Clinical trial Recruiting at 18 sites Phase 3 Interventional Ages 13 to 17

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.

More Schizophrenia trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages13 Years to 17 Years
SexAll
Enrollment166 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Locations37 sites (Anaheim, California and 36 other locations)
StatusRecruiting
StartedJanuary 29, 2026
Main results expectedDecember 18, 2029
Study endsDecember 18, 2029
Registry record updatedOctober 6, 2026
Trial IDNCT07288567 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.