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Quetiapine

Alias: ICI 204636; ICI-204636; ICI 204,636; 111974-69-7; Seroquel; Quetiapine fumarate; Norsic; Co-Quetiapine; quetiapina; quetiapinum; ICI204636; Quetiapine; quetiapine fumarate; brand name: Seroquel
Cat No.:V9837 Purity: ≥98%
Quetiapine Fumarate (also known as ICI-204636; trade name Seroquel) is a dibenzothiazepine-based atypical antipsychotic agent acting as a 5-HT receptors agonist with a pEC50 of 4.77 for human 5-HT1A receptor.
Quetiapine
Quetiapine Chemical Structure CAS No.: 111974-69-7
Product category: 5-HT Receptor
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
100mg
250mg
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1g
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Other Forms of Quetiapine:

  • Quetiapine Fumarate (ICI 204636))
  • Quetiapine sulfoxide dihydrochloride
  • Quetiapine D4 fumarate
  • Quetiapine sulfoxide
  • Vemurafenib-Analog
  • Quetiapine D4 hemifumarate
  • Quetiapine-d8 fumarate (quetiapine d8 fumarate)
  • Quetiapine hemifumarate-d8 (Quetiapine hemifumarate-d8)
Official Supplier of:
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Quetiapine Fumarate (also known as ICI-204636; trade name Seroquel) is a dibenzothiazepine-based atypical antipsychotic agent acting as a 5-HT receptors agonist with a pEC50 of 4.77 for human 5-HT1A receptor. It has been authorized for use in the management of bipolar I and II depression, schizophrenia, and bipolar I mania. It is possible that antagonist activity at serotonin and dopamine receptors mediates quetiapine's antipsychotic effect. Particularly, quetiapine inhibited the alpha 1 and alpha 2 adrenoreceptors, the 5-HT1A and 5-HT2 serotonin receptor subtypes, and the D1 and D2 dopamine receptors.

Biological Activity I Assay Protocols (From Reference)
Targets
5-HT1a Receptor ( pKi = 5.74 ); 5-HT2A Receptor ( pKi = 7.54 ); 5-HT2C Receptor ( pKi = 5.55 ); D2 Receptor ( pKi = 7.25 ); 5-HT1A Receptor ( pKi = 4.77 ); D2 Receptor ( pKi = 6.33 )
ln Vitro
Quetiapine (<100 μM; 24 hours) has no significant effect on cell viability [2]. Quetiapine (10 μM) inhibits NO release, while LPS (0.1-100 ng/mL) concentration modulates [2]. Cell viability assay [2] Cell line: N9 microglia Concentration: 0, 0.1, 1, 10, 50 and 100 μM Incubation time: 24 hours Results: No significant effect on cells. viability at various concentrations below 100 μM, where significant toxicity was observed. RT-PCR[2] Cell line: N9 microglia Concentration: 10 μM Incubation time: 24 hours Results: Significantly inhibited TNF-α synthesis.
ln Vivo
Quetiapine (10 mg/kg/day; approved) can attenuate the recruitment and activation of astrocytes and promote myelin repair in a cuprizone (CPZ)-induced chronic demyelination model [2]. Animal model: C57BL/ 6 mice [2] Dosage: 10 mg/kg/day Administration method: Ingestion Results: Compared with the Veh group, the optical density of myelin basic protein (MBP) staining increased significantly.
Enzyme Assay
In vitro binding studies [1]
Binding assays were performed using membranes prepared by standard methods from cells stably expressing cloned human targets. Displacement binding was performed using either scintillation proximity assay (SPA) (NET/HEK293F cells and 5‐HT2C/CHO‐K1 cells) or filtration (5‐HT transporter [SERT]/HEK293 cells, dopamine transporter [DAT]/CHO‐S cells, D2S/CHO‐K1 cells, 5‐HT1A/CHO cells and 5‐HT2A/CHO cells) using tritiated radioligands (MeNER, mesulergine, MADAM [2‐(2‐dimethylaminomethyl‐phenylsulphanyl)‐5‐methyl‐phenylamine], WIN 35428, raclopride, WAY100635 and MDL100907 respectively). The majority of IC50 values were calculated with fitting model 205 in XLfit. 5‐HT2A and 5‐HT2C IC50 values were calculated using prism software by GraphPad. Mean apparent inhibition constant (K i) values were calculated using the Cheng–Prusoff equation from data derived from at least three independent experiments. In vitro assessment of affinity at glutamate receptors was performed on preparations of rat cerebral cortex tissue. Binding at NMDA receptors was evaluated with [3H]‐CGP39653 [3H]‐TCP and [3H]‐MDL 105,519 binding at kainite receptors was evaluated with [3H]‐kainic acid and binding at AMPA receptors was evaluated with [3H]‐AMPA according to standard validated protocols under conditions defined by the contractor. Compounds were evaluated in singlicate across eight concentrations (0.01, 0.1, 0.3, 1, 3, 10, 30 and 100 μM).
Cell Assay
Cell Line: N9 microglial cells
Concentration: 0, 0.1, 1, 10, 50, and 100 μM
Incubation Time: 24 hours
Result: Had no significant effect on cell viabilities at various concentrations under 100 μM, in which significant toxicity could be observed.
In vitro functional studies [1]
Uptake inhibition assays were performed using HEK293F cells stably expressing human NET, SERT and DAT. Cryopreserved cells were re‐suspended at 60K per well, centrifuged at 110 g for 1 min and incubated at 37°C for 3 h. Uptake inhibition was measured using the neurotransmitter transporter dye by a method slightly modified from that reported by Jorgensen et al. 2008. The most significant alteration to the method is that fluorescence intensity was evaluated on an Envision reader. Data were analysed by calculating the % effect with respect to total (0.5% DMSO final) and background signals. D2S pA2 was measured by the ability of a compound to inhibit the response to 3 μM dopamine (~EC80), using a GTPγS filtration binding assay similar to the method previously described by Lazareno (1999; Hudzik et al., 2008). 5‐HT1A agonist activity (potency and maximal concentration [Emax]) was determined with a GTPγS SPA binding assay using membranes derived from CHO cells stably expressing recombinant human 5‐HT1A receptors. Assay conditions are based on those previously reported (Jerning et al., 2002), though modified to an SPA format. An efficacy of 100% was defined as the maximal response to 5‐HT. 5‐HT2A and 5‐HT2C antagonist activity was measured with a FLIPR‐based method, as previously reported (Porter et al., 1999) using cell lines expressing 5‐HT2A and 5‐HT2C receptors. MTT Assay [2]
Cell viability was evaluated by the MTT reduction assay as described previously (Niu et al., 2010). The cells were seeded in a 96-well plate for 24 h before being exposed to Quetiapine alone (10 μm) orQuetiapine with LPS (100 ng/ml) for 24 h. MTT solution (0.5 mg/ml) was then added to each well and the cells were incubated for 1 h at 37°C and in 5% CO2. Subsequently, the supernatant was removed and the formation of farmazan was solubilized with DMSO and measured at 540 nm with SpectraMax M2e spectrophotomete. Nitrite Production Assessment [2]
Accumulation of nitrite (NO2−) in the culture media, an indicator of NO synthase activity, was measured by Griess Reaction. Cells at density of 3 × 104 cells/well were plated onto 96-well microtiter plates. Quetiapine with or without LPS (100 ng/ml) were added to the culture medium of N9 microglial cells for 48 h. Fifty microliters of culture supernatants were mixed with 50 μl Griess reagents (Part I: 1% sulfanilamide; Part II: 0.1% naphthylethylene diamide dihydrochlride and 2% phosphoric acid) at room temperature at 540 nm using the microplate reader. Nitrite concentration was calculated with reference to a standard curve of sodium nitrite.
