in Psychiatric Innovation

WASHINGTON, Feb. 20, 2026 /PRNewswire/ -- Vanda Pharmaceuticals Inc. (Nasdaq: VNDA) today announced that the U.S. Food and Drug Administration (FDA) has approved BYSANTI™ (milsaperidone) tablets, a first line therapy for the acute treatment of manic or mixed episodes associated…

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PR Newswire broke the news in United States on Friday, February 20, 2026.
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