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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 5 Years to 17 Years |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Karuna Therapeutics, Inc., a Bristol Myers Squibb company Industry-sponsored |
| Locations | 105 sites (Dothan, Alabama and 104 other locations) |
| Status | Recruiting |
| Started | April 7, 2026 |
| Main results expected | March 8, 2030 |
| Study ends | March 8, 2030 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07424404 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
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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
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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
- 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.