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SchizophreniaPhase 3NCT07424404

A Study to Evaluate the Long-term Safety and Tolerability of Xanomeline and Trospium Chloride for the Treatment of Psychiatric Disorders in Children and Adolescents

A Phase 3 study testing KarXT and KarX-EC in people with Schizophrenia and Autism-Related Irritability, run by Karuna Therapeutics, Inc., a Bristol Myers Squibb company at 104 sites in 11 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the long-term safety and tolerability of Xanomeline and Trospium Chloride for the treatment of psychiatric disorders in children and adolescents Read more about this study

Who is it for?
Ages 5 to 17 years
Conditions the study is for
Schizophrenia, Autism-Related Irritability
What is being tested?
KarXT and KarX-EC
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
104 sitesin 11 countries
Study dates
7 Apr 2026to 8 Mar 2030
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participants must have completed the double-blind treatment period (ie, Visit 8) of Study CN0120020 or the double-blind treatment period (ie, Week 8) of Study CN0120044 or CN0120045 without an adverse event (AE) that, in the opinion of the investigator, may indicate an unacceptable safety risk.
  • De-novo participants must have confirmed diagnosis of ASD with symptoms of irritability, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria, confirmed by the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version (K-SADS-PL).

Who cannot join

  • Participants must not have a significant risk of committing violent acts, serious self-harm, or attempting suicide based on history or routine psychiatric status examination, or those who are homicidal or are considered to be a high risk to others, or who have an answer of "Yes" on Questions 4 or 5 on the suicidal ideation section of the "Since Last Visit" version of the C-SSRS at baseline (Visit 1). Nonsuicidal, self-injurious behavior is not exclusionary.
  • Participants must not have any clinically significant abnormality including any finding(s) from the physical examination, vital signs, or ECG at the end of treatment visit of Study CN0120020, CN0120044 or CN00120045 that the investigator, in consultation with the Sponsor Medical Monitor, would jeopardize the safety of the participant.
  • Participants must not have either a systolic blood pressure (sBP) or diastolic blood pressure (dBP) meeting criteria for stage 2 hypertension (HTN), regardless of the presence or absence of symptoms.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Trial locations and contacts

104 sites in 11 countries. Contact the study team or a site near you to ask about taking part.

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com contact

855-907-3286

Clinical.Trials@bms.com

First line of the email MUST contain NCT # and Site #. contact

104 sites in 11 countries

United States56 sites, 54 recruiting
  • Advanced Research Center Inc.

    Anaheim, California, 92805

    Steven Macina, Site 0077, 714-999-6688

    Recruiting
  • Local Institution - 0159

    Anaheim, California, 92805

    Site 0159

    Not yet recruiting
  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30331

    Elyssa Barron, Site 0057, 404-881-5800

    Recruiting
  • Local Institution - 0152

    Bloomfield Hills, Michigan, 48302

    Site 0152

    Not yet recruiting
  • Local Institution - 0145

    Boca Raton, Florida, 33428

    Site 0145

    Not yet recruiting
  • Boston Children's Hospital

    Boston, Massachusetts, 02445

    Joseph Gonzalez-Heydrich, Site 0076

    Recruiting
  • Local Institution - 0175

    Chicago, Illinois, 60611

    Site 0175

    Not yet recruiting
  • EmVenio Research Center - Prime Healthcare

    Chicago, Illinois, 60622

    Mitchell Glaser, Site 0044, 773-620-2995

    Recruiting
  • Inland Psychiatric Medical Group.

