CClinicalTrials.gg
RecruitingNCT06882785Updated Jul 27, 2026

A Study to Evaluate the Efficacy and Safety of KarXT in Acutely Psychotic Japanese Adult Participants With Schizophrenia

A Phase 3 interventional study of KarXT and Placebo in Schizophrenia, sponsored by Bristol-Myers Squibb. Recruiting at 56 sites in Japan. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by Bristol-Myers Squibb · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
250
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of KarXT in acutely psychotic Japanese adult participants with schizophrenia

02

Conditions studied

  • Schizophrenia

Browse trials for

03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's planned enrollment of 250 is above the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.

Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants must have a primary diagnosis of schizophrenia established by a comprehensive psychiatric evaluation based on the Diagnostic and Statistical Manual of Mental Disorders⎯Fifth Edition (DSM-5) criteria and confirmed by Mini International Neuropsychiatric Interview (MINI).
  • Participants must have a PANSS total score between 80 and 120, inclusive.
  • Participants must have a CGI-S score of ≥ 4.

Exclusion criteria

Exclusion Criteria

  • Participants must not have any primary DSM-5 disorder other than schizophrenia within 12 months before screening.
  • Participants must not be newly diagnosed or experiencing their first treated episode of schizophrenia.
  • Participants must not have any history or presence of clinically significant medical conditions.
  • Other protocol-defined Inclusion/Exclusion criteria apply.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
250 participants (estimated)

