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
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Bristol-Myers Squibb Industry-sponsored |
| Locations | 16 sites (Little Rock, Arkansas and 15 other locations) |
| Status | Recruiting |
| Started | January 20, 2026 |
| Main results expected | December 30, 2027 |
| Study ends | December 30, 2027 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07221877 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
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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
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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
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
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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.