ClinicalTrials.gg
RecruitingNCT07686263Updated Oct 30, 2026

Relapse Prevention Trial Evaluating KarXT Treatment in Schizophrenia

A Phase 3 interventional study of Xanomeline/Trospium Chloride and Placebo in Schizophrenia, sponsored by Karuna Therapeutics, Inc., a Bristol Myers Squibb company. Recruiting at 54 sites in 7 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Karuna Therapeutics, Inc., a Bristol Myers Squibb company (part of Bristol-Myers Squibb) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Oct 30, 2026No longer in Denmark and United KingdomSite recruiting status changed+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
472
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the relapse prevention of KarXT in the treatment of participants with Schizophrenia

02

Conditions studied

  • Schizophrenia

Browse trials for

Keywords

  • KarXT
  • Cobenfy
03

In context

Schizophrenia

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's planned enrollment of 472 is above the median of 71 across 2,944 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Karuna Therapeutics, Inc., a Bristol Myers Squibb company is the lead sponsor of 17 studies on the registry; 8 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.

First submitted after Karuna Therapeutics, Inc. became part of Bristol-Myers Squibb.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant must have a primary diagnosis of schizophrenia for at least 1 year established by a comprehensive psychiatric evaluation based on the (American Psychiatric Association 2022) criteria and confirmed by MINI for Psychotic Disorder Studies version 7.0.2 at screening.
  • Participant must have experienced hospitalization for schizophrenia within 1 year from the screening date.
  • Participant must be experiencing residual schizophrenia symptoms and have a PANSS total score ≥70 to ≤ 110 at screening and Day -1.
  • Participant much have a PANSS Score of ≥ 4 (moderate or greater) on ≥ 2 of the following Positive Scale (P) items at screening and Day -1:

    1. Item 1 (P1; delusions)
    2. Item 2 (P2; conceptual disorganization)
    3. Item 3 (P3; hallucinatory behavior)
    4. Item 6 (P6; suspiciousness/persecution)
  • Participant must have a CGI-S score of ≥ 4 at screening and Day -1
  • Participant must have a ≥ 18 and ≤ 40 kg/m2.

Exclusion criteria

Exclusion Criteria

  • Participant must not have any primary disorder other than schizophrenia within 12 months before screening
  • Participants must not have a newly diagnosed or are experiencing their first treated episode of psychosis or schizophrenia.
  • Participant must not have a risk of suicidal behavior as determined by the Investigator's clinical assessment and/or Columbia-suicide Severity Rating Scale (C-SSRS).
  • Participant must not have had psychiatric hospitalization(s) for more than 30 days (cumulative) within the 6 months before screening.
  • Participant must not have a history of treatment resistance to schizophrenia medications
  • Participant must not have decrease in PANSS total score (floor adjusted) between screening and Day -1 of more than 20%.
  • Other protocol-defined Inclusion/Exclusion criteria apply.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Experimental
    KarXT

    Drug: Xanomeline/Trospium Chloride

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugXanomeline/Trospium Chloride

    Drug pages: Xanomeline · Trospium chloride

    Specified dose on specified days

    Also known as: KarXT, BMS-986510

  • DrugPlacebo

    Specified dose on specified days

06

What researchers measure

Primary outcomes

  1. Time From Randomization to the First Relapse Event

    Time frame: Up to approximately Week 43

Secondary outcomes

  1. Time to Discontinuation During Double-blind Treatment Period

    Time frame: Approximately From Week 18 to 43

  2. Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to approximately Week 45

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

    Time frame: Up to approximately Week 45

  4. Number of Participants With Procholinergic Symptoms

    Time frame: Up to approximately Week 45

  5. Number of Participants With Anticholinergic Symptoms

    Time frame: Up to approximately Week 45

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

    Time frame: Up to approximately Week 45

07

Study locations

11 of 54 sites recruiting
  • Pillar Clinical Research - Bentonville
    Bentonville, Arkansas 72712, United States
    Recruiting
    • Fayz Hudefi, Site 0154 · Contact479-367-2688
  • Pillar Clinical Research- Little Rock
    Little Rock, Arkansas 72204, United States
    Recruiting
    • Leslie Smith, Site 0139 · Contact501-350-3285
  • Local Institution - 0021
    Little Rock, Arkansas 72211, United States
    Not yet recruiting
    • Site 0021 · Contact
  • Local Institution - 0153
    Rogers, Arkansas 72758, United States
    Not yet recruiting
    • Site 0153 · Contact
  • Local Institution - 0190
    Anaheim, California 92805, United States
    Not yet recruiting
    • Site 0190 · Contact
  • Clinical Innovations, Inc. dba CITrials
    Bellflower, California 90706, United States
    Recruiting
    • Gerald Maguire, Site 0040 · Contact562-249-6956
  • Local Institution - 0032
    Culver City, California 90230, United States
    Not yet recruiting
    • Site 0032 · Contact
  • Collaborative Neuroscience Research, LLC
    Garden Grove, California 92845, United States
    Recruiting
    • David Walling, Site 0037 · Contact714-799-7799
  • Local Institution - 0068
    La Habra, California 90631, United States
    Not yet recruiting
    • Site 0068 · Contact
  • Local Institution - 0128
    Lemon Grove, California 91945, United States
    Not yet recruiting
    • Site 0128 · Contact
  • Local Institution - 0187
    Montclair, California 91763, United States
    Not yet recruiting
    • Site 0187 · Contact
  • NRC Research Institute
    Orange, California 92868, United States
    Recruiting
    • Tony Ortiz, Site 0151 · Contact714-289-1100
  • Local Institution - 0030
    Pico Rivera, California 90660, United States
    Not yet recruiting
    • Site 0030 · Contact
  • Local Institution - 0185
    Redlands, California 92373, United States
    Not yet recruiting
    • Site 0185 · Contact
  • Local Institution - 0186
    Riverside, California 92506, United States
    Not yet recruiting
    • Site 0186 · Contact
  • Local Institution - 0193
    Torrance, California 90504, United States
    Not yet recruiting
    • Site 0193 · Contact
  • Health Synergy Clinical Research
    Boynton Beach, Florida 33426, United States
    Recruiting
    • Mohammad Nisar, Site 0044 · Contact786-831-7303
  • Research Centers of America ( Hollywood )
    Hollywood, Florida 33024, United States
    Recruiting
    • Edwin Gomez, Site 0145 · Contact954-604-3900
  • Local Institution - 0075
    Miami, Florida 33135, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Local Institution - 0054
    Miami Lakes, Florida 33016, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Local Institution - 0134
    Miami Springs, Florida 33166, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Local Institution - 0195
    Oakland Park, Florida 33334, United States
    Not yet recruiting
    • Site 0195 · Contact
  • Atlanta Center for Medical Research
    Atlanta, Georgia 30331, United States
    Recruiting
    • Elyssa Barron, Site 0166 · Contact404-881-5800
  • Local Institution - 0070
    Sandy Springs, Georgia 30328, United States
    Not yet recruiting
    • Site 0070 · Contact
  • Local Institution - 0189
    Savannah, Georgia 31405, United States
    Not yet recruiting
    • Site 0189 · Contact
  • Local Institution - 0067
    Chicago, Illinois 60640-5017, United States
    Not yet recruiting
    • Site 0067 · Contact
  • Pillar Clinical Research -Chicago
    Chicago, Illinois 60641, United States
    Recruiting
    • Roueen Rafeyan, Site 0056 · Contact312-865-6336
  • Local Institution - 0192
    Gaithersburg, Maryland 20877, United States
    Not yet recruiting
    • Site 0192 · Contact
  • Local Institution - 0183
    Cincinnati, Ohio 45219, United States
    Not yet recruiting
    • Site 0183 · Contact
  • Local Institution - 0047
    Oklahoma City, Oklahoma 73112, United States
    Not yet recruiting
    • Site 0047 · Contact
  • Local Institution - 0049
    Austin, Texas 78754, United States
    Not yet recruiting
    • Site 0049 · Contact
  • Pillar Clinical Research - Richardson
    Richardson, Texas 75080, United States
    Recruiting
    • Scott Bartley, Site 0133 · Contact214-396-4844
  • Local Institution - 0175
    Río Cuarto, Córdoba Province 5800, Argentina
    Withdrawn

    Not enrolling at this site — choose another above.

  • Local Institution - 0143
    Buenos Aires, C1199ABB, Argentina
    Withdrawn

    Not enrolling at this site — choose another above.

  • Local Institution - 0002
    Córdoba, 5000, Argentina
    Not yet recruiting
    • Site 0002 · Contact
  • Local Institution - 0197
    Córdoba, 5003, Argentina
    Not yet recruiting
    • Site 0197 · Contact
  • Clinica El Jardin
    Santiago del Estero, 4200, Argentina
    Recruiting
    • Gaston Noriega, Site 0144 · Contact+5493854027710
  • Local Institution - 0191
    Novi Iskar, 1282, Bulgaria
    Not yet recruiting
    • Site 0191 · Contact
  • Local Institution - 0162
    Brno, 625 00, Czechia
    Not yet recruiting
    • Site 0162 · Contact
  • Local Institution - 0014
    Klecany, 25067, Czechia
    Not yet recruiting
    • Site 0014 · Contact
  • Local Institution - 0123
    Warsaw, Masovian Voivodeship 02-957, Poland
    Not yet recruiting
    • Site 0123 · Contact
  • Local Institution - 0122
    Bialystok, Podlaskie Voivodeship 15-272, Poland
    Not yet recruiting
    • Site 0122 · Contact
  • Local Institution - 0001
    Poznan, 60-744, Poland
    Not yet recruiting
    • Site 0001 · Contact
  • Local Institution - 0104
    Brașov, Brăila County 500123, Romania
    Not yet recruiting
    • Site 0104 · Contact
  • Local Institution - 0103
    Bucharest, Bucharest 041914, Romania
    Not yet recruiting
    • Site 0103 · Contact
  • Local Institution - 0105
    Bucharest, Bucharest 041914, Romania
    Not yet recruiting
    • Site 0105 · Contact
  • Local Institution - 0107
    Bucharest, Bucharest 041914, Romania
    Not yet recruiting
    • Site 0107 · Contact
  • Local Institution - 0110
    Bucharest, Bucharest 041914, Romania
    Not yet recruiting
    • Site 0110 · Contact
  • Local Institution - 0174
    Bucharest, 011241, Romania
    Not yet recruiting
    • Site 0174 · Contact
  • Local Institution - 0106
    Bucharest, 41914, Romania
    Not yet recruiting
    • Site 0106 · Contact
  • Local Institution - 0109
    Bucharest, 41914, Romania
    Not yet recruiting
    • Site 0109 · Contact
  • Local Institution - 0112
    Barcelona, Barcelona [Barcelona] 08003, Spain
    Not yet recruiting
    • Site 0112 · Contact
  • Local Institution - 0167
    Valladolid, 47012, Spain
    Not yet recruiting
    • Site 0167 · Contact
  • Local Institution - 0181
    Zamora, 49021, Spain
    Not yet recruiting
    • Site 0181 · Contact
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, Statistical analysis plan, Clinical study report

Time frame: See Plan Description

Access criteria: See Plan Description

Data sharing details ↗ · www.bms.com

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Mar 2029, 30 months after the start.

Of 99 industry-sponsored phase 3 interventional studies under Schizophrenia, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 41. This study's planned 30 months is close to that.

Counting every sponsor, half of 113 studies reached it within 32 months; a quarter within 20 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 30, 2026
First posted
Jul 7, 2026
StartActual
Aug 20, 2026
Primary completionEst.
Mar 3, 2029
CompletionEst.
Mar 3, 2029
Last update
Oct 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
9 sites added, 14 sites removed; no longer in Denmark and United Kingdom. Local Institution - 0143 is now Withdrawn
Show 9 added (6 United States, 2 Argentina, 1 Romania)
  • Health Synergy Clinical Research · West Palm Beach, United States
  • Pillar Clinical Research -Chicago · Chicago, United States
  • Clinical Innovations, Inc. dba CITrials · Bellflower, United States
  • Collaborative Neuroscience Research, LLC · Garden Grove, United States
  • NRC Research Institute · Orange, United States
  • Health Synergy Clinical Research · Boynton Beach, United States
  • Local Institution - 0197 · Córdoba, Argentina
  • Clinica El Jardin · Santiago del Estero, Argentina
  • Local Institution - 0104 · Brașov, Romania
Show 14 removed
  • Local Institution - 0044 · West Palm Beach, United States
  • Local Institution - 0056 · Chicago, United States
  • Local Institution - 0040 · Bellflower, United States
  • Local Institution - 0188 · Chino, United States
  • Local Institution - 0037 · Garden Grove, United States
  • Local Institution - 0151 · Orange, United States
  • Health Synergy Clinical Research · West Palm Beach, United States
  • Local Institution - 0194 · Dallas, United States
  • Local Institution - 0144 · Santiago del Estero, Argentina
  • Local Institution - 0159 · Aarhus, Denmark
  • Local Institution - 0182 · Hovedvejen 19, Denmark
  • Local Institution - 0157 · Glostrup, Denmark
  • Local Institution - 0158 · Aalborg, Denmark
  • Local Institution - 0094 · Cambridge, United Kingdom
across 2 updates, Sep 28, 2026 – Oct 30, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Local Institution - 0143 · Buenos Aires, ArgentinaContact removed (no phone or email listed)
Sep 28, 2026
Show all 2 updates
  1. Oct 30, 2026
    7 sites added, 12 sites removed; no longer in Denmark and United Kingdom
    Show 7 added (4 United States, 2 Argentina, 1 Romania)
    • Clinical Innovations, Inc. dba CITrials · Bellflower, United States
    • Collaborative Neuroscience Research, LLC · Garden Grove, United States
    • NRC Research Institute · Orange, United States
    • Health Synergy Clinical Research · Boynton Beach, United States
    • Local Institution - 0197 · Córdoba, Argentina
    • Clinica El Jardin · Santiago del Estero, Argentina
    • Local Institution - 0104 · Brașov, Romania
    Show 12 removed
    • Local Institution - 0040 · Bellflower, United States
    • Local Institution - 0188 · Chino, United States
    • Local Institution - 0037 · Garden Grove, United States
    • Local Institution - 0151 · Orange, United States
    • Health Synergy Clinical Research · West Palm Beach, United States
    • Local Institution - 0194 · Dallas, United States
    • Local Institution - 0144 · Santiago del Estero, Argentina
    • Local Institution - 0159 · Aarhus, Denmark
    • Local Institution - 0182 · Hovedvejen 19, Denmark
    • Local Institution - 0157 · Glostrup, Denmark
    • Local Institution - 0158 · Aalborg, Denmark
    • Local Institution - 0094 · Cambridge, United Kingdom
    + 1 other change: verification date
  2. Sep 28, 2026
    2 sites added, 2 sites removed. Local Institution - 0143 is now Withdrawn
    Show 2 added (2 United States)
    • Health Synergy Clinical Research · West Palm Beach, United States
    • Pillar Clinical Research -Chicago · Chicago, United States
    Show 2 removed
    • Local Institution - 0044 · West Palm Beach, United States
    • Local Institution - 0056 · Chicago, United States
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Local Institution - 0143 · Buenos Aires, ArgentinaContact removed (no phone or email listed)

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07686263
Responsible party
Sponsor
First posted
Jul 7, 2026
Start date
Aug 20, 2026
Primary completion
Mar 3, 2029 (estimated)
Completion
Mar 3, 2029 (estimated)
Last update
Oct 30, 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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Discussion

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Studies of the drugs tested here: Xanomeline · Trospium chloride

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