Clinical trial Recruiting at 15 sites Phase 4 Interventional Ages 18 to 65

KarXT's effects on bladder and urinary function

Official title: A 12-month Open-label, Phase 4 Multicenter Safety Study to Evaluate the Effect of KarXT on Voiding Dynamics and Urological Safety

Run by Bristol-Myers Squibb · NCT07221877 · Data updated 2026-11-12

This trial will test whether KarXT affects bladder emptying and other urinary safety measures in adults with schizophrenia who can stop other antipsychotics.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment60 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Locations16 sites (Little Rock, Arkansas and 15 other locations)
StatusRecruiting
StartedJanuary 20, 2026
Main results expectedDecember 30, 2027
Study endsDecember 30, 2027
Registry record updatedNovember 10, 2026
Trial IDNCT07221877 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–65 with DSM-5 schizophrenia who are clinically stable (PANSS ≤ 80, CGI-S ≤ 4), have BMI 18–40, and are willing and able to stop other antipsychotic medications are the intended participants.

Probably not a fit

People with newly diagnosed schizophrenia, recent other psychiatric diagnoses or substance use disorder, significant medical conditions, pregnancy or breastfeeding, suicidal risk, or who are unwilling to discontinue antipsychotics are unlikely to qualify or 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 Phase 4 interventional study gives xanomeline/trospium to adults with DSM-5 schizophrenia who discontinue other antipsychotics to characterize voiding dynamics and urological safety. Participants must meet stability criteria (PANSS ≤ 80, CGI-S ≤ 4, BMI 18–40) and will undergo baseline and on-treatment urological assessments such as urinary flow/retention measures and adverse event monitoring. The trial is conducted at multiple US clinical sites with scheduled clinic visits for testing and safety surveillance. Data will be used to determine whether KarXT causes clinically significant urinary side effects in this population.

Why it matters

Potential benefit: If KarXT shows acceptable urological safety, it could provide an additional antipsychotic option with manageable bladder-related side effects for people with schizophrenia.

How similar studies have gone: Prior KarXT trials have shown antipsychotic efficacy and generally acceptable tolerability, but focused urological safety testing like this Phase 4 study is relatively new.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Male and Female participants (age 18 to 65 years of age, with a primary diagnosis of schizophrenia based on psychiatric evaluation (DSM-5) and confirmed by MINI (v 7.0.2).
* Participants must have a PANSS total score ≤ 80 and CGI-S score ≤ 4, at screening and baseline, and a BMI ≥18 and ≤ 40 kg/m2.
* Participants must be willing and able to discontinue all antipsychotic medications prior to the baseline visit and be willing and able to comply with protocol requirements.

Exclusion Criteria

* Participants with newly diagnosed schizophrenia, any other DSM-5 disorder diagnosed within the past 12 months, alcohol or drug use disorder within the past 12 months, history/presence of clinically significant disease or disorder that would jeopardize participant safety or validity of study results.
* Participants at risk for suicidal behavior, as well as individuals who are pregnant or breastfeeding, will be excluded from the study.
* Other protocol-defined Inclusion/Exclusion criteria apply

Where it's running

  • Pillar Clinical Research- Little Rock
    Little Rock, Arkansas, United States
    Recruiting
  • Clinical Innovations, Inc. dba CITrials
    Bellflower, California, United States
    Recruiting
  • Inland Psychiatric Medical Group, Inc
    Chino, California, United States
    Recruiting
  • CenExel CNS - Garden Grove
    Garden Grove, California, United States
    Recruiting
  • ATP Clinical Research
    Orange, California, United States
    Recruiting
  • Collaborative Neuroscience Research, LLC
    Torrance, California, United States
    Recruiting
Show 10 more locations
  • Kinetic Clinical Research
    West Covina, California, United States
    Recruiting
  • Health Synergy Clinical Research
    Boynton Beach, Florida, United States
    Recruiting
  • Innovative Clinical Research
    Lauderhill, Florida, United States
    Recruiting
  • Uptown Research Institute
    Chicago, Illinois, United States
    Recruiting
  • Pillar Clinical Research -Chicago
    Chicago, Illinois, United States
    Recruiting
  • IMA Clinical Research Las Vegas
    Las Vegas, Nevada, United States
    Recruiting
  • Hassman Research Institute Marlton Site
    Marlton, New Jersey, United States
    Recruiting
  • Adams Clinical Philadelphia
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Adams Clinical Dallas
    DeSoto, Texas, United States
    Recruiting
  • Local Institution - 0001
    Austin, Texas, United States
    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.