Clinical trial Recruiting at 4 sites Phase 4 Interventional Ages 18 to 65

KarXT with antiemetics safety in healthy volunteers

Official title: A Phase 4, Randomized, Open Label Study to Evaluate the Safety and Tolerability of Twice Daily Xanomeline/Trospium Chloride (KarXT) With Prophylactic and PRN Antiemetic Use in Healthy Volunteers

Run by Karuna Therapeutics, Inc., a Bristol Myers Squibb company · NCT07681076 · Data updated 2026-11-12

This study tests whether adding anti-nausea medicine to KarXT helps prevent nausea and vomiting in healthy volunteers.

More Healthy Adult Male and Female Volunteers trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment180 (estimated)
SponsorKaruna Therapeutics, Inc., a Bristol Myers Squibb company
Industry-sponsored
Locations4 sites (Los Alamitos, California and 3 other locations)
StatusRecruiting
StartedSeptember 3, 2026
Main results expectedNovember 30, 2026
Study endsNovember 30, 2026
Registry record updatedOctober 15, 2026
Trial IDNCT07681076 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are healthy adults of any sex or gender who can stay in an inpatient unit for three weeks, have BMI 18-40, and agree to contraception guidelines if applicable.

Probably not a fit

Individuals with significant cardiovascular, GI, or other medical issues, or those unable to comply with inpatient confinement, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 4 study examines the safety and tolerability of KarXT when taken with antiemetic medications in healthy volunteers. Participants will receive KarXT with either regular or as-needed antiemetic treatment in an inpatient setting for three weeks. The goal is to see if the combination reduces GI side effects without introducing new safety concerns. Results may guide how to manage KarXT-related nausea during initial treatment in patients with mental health conditions. No patient-focused efficacy outcomes are reported in this healthy volunteer study.

Why it matters

Potential benefit: If successful, the approach could reduce KarXT-related nausea and vomiting, improving tolerability for patients starting therapy.

How similar studies have gone: Previous similar approaches in other contexts have shown that antiemetic co-therapy can reduce treatment-related nausea, but this specific combination with KarXT in healthy volunteers is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants must be healthy male and female participants as determined by no clinically significant deviation from normal in medical history, physical examination, 12-lead ECG, VS, and clinical laboratory determinations.
* Participants must be willing and able to be confined to an inpatient setting for a 3-week duration, follow instructions, and comply with the protocol requirements.
* Participants must have BMI ≥ 18 and ≤ 40 kg/m2.
* Individuals of childbearing potential (IOCBP) must be willing and able to adhere to the contraception guidelines.

Exclusion Criteria:

* Participants must not have history or presence of clinically significant cardiovascular (eg, untreated or unstable hypertension, clinically significant tachycardia), pulmonary, renal, hematologic, gastrointestinal (\[GI\] eg, obstructive disorders \[including conditions that may decrease GI motility, such as ulcerative colitis, intestinal atony, and myasthenia gravis\], active biliary disease \[including symptomatic gallstones\]), 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.
* Participants must not have history of moderate to severe alcohol use disorder or a substance (other than nicotine or caffeine) use disorder within the past 12 months or a positive urine drug screen (UDS) for a substance other than cannabis at screening or baseline.
* Participants must not have history or high risk of urinary retention, gastric retention, or narrow-angle glaucoma.
* Participants must not have active biliary disease (eg, symptomatic gallstones). Participants with other biliary histories are eligible and should be discussed with the medical monitor.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Collaborative Neuroscience Network - Los Alamitos- CenExel - PPDS
    Los Alamitos, California, United States
    Recruiting
  • CenExel RCA - Hollywood
    Hollywood, Florida, United States
    Recruiting
  • Atlanta Center for Medical Research - CenExel ACMR - PPDS
    Atlanta, Georgia, United States
    Recruiting
  • iResearch Atlanta - CenExel - PPDS
    Decatur, Georgia, United States
    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.