Animal Protocol
C57BL/6 mice
10 mg/kg/day
Ingested
Once animals were trained to a stable baseline for three consecutive days, drug testing began. Norquetiapine (0.3, 1, 2, 5 and 10 mg·kg−1, n ≥ 6 per dose) was dissolved in saline and delivered s.c. at 1 mL·kg−1, 15 min before testing. Quetiapine (2.5, 5, 10 and 20 mg·kg−1, n ≥ 8 per dose) was formulated in distilled water plus lactic acid drops (pH > 2.5) to dissolution and delivered p.o. at 2 mL·kg−1, 60 min before testing. Diazepam in an Abbott's cocktail (10% ethanol, 40% propylene glycol and 50% water) stock solution of 5 mg·mL−1 was diluted to dosing volume (0.3, 1 and 3 mg·kg−1, n ≥ 3 per dose) with a 50% concentration of Abbott's cocktail and delivered 30 min before testing. In combination studies, WAY100635 was dissolved in saline and delivered at 0.1 mg·kg−1, s.c., alongside the test drug.[1]
Elevated plus maze with rats from prenatally stressed dams [1]
The procedure used to evaluate elevated plus maze performance of rats from prenatally stressed dams is described in detail by Peters et al. (2011). In short, male Sprague–Dawley rats born in‐house to prenatally stressed dams were housed singly in an animal room with constant temperature and a 24 h light/dark cycle, on restricted food but with free access to water. On the test day, rats were placed in the centre of the maze facing an open arm, and behaviour was recorded for exactly 5 min. The % time spent in the open arms, the % entries into the open and closed arms and the total number of entries into the open and closed arms were recorded. The rats were dosed s.c. with either vehicle (saline), Quetiapine or norquetiapine (5 or 10 mg·kg−1 in saline and lactic acid to dissolve them, pH adjusted with sodium bicarbonate to pH > 5) 15 min before testing in the elevated plus maze. The effects of drug treatment in the elevated plus maze were assessed using a one‐way anova followed by Dunnett's multiple comparison. The effect of stress in the vehicle‐treated animals was assessed with a one‐tailed t‐test.
C57BL/6 mice were randomly assigned to one of the following four groups: control (CTL), in which mice fed regular chow and drank distilled water for 12 weeks; CPZ, in which mice fed 0.2% CPZ for 12 weeks to induce a chronic demyelination (Matsushima and Morell, 2001); Veh, in which mice fed 0.2% CPZ for 12 weeks, then fed regular chow, and drank vehicle water for 2 weeks; Quetiapine, in which mice fed 0.2% CPZ for 12 weeks, and then fed regular chow, and drank Quetiapine-containing water for 2 weeks. [2]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Quetiapine is rapidly and well absorbed after administration of an oral dose. Steady-state is achieved within 48 hours Peak plasma concentrations are achieved within 1.5 hours. The bioavailability of a tablet is 100%. The steady-state Cmax of quetiapine in Han Chinese patients with schizophrenia after a 300 mg oral dose of the extended released formulation was approximately 467 ng/mL and the AUC at steady-state was 5094 ng·h/mL. Absorption of quetiapine is affected by food, with Cmax increased by 25% and AUC increased by 15%.
After an oral dose of radiolabeled quetiapine, less than 1% of unchanged drug was detected in the urine, suggesting that quetiapine is heavily metabolized. About 73% of a dose was detected in the urine, and about 20% in the feces.
Quetiapine distributes throughout body tissues. The apparent volume of distribution of this drug is about 10±4 L/kg.
The clearance of quetiapine healthy volunteers in the fasted state during a clinical study was 101.04±39.11 L/h. Elderly patients may require lower doses of quetiapine, as clearance in these patients may be reduced by up to 50%. Those with liver dysfunction may also require lower doses.
Quetiapine fumarate is rapidly absorbed after oral administration, reaching peak plasma concentrations in 1.5 hours. The tablet formulation is 100% bioavailable relative to solution. The bioavailability of quetiapine is marginally affected by administration with food, with Cmax and AUC values increased by 25% and 15%, respectively.
Steady state concentrations are expected to be achieved within two days of dosing.
Quetiapine is widely distributed throughout the body with an apparent volume of distribution of 10 +/-4 L/kg. It is 83% bound to plasma proteins at therapeutic concentrations.
Hepatically impaired patients (n=8) had a 30% lower mean oral clearance of quetiapine than normal subjects. In two of the 8 hepatically impaired patients, AUC and C max were 3-times higher than those observed typically in healthy subjects. Since quetiapine is extensively metabolized by the liver, higher plasma levels are expected in the hepatically impaired population...
For more Absorption, Distribution and Excretion (Complete) data for QUETIAPINE (8 total), please visit the HSDB record page.
Metabolism / Metabolites
The metabolism of quetiapine occurs mainly in the liver. Sulfoxidation and oxidation are the main metabolic pathways of this drug. According to in vitro studies, cytochrome P450 3A4 metabolizes quetiapine to an inactive sulfoxide metabolite and also participates in the metabolism of its active metabolite, N-desalkyl quetiapine. CYP2D6 also regulates the metabolism of quetiapine. In one study, three metabolites of N-desalkylquetiapine were identified. Two of the metabolites were identified as N-desalkylquetiapine sulfoxide and 7-hydroxy-N-desalkylquetiapine. CYP2D6 has been found to be responsible for metabolism of quetiapine to 7-hydroxy-N-desalkylquetiapine, a pharmacologically active metabolite. Individual differences in CYP2D6 metabolism may be present, which may affect the concentrations of the active metabolite.
Quetiapine is extensively metabolized in the liver principally via sulfoxidation and oxidation to inactive metabolites. In vitro studies suggest that the cytochrome P-450 (CYP) 3A4 isoenzyme is involved in the metabolism of quetiapine to the inactive sulfoxide metabolite, which is the principal metabolite. ... Based on in vitro studies, quetiapine and 9 of its metabolites do not appear likely to inhibit CYP isoenzymes 1A2, 3A4, 2C9, 2C19, or 2D6.
Quetiapine has known human metabolites that include 7-Hydroxy Quetiapine and Quetiapine Sulfoxide.