Study arms

  • Active comparator
    Administration of KarXT

    Drug: KarXT

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • DrugKarXT

    Specified dose on specified days

    Also known as: BMS-986510

  • OtherPlacebo

    Specified dose on specified days

06

What researchers measure

Primary outcomes

  1. Change from baseline in Positive and Negative Syndrome Scale (PANSS) total score

    Double-Blind Part

    Time frame: At week 5

  2. Number of participants with treatment-emergent adverse events (TEAEs)

    Open-label extension (OLE) Part

    Time frame: At Week 52 from OLE baseline

Secondary outcomes

  1. Change from baseline in PANSS positive score

    Double-blind Part

    Time frame: At week 5

  2. Change from baseline in PANSS negative score

    Double-blind Part

    Time frame: At week 5

  3. Change from baseline in PANSS Negative Marder Factor score

    Double-blind Part

    Time frame: At week 5

  4. Change from baseline in Clinical Global Impressions-Severity (CGI-S) score

    Double-blind Part

    Time frame: At week 5

  5. The percentage of PANSS responders (a ≥ 30% change in PANSS total score)

    Double-blind Part

    Time frame: At week 5

  6. Number of participants wtih adverse events (AEs)

    Double-blind Part

    Time frame: Up to day 35

  7. Number of participants wtih adverse events of special interest (AESIs)

    Time frame: Up to week 57

  8. Number of participants with procholinergic symptoms

    Time frame: Up to week 57

  9. Number of participants with anticholinergic symptoms

    Time frame: Up to week 57

  10. Change from baseline in Simpson-Angus Scale (SAS) score

    Double-blind Part

    Time frame: Up to day 35

  11. Change from baseline in Barnes Akathisia Rating Scale (BARS) score

    Double-blind Part

    Time frame: Up to day 35

  12. Change from baseline in Abnormal Involuntary Movement Scale (AIMS) score

    Double-blind Part

    Time frame: Up to day 35

  13. Change from baseline in body weight

    Double-blind Part

    Time frame: Up to day 35

  14. Change from baseline in body mass index (BMI)

    Double-blind Part

    Time frame: Up to day 35

  15. Blood pressure (BP) sitting and standing after 2 minutes

    Time frame: Up to week 57

  16. Heart rate (HR) sitting and standing after 2 minutes

    Time frame: Up to week 57

  17. Number of participants wtih a change from baseline in hematology evaluations

    Time frame: Up to week 57

  18. Number of participants wtih a change from baseline in clinical chemistry evaluations

    Time frame: Up to week 57

  19. Number of participants wtih a change from baseline in coagulation evaluations

    Time frame: Up to week 57

  20. Number of participants wtih a change from baseline in urinalysis evaluations

    Time frame: Up to week 57

  21. Number of participants wtih a change from baseline in drug screen evaluations

    Time frame: Up to week 57

  22. Number of participants wtih a change from baseline in 12-lead electrocardiogram (ECG) evaluations

    Time frame: Up to week 57

  23. Number of participants wtih physical examination abnormalities

    Time frame: Up to week 57

  24. Number of participants wtih suicidal ideation with the use of the Columbia-Suicide Severity Rating Scale (C-SSRS)

    Time frame: Up to week 57

  25. International Prostate Symptom Score (IPSS)

    Male participants ≥ 45 years of age only

    Time frame: Up to week 57

  26. Area under the plasma concentration-time curve (AUC)

    Double-blind Part

    Time frame: Up to day 35

  27. Maximum observed plasma concentration (Cmax)

    Double-blind Part

    Time frame: Up to day 35

  28. Time of maximum observed plasma concentration (Tmax)

    Double-blind Part

    Time frame: Up to day 35

  29. Number of participants wtih serious TEAEs

    OLE Part

    Time frame: Up to week 57

  30. Number of participants wtih TEAEs leading to discontinuation of study intervention

    OLE Part

    Time frame: Up to week 57

  31. Change from OLE baseline in PANSS total score

    OLE Part

    Time frame: At week 57

  32. Change from OLE baseline in CGI-S score

