Clinical trial Recruiting at 8 sites Phase 1 Interventional Ages 18 to 55

Single KarXT intramuscular injection to test dosing and safety in people with schizophrenia

Official title: An Open-label, Phase 1, Dose-Finding Study to Characterize the Safety, Tolerability, and Pharmacokinetics of a Long-Acting Injectable KarXT Formulation in Participants With Schizophrenia

Run by Bristol-Myers Squibb · NCT07061288 · Data updated 2026-11-12

This will test whether a single intramuscular injection of KarXT is safe and what drug levels it produces in adults with schizophrenia who can stop other antipsychotic medications.

More Schizophrenia trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment131 (estimated)
SponsorBristol-Myers Squibb
Industry-sponsored
Locations8 sites (Los Alamitos, California and 7 other locations)
StatusRecruiting
StartedSeptember 3, 2025
Main results expectedJune 21, 2027
Study endsOctober 15, 2027
Registry record updatedSeptember 2, 2026
Trial IDNCT07061288 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with DSM-5-TR diagnosed schizophrenia who meet stability criteria (PANSS total ≤ 80, CGI-S ≤ 4), have BMI 18–40 kg/m², and are willing/able to discontinue other antipsychotics are ideal candidates.

Probably not a fit

Patients with newly diagnosed or first-episode schizophrenia, recent other primary DSM-5-TR disorders, or those who cannot stop existing antipsychotic treatment are unlikely to 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 1, interventional trial gives a single intramuscular injection of KarXT at one of several dose levels to adults with diagnosed schizophrenia. Participants who meet stability criteria stop other antipsychotic medications and receive close clinical monitoring and blood draws to measure drug levels over time. The main goals are to characterize safety, tolerability, and pharmacokinetics after one dose. The trial is conducted at a small number of U.S. clinical sites with scheduled follow-up visits to capture adverse events and laboratory results.

Why it matters

Potential benefit: If successful, a long-acting injectable form of KarXT could offer an alternative dosing option that may improve adherence and reduce relapse risk for some patients.

How similar studies have gone: Oral KarXT formulations have shown positive efficacy and safety signals in prior trials, but a single long-acting intramuscular KarXT injection is a novel formulation that has not been widely tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Participants must have a primary diagnosis of schizophrenia, as confirmed by psychiatric evaluation based on Diagnostic and Statistical Manual of Mental Disorders (5th Edition, Text Revision) (DSM-5-TR) criteria and Mini International Neuropsychiatric Interview (MINI) (version 7.0.2).
* Participants must have a Positive and Negative Syndrome Scale (PANSS) total score ≤ 80 and a Clinical Global Impression - Severity (CGI-S) score ≤ 4 at both screening and baseline.
* Participants must have a body mass index (BMI) between 18 and 40 kg/m².
* Participants should be willing and able, as determined by the investigator, to discontinue all antipsychotic medications prior to the baseline visit and must be able to comply with all protocol requirements.

Exclusion Criteria

* Participants must not have newly diagnosed schizophrenia or a first treated episode of schizophrenia.
* Participants must not have any other DSM-5-TR disorder diagnosed within the past 12 months, such as major depressive disorder or bipolar disorder.
* Participants must not have a history of alcohol or drug use disorder within the past 12 months or those with clinically significant disease or disorder that would jeopardize their safety or affect the validity of study results.
* Participants must not be at risk for suicidal behavior.
* Female participants must not be pregnant or breastfeeding.
* Other protocol-defined Inclusion/Exclusion criteria apply.

Where it's running

  • Collaborative Neuroscience Research, LLC
    Los Alamitos, California, United States
    Recruiting
  • Research Centers of America ( Hollywood )
    Hollywood, Florida, United States
    Recruiting
  • Innovative Clinical Research, Inc.
    Miami Lakes, Florida, United States
    Recruiting
  • Atlanta Center for Medical Research
    Atlanta, Georgia, United States
    Recruiting
  • CenExel iResearch, LLC
    Decatur, Georgia, United States
    Recruiting
  • Uptown Research Institute
    Chicago, Illinois, United States
    Recruiting
Show 2 more locations
  • Hassman Research Institute Marlton Site
    Marlton, New Jersey, United States
    Recruiting
  • Community Clinical Research
    Austin, Texas, United States
    Recruiting

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.