Hepatic. The major metabolic pathways are sulfoxidation, mediated by cytochrome P450 3A4 (CYP3A4), and oxidation of the terminal alcohol to a carboxylic acid. The major sulfoxide metabolite of quetiapine is inactive. Quetiapine also undergoes hydroxylation of the dibenzothiazepine ring, O-deakylation, N-dealkylation, and phase II conjugation. The 7-hydroxy and 7-hydroxy-
N-delakylated metabolites appear to be active, but are present in very low concentrations.
Route of Elimination: Elimination of quetiapine is mainly via hepatic metabolism. Following a single oral dose of 14C-quetiapine, less than 1% of the administered dose was excreted as unchanged drug, indicating that quetiapine is highly metabolized. Approximately 73% and 20% of the dose was recovered in the urine and feces, respectively.
Half Life: 6 hours
Biological Half-Life
The average terminal half-life of quetiapine is about 6-7 hours.
The mean terminal half-life of quetiapine is about 6 hours.
Toxicity/Toxicokinetics
Toxicity Summary
IDENTIFICATION AND USE: Quetiapine fumarate is used for the symptomatic management of psychotic disorders. Short-term efficacy of quetiapine for the management of schizophrenia has been established by placebo-controlled studies of 6 weeks' duration principally in hospitalized patients with schizophrenia. Quetiapine is used alone or in conjunction with lithium or divalproex sodium for the management of acute manic episodes associated with bipolar I disorder. Quetiapine also is used for the treatment of depressive episodes associated with bipolar disorder. HUMAN EXPOSURE AND TOXICITY: The most common adverse effects reported in 5% or more of patients receiving quetiapine therapy for schizophrenia or bipolar disorder and at a frequency twice that reported among patients receiving placebo in clinical trials include somnolence, sedation, asthenia, lethargy, dizziness, dry mouth, constipation, increased ALT, weight gain, dyspepsia, abdominal pain, postural hypotension, and pharyngitis. The development of cataracts in association with quetiapine was observed in animal studies. Lens changes also have been reported in some patients receiving long-term quetiapine therapy, although a causal relationship has not been established. Seizures occurred in 0.6% of patients receiving quetiapine in controlled clinical trials. Geriatric patients with dementia-related psychosis treated with atypical antipsychotic drugs appear to be at an increased risk of death compared with that among patients receiving placebo. Worsening of depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior may occur in both adult and pediatric patients with major depressive disorder and other psychiatric disorders, whether or not they are taking antidepressants. Neuroleptic malignant syndrome (NMS), a potentially fatal syndrome requiring immediate discontinuance of the drug and intensive symptomatic treatment, has been reported in patients receiving antipsychotic agents, including quetiapine. Contact dermatitis, maculopapular rash, and photosensitivity reactions were reported infrequently during clinical trials. Anaphylaxis and Stevens-Johnson syndrome have been reported during postmarketing surveillance. Quetiapine appears to be distributed into human milk in relatively small amounts. The effect of quetiapine on labor and delivery is unknown. Safety and efficacy of quetiapine in pediatric patients younger than 18 years of age with bipolar depression have not been established. Quetiapine overdose causes central nervous system depression and sinus tachycardia. In large overdoses, patients may require intubation and ventilation for associated respiratory depression. Although a prolonged QTc occurs, its clinical significance is unclear because it is most likely caused by an overcorrection caused by the tachycardia. No evidence of clastogenic potential was obtained in an in vitro chromosomal aberration assay in cultured human lymphocytes. ANIMAL STUDIES: Quetiapine caused a dose-related increase in pigment deposition in thyroid gland in a mouse 2 year carcinogenicity study. Doses were 75-750 mg/kg. The identity of the pigment could not be determined, but was found to be co-localized with quetiapine in thyroid gland follicular epithelial cells. The functional effects and the relevance of this finding to human risk are unknown. In dogs receiving quetiapine for 6 or 12 months, but not for 1 month, focal triangular cataracts occurred at the junction of posterior sutures in the outer cortex of the lens at a dose of 100 mg/kg. This finding may be due to inhibition of cholesterol biosynthesis by quetiapine. Quetiapine caused a dose related reduction in plasma cholesterol levels in repeat-dose dog and monkey studies; however, there was no correlation between plasma cholesterol and the presence of cataracts in individual dogs. The appearance of delta-8-cholestanol in plasma is consistent with inhibition of a late stage in cholesterol biosynthesis in these species. There also was a 25% reduction in cholesterol content of the outer cortex of the lens observed in a special study in quetiapine treated female dogs. The teratogenic potential of quetiapine was studied in rats and rabbits dosed during the period of organogenesis. No evidence of a teratogenic effect was detected in rats at doses of 25 to 200 mg/kg or in rabbits at 25 to 100 mg/kg. There was, however, evidence of embryo/fetal toxicity. Delays in skeletal ossification were detected in rat fetuses at doses of 50 and 200 mg/ kg and in rabbits at 50 and 100 mg/kg. Fetal body weight was reduced in rat fetuses at 200 mg/kg and rabbit fetuses at 100 mg/kg. There was an increased incidence of a minor soft tissue anomaly (carpal/tarsal flexure) in rabbit fetuses at a dose of 100 mg/kg. Evidence of maternal toxicity (i.e., decreases in body weight gain and/or death) was observed at the high dose in the rat study and at all doses in the rabbit study. In a peri/ postnatal reproductive study in rats, no drug-related effects were observed at doses of 1, 10, and 20 mg/kg. However, in a preliminary peri/postnatal study, there were increases in fetal and pup death, and decreases in mean litter weight at 150 mg/kg. The mutagenic potential of quetiapine was tested in six in vitro bacterial gene mutation assays and in an in vitro mammalian gene mutation assay in Chinese Hamster Ovary cells. However, sufficiently high concentrations of quetiapine may not have been used for all tester strains. Quetiapine did produce a reproducible increase in mutations in one Salmonella typhimurium tester strain in the presence of metabolic activation. No evidence of clastogenic potential was obtained in the in vivo micronucleus assay in rats.
The mechanism of action of quetiapine, as with other drugs used to treat schizophrenia, is unknown. However, it is thought that the drug's therapeutic activity in schizophrenia is mediated through a combination of dopamine type 2 (D2) and serotonin type 2 (5HT2) receptor antagonism. Although quetiapine is known to bind other receptors with similar affinity, only the dopamine D2 and serotonin 5HT2 receptor binding is responsible for quetiapine's therapeutic activity in schizophrenia.
Interactions
Coadministration of quetiapine (250 mg) and phenytoin (100 mg) increased the mean oral clearance of quetiapine by 5-fold. Increased doses of quetiapine may be required to maintain control of symptoms of schizophrenia in patients receiving quetiapine and phenytoin, or other hepatic enzyme inducers (e.g., carbamazepine, barbiturates, rifampin, glucocorticoids). Caution should be taken if phenytoin is withdrawn and replaced with a non-inducer (e.g., valproate)
Coadministration of quetiapine (150 mg) and divalproex (500 mg) increased the mean maximum plasma concentration of quetiapine at steady state by 17% without affecting the extent of absorption or mean oral clearance.
