Clinical trial Recruiting at 21 sites Phase 3 Interventional Ages 5 to 17

Long-term safety of KarXT and KarX-EC in adolescents with schizophrenia or autism-related irritability

Official title: A Phase 3 Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of Xanomeline and Trospium Chloride in Children and Adolescents With Psychiatric Disorders

Run by Karuna Therapeutics, Inc., a Bristol Myers Squibb company · NCT07424404 · Data updated 2026-11-12

This trial will test whether taking KarXT (for schizophrenia) or KarX-EC (for autism-related irritability) is safe and tolerable for adolescents over the long term.

More Schizophrenia trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages5 Years to 17 Years
SexAll
Enrollment400 (estimated)
SponsorKaruna Therapeutics, Inc., a Bristol Myers Squibb company
Industry-sponsored
Locations105 sites (Dothan, Alabama and 104 other locations)
StatusRecruiting
StartedApril 7, 2026
Main results expectedMarch 8, 2030
Study endsMarch 8, 2030
Registry record updatedNovember 6, 2026
Trial IDNCT07424404 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adolescents who completed the double-blind period of the parent Phase 3 trials without concerning adverse events and who are not judged to be at high risk for violence or suicide are eligible.

Probably not a fit

Patients with significant risk of violence or suicide, or with clinically significant abnormal physical exam or ECG findings at the end of the prior treatment, are unlikely to benefit or be eligible for continued treatment in this protocol.

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

What this trial studies

This Phase 3 extension enrolls adolescents who completed the double-blind treatment periods of the parent trials (CN0120020, CN0120044, or CN0120045) to continue on KarXT or KarX-EC and be followed for long-term safety and tolerability. Participants will be monitored regularly for adverse events, vital signs, ECG findings, and psychiatric status. Enrollment excludes those with clinically significant abnormal physical/ECG findings or who are judged to be at high risk of violent behavior or suicide. The goal is to gather extended safety data to inform ongoing use in adolescent populations.

Why it matters

Potential benefit: If successful, the trial could show these treatments are safe for longer-term use in adolescents, supporting longer treatment options and clearer risk information.

How similar studies have gone: Shorter-term trials of KarXT in adults have shown promising efficacy and tolerability signals, but long-term safety data in adolescents remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Participants must have completed the double-blind treatment period (ie, Visit 8) of Study CN0120020 or the double-blind treatment period (ie, Week 8) of Study CN0120044 or CN0120045 without an adverse event (AE) that, in the opinion of the investigator, may indicate an unacceptable safety risk.
* De-novo participants must have confirmed diagnosis of ASD with symptoms of irritability, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria, confirmed by the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version (K-SADS-PL).

