KarXT plus KarX-EC for irritability in children and teens with autism
Official title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy, Safety, Tolerability, and Pharmacokinetics of KarXT + KarX-EC in Children and Adolescents (5 to 17 Years of Age) With Irritability Associated With Autism Spectrum Disorder
Run by Bristol-Myers Squibb · NCT07284745 · Data updated 2026-11-12
This study tests whether KarXT with KarX-EC, compared to a matching placebo, can reduce irritability in kids and adolescents who have autism.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 5 Years to 17 Years |
| Sex | All |
| Enrollment | 176 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Locations | 41 sites (Dothan, Alabama and 40 other locations) |
| Status | Recruiting |
| Started | October 6, 2026 |
| Main results expected | August 6, 2029 |
| Study ends | August 6, 2029 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07284745 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children and adolescents with ASD and clinically significant irritability (ABC-I ≥ 18 and CGIS irritability ≥ 4), without a primary DSM-5 mood or psychotic disorder, and with ADHD allowed if stable and non-primary.
✕Probably not a fit
Participants with non-irritable autism presentations, or those with primary mood/psychotic disorders, may not experience benefit.
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 interventional trial evaluating KarXT alone, KarX-EC alone, and the combination of KarXT with KarX-EC against a matching placebo for irritability associated with autism spectrum disorder in pediatric participants. Eligible participants are children and adolescents with ASD confirmed by DSM-5-TR criteria and K-SADS-PL, who exhibit irritability as measured by the ABC-I score and CGIS irritability at screening and baseline. Exclusion criteria omit certain primary psychiatric disorders, but allow ADHD as a comorbidity if stable and not primary. The study is conducted at multiple sites in the United States under Bristol-Myers Squibb as lead sponsor.
Why it matters
Potential benefit: If successful, participants may experience reduced irritability and improved behavior related to autism symptoms.
How similar studies have gone: Prior studies in ASD related irritability have shown signal with targeted therapies, though this exact combination is being tested in a pediatric Phase 3 setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria * Participants must have a confirmed diagnosis of ASD, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria, confirmed by the K-SADS-PL and must be experiencing symptoms of irritability. * Participants must have ABC-I ≥18 (Irritability subscale of the ABC) and CGIS specific to irritability ≥4, at screening and baseline (Day 1). Exclusion Criteria * Participants must not have a current primary DSM-5 diagnosis of bipolar disorder, including bipolar II disorder, schizophrenia, schizoaffective disorder, major depressive episode as determined by clinical instrument, or post-traumatic stress disorder (PTSD). * Exception Include: Participants with comorbid ADHD, provided that attention deficit/hyperactivity disorder (ADHD) is not the primary disorder, the participant is adequately treated and based on the investigator judgment the disorder is clinically stable. * Participants must not have history/presence of clinically significant disease or disorder that would jeopardize participant safety or validity of study results. * Participants must not have a risk for suicidal behavior, and any clinically significant abnormal laboratory test. * Other protocol-defined Inclusion/Exclusion criteria may apply.
Where it's running
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Cortica - Glendale
Glendale, California, United States Recruiting -
Cortica - Marin
San Rafael, California, United States Recruiting -
EmVenio Research - Chicago
Chicago, Illinois, United States Recruiting -
CHU Sainte-Justine
Montreal, Quebec, Canada Recruiting -
Local Institution - 0036
Dothan, Alabama, United States Not yet recruiting -
Local Institution - 0236
Phoenix, Arizona, United States Not yet recruiting
Show 35 more locations
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Local Institution - 0031
Anaheim, California, United States Not yet recruiting -
Local Institution - 0233
Redlands, California, United States Withdrawn -
Local Institution - 0252
Colorado Springs, Colorado, United States Withdrawn -
Local Institution - 0264
Boca Raton, Florida, United States Not yet recruiting -
Local Institution - 0099
Gainesville, Florida, United States Not yet recruiting -
Local Institution - 0278
Gainesville, Florida, United States Not yet recruiting -
Local Institution - 0295
Virginia Gardens, Florida, United States Not yet recruiting -
Local Institution - 0155
Peachtree Corners, Georgia, United States Not yet recruiting -
Local Institution - 0242
Louisville, Kentucky, United States Not yet recruiting -
Local Institution - 0160
Bloomfield Hills, Michigan, United States Not yet recruiting -
Local Institution - 0110
Las Vegas, Nevada, United States Not yet recruiting -
Local Institution - 0290
New York, New York, United States Not yet recruiting -
Local Institution - 0246
Staten Island, New York, United States Not yet recruiting -
Local Institution - 0263
The Bronx, New York, United States Not yet recruiting -
Local Institution - 0122
Cincinnati, Ohio, United States Not yet recruiting -
Local Institution - 0247
West Chester, Ohio, United States Withdrawn -
Local Institution - 0269
Danville, Pennsylvania, United States Not yet recruiting -
Local Institution - 0292
Nashville, Tennessee, United States Not yet recruiting -
Local Institution - 0041
Dallas, Texas, United States Not yet recruiting -
Local Institution - 0034
Houston, Texas, United States Not yet recruiting -
Local Institution - 0273
Plano, Texas, United States Not yet recruiting -
Local Institution - 0291
San Antonio, Texas, United States Not yet recruiting -
Local Institution - 0185
Spring, Texas, United States Not yet recruiting -
Local Institution - 0294
Orem, Utah, United States Not yet recruiting -
Local Institution - 0293
West Point, Utah, United States Not yet recruiting -
Local Institution - 0260
Richmond, Virginia, United States Not yet recruiting -
Local Institution - 0010
Westmead, New South Wales, Australia Not yet recruiting -
Local Institution - 0007
Brisbane, Queensland, Australia Not yet recruiting -
Local Institution - 0045
Melbourne, Victoria, Australia Not yet recruiting -
Local Institution - 0286
Melbourne, Victoria, Australia Not yet recruiting -
Local Institution - 0289
Airdrie, Alberta, Canada Not yet recruiting -
Local Institution - 0136
Edmonton, Alberta, Canada Not yet recruiting -
Local Institution - 0135
Kingston, Ontario, Canada Not yet recruiting -
Local Institution - 0205
Toronto, Ontario, Canada Not yet recruiting -
Local Institution - 0234
San Juan, Puerto Rico Not yet recruiting
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
KarXT + KarX-EC for irritability in kids and teens with autism
This study tests whether KarXT plus KarX-EC can reduce irritability in children and adolescents with autism.
-
Treatment of irritability in children with Autism Spectrum Disorder using Lumateperone
This study is testing if a medication called Lumateperone can help reduce irritability in children with Autism Spectrum Disorder aged 5 to 17.
-
Treatment of irritability in children with autism using lumateperone
This study is testing if a medication called lumateperone can help reduce irritability in children with autism, ages 5 to 17.
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.