Thioridazine (200 mg) increased the oral clearance of quetiapine (300 mg) by 65%.
Administration of multiple daily doses of cimetidine (400 mg) resulted in a 20% decrease in the mean oral clearance of quetiapine (150 mg).
For more Interactions (Complete) data for QUETIAPINE (10 total), please visit the HSDB record page.
References

[1]. Quetiapine and its metabolite norquetiapine: translation from in vitro pharmacology to in vivo efficacy in rodent models. Br J Pharmacol. 2016 Jan;173(1):155-66.

[2]. Quetiapine Inhibits Microglial Activation by Neutralizing Abnormal STIM1-Mediated Intercellular Calcium Homeostasis and Promotes Myelin Repair in a Cuprizone-Induced Mouse Model of Demyelination. Front Cell Neurosci. 2015 Dec 21;9:492.

Additional Infomation
Therapeutic Uses
Antipsychotic Agents
Quetiapine also is used for the treatment of depressive episodes associated with bipolar disorder.
Quetiapine is used alone or in conjunction with lithium or divalproex sodium for the management of acute manic episodes associated with bipolar I disorder.
Short-term efficacy of quetiapine for the management of schizophrenia has been established by placebo-controlled studies of 6 weeks' duration principally in hospitalized patients with schizophrenia.
Quetiapine fumarate is used for the symptomatic management of psychotic disorders (e.g., schizophrenia).
Drug Warnings
/BOXED WARNING/ WARNING: INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA- RELATED PSYCHOSIS; and SUICIDAL THOUGHTS AND BEHAVIORS: 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. Quetiapine is not approved for the treatment of patients with dementia-related psychosis. Suicidal Thoughts and Behaviors: Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a reduction in risk with antidepressant use in patients aged 65 and older. In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber. Quetiapine is not approved for use in pediatric patients under ten years of age.
Geriatric patients with dementia-related psychosis treated with atypical antipsychotic drugs appear to be at an increased risk of death compared with that among patients receiving placebo. Analyses of 17 placebo-controlled trials (average duration of 10 weeks) revealed an approximate 1.6- to 1.7-fold increase in mortality among geriatric patients receiving atypical antipsychotic drugs (i.e., quetiapine, aripiprazole, olanzapine, risperidone) compared with that in patients receiving placebo. Over the course of a typical 10-week controlled trial, the rate of death in drug-treated patients was about 4.5% compared with a rate of about 2.6% in the placebo group. Although the causes of death were varied, most of the deaths appeared to be either cardiovascular (e.g., heart failure, sudden death) or infectious (e.g., pneumonia) in nature. The manufacturer states that quetiapine is not approved for the treatment of dementia-related psychosis.
Antidepressants increased the risk of suicidal thinking and behavior (suicidality) in short-term studies in children and adolescents with major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of quetiapine or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Patients who are started on therapy should be observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Quetiapine is not approved for use in pediatric patients.
Pooled analyses of short-term (4 to 16 weeks) placebo- controlled trials of 9 antidepressant drugs (SSRIs and others) in children and adolescents with major depressive disorder (MDD), obsessive compulsive disorder (OCD), or other psychiatric disorders (a total of 24 trials involving over 4400 patients) have revealed a greater risk of adverse events representing suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants. The average risk of such events in patients receiving antidepressants was 4%, twice the placebo risk of 2%.
For more Drug Warnings (Complete) data for QUETIAPINE (31 total), please visit the HSDB record page.
Pharmacodynamics
Quetiapine improves the positive and negative symptoms of schizophrenia and major depression by acting on various neurotransmitter receptors, such as the serotonin and dopamine receptors. In bipolar disorder, it improves both depressive and manic symptoms. **A note on suicidality in young patients and administration in the elderly** Quetiapine can cause suicidal thinking or behavior in children and adolescents and should not be given to children under 10 years of age. It is important to monitor for suicidality if this drug is given to younger patients. In addition, this drug is not indicated for the treatment of psychosis related to dementia due to an increased death rate in elderly patients taking this drug.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C21H25N3O2S
Molecular Weight
383.51
Exact Mass
383.166
Elemental Analysis
C, 65.77; H, 6.57; N, 10.96; O, 8.34; S, 8.36
CAS #
111974-69-7
Related CAS #
Quetiapine hemifumarate; 111974-72-2; Quetiapine sulfoxide dihydrochloride;329218-11-3; Quetiapine-d4 fumarate; 1287376-15-1; Quetiapine sulfoxide; 329216-63-9; 918505-61-0 (analog); Quetiapine; 111974-69-7; Quetiapine-d4 hemifumarate; 1217310-65-0; Quetiapine-d8 fumarate; 1185247-12-4; Quetiapine-d8 hemifumarate; Quetiapine hemifumarate-d8; 1435938-24-1
PubChem CID
5002
Appearance
Light yellow to yellow oil
Density
1.3±0.1 g/cm3
Boiling Point
556.5±60.0 °C at 760 mmHg
Melting Point
172 - 174ºC
Flash Point
290.4±32.9 °C
Vapour Pressure
0.0±1.6 mmHg at 25°C
Index of Refraction
1.653
LogP
1.57
Hydrogen Bond Donor Count
1
Hydrogen Bond Acceptor Count
5
Rotatable Bond Count
6
Heavy Atom Count
27
Complexity
496
Defined Atom Stereocenter Count
0
SMILES
OCCOCCN(CC1)CCN1C2=NC3=CC=CC=C3SC4=C2C=CC=C4
InChi Key
URKOMYMAXPYINW-UHFFFAOYSA-N
InChi Code
InChI=1S/C21H25N3O2S/c25-14-16-26-15-13-23-9-11-24(12-10-23)21-17-5-1-3-7-19(17)27-20-8-4-2-6-18(20)22-21/h1-8,25H,9-16H2
Chemical Name
2-[2-(4-benzo[b][1,4]benzothiazepin-6-ylpiperazin-1-yl)ethoxy]ethanol
Synonyms
ICI 204636; ICI-204636; ICI 204,636; 111974-69-7; Seroquel; Quetiapine fumarate; Norsic; Co-Quetiapine; quetiapina; quetiapinum; ICI204636; Quetiapine; quetiapine fumarate; brand name: Seroquel
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 77~100 mg/mL (200.8~260.8 mM)
Ethanol: ~100 mg/mL (~260.8 mM)
