CClinicalTrials.gg
Not yet recruitingNCT07285798Updated Sep 28, 2026

A Study of KarXT + KarX-EC for Treatment of Irritability in Children and Adolescents With Autism Spectrum Disorder

A Phase 3 interventional study of KarXT and KarX-EC in Irritability Associated With Autism Spectrum Disorder, sponsored by Bristol-Myers Squibb. Not yet recruiting at 67 sites in 10 countries. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

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

Phase
Phase 3
Study type
Interventional
Enrollment
176
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to assess KarXT + KarX-EC for the treatment of irritability associated with autism in children and adolescents.

02

Conditions studied

  • Irritability Associated With Autism Spectrum Disorder

Keywords

  • Autism Spectrum Disorder
03

Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants must have a confirmed diagnosis of ASD, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria, confirmed by the K-SADS-PL and must be experiencing symptoms of irritability.
  • Participants must have an ABC-I ≥18 (Irritability subscale of the ABC) and CGIS specific to irritability ≥4, at screening and baseline (Day 1).

Exclusion criteria

Exclusion Criteria

  • Participants must not have a current primary DSM-5 diagnosis of bipolar disorder, including bipolar II disorder, schizophrenia, schizoaffective disorder, major depressive episode as determined by clinical instrument, or post-traumatic stress disorder (PTSD).
  • Exception Include: Participants with comorbid ADHD, provided that attention deficit/hyperactivity disorder (ADHD) is not the primary disorder, the participant is adequately treated and based on the investigator judgment the disorder is clinically stable.
  • Participants must not have history/presence of clinically significant disease or disorder that would jeopardize participant safety or validity of study results.
  • Participants must not have a risk for suicidal behavior, and any clinically significant abnormal laboratory test.
  • Other protocol-defined Inclusion/Exclusion criteria may apply.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
176 participants (estimated)

Study arms

  • Experimental
    KarXT + KarX-EC Arm

    Drug: KarXT · Drug: KarX-EC

  • Experimental
    Placebo

    Drug: KarXT + KarX-EC Matching Placebo

Interventions

  • DrugKarXT

    Specified dose on specified days

    Also known as: BMS-986510, Xanomeline/Trospium Chloride

  • DrugKarX-EC

    Specified dose on specified days

    Also known as: BMS-986519, Xanomeline Enteric-coated

  • DrugKarXT + KarX-EC Matching Placebo

    Specified dose on specified days

05

What researchers measure

Primary outcomes

  1. Change From Baseline in the Aberrant Behavior Checklist Irritability (ABC-I) Score at Week 8

    Time frame: Week 8

Secondary outcomes

  1. Change From Baseline in the Clinical Global Impression-Severity (CGI-S) Score at Week 8

    Time frame: Week 8

  2. Number of Participants With ABC-I response at Week 8

    ABC-I response is determined by ≥ 25% reduction in ABC-I score from baseline.

    Time frame: Week 8

  3. Change From Baseline on the ABC Subscale for Social Withdrawal at Week 8

    Time frame: Week 8

  4. Change From Baseline on the Stereotypic Behavior Subscale at Week 8

    Time frame: Week 8

  5. Change From Baseline on the Hyperactivity/Noncompliance Subscale at Week 8

    Time frame: Week 8

  6. Change From Baseline on the Inappropriate Speech Subscale at Week 8

    Time frame: Week 8

  7. Clinical Global Impression-Improvement (CGI-I) Score at Week 8

    Time frame: Week 8

  8. Number of Participants With Procholinergic Symptoms

    Time frame: Up to approximately 12 weeks

  9. Number of Participants With Anticholinergic Symptoms

    Time frame: Up to approximately 12 weeks

  10. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame: Up to approximately 12 weeks