    Chino, California, 91710

    Nandita Puchakayala, Site 0058, 909-488-9116

    Recruiting
  • University of Cincinnati Cancer Institute

    Cincinnati, Ohio, 45219

    Melissa DelBello, Site 0051

    Recruiting
  • Local Institution - 0148

    Cincinnati, Ohio, 45229

    Site 0148

    Not yet recruiting
  • Local Institution - 0142

    Columbia, Missouri, 65201

    Site 0142

    Not yet recruiting
  • Proscience Research Group

    Culver City, California, 90230

    Marina Bussel, Site 0024, 424-227-8127

    Recruiting
  • Local Institution - 0149

    Dallas, Texas, 75243

    Site 0149

    Not yet recruiting
  • Local Institution - 0143

    Danville, Pennsylvania, 17821

    Site 0143

    Not yet recruiting
  • Local Institution - 0173

    Decatur, Georgia, 30030

    Site 0173

    Not yet recruiting
  • Local Institution - 0054

    Dothan, Alabama, 36303

    Site 0054

    Not yet recruiting
  • Local Institution - 0155

    Everett, Washington, 98201

    Site 0155

    Not yet recruiting
  • Local Institution - 0160

    Gainesville, Florida, 32607

    Site 0160

    Not yet recruiting
  • Local Institution - 0164

    Gainesville, Florida, 32607

    Site 0164

    Not yet recruiting
  • VAST Clinical Research

    Garland, Texas, 75043

    Asikaiwe Chima, Site 0046

    Recruiting
  • Local Institution - 0162

    Glendale, California, 91203

    Site 0162

    Not yet recruiting
  • Local Institution - 0061

    Great Neck, New York, 11021

    Site 0061

    Not yet recruiting
  • Local Institution - 0168

    Hollywood, Florida, 33024

    Site 0168

    Not yet recruiting
  • Evolution Research Group

    Houston, Texas, 77043

    Carlin Barnes, Site 0169

    Recruiting
  • Local Institution - 0047

    Houston, Texas, 77090

    Site 0047

    Not yet recruiting
  • Local Institution - 0144

    Las Vegas, Nevada, 89128

    Site 0144

    Not yet recruiting
  • Salveo Integrative Health - Lawrenceville

    Lawrenceville, Georgia, 30046

    Shahzad Hashmi, Site 0103

    Recruiting
  • Local Institution - 0132

    Lexington, Massachusetts, 02421

    Site 0132

    Not yet recruiting
  • Local Institution - 0147

    Lincoln, Nebraska, 68526

    Site 0147

    Not yet recruiting
  • Local Institution - 0153

    Los Angeles, California, 90095

    Site 0153

    Not yet recruiting
  • Local Institution - 0170

    Louisville, Kentucky, 40202

    Site 0170

    Not yet recruiting
  • Local Institution - 0137

    Nashville, Tennessee, 37212

    Site 0137

    Not yet recruiting
  • Local Institution - 0146

    Neptune City, New Jersey, 07753-4859

    Site 0146

    Not yet recruiting
  • Local Institution - 0154

    New Haven, Connecticut, 06520

    Site 0154

    Not yet recruiting
  • Local Institution - 0158

    Orange, California, 92868

    Site 0158

    Not yet recruiting
  • Local Institution - 0171

    Orangeburg, New York, 10962

    Site 0171

    Not yet recruiting
  • Local Institution - 0141

    Orem, Utah, 84097

    Site 0141

    Not yet recruiting
  • Apg Research, Llc

    Orlando, Florida, 32803

    Morteza Nadjafi, Site 0032, 407-423-7149

    Recruiting
  • Local Institution - 0163

    Phoenix, Arizona, 85006

    Site 0163

    Not yet recruiting
  • Local Institution - 0150

    Pittsburgh, Pennsylvania, 15213-3403

    Site 0150

    Not yet recruiting
  • Local Institution - 0165

    Plano, Texas, 75093

    Withdrawn
  • Local Institution - 0176

    Plano, Texas, 75093

    Site 0176

    Not yet recruiting
  • Local Institution - 0050

    Richmond, Virginia, 23284

    Site 0050

    Not yet recruiting
  • Local Institution - 0172

    Saint Charles, Missouri, 63304

    Site 0172

    Not yet recruiting
  • Local Institution - 0181

    San Antonio, Texas, 78249

    Site 0181

    Not yet recruiting
  • Local Institution - 0174

    San Diego, California, 92102

    Site 0174

    Not yet recruiting
  • UCSF Neurosciences Clinical Research Unit (NCRU)

