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Not yet recruitingNCT07802132Updated Sep 3, 2026

A Prospective, Observational, Single-Arm, Multicenter Real-World Study Evaluating the Treatment Pattern, Safety and Effectiveness of Xanomeline and Trospium Chloride Capsules (KarXT) in the Treatment of Chinese Adult Participants With Schizophrenia

An observational study in Schizophrenia Disorder, sponsored by Zai Lab (Shanghai) Co., Ltd.. Not yet recruiting. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Zai Lab (Shanghai) Co., Ltd. (part of Zai Lab Limited) · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is a prospective, observational, single-arm, open-label, multicenter, real-world study conducted in Chinese adult participants with schizophrenia who meet the International Classification of Diseases (ICD)-10 diagnostic criteria. The total study duration is up to 17 weeks, including a screening/baseline data collection period followed by an observational part during which KarXT treatmentpattern, schizophrenia treatment decisions and compliance will be observed in the real-world setting.

02

Conditions studied

  • Schizophrenia Disorder

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03

In context

Schizophrenia

3,565 studies on the registry are indexed under Schizophrenia; 493 are open to participants now.

This study's planned enrollment of 250 is above the median of 178 across 507 observational studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Zai Lab (Shanghai) Co., Ltd. is the lead sponsor of 25 studies on the registry; 8 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) 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
Sampling method
Non-probability sample

Study population

In Chinese adult participants with schizophrenia who meet the International Classification of Diseases (ICD)-10 diagnostic criteria

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

  1. Adult participants (age: ≥18 and ≤65 years) who meet the ICD-10 diagnostic criteria for schizophrenia.
  2. The participant is capable of providing written in the study, agrees to receive KarXT monotherapy, is willing to follow the protocol-specified follow-up schedule, and signs the informed consent form, or, where applicable, both the participant and the participant's legal guardian sign the informed consent form.

Exclusion criteria

Exclusion Criteria:

  1. Participants who have listed in the prescribing information: urinary retention, moderate or severe hepatic impairment, gastric retention, history of to this product or trospium chloride, or untreated narrow-angle glaucoma.
  2. Participants who have conditions not recommended in the prescribing information, such as moderate or severe renal impairment, mild hepatic impairment, or active biliary disease (e.g., symptomatic gallstones).
  3. Participants diagnosed with treatment-resistant schizophrenia (TRS), defined as having previously received at least two courses of treatment with different antipsychotic medications, with each course administered at an adequate dose, as determined by the investigator based on clinical judgment, for at least 4 weeks, but without response.
  4. Participants with severe suicidal ideations. Risk for suicidal behavior during the study as determined by the investigator's clinical assessment and C-SSRS as confirmed by the following: Answers "Yes" on items 4 or 5 (C -SSRS ideation) with the most recent episode occurring within the 2 months before screening, or answers "Yes" to any of the 5 items (C-SSRS behavior) with an episode occurring within the 12 months before screening. Non-suicidal self-injurious behavior is not exclusionary.
  5. Participants who are pregnant, planning to become pregnant, or breastfeeding.
  6. Participants who have any medical conditions that in the investigator's opinion should exclude them from starting KarXT or participate in this study.
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
250 participants (estimated)
Target follow-up
17 Weeks
Patient registry
Yes

Groups and cohorts

  • KarXT Treatment Cohort

    The participant is capable of providing written informed consent in this study, agrees to receive KarXT monotherapy

    Drug: Xanomeline and trospium chloride (KarXT)

Interventions

  • DrugXanomeline and trospium chloride (KarXT)

    Drug pages: Xanomeline · Trospium chloride

    Participants will receive KarXT for a treatment/observation period of 17 weeks. The recommended dosage and administration of KarXT should refer to the prescribing information: The recommended starting dosage is one 50 mg/20 mg capsule orally twice daily for at least two days, then increase to one 100 mg/20 mg capsule orally twice daily for at least five days, the dosage may be increased to one 125 mg/30 mg capsule orally twice daily based on participant tolerability and response. All participants who are increased to 125 mg/30 mg, depending on clinician's decision, will have the option to return to 100 mg/20 mg for the remainder of the treatment/observation period. Maintenance doses may be set at 125 mg/30 mg or 100 mg/20 mg twice daily.

06

What researchers measure

Primary outcomes

  1. KarXTtreatment pattern according to clinicians'decision

    Treatment duration (days)for each doseof KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) through Week 17

    Time frame: through Week 17

  2. KarXTtreatment pattern according to clinicians'decision

    Proportion(%)of participants on each dose of KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) at Week 17

    Time frame: Week 17

Secondary outcomes

  1. KarXT Safety Profile

    Proportion (%)of KarXT-related adverse events (TRAEs) through Week 17

    Time frame: through Week 17

  2. KarXT Treatment PatternAccording to Clinicians'Decision

    Treatment duration (days) for each dose of KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) through Week 5

    Time frame: through Week 5

  3. KarXT Safety Profile

    Proportion (%)of serious adverse events (SAEs) through Week 17

    Time frame: through Week 17

  4. KarXT Treatment Effectiveness

    Change from baseline in the Positive and Negative Syndrome Scale (PANSS) total score at Week 17

    Time frame: Week 17

  5. KarXT Treatment Effectiveness

    Change from baseline in the Clinical Global Impression-Severity (CGI-S) score at Week 17

    Time frame: Week 17

  6. Schizophrenia Treatment Decisions and Compliance in the Real-world Setting

    Proportion (%) of participants discontinuing KarXT treatment along with the documented reasons for the decision from baseline through Week 17

    Time frame: through Week 17

  7. KarXT Treatment PatternAccording to Clinicians'Decision

    Proportion (%) of participants on each dose of KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) through Week 5

    Time frame: through Week 5

Other outcomes

  1. Change from baseline in social functional recovery metrics captured via continuous wearable wristband device

    Change from baseline in social functional recovery metrics captured via continuous wearable wristband device (sleep onset time, wake time, total sleep duration, heart rate, heart rate variability, total daily step count, sedentary duration, and activity interruptions)

    Time frame: Baseline and Week 17

  2. Change from baseline in the proportion of patient-reported outcome in the surveys in binary states across four Ecological Momentary Assessment (EMA) dimensions

    Observed Ecological Momentary Assessment (EMA) patient-reported outcomes (PRO) in participants with schizophrenia: Change from baseline in the proportion of patient-reported outcome in the surveys in binary states across four Ecological Momentary Assessment (EMA) dimensions: location (at home vs. outdoors), sociality context (alone vs. with others), activity type (productive vs. non-productive), and affect profile (positive vs. negative) at Week 17

    Time frame: Baseline and Week 17

  3. Change From Baseline in the Zarit Caregiver Burden Interview (ZBI) Score

    Change from baseline in caregiver burden, assessed by the Zarit Caregiver Burden Interview (ZBI)

    Time frame: Baseline and Week 17

  4. Change From Baseline in the PANSS Marder Negative Factor Score

    Change from baseline in the PANSS Marder negative factor score

    Time frame: Baseline and Week 17

  5. Change From Baseline in the Personal and Social Performance Scale (PSP) Score

    Change from baseline in the Personal and Social Performance Scale (PSP) score

    Time frame: Baseline and Week 17

  6. Change From Baseline in the Medication Satisfaction Questionnaire (MSQ) Score

    Change from baseline in participant treatment satisfaction measured by the Medication Satisfaction Questionnaire (MSQ)

    Time frame: Baseline and Week 17

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking 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

Start is estimated for Sep 2026; primary completion for Aug 2027, 11 months later.

Of 136 observational studies under Schizophrenia, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 102. This study's planned 11 months is below that.

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

Registered
Aug 30, 2026
First posted
Sep 3, 2026
StartEst.
Sep 20, 2026
Primary completionEst.
Aug 31, 2027
CompletionEst.
Dec 31, 2028
Last update
Sep 3, 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.
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07802132
Responsible party
Sponsor
First posted
Sep 3, 2026
Start date
Sep 20, 2026 (estimated)
Primary completion
Aug 31, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Sep 3, 2026

Study contacts

Hua Shi WANG
Contact
shihua.wang@zailaboratory.com
+8618601287374

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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