    OLE Part

    Time frame: At week 57

  33. Percentage of PANSS responders

    OLE Part

    Time frame: At week 57

07

Study locations

44 of 56 sites recruiting
  • Hotei Hospital
    Kōnan, Aichi-ken 4838248, Japan
    • Takakura Masashi, Site 0034 · Contact · +81587557251
    Recruiting
  • Local Institution - 0056
    Nagoya, Aichi-ken 466-8560, Japan
    • Site 0056 · Contact
    Not yet recruiting
  • Okehazama Hospital
    Toyoake, Aichi-ken 470-1168, Japan
    • kiyoshi Fujita, Site 0001 · Contact · 0562971361
    Recruiting
  • Fujita Health University
    Toyoake, Aichi-ken 470-1192, Japan
    • Taro Kishi, Site 0003 · Contact · +81-562-93-2139
    Recruiting
  • National Kohnodai Medical Center.
    Ichikawa, Chiba 272-8516, Japan
    • Toshihiko Ito, Site 0009 · Contact · +81-47-372-3501
    Recruiting
  • National Hospital Organization Shimofusa Psychiatric Medical Center
    MIdori-ku, Chiba-shi, Chiba 266-0007, Japan
    • Teruki Koizumi, Site 0015 · Contact · +81.43.291.1221
    Recruiting
  • Local Institution - 0032
    Iizuka, Fukuoka 820-0014, Japan
    Withdrawn
  • Local Institution - 0037
    Kitakyushu, Fukuoka 803-0831, Japan
    • Site 0037 · Contact
    Not yet recruiting
  • Shiranui Hospital
    Omuta, Fukuoka 836-0004, Japan
    • Michihiko Matsushita, Site 0016 · Contact · 81-944-55-2000
    Recruiting
  • Takeda General Hospital - Aizuwakamatsu
    Aizu-Wakamatsu, Fukushima 965-0876, Japan
    • Koichi Osonoe, Site 0042 · Contact · 81242275511
    Recruiting
  • Holy Cross Hospital - Toki
    Toki, Gifu 509-5142, Japan
    • Hideaki Tabuse, Site 0044 · Contact · 0572-54-8181
    Recruiting
  • Kure Medical Center
    Kure, Hiroshima 737-0023, Japan
    • Wataru Omori, Site 0007 · Contact · 0823223111
    Recruiting
  • Goryokai Medical Corporation - Goryokai Hospital
    Sapporo, Hokkaido 002-8029, Japan
    • Kimihiro Nakajima, Site 0004 · Contact · +81-11-771-5660
    Recruiting
  • Hokkaido University Hospital
    Sapporo, Hokkaido 0608648, Japan
    • Naoki Hashimoto, Site 0049 · Contact · 81117067600
    Recruiting
  • Local Institution - 0025
    Hadano-shi, Kanagawa 257-0003, Japan
    • Site 0025 · Contact
    Not yet recruiting
  • Fujimidai Hospital
    Hiratsuka, Kanagawa 259-1205, Japan
    • Takafumi Yahoko, Site 0040 · Contact · +81-463-58-0186
    Recruiting
  • Kitasato University Hospital
    Sagamihara, Kanagawa 252-0375, Japan
    • Ken Inada, Site 0052 · Contact · +81-42-778-8111
    Recruiting
  • Tsurumi Nishii Hospital
    Yokohama, Kanagawa 230-0074, Japan
    • Herbert Nishii, Site 0023 · Contact · 045-581-3055
    Recruiting
  • Yokohama City University Medical Center
    Yokohama, Kanagawa 232-0024, Japan
    • Nobuhiko Noguchi, Site 0028 · Contact · 81452615656
    Recruiting
  • Hino Hospital - Yokohama
    Yokohama, Kanagawa 234-0051, Japan
    • Atsuomi Baba, Site 0035 · Contact · +81-45-843-8511
    Recruiting
  • Yuge Hospital
    Kumamoto, Kumamoto 861-8002, Japan
    • Masahiro Shono, Site 0011 · Contact · 81-96-338-3838
    Recruiting
  • Local Institution - 0019
    Yatsushiro, Kumamoto 866-0043, Japan
    Withdrawn
  • National Hospital Organization Maizuru Medical Center
    Maizuru, Kyoto 625-8502, Japan
    • Sumihiro Yamano, Site 0046 · Contact · 81773622680
    Recruiting
  • Miyakonojo Shinsei Hospital
    Miyakonojō, Miyazaki 885-0093, Japan
    • Masahiko Kawano, Site 0017 · Contact · +81-986-22-0280
    Recruiting
  • Local Institution - 0014
    Komoro, Nagano 384-8540, Japan
    Withdrawn
  • Local Institution - 0050
    Matsumoto, Nagano 390-0847, Japan
    Withdrawn
  • University of the Ryukyus Hospital
    Ginowan, Okinawa 901-2725, Japan
    • Hotaka Shinzato, Site 0051 · Contact · +8198-894-1301
    Recruiting
  • Osaka Psychiatric Medical Center
    Hirakata, Osaka 573-0022, Japan
    • Taro Matsuda, Site 0022 · Contact · 072-847-3261
    Recruiting
  • Kansai Medical University Medical Center
    Moriguchi, Osaka 570-8507, Japan
    • SHUNICHIRO IKEDA, Site 0026 · Contact · 0669921001
    Recruiting
  • Nagaokai Medical Corporation - Neyagawa Sanatorium
    Neyagawa, Osaka 572-0854, Japan