    San Francisco, California, 94158

    Danai Nyasha Chagwedera, Site 0089, 415-746-9047

    Recruiting
  • Local Institution - 0157

    San Rafael, California, 94903

    Site 0157

    Not yet recruiting
  • Local Institution - 0066

    Spring, Texas, 77381

    Site 0066

    Not yet recruiting
  • Local Institution - 0156

    Staten Island, New York, 10314

    Site 0156

    Not yet recruiting
  • Denali Health Atlanta, LLC

    Stone Mountain, Georgia, 30083

    Maria Johnson, Site 0039

    Recruiting
  • Local Institution - 0151

    The Bronx, New York, 10461

    Site 0151

    Not yet recruiting
  • Local Institution - 0139

    West Chester, Ohio, 45069

    Withdrawn
  • Local Institution - 0167

    West Point, Utah, 84015

    Site 0167

    Not yet recruiting
  • Local Institution - 0059

    Worcester, Massachusetts, 01608

    Site 0059

    Not yet recruiting

Other trials in United States

Poland10 sites, 6 recruiting
  • Local Institution - 0126

    Gdansk, Pomeranian Voivodeship, 80-542

    Site 0126

    Not yet recruiting
  • Local Institution - 0121

    Gdansk, 80-546

    Site 0121

    Not yet recruiting
  • Local Institution - 0124

    Katowice, 40-146

    Withdrawn
  • Local Institution - 0122

    Lublin, 20-059

    Withdrawn
  • Local Institution - 0177

    Lublin, 20-701

    Site 0177

    Not yet recruiting
  • Local Institution - 0128

    Poznan, Greater Poland Voivodeship, 60-744

    Site 0128

    Not yet recruiting
  • Local Institution - 0123

    Szczecin, West Pomeranian Voivodeship, 70-419

    Site 0123

    Not yet recruiting
  • Local Institution - 0127

    Warsaw, Masovian Voivodeship, 02-957

    Withdrawn
  • Local Institution - 0125

    Wroclaw, Lower Silesian Voivodeship, 54-234

    Withdrawn
  • Local Institution - 0178

    Zabrze, 41-807

    Site 0178

    Not yet recruiting

Other trials in Poland

Japan7 sites, 7 recruiting
  • Local Institution - 0086

    Bunkyo-ku, Tokyo, 113-8431

    Site 0086

    Not yet recruiting
  • Local Institution - 0075

    Chikugo, Fukuoka, 833-0041

    Site 0075

    Not yet recruiting
  • Local Institution - 0062

    Miyakonojō, Miyazaki, 885-0093

    Site 0062

    Not yet recruiting
  • Local Institution - 0056

    Ōta-ku, Tokyo, 143-8541

    Site 0056

    Not yet recruiting
  • Goryokai Medical Corporation - Goryokai Hospital

    Sapporo, Hokkaido, 002-8029

    Kimihiro Nakajima, Site 0073, +81-11-771-5660

    Recruiting
  • Local Institution - 0063

    Yokohama, Kanagawa, 213-8507

    Site 0063

    Not yet recruiting
  • Local Institution - 0025

    Zentsujichó, Kagawa-ken, 765-8507

    Site 0025

    Not yet recruiting

Other trials in Japan

Romania6 sites, 6 recruiting
  • Local Institution - 0029

    Bucharest, Bucharest, 041914

    Site 0029

    Not yet recruiting
  • Local Institution - 0040

    Bucharest, 021056

    Site 0040

    Not yet recruiting
  • Cabinet Medical Individual Dr Gheorghita Karina Lidia

    Bucharest, 031871

    Karina Gheorghita, Site 0042

    Recruiting
  • Cluj Napoca Emergency Hospital for Children, Department of Pediatric Psychiatry

    Cluj-Napoca, 400370

    Elena Predescu, Site 0031

    Recruiting
  • Local Institution - 0008

    Iași, 700282

    Site 0008

    Not yet recruiting
  • Emergency Clinical Hospital For Children Louis Turcanu Timis

