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Summary
- INVEGA TRINZA, like INVEGA SUSTENNA (paliperidone palmitate 1-month), utilizes Nano-Particle Technology to improve dissolution of paliperidone palmitate, which is nearly insoluble in water.1
- INVEGA TRINZA differs from INVEGA SUSTENNA in its higher concentration (312 mg/mL) and larger particle size.2
- Paliperidone is joined with palmitic acid through ester linkage.1 Paliperidone palmitate particles are dispersed in an aqueous suspension and transformed into smaller paliperidone palmitate nano-particles through particle-size reduction.1,3 Nano-particles have a greater surface area than the larger original particles, which results in greater water solubility.1 Following administration, free paliperidone is slowly released through hydrolysis by esterases in the muscle. Paliperidone is then absorbed into the systemic circulation.1
LITERATURE SEARCH
A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT Drug File (and/or other resources, including internal/external databases) pertaining to this topic was conducted on 16 February 2024.
1 | Bishara D, Taylor DM. Paliperidone palmitate - a new long-acting injection for schizophrenia. Br J Clin Pharmacol. 2011;3:75-78. |
2 | Lopez A, Rey J. Role of paliperidone palmitate 3-monthly in the management of schizophrenia: insights from clinical practice. Neuropsychiatr Dis Treat. 2019;15:449-456. |
3 | Ravenstijn P, Remmerie B, Savitz A, et al. Pharmacokinetics, safety, and tolerability of paliperidone palmitate 3‐month formulation in patients with schizophrenia: a phase‐1, single‐dose, randomized, open‐label study. J Clin Pharmacol. 2016;56(3):330-339. |