    • Naohiko Matsumoto, Site 0021 · Contact · 0728223561
    Recruiting
  • Shin-Abuyama Hospital
    Takatsuki, Osaka 569-1041, Japan
    • Hiroki Kikuyama, Site 0005 · Contact · +81726931881
    Recruiting
  • Osaka Medical and Pharmaceutical University Hospital
    Takatsuki, Osaka 569-8686, Japan
    • Tetsufumi Kanazawa, Site 0024 · Contact · 072-683-1221
    Recruiting
  • Rainbow and Sea Hospital
    Karatsu-shi, Saga-ken 847-0031, Japan
    • Taro Shindo, Site 0010 · Contact · 0955770711
    Recruiting
  • Inuo Hospital
    Tosu, Saga-ken 841-0081, Japan
    • Akifumi Inuo, Site 0038 · Contact · 0942827007
    Recruiting
  • Saitama Konan Hospital
    Kumagaya, Saitama 360-0114, Japan
    • Narifumi Yokoyama, Site 0020 · Contact · 048-536-1366
    Recruiting
  • Dokkyo Medical University Hospital
    Shimotsuga, Tochigi 321-0293, Japan
    • Norio Furukori, Site 0047 · Contact · 0282861111
    Recruiting
  • Local Institution - 0054
    Shimotsuke, Tochigi 329-0498, Japan
    • Site 0054 · Contact
    Not yet recruiting
  • Tochigi Prefectural Okamotodai Hospital
    Utsunomiya, Tochigi 3291104, Japan
    • Taku Amano, Site 0043 · Contact · 81-28-673-2211
    Recruiting
  • Local Institution - 0012
    Hachiōji, Tokyo 192-0153, Japan
    Withdrawn
  • National Center of Neurology and Psychiatry
    Kodaira, Tokyo 187-8551, Japan
    • Kyoji Okita, Site 0002 · Contact · 042-341-2711
    Recruiting
  • Asuka Hospital
    Machida, Tokyo 1940005, Japan
    • yoshie tamura, Site 0027 · Contact · 042-795-2080
    Recruiting
  • Toho University Omori Medical Center
    Ōta-ku, Tokyo 143-8541, Japan
    • Takahiro Nemoto, Site 0053 · Contact · 03-3762-4151
    Recruiting
  • Tokyo Metropolitan Matsuzawa Hospital
    Setagaya City, Tokyo 1560057, Japan
    • Keiko Genda, Site 0045 · Contact · 0333037211
    Recruiting
  • Narimasu Kosei Hospital
    tabashi City, Tokyo 175-0091, Japan
    • Yuya Tenjin, Site 0013 · Contact · 0339391191
    Recruiting
  • Yamaguchi University Hospital
    Ube, Yamaguchi 755-8505, Japan
    • Fumihiro Higuchi, Site 0036 · Contact · 81836222111
    Recruiting
  • Kuramitsu Hospital
    Fukuoka, 819-0037, Japan
    • Noriko Tamaru, Site 0008 · Contact · +81-92-811-1821
    Recruiting
  • University Hospital,Kyoto Prefectural University of Medicine
    Kyoto, 602-8566, Japan
    • Anri WATANABE, Site 0048 · Contact · +81-752515612
    Recruiting
  • Miyazaki Prefectural Miyazaki Hospital
    Miyazaki, 880-8510, Japan
    • Jiro Kawano, Site 0029 · Contact · 81985244181
    Recruiting
  • Okayama University Hospital
    Okayama, 700-8558, Japan
    • Shinji Sakamoto, Site 0055 · Contact · +81-86-235-7242
    Recruiting
  • Local Institution - 0018
    Okinawa, 904-0012, Japan
    • Site 0018 · Contact
    Not yet recruiting
  • Local Institution - 0031
    Osaka, 590-0018, Japan
    • Site 0031 · Contact
    Not yet recruiting
  • Saitama Neuropsychitric Institute
    Saitama, 338-8577, Japan
    • Hakuei Yamashita, Site 0041 · Contact · 048-857-6811
    Recruiting
  • Tokushima University Hospital
    Tokushima, 770-8503, Japan
    • Tomohiko Nakayama, Site 0039 · Contact · 088-631-7130
    Recruiting
  • Local Institution - 0033
    Tottori, 689-0203, Japan
    Withdrawn
  • Wakayama Medical University Hospital
    Wakayama, 641-8510, Japan
    • Sohei Kimoto, Site 0006 · Contact · 073-441-0659
    Recruiting
  • Yamagata Sakuracho Hospital
    Yamagata, 990-0045, Japan
    • Nobuhiro Yokokawa, Site 0030 · Contact · +81236312315
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html

Supporting information: Study protocol, Sap, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06882785
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Mar 19, 2025
Start date
Jun 10, 2025
Primary completion
Sep 23, 2028 (estimated)
Completion
Aug 23, 2029 (estimated)
Last update
Jul 27, 2026

Study contacts

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
Contact
Clinical.Trials@bms.com
855-907-3286
First line of the email MUST contain NCT # and Site #.
Contact
Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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