Can a new schizophrenia drug stay safe over the long haul?
NCT ID NCT07783373
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This study tracks the long-term safety of Cobenfy (xanomeline-trospium chloride) in 3,000 adults with schizophrenia receiving routine care in the U.S. Researchers will monitor for side effects like urinary retention, liver problems, and heart rhythm changes, comparing Cobenfy users to those on other oral antipsychotics. The goal is to see if this newer medication remains safe when used in everyday clinical practice over an extended period.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- xanomeline-trospium chloride (Cobenfy), an oral medication for schizophrenia
- What this could lead to
- If the safety profile holds up, it could support Cobenfy as a long-term treatment option for schizophrenia, offering an alternative to current antipsychotics.
- What could go wrong
- This is an observational study, not a controlled trial, so it can't prove cause and effect. Side effects like urinary retention or liver issues may still emerge, and results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
About 3,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study will include adults in the United States with schizophrenia who initiate xanomeline-trospium chloride or comparator oral antipsