Clinical trial Recruiting at 4 sites Phase 3 Interventional Ages 5 to 17

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

PhasePhase 3
Study typeInterventional
Ages5 Years to 17 Years
SexAll
Enrollment176 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Locations41 sites (Dothan, Alabama and 40 other locations)
StatusRecruiting
StartedOctober 6, 2026
Main results expectedAugust 6, 2029
Study endsAugust 6, 2029
Registry record updatedNovember 10, 2026
Trial IDNCT07284745 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

  • 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
  • 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

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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.