H2O: ~0.1 mg/mL (~0.3 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.5 mg/mL (6.52 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.5 mg/mL (6.52 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 2.5 mg/mL (6.52 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 25.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.6075 mL 13.0375 mL 26.0749 mL
5 mM 0.5215 mL 2.6075 mL 5.2150 mL
10 mM 0.2607 mL 1.3037 mL 2.6075 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Long-term Study of FK949E in Elderly Bipolar Disorder Patients
CTID: NCT01737268
Phase: Phase 3    Status: Completed
Date: 2024-11-19
A Study to Evaluate the Efficacy of FK949E in Bipolar Disorder Patients With Major Depressive Episodes
CTID: NCT01725308
Phase: Phase 2/Phase 3    Status: Completed
Date: 2024-11-15
Study to Evaluate the Effects of Switching Different Strength Forms of FK949E in Bipolar Disorder Patients With Major Depressive Episodes
CTID: NCT02362412
Phase: Phase 3    Status: Completed
Date: 2024-11-15
Study to Evaluate the Effect and Safety of Quetiapine Extended Release (XR) (FK949E) in Major Depressive Disorder
CTID: NCT01725282
Phase: Phase 2    Status: Completed
Date: 2024-11-15
A Study to Assess the Safety and Efficacy of ASP4345 as Add-on Treatment for Cognitive Impairment in Subjects With Schizophrenia on Stable Doses of Antipsychotic Medication
CTID: NCT03557931
Phase: Phase 2    Status: Completed
Date: 2024-11-12
View More

Comparison of Plasma Concentration Changes Between Two Types of Tablets of FK949E Administration to Patients With Major Depressive Disorder
CTID: NCT01919008
Phase: Phase 1    Status: Completed
Date: 2024-10-31


Comparing Antipsychotic Medications in LBD Over Time
CTID: NCT05590637
Phase: Phase 4    Status: Recruiting
Date: 2024-10-30
A Survey on Quetiapine Extended-release Tablets in Patients With Depression in Bipolar Disorder
CTID: NCT03403790
Phase:    Status: Completed
Date: 2024-10-16
Intensified Pharmacological Treatment for Schizophrenia, Major Depressive Disorder and Bipolar Depression After a First-time Treatment Failure
CTID: NCT05603104
Phase: Phase 3    Status: Recruiting
Date: 2024-08-27
Quetiapine Versus Trazadone in Women With Postpartum Depression
CTID: NCT06546358
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-08-09
The Effect of a Six Week Intensified Pharmacological Treatment for Bipolar Depression Compared to Treatment as Usual in Subjects Who Had a First-time Treatment Failure on Their First-line Treatment.
CTID: NCT05973786
Phase: Phase 3    Status: Recruiting
Date: 2024-07-25
Quetiapine to Reduce Post Concussive Syndrome After Mild Traumatic Brain Injury (mTBI)
CTID: NCT06333990
Phase: Phase 3    Status: Recruiting
Date: 2024-07-23
Pimavanserin vs. Quetiapine for Treatment of Parkinson's Psychosis
CTID: NCT04373317
Phase: Phase 4    Status: Recruiting
Date: 2024-07-16
Sequential Multiple Assignment Randomized Trial for Bipolar Depression
CTID: NCT06433635
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-05-30
Trazodone vs. Quetiapine for the Treatment of ICU Delirium
CTID: NCT05307003
Phase:    Status: Recruiting
Date: 2024-05-08
RCT: Trazodone vs Quetiapine vs Placebo for Treating ICU Delirium (TraQ)
CTID: NCT05085808
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-05-08
Quetiapine for Cocaine Use and Cravings
CTID: NCT00232336
Phase: Phase 4    Status: Completed
Date: 2024-04-19
A Study to Test the Effect of Different Doses of BI 1358894 and Quetiapine in People With Depression
CTID: NCT04521478
Phase: Phase 2    Status: Completed
Date: 2024-03-19
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies
CTID: NCT02893371
Phase:    Status: Terminated
Date: 2024-03-12
Synergistic Effect of Vitamin E & D in Reducing Risk of Effects Associated With Atypical Anti-psychotics
CTID: NCT06200584
Phase: N/A    Status: Completed
Date: 2024-01-11
Efficacy of Melatonin, Low-dose Quetiapine, or Placebo in Patients With Psychiatric Disorders and Comorbid Insomnia
CTID: NCT06062953
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2023-10-02
Comparison of Antidepressant Augmentation With Amantadine vs Pramipexole vs Quetiapine in Treatment Resistant Depression
CTID: NCT04936126
Phase: Phase 4    Status: Recruiting
Date: 2023-08-22
Using 18F-FPEB PET to Identify mGLUR5 Availability in Affective Disorders
CTID: NCT05840861
Phase:    Status: Recruiting
Date: 2023-08-14
Quetiapine in Prevention of Delirium
CTID: NCT05793632
Phase: Phase 2    Status: Completed
Date: 2023-07-10
Effects of Quetiapine on Sleep and Next Day Alertness in People With Obstructive Sleep Apnea
CTID: NCT05303935
Phase: Phase 2    Status: Completed
Date: 2023-07-06
Improving Sleep After TKA Using Mirtazapine and Quetiapine
CTID: NCT04728581
Phase: N/A    Status: Not yet recruiting
Date: 2023-06-02
Quetiapine Augmentation of PE Therapy for the Treatment of Co-occurring PTSD and Mild Traumatic Brain Injury
CTID: NCT04280965
PhaseEarly Phase 1    Status: Completed
Date: 2023-05-09
Quetiapine as Prophylaxis for Delirium in CABG
CTID: NCT05801289
Phase: N/A    Status: Recruiting
Date: 2023-04-06
Valproate Alone or in Combination With Quetiapine for Severe COVID-19 Pneumonia With Agitated Delirium
CTID: NCT04513314
Phase: Phase 4    Status: Withdrawn
Date: 2023-03-31
Bariatric Surgery and Pharmacokinetics of Quetiapine
CTID: NCT03449472
Phase:    Status: Recruiting
Date: 2023-03-27
SGA-induced Metabolic Syndrome in Bipolar Youth
CTID: NCT01858948
Phase: Phase 3    Status: Completed
Date: 2022-11-25
Chinese Longitudinal and Systematic Study of Bioplar Disorder
CTID: NCT05480150
Phase: N/A    Status: Recruiting
Date: 2022-10-17
Pharmacokinetics of Quetiapine Across Pregnancy and Postpartum
CTID: NCT02978534
Phase:    Status: Completed
Date: 2022-09-27
Treatment With Quetiapine for Youth With Substance Use Disorders and Severe Mood Dysregulation
CTID: NCT02845453
Phase: Phase 4    Status: Completed
Date: 2022-05-11
The Safety, Tolerability, and Effectiveness of Quetiapine in Postpartum Depression
CTID: NCT04950868
Phase: Phase 1    Status: Recruiting
Date: 2022-03-21
Sleep Disorders in Chronic Kidney Disease Patients
CTID: NCT05240261
Phase: Phase 1    Status: Not yet recruiting
Date: 2022-02-15
An Observational Drug Utilization Study of Asenapine in the United Kingdom (P08308)
CTID: NCT01498770
Phase:    Status: Completed
Date: 2022-02-04