    Timișoara, 300329

    Laura Nussbaum, Site 0038

    Recruiting

Other trials in Romania

Canada5 sites, 5 recruiting
  • Local Institution - 0138

    Calgary, Alberta, T2N 4Z6

    Site 0138

    Not yet recruiting
  • Local Institution - 0111

    Edmonton, Alberta, T6G 1Z1

    Site 0111

    Not yet recruiting
  • Local Institution - 0110

    Kingston, Ontario, K7L4X3

    Site 0110

    Not yet recruiting
  • Local Institution - 0112

    Montreal, Quebec, H3T 1C5

    Site 0112

    Not yet recruiting
  • Local Institution - 0113

    Toronto, Ontario, M4G 1R8

    Site 0113

    Not yet recruiting

Other trials in Canada

Australia4 sites, 4 recruiting
  • Local Institution - 0106

    Brisbane, Queensland, 4101

    Site 0106

    Not yet recruiting
  • Local Institution - 0108

    Melbourne, Victoria, 3052

    Site 0108

    Not yet recruiting
  • Local Institution - 0109

    Melbourne, Victoria, 3168

    Site 0109

    Not yet recruiting
  • Local Institution - 0107

    Westmead, New South Wales, 2145

    Site 0107

    Not yet recruiting

Other trials in Australia

India4 sites, 4 recruiting
  • Local Institution - 0183

    Kanpur, Uttar Pradesh, 208002

    Site 0183

    Not yet recruiting
  • Local Institution - 0135

    Kolkata, West Bengal, 700027

    Site 0135

    Not yet recruiting
  • Local Institution - 0134

    Kozhikode, Kerala, 673009

    Site 0134

    Not yet recruiting
  • Local Institution - 0136

    Nagpur, Maharashtra, 441108

    Site 0136

    Not yet recruiting

Other trials in India

Spain4 sites, 4 recruiting
  • Local Institution - 0101

    Barcelona, 08036

    Site 0101

    Not yet recruiting
  • Local Institution - 0099

    Barcelona, 8035

    Site 0099

    Not yet recruiting
  • Local Institution - 0098

    Madrid, 28007

    Site 0098

    Not yet recruiting
  • Local Institution - 0100

    Madrid, 28031

    Site 0100

    Not yet recruiting

Other trials in Spain

France3 sites, 3 recruiting
  • Local Institution - 0118

    Bordeaux, 33076

    Site 0118

    Not yet recruiting
  • Local Institution - 0120

    Bron, 69678

    Site 0120

    Not yet recruiting
  • Local Institution - 0119

    Paris, 75019

    Site 0119

    Not yet recruiting

Other trials in France

Hungary3 sites, 3 recruiting
  • Local Institution - 0129

    Budapest, 1143

    Site 0129

    Not yet recruiting
  • Local Institution - 0130

    Gyula, 5700

    Site 0130

    Not yet recruiting
  • Local Institution - 0131

    Szeged, 6720

    Site 0131

    Not yet recruiting

Other trials in Hungary

Puerto Rico2 sites, 2 recruiting
  • Local Institution - 0180

    San Juan, 00927

    Site 0180

    Not yet recruiting
  • Local Institution - 0013

    San Juan, 917

    Site 0013

    Not yet recruiting

Other trials in Puerto Rico

About this study

Official title: A Phase 3 Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of Xanomeline and Trospium Chloride in Children and Adolescents With Psychiatric Disorders

The purpose of this study is to evaluate the long-term safety and tolerability of Xanomeline and Trospium Chloride for the treatment of psychiatric disorders in children and adolescents

Being tested
KarXT, KarX-EC
Keywords
KarXT, Adolescent schizophrenia, Autism, Children and adolescents, Irritability
Medical subject headings
Schizophrenia, Autistic Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • KarXTDrug

    Also called BMS-986510, Xanomeline/Trospium chloride

    Specified dose on specified days

  • KarX-ECDrug

    Also called BMS-986519, Xanomeline Enteric-coated

    Specified dose on specified days

Study groups in NCT07424404
Study groupRoleWhat they receive
Administration of KarXT for SchizophreniaExperimentalNot described
Receives: Drug: KarXT
Administration of KarXT + KarX-EC for Autism Spectrum DisorderExperimentalNot described
Receives: Drug: KarXT; Drug: KarX-EC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of participants with treatment emergent adverse events (TEAEs)

    Measured: Up to 56 weeks

  2. Number of participants with adverse events of special interest (AESIs)

    Measured: Up to 56 weeks

  3. Number of participants with serious adverse events (SAEs)

    Measured: Up to 56 weeks

Secondary outcomes (6)
  1. Number or participants with cholinergic symptoms

    Measured: Up to 56 weeks

  2. Number of participants with anticholinergic symptoms

    Measured: Up to 56 weeks

  3. Number of participants with suicidal ideation and behavior assessed using the Columbia Suicide Severity Rating Scale (C-SSRS)

    Measured: Up to 56 weeks

  4. Change from baseline on the Simpson-Angus Scale (SAS)

    Measured: Up to 52 weeks

  5. Change from baseline on the Abnormal Involuntary Movement Scale (AIMS)

    Measured: Up to 52 weeks

  6. Change from baseline on the Barnes-Akathisia Rating Scale (BARS)

    Measured: Up to 52 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Feb 2026
  2. Study start7 Apr 2026
  3. Primary completion8 Mar 2030 (estimated)
  4. Study completion8 Mar 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07424404
Sponsor's protocol ID
CN012-0021
Other IDs
2025-524062-16-00, U1111-1325-9994, 2025
Status last verified
Oct 2026
First submitted
13 Feb 2026
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing KarXT and KarX-EC in people with Schizophrenia and Autism-Related Irritability, run by Karuna Therapeutics, Inc., a Bristol Myers Squibb company at 104 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 104 sites in United States, Poland, Japan, Romania, Canada and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact BMS Clinical Trials Contact Center www.BMSClinicalTrials.com (855-907-3286, Clinical.Trials@bms.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of participants with treatment emergent adverse events (TEAEs) (time frame: Up to 56 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2026.

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