KarXT for treating schizophrenia in teens (EMERGENT TEEN)
Official title: A Phase 3 Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of KarXT for the Treatment of Schizophrenia in Adolescents (13 to 17 Years of Age)
Run by Bristol-Myers Squibb · NCT07288567 · Data updated 2026-11-12
This trial will test whether KarXT can help reduce schizophrenia symptoms in adolescents.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 13 Years to 17 Years |
| Sex | All |
| Enrollment | 166 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Locations | 37 sites (Anaheim, California and 36 other locations) |
| Status | Recruiting |
| Started | January 29, 2026 |
| Main results expected | December 18, 2029 |
| Study ends | December 18, 2029 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07288567 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adolescents with a DSM-5-TR diagnosis of schizophrenia confirmed by K-SADS-PL who have moderate-to-severe symptoms (PANSS ≥70 and CGI-S ≥4) and no other primary psychiatric disorder in the prior year are the intended participants.
✕Probably not a fit
Young people with mild symptoms, a primary non-schizophrenia psychiatric disorder within the past year, or significant medical conditions that exclude them from the protocol are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 3, double‑blind randomized trial comparing KarXT with a matching placebo in adolescents diagnosed with schizophrenia. Eligibility requires a DSM-5-TR diagnosis confirmed by the K-SADS-PL and moderate-to-severe symptoms (PANSS total ≥70 and CGI-S ≥4 at screening and randomization). Participants will receive either KarXT or placebo and will be followed for changes in symptoms and for safety and tolerability outcomes. The trial is being conducted at outpatient sites in California with regular clinical assessments and adverse event monitoring.
Why it matters
Potential benefit: If successful, KarXT could provide a new medication option that reduces psychotic symptoms in adolescents and potentially offers a different side-effect profile from existing antipsychotics.
How similar studies have gone: Adult clinical trials of KarXT have shown positive effects on schizophrenia symptoms and acceptable tolerability, but pediatric data are limited and this adolescent study is comparatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of schizophrenia as defined by the 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) and experiencing symptoms of psychosis at screening (Visit 1). * PANSS total score of at least 70 at screening (Visit 1) and randomization (Visit 2). * Participant has a CGI-S score of ≥ 4 at screening (Visit 1) and randomization (Visit 2). Exclusion Criteria: * Any primary DSM-5-TR disorder other than schizophrenia within 12 months before screening. * History or presence of clinically significant cardiovascular, pulmonary, hepatic impairment, renal, hematologic, GI, endocrine, immunologic, dermatologic, neurologic, or oncologic disease or any other condition that, in the opinion of the investigator, would jeopardize the safety of the participant or the validity of the study results. * All grades of hepatic impairment (mild \[Child-Pugh Class A\], moderate \[Child-Pugh Class B\], and severe \[Child-Pugh Class C\]). Participants with known intellectual disability defined as an IQ less than 70; or, either clinical evidence or known social or school history indicative of intellectual disability. * Any neurological disorder, except for Tourette's Syndrome. * Participants who have either a systolic blood pressure (sBP) or diastolic blood pressure (dBP) meeting criteria for stage 2 HTN, regardless of the presence or absence of symptoms. * Other protocol-defined Inclusion/Exclusion criteria apply.
Where it's running
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Advanced Research Center Inc.
Anaheim, California, United States Recruiting -
Inland Psychiatric Medical Group.
Chino, California, United States Recruiting -
Proscience Research Group
Culver City, California, United States Recruiting -
UCSF Neurosciences Clinical Research Unit (NCRU)
San Francisco, California, United States Recruiting -
Apg Research, Llc
Orlando, Florida, United States Recruiting -
Atlanta Center for Medical Research
Atlanta, Georgia, United States Recruiting
Show 31 more locations
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Salveo Integrative Health - Lawrenceville
Lawrenceville, Georgia, United States Recruiting -
Denali Health Atlanta, LLC
Stone Mountain, Georgia, United States Recruiting -
EmVenio Research Center - Prime Healthcare
Chicago, Illinois, United States Recruiting -
Boston Children's Hospital
Boston, Massachusetts, United States Recruiting -
University of Cincinnati Dept of Psychiatry and Behavioral Neuroscience
Cincinnati, Ohio, United States Recruiting -
VAST Clinical Research
Garland, Texas, United States Recruiting -
Memorial Hermann
Houston, Texas, United States Recruiting -
Goryokai Medical Corporation - Goryokai Hospital
Sapporo, Hokkaido, Japan Recruiting -
Clinica Animedica Bucuresti
Bucharest, Romania Recruiting -
Cabinet Medical Individual Dr Gheorghita Karina Lidia
Bucharest, Romania Recruiting -
Cluj Napoca Emergency Hospital for Children, Department of Pediatric Psychiatry
Cluj-Napoca, Romania Recruiting -
Emergency Clinical Hospital For Children Louis Turcanu Timis
Timișoara, Romania Recruiting -
Local Institution - 0119
Hollywood, Florida, United States Not yet recruiting -
Local Institution - 0122
Chicago, Illinois, United States Not yet recruiting -
Local Institution - 0059
Worcester, Massachusetts, United States Not yet recruiting -
Local Institution - 0061
Great Neck, New York, United States Not yet recruiting -
Local Institution - 0113
Nashville, Tennessee, United States Not yet recruiting -
Local Institution - 0066
Spring, Texas, United States Not yet recruiting -
Local Institution - 0050
Richmond, Virginia, United States Not yet recruiting -
Local Institution - 0109
Bello, Antioquia, Colombia Not yet recruiting -
Local Institution - 0009
Pereira, Risaralda Department, Colombia Not yet recruiting -
Local Institution - 0001
Barranquilla, Colombia Not yet recruiting -
Local Institution - 0075
Chikugo-Shi, Fukuoka, Japan Not yet recruiting -
Local Institution - 0025
Zentsujichó, Kagawa-ken, Japan Not yet recruiting -
Local Institution - 0062
Miyakonojō, Miyazaki, Japan Not yet recruiting -
Local Institution - 0086
Bunkyo-ku, Tokyo, Japan Not yet recruiting -
Local Institution - 0056
Ōta-ku, Tokyo, Japan Not yet recruiting -
Local Institution - 0063
Yokohama, Kanagawa, Japan Not yet recruiting -
Local Institution - 0029
Bucharest, Bucharest, Romania Not yet recruiting -
Local Institution - 0008
Iași, Romania Not yet recruiting -
Local Institution - 0030
Sibiu, Romania Not yet recruiting
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.