A Study to Compare Disease Progression and Modification Following Treatment With Paliperidone Palmitate Long-Acting Injection or Oral Antipsychotics in Participant's With Recent-onset Schizophrenia or Schizophreniform
CTID: NCT02431702
Phase: Phase 3    Status: Completed
Date: 2021-12-03
Seroquel ® in Patients With Bipolar Disorder in Remission With Signs of Impaired Impulse Control
CTID: NCT05098353
Phase: N/A    Status: Unknown status
Date: 2021-10-28
Study to Evaluate Safety and Daytime Sedation in Subjects With Parkinson's Disease With Neuropsychiatric Symptoms Treated With Pimavanserin or Low-Dose Quetiapine
CTID: NCT04164758
Phase: Phase 2    Status: Terminated
Date: 2021-10-14
Lithium Versus Quetiapine in Treatment Resistant Depression
CTID: NCT03004521
Phase: Phase 4    Status: Unknown status
Date: 2021-03-05
Quetiapine and the Dopaminergic Epigenetic Control
CTID: NCT00370500
Phase: Phase 4    Status: Completed
Date: 2020-12-14
Trial to Assess the Bioavailability of Quetiapine Versus Seroquel® in Subjects With Schizophrenia or Bipolar Disorder
CTID: NCT03872596
Phase: Phase 1    Status: Completed
Date: 2020-09-02
Atypical Antipsychotics Influence on the Safety of the Heart and Monitoring Indicators Model Building
CTID: NCT04446234
Phase: Phase 4    Status: Unknown status
Date: 2020-08-26
Sequential Multiple Assignment Treatment for Bipolar Disorder
CTID: NCT01588457
Phase: Phase 4    Status: Completed
Date: 2020-08-19
A Trial to Explore Acceptance and Performance of Using a Digital Medicine System With Healthcare Professionals and Adults With Schizophrenia, Schizoaffective Disorder, or First Episode Psychosis on an Oral Atypical Antipsychotic
CTID: NCT03568500
Phase: Phase 4    Status: Completed
Date: 2020-07-16
Quetiapine Treatment for Pediatric Delirium
CTID: NCT03572257
Phase: Phase 2/Phase 3    Status: Withdrawn
Date: 2020-04-08
A Study of Individualized Diagnosis and Treatment for Major Depressive Disorder With Atypical Features
CTID: NCT04209166
Phase: N/A    Status: Unknown status
Date: 2019-12-23
Melancholic Depression and Insomnia as Predictors of Response to Quetiapine in Patients With Major Depression
CTID: NCT03207438
Phase: Phase 4    Status: Completed
Date: 2019-12-04
Quetiapine Augmentation for Treatment-resistant PTSD
CTID: NCT00292370
Phase: Phase 4    Status: Completed
Date: 2019-10-16
Glucose and Lipid Metabolism on Antipsychotic Medication
CTID: NCT00515723
Phase: N/A    Status: Completed
Date: 2019-10-02
Study Investigating the Effect of Lu AF35700 on Cardiac Repolarization in Men and Women With Schizophrenia and Schizoaffective Disorder
CTID: NCT02901587
Phase: Phase 1    Status: Completed
Date: 2019-09-12
Naturalistic Study, Comparison of Divalproex Extended Release (ER) and Quetiapine for Adults With Acute Mania or Mixed Episodes
CTID: NCT00397020
Phase: Phase 4    Status: Completed
Date: 2019-09-11
Levomilnacipran ER vs. Adjunctive Quetiapine for Adults With Inadequate Relief With SSRIs in MDD
CTID: NCT02720198
Phase: Phase 3    Status: Completed
Date: 2019-08-14
A Comparison Study of the Efficacy of Quetiapine and Haloperidol in Agitated Adults in Emergency Room
CTID: NCT00457366
Phase: Phase 4    Status: Completed
Date: 2019-07-26
Trial of Quetiapine in Anorexia Nervosa
CTID: NCT00518973
Phase: N/A    Status: Completed
Date: 2019-07-17
Study of Quetiapine Treatment for Cannabis Dependence
CTID: NCT00954681
Phase: Phase 2    Status: Completed
Date: 2019-04-24
Study of the Effectiveness of Quetiapine for the Treatment of Alcohol Dependency
CTID: NCT00498628
Phase: Phase 2    Status: Completed
Date: 2019-03-19
Quetiapine Pharmacotherapy for Cannabis Dependence
CTID: NCT01697709
Phase: Phase 2    Status: Completed
Date: 2019-03-05
Family Intervention in Recent Onset Schizophrenia Treatment (FIRST)
CTID: NCT02600741
Phase:    Status: Completed
Date: 2019-01-23
Comparison of Quetiapine and Trazodone Treatment for Insomnia in Dually Diagnosed Veterans
CTID: NCT01662297
Phase: Phase 4    Status: Terminated
Date: 2018-10-16
Evaluation of the Necessity of Long-term Pharmacological Treatment With Antipsychotics in Schizophrenic Patients
CTID: NCT02307396
Phase: Phase 4    Status: Completed
Date: 2018-10-11
Clozapine Versus Other Atypical Antipsychotics for Bipolar Disorder
CTID: NCT02562287
Phase: Phase 4    Status: Unknown status
Date: 2018-10-02
Treatment of Mania Symptoms With Drug Therapy
CTID: NCT00183443
Phase: Phase 3    Status: Completed
Date: 2018-07-17
Preventing Relapse in Schizophrenia: Oral Antipsychotics Compared To Injectables: Evaluating Efficacy
CTID: NCT00330863
Phase: Phase 4    Status: Completed
Date: 2018-07-10
Comparative Effectiveness Study for Bipolar Disorder
CTID: NCT01331304
Phase: Phase 4    Status: Completed
Date: 2018-04-26
Efficacy of Quetiapine in the Treatment of Patients With Schizophrenia and a Comorbid Substance Use Disorder
CTID: NCT00156715
Phase: Phase 4    Status: Completed
Date: 2018-03-14
Cannabidiol as a Different Type of an Antipsychotic: Drug Delivery and Interaction Study
CTID: NCT02051387
Phase: Phase 1    Status: Completed
Date: 2018-03-08
Pharmacovigilance in Gerontopsychiatric Patients
CTID: NCT02374567
Phase: Phase 3    Status: Terminated
Date: 2018-02-28
Trial Comparing Haloperidol, Quetiapine and Placebo in the Pharmacological Treatment of Delirium
CTID: NCT01811459
Phase: Phase 3    Status: Completed
Date: 2018-02-09
Crossover Bioequivalence Study of Quetiapine Fumarate 300 mg Tablets Under Steady State Fasted Conditions
CTID: NCT01570959
Phase: N/A    Status: Completed
Date: 2018-01-23
Crossover Bioequivalence Study of Quetiapine Fumarate 25 mg Tablets Under Fasted Conditions
CTID: NCT01570907
Phase: N/A    Status: Completed
Date: 2018-01-23
Crossover Bioequivalence Study of Quetiapine Fumarate 25 mg Tablets Under Fed Conditions
CTID: NCT01570894
Phase: N/A    Status: Completed
Date: 2018-01-23
Efficacy of Quetiapine for Pediatric Delirium
CTID: NCT02056171
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2017-12-13
Using Drug Augmentation to Treat Obsessive Compulsive Disorder Patients Who Did Not Respond to Previous Treatment
CTID: NCT00466609
Phase: Phase 4    Status: Completed
Date: 2017-10-30
Quetiapine Augmentation Versus Clomipramine Augmentation of SSRI for Obsessive-compulsive Disorder Patients
CTID: NCT00564564
Phase: Phase 4    Status: Completed
Date: 2017-10-27
Bioequivalence Study of Two Extended Release Formulations Containing 50 mg of Quetiapine.