  11. Number of Participants With Serious Adverse Events (SAEs)

    Time frame: Up to approximately 12 weeks

  12. Number of Participants With Adverse Events of Special Interest (AESIs)

    Time frame: Up to approximately 12 weeks

  13. Number of Participants With AEs Leading to Discontinuation of Study Intervention

    Time frame: Up to approximately 8 weeks

06

Study locations

67 sites
  • Local Institution - 0062
    Phoenix, Arizona 85006, United States
    • Site 0062 · Contact
  • Local Institution - 0013
    Glendale, California 91203, United States
    • Site 0013 · Contact
  • Local Institution - 0117
    Los Angeles, California 90095, United States
    • Site 0117 · Contact
  • Local Institution - 0126
    Orange, California 92868, United States
    • Site 0126 · Contact
  • Local Institution - 0132
    San Diego, California 92102, United States
    • Site 0132 · Contact
  • Local Institution - 0115
    San Juan Capistrano, California 92675, United States
    • Site 0115 · Contact
  • Local Institution - 0116
    San Rafael, California 94903, United States
    • Site 0116 · Contact
  • Local Institution - 0130
    New Haven, Connecticut 06519, United States
    • Site 0130 · Contact
  • Local Institution - 0080
    Orlando, Florida 32803, United States
    • Site 0080 · Contact
  • Local Institution - 0072
    Decatur, Georgia 30030, United States
    • Site 0072 · Contact
  • Local Institution - 0014
    Chicago, Illinois 60622, United States
    • Site 0014 · Contact
  • Local Institution - 0026
    Chicago, Illinois 60622, United States
  • Local Institution - 0051
    Lexington, Massachusetts 02421, United States
    • Site 0051 · Contact
  • Local Institution - 0016
    Columbia, Missouri 65201, United States
    • Site 0016 · Contact
  • Local Institution - 0036
    Saint Charles, Missouri 63304, United States
    • Site 0036 · Contact
  • Local Institution - 0046
    Lincoln, Nebraska 68526, United States
    • Site 0046 · Contact
  • Local Institution - 0114
    Neptune City, New Jersey 07753-4859, United States
    • Site 0114 · Contact
  • Local Institution - 0038
    Staten Island, New York 10312, United States
    • Site 0038 · Contact
  • Local Institution - 0052
    Cincinnati, Ohio 45229, United States
    • Site 0052 · Contact
  • Local Institution - 0003
    Pittsburgh, Pennsylvania 15213, United States
    • Site 0003 · Contact
  • Local Institution - 0125
    Spring, Texas 77381, United States
    • Site 0125 · Contact
  • Local Institution - 0009
    Orem, Utah 84097, United States
    • Site 0009 · Contact
  • Local Institution - 0019
    Everett, Washington 98201, United States
    • Site 0019 · Contact
  • Local Institution - 0088
    Bordeaux, 33076, France
  • Local Institution - 0102
    Bron, 69678, France
    • Site 0102 · Contact
  • Local Institution - 0089
    Paris, 75019, France
    • Site 0089 · Contact
  • Local Institution - 0103
    Gdansk, 80-546, Germany
    • Site 0103 · Contact
  • Local Institution - 0111
    Budapest, 1021, Hungary
  • Local Institution - 0127
    Budapest, 1143, Hungary
    • Site 0127 · Contact
  • Local Institution - 0112
    Siófok, 8600, Hungary
  • Local Institution - 0110
    Szeged, 6720, Hungary
    • Site 0110 · Contact
  • Local Institution - 0100
    Belgavi, Karnataka 590001, India
  • Local Institution - 0096
    Kozhikode, Kerala 673009, India
    • Site 0096 · Contact
  • Local Institution - 0136
    Nashik, Maharashtra 422005, India
    • Site 0136 · Contact
  • Local Institution - 0139
    Pune, Maharashtra 411011, India
    • Site 0139 · Contact
  • Local Institution - 0101
    Sakri, Maharashtra 441108, India
    • Site 0101 · Contact
  • Local Institution - 0138
    Kanpur, Uttar Pradesh 208002, India
    • Site 0138 · Contact
  • Local Institution - 0097
    Kolkata, West Bengal 700020, India
  • Local Institution - 0099
    Nagpur, 440010, India
    • Site 0099 · Contact
  • Local Institution - 0137
    New Delhi, 110075, India
    • Site 0137 · Contact
  • Local Institution - 0094
    Miyakonojō, Miyazaki 885-0093, Japan
    • Site 0094 · Contact
  • Local Institution - 0090
    Hirakata, Osaka 573-0022, Japan
    • Site 0090 · Contact
  • Local Institution - 0095
    Yoshinogari-cho, Kanzaki-gun, Saga-ken 842-0192, Japan
    • Site 0095 · Contact
  • Local Institution - 0091
    Ōta-ku, Tokyo 146-0095, Japan
    • Site 0091 · Contact
  • Local Institution - 0093
    Yokohama, Kanagawa, 213-8507, Japan
    • Site 0093 · Contact
  • Local Institution - 0108
    Poznan, Greater Poland Voivodeship 60-744, Poland
    • Site 0108 · Contact
  • Local Institution - 0105
    Wroclaw, Lower Silesian Voivodeship 54-234, Poland
  • Local Institution - 0107
    Warsaw, Masovian Voivodeship 02-957, Poland
  • Local Institution - 0106
    Gdansk, Pomeranian Voivodeship 80-542, Poland
    • Site 0106 · Contact
  • Local Institution - 0113
    Szczecin, West Pomeranian Voivodeship 70-419, Poland
  • Local Institution - 0129
    Szczecin, West Pomeranian Voivodeship 70-419, Poland
    • Site 0129 · Contact
  • Local Institution - 0104
    Katowice, 40-146, Poland
  • Local Institution - 0109
    Lublin, 20-059, Poland
  • Local Institution - 0134
    Lublin, 20-701, Poland
    • Site 0134 · Contact
  • Local Institution - 0133
    Zabrze, 41-807, Poland
    • Site 0133 · Contact
  • Local Institution - 0039
    San Juan, 917, Puerto Rico
    • Site 0039 · Contact
  • Local Institution - 0118
    Bucharest, Bucharest 030167, Romania
    • Site 0118 · Contact
  • Local Institution - 0120
    Bucharest, Bucharest 041914, Romania
    • Site 0120 · Contact
  • Local Institution - 0124
    Bucharest, 031871, Romania
    • Site 0124 · Contact
  • Local Institution - 0123
    Cluj-Napoca, 0, Romania
    • Site 0123 · Contact
  • Local Institution - 0121
    Iași, 700282, Romania
    • Site 0121 · Contact
  • Local Institution - 0119
    Sibiu, 550082, Romania
    • Site 0119 · Contact
  • Local Institution - 0122
    Timișoara, 300329, Romania
    • Site 0122 · Contact
  • Local Institution - 0085
    Barcelona, Barcelona [Barcelona] 08035, Spain
    • Site 0085 · Contact
  • Local Institution - 0087
    Barcelona, Catalunya [Cataluña] 08036, Spain
    • Site 0087 · Contact
  • Local Institution - 0084
    Madrid, 28007, Spain
    • Site 0084 · Contact
  • Local Institution - 0086
    Madrid, 28031, Spain
    • Site 0086 · Contact
07

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

08

Registry details

Key details

Study ID
NCT07285798
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Dec 16, 2025
Start date
Oct 2, 2026 (estimated)
Primary completion
Aug 6, 2029 (estimated)
Completion
Aug 6, 2029 (estimated)
Last update
Sep 28, 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
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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