Exclusion Criteria

* Participants must not have a significant risk of committing violent acts, serious self-harm, or attempting suicide based on history or routine psychiatric status examination, or those who are homicidal or are considered to be a high risk to others, or who have an answer of "Yes" on Questions 4 or 5 on the suicidal ideation section of the "Since Last Visit" version of the C-SSRS at baseline (Visit 1). Nonsuicidal, self-injurious behavior is not exclusionary.
* Participants must not have any clinically significant abnormality including any finding(s) from the physical examination, vital signs, or ECG at the end of treatment visit of Study CN0120020, CN0120044 or CN00120045 that the investigator, in consultation with the Sponsor Medical Monitor, would jeopardize the safety of the participant.
* Participants must not have either a systolic blood pressure (sBP) or diastolic blood pressure (dBP) meeting criteria for stage 2 hypertension (HTN), regardless of the presence or absence of symptoms.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Advanced Research Center Inc.
    Anaheim, California, United States
    Recruiting
  • Inland Psychiatric Medical Group.
    Chino, California, United States
    Recruiting
  • Proscience Research Group
    Culver City, California, United States
    Recruiting
  • UCSF Neurosciences Clinical Research Unit (NCRU)
    San Francisco, California, United States
    Recruiting
  • Research Centers of America - Hollywood - CenExel - PPDS
    Hollywood, Florida, United States
    Recruiting
  • Apg Research, Llc
    Orlando, Florida, United States
    Recruiting
Show 44 more locations
  • Atlanta Center for Medical Research
    Atlanta, Georgia, United States
    Recruiting
  • Salveo Integrative Health - Lawrenceville
    Lawrenceville, Georgia, United States
    Recruiting
  • Denali Health Atlanta, LLC
    Stone Mountain, Georgia, United States
    Recruiting
  • EmVenio Research Center - Prime Healthcare
    Chicago, Illinois, United States
    Recruiting
  • Boston Children's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • University of Cincinnati Cancer Institute
    Cincinnati, Ohio, United States
    Recruiting
  • VAST Clinical Research
    Garland, Texas, United States
    Recruiting
  • Evolution Research Group
    Houston, Texas, United States
    Recruiting
  • Goryokai Medical Corporation - Goryokai Hospital
    Sapporo, Hokkaido, Japan
    Recruiting
  • National Hospital Organization Shikoku Medical Center for Children and Adults
    Zentsujichó, Kagawa-ken, Japan
    Recruiting
  • Juntendo University Hospital
    Bunkyo-ku, Tokyo, Japan
    Recruiting
  • Toho University Omori Medical Center
    Ōta-ku, Tokyo, Japan
    Recruiting
  • Cabinet Medical Individual Dr Gheorghita Karina Lidia
    Bucharest, Romania
    Recruiting
  • Cluj Napoca Emergency Hospital for Children, Department of Pediatric Psychiatry
    Cluj-Napoca, Romania
    Recruiting
  • Emergency Clinical Hospital For Children Louis Turcanu Timis
    Timișoara, Romania
    Recruiting
  • Local Institution - 0054
    Dothan, Alabama, United States
    Not yet recruiting
  • Local Institution - 0163
    Phoenix, Arizona, United States
    Not yet recruiting
  • Local Institution - 0159
    Anaheim, California, United States
    Not yet recruiting
  • Local Institution - 0162
    Glendale, California, United States
    Not yet recruiting
  • Local Institution - 0153
    Los Angeles, California, United States
    Not yet recruiting
  • Local Institution - 0158
    Orange, California, United States
    Not yet recruiting
  • Local Institution - 0174
    San Diego, California, United States
    Not yet recruiting
  • Local Institution - 0157
    San Rafael, California, United States
    Not yet recruiting
  • Local Institution - 0154
    New Haven, Connecticut, United States
    Not yet recruiting
  • Local Institution - 0145
    Boca Raton, Florida, United States
    Not yet recruiting
  • Local Institution - 0160
    Gainesville, Florida, United States
    Not yet recruiting
  • Local Institution - 0164
    Gainesville, Florida, United States
    Not yet recruiting
  • Local Institution - 0182
    Virginia Gardens, Florida, United States
    Not yet recruiting
  • Local Institution - 0173
    Decatur, Georgia, United States
    Not yet recruiting
  • Local Institution - 0175
    Chicago, Illinois, United States
    Withdrawn
  • Local Institution - 0170
    Louisville, Kentucky, United States
    Not yet recruiting
  • Local Institution - 0132
    Lexington, Massachusetts, United States
    Not yet recruiting
  • Local Institution - 0059
    Worcester, Massachusetts, United States
    Not yet recruiting
  • Local Institution - 0152
    Bloomfield Hills, Michigan, United States
    Not yet recruiting
  • Local Institution - 0142
    Columbia, Missouri, United States
    Not yet recruiting
  • Local Institution - 0172
    Saint Charles, Missouri, United States
    Not yet recruiting
  • Local Institution - 0147
    Lincoln, Nebraska, United States
    Not yet recruiting
  • Local Institution - 0144
    Las Vegas, Nevada, United States
    Not yet recruiting
  • Local Institution - 0146
    Neptune City, New Jersey, United States
    Not yet recruiting
  • Local Institution - 0190
    Neptune City, New Jersey, United States
    Withdrawn
  • Local Institution - 0061
    Great Neck, New York, United States
    Not yet recruiting
  • Local Institution - 0171
    Orangeburg, New York, United States
    Not yet recruiting
  • Local Institution - 0156
    Staten Island, New York, United States
    Not yet recruiting
  • Local Institution - 0151
    The Bronx, New York, United States
    Not yet recruiting

+55 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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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.