CTID: NCT03317236
Phase: Phase 4    Status: Completed
Date: 2017-10-23
Algorithm Guided Treatment Strategies for Bipolar Depression
CTID: NCT01938859
Phase: Phase 4    Status: Unknown status
Date: 2017-10-05
Efficacy Study of Quetiapine Plus Topiramate for Reducing Cannabis Consumption and Bipolar Mania
CTID: NCT00393978
Phase: Phase 4    Status: Completed
Date: 2017-09-26
Open Label Seroquel (Quetiapine) Study for Treatment Resistant Functional Bowel Disorder
CTID: NCT00617396
Phase: N/A    Status: Completed
Date: 2017-09-15
Effect of Quetiapine on Marijuana Withdrawal and Relapse
CTID: NCT00743366
Phase: Phase 2    Status: Completed
Date: 2017-08-18
Gao Bipolar Spectrum Lithium/Quetiapine Study
CTID: NCT01526148
Phase: Phase 4    Status: Terminated
Date: 2017-08-16
Post-Traumatic Stress Disorder (PTSD) and Seroquel
CTID: NCT01066156
Phase: N/A    Status: Completed
Date: 2017-05-30
Psychotherapy for Bipolar II Depression, Pilot Study, Phase II
CTID: NCT00411463
Phase: Phase 2/Phase 3    Status: Completed
Date: 2017-05-30
Efficacy and Tolerability of Topiramate in Treatment of Bipolar Mania and Alcohol Use in Adolescents and Young Adults
CTID: NCT00550394
Phase: Phase 4    Status: Completed
Date: 2017-05-23
Depakote Extended Release (ER) Versus Seroquel for Agitated Behaviors in Nursing Home Care Unit Patients With Dementia
CTID: NCT00315900
Phase: Phase 3    Status: Terminated
Date: 2017-04-27
Pharmacokinetic Study Comparing Topical, Rectal, and Oral Quetiapine
CTID: NCT02131545
Phase: Phase 1    Status: Completed
Date: 2017-04-25
Seroquel Alone Versus Seroquel With an SSRI for Depression With Psychotic Symptoms
CTID: NCT00955474
Phase: Phase 4    Status: Terminated
Date: 2017-04-20
Adjunctive Quetiapine in the Treatment of Refractory Social Anxiety Disorder in Adults
CTID: NCT01224067
Phase: Phase 4    Status: Completed
Date: 2017-04-18
A Study to Assess the Clinical Utility of Antipsychotic Medication Levels in Plasma as Determined by Liquid Chromatography-Tandem Mass Spectrometry
CTID: NCT02462473
Phase: Phase 2    Status: Terminated
Date: 2017-03-29
Brexpiprazole in Patients With Acute Schizophrenia
CTID: NCT01810380
Phase: Phase 3    Status: Completed
Date: 2017-03-16
Comparative Study of Aripiprazole, Quetiapine and Ziprasidone in the Treatment of First Episode Nonaffective Psychosis
CTID: NCT02305823
Phase: Phase 4    Status: Completed
Date: 2017-03-14
Comparative Study of Aripiprazole, Quetiapine and Ziprasidone in Treatment of First Episode Psychosis: 3-year Follow-up
CTID: NC
HAMLETT. Handling Antipsychotic Medication: Long-term Evaluation of Targeted Treatment. A pragmatic single blind RCT of continuation versus discontinuation/ dose reduction of antipsychotic medication in patients remitted after a first episode of psychosis
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2019-04-04
A Multicentre, 8-week, Single-arm, Open-label, Pragmatic Trial to Explore Acceptance and Performance of Using a Digital Medicine System with Healthcare Professionals and
CTID: null
Phase: Phase 4    Status: Completed
Date: 2018-03-12
CONTROLLED, DOUBLE-BLIND, RANDOMIZED CLINICAL TRIAL FOR PROPHILAXIS OF POSOPERATIVE DELIRIUM IN HIGH RISK SURGICAL PATIENTS WITH QUETIAPINE.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2018-02-27
Pharmacovigilance in children and adolescents:
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-02-28
A randomised pragmatic trial comparing the clinical and cost effectiveness of lithium and quetiapine augmentation in treatment resistant depression.
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2016-09-20
English: Are Antipsychotics Neurotoxic or Neuroprotective? A Randomised Multicentre Longitudinal Study for Comparison of Two Therapy Strategies for the Treatment of Schizophrenia.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2016-08-31
The effect of low doses of mirtazapine and quetiapine on sleep and daytime functioning.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2014-03-03
A Phase 3, Multicenter, Randomized, Double-blind, Placebo- and Active Comparator-controlled
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2013-05-08
Interventional, randomised, double-blind, parallel-group, placebo-controlled, active-reference, flexible-dose study of brexpiprazole in patients with acute schizophrenia
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-04-04
Randomized multicentric open-label phase III clinical trial to evaluate the efficacy of continual treatment versus discontinuation based in the presence of prodromes in a first episode of non-affective psychosis.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2012-06-08
Long-Term Open-Label Safety Study of Pomaglumetad Methionil in Patients with Schizophrenia
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2012-02-06
A Long-Term, Open-Label, Multicenter Study of LY2140023 Compared to Atypical Antipsychotic Standard of Care in Patients with DSM-IV-TR Schizophrenia
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-09-07
A Phase IV Prospective, Double-blind, Double-dummy, Randomised, Crossover Study to Assess the Impact on Daily Cognitive Functioning of Quetiapine Fumarate Immediate Release (Seroquel IR®) Dosed twice Daily and Quetiapine Fumarate Extended Release (Seroquel XR®) Dosed once Daily in the Evening in Patients with Stable Schizophrenia
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-08-19
A 24-month, Prospective, Randomized, Active-Controlled, Open-Label, Rater Blinded, Multicenter, International Study of the Prevention of Relapse Comparing Long-Acting Injectable Paliperidone Palmitate to Treatment as Usual with Oral Antipsychotics Monotherapy in Adults With Schizophrenia.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-03-10
The TEA Trial- Tolerance and Effect of Antipsychotics in children and adolescents with psychosis
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-02-08
Clinical Effectiveness Of The Newer Antipsychotic Compounds Olanzapine, Quetiapine And Aripiprazole In Comparison With Low Dose Conventional Antipsychotics (Haloperidol And Flupentixol) In Patients With Schizophrenia
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-01-13
An International, Multicenter, Double-blind, Randomized, Placebo-controlled, Phase IV Study of the Safety and Efficacy of Lithium versus Placebo as an add on to SEROQUEL XR™ (Quetiapine Fumarate) in Adult Patients with Acute Mania
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-12-14
USE OF CLINICAL AND INTERMEDIATE PHENOTYPES TO ASSESS RESPONSE TO QUETIAPINE: THE ROLE OF PUTATIVE CAUSATIVE GENES
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-10-16
A PHASE 3 RANDOMIZED, DOUBLE-BLIND, PLACEBO- AND ACTIVE COMPARATOR CONTROLLED CLINICAL TRIAL TO STUDY THE EFFICACY AND SAFETY OF TWO DOSES OF LURASIDONE IN ACUTELY PSYCHOTIC SUBJECTS WITH SCHIZOPHRENIA (PEARL 3)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-06-02
Paroxetine or Quetiapine in Addition to Mood Stabilizers in Bipolar Depression
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-04-23
“TERAPIA ELECTROCONVULSIVA DE CONSOLIDACIÓN ASOCIADA A PSICOFÁRMACOS VERSUS FARMACOTERAPIA EN LA PREVENCIÓN DE RECIDIVAS EN EL TRASTORNO DEPRESIVO MAYOR. UN ENSAYO CLÍNICO, PRAGMÁTICO, PROSPECTIVO ALEATORIZADO”.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-02-04
Efectividad de quetiapina de liberación prolongada vs sertralina como terapia co-adyuvante al tratamiento eutimizante previo en la depresión bipolar aguda: un estudio piloto
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-01-23
A randomised, 6-week, multicentre, open-label, rater-blinded parallelgroup study comparing Quetiapine extended release monotherapy and augmentation with Lithium augmentation in patients with Treatment Resistant Depression
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2008-10-16
Ensayo clínico piloto aleatorizado, para evaluar la eficacia y tolerabilidad de quetiapina de liberación prolongada en comparación con la de amitriptilina en el tratamiento de pacientes con fibromialgia
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2008-10-06
Alzheimer disease and antipsycotics: a long term multicenter randomized clinical trial
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2008-09-24
A one-year multinational, multi-centre, randomised, double-blind, parallel-group, fixed-dose, bifeprunox study combining a 12 week placebo-controlled, quetiapine-referenced phase with a 12-month quetiapine-controlled phase in patients with schizophrenia.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2008-09-23
CARE II - Evaluation of treatment outcomes in schizophrenic patients taking part in the integrated care program
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2008-09-10
Elevated elimination rates of quetiapine in adolescent patients with schizophrenia (ICD 10: F 20.-), bipolar affective disorder (ICD 10: F 31.-), disorders in impulse control with current PTSD (ICD 10: F 43.1) or personality disorder (ICD 10: F 60.-):
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-08-28
A prospective, single-blinded (rater-blinded), randomized, parallel group study of the efficacy of Quetiapine XR in the treatment of patients with Acute Stress Disorder (DSM-VI 308.3)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-08-18
Quetiapine in the treatment of psychotic depression. A pilot study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2008-06-17
A One-Year Randomized, Prospective, Parallel, Open Comparison of Subjective Well-being in Schizophrenic Out-patients Treated with Quetiapine XR (SEROQUEL Prolong®) or Oral Risperidone at Flexible Dose in a Naturalistic Setting
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-06-10
Memantine for the Long Term Management of Neuropsychiatric Symptoms in Alzheimer's disease - MAIN-AD
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-05-23
A Pilot Study of Three-Weeks, Randomized, Prospective, Open Comparison in Schizophrenic In-patients Treated with Quetiapine Prolong or Oral Risperidone at Flexible Dose
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-03-27
Electrophysiological measurement of anterior cingulate cortex (ACC) function in schizophrenic patients treated with Seroquel® or Fluanxol®
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-01-11
Randomised, double-blind, parallel-group, placebo-controlled, and active referenced study of Lu AA34893 to evaluate the efficacy and safety of three doses Lu AA34893 and quetiapine versus placebo in the treatment of depression in patients with Bipolar I or II Disorder
CTID: null
Phase: Phase 2    Status: Prematurely Ended, Completed
Date: 2007-12-14
Comparison of Quetiapine Extended-Release (Seroquel XR™ ) and
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-12-05
Quetiapine induced neuroplasticity in schizophrenic patients: A combined TMS and VBM study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-10-31
Effects of atypical versus typical neuroleptics on motivation, hedonia, and social cognition in patients with schizophrenia – an fMRI study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-10-10
Quetiapine vs. Placebo in alcohol relapse prevention- a pilot study
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-10-01
Effects of quetiapine on ultrastructural hippocampal and neurochemical changes in patients with bipolar disorder: searching for the antidepressant and mood stabilising neurophysiology
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2007-09-12
Efficacy and safety of quetiapine in treating affective symptoms of patients with first-episode psychosis - a pilot study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-08-24
The Effect of the Atypical Antipsychotic Quetiapine in the Treatment of Postpartum Depressive Disorders with or without Psychotic Symptoms
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-05-18
KETILEPT® hatékonyságának és biztonságosságának ellenőrzése szkizofrénia és szkizoaffektiv betegség akut epizódjának kezelésében, multicentrikus, nyílt, megfigyeléses vizsgálatban
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-05-17
A Randomized, Multicenter, Double-blind, Parallel Group Study To
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2007-05-02
Multicenter study of neurotransmitters and neuropeptides in schizophrenia: A multidisciplinary study of biological, pharmacokinetic, receptor occupancy and clinical relationships in patients suffering from schizophrenia treated with quetiapine (Seroquel®).
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2007-04-19
A double-blind, randomised, placebo-controlled, quetiapine-referenced, multicentre study of the long-term bifeprunox efficacy, safety and tolerability in patiens with stable schizophrenia
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2007-03-13
FAST – A randomised, open-label, parallel, multicentre Phase IIIb Study to evaluate the Efficacy and Safety of Quetiapine IR titrared over 4 Days in Patients with Acute Psychosis (Rapid versus Conventional Titration)
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2007-01-17
Zur Frage des neuroleptikainduzierten metabolischen Syndroms.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-09-20
Quetiapine and the dopaminergic epigenetic control – a pilot study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-08-29
BALANCE 2: Bipolar disorder:Antidepressant/Lamotrigine/ANtipsychotic Comparative Evaluation
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-05-09
A 26-week, International, Multicenter, Open-label Phase IIIb
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-04-07

Biological Data
  • Occupancy of rat noradrenline transporter (NET) in locus coeruleus following s.c. administration of norquetiapine, desipramine or reboxetine. Br J Pharmacol . 2016 Jan;173(1):155-66.
  • Effects of norquetiapine, desipramine or reboxetine in the forced swim test in male BALB/c mice. Br J Pharmacol . 2016 Jan;173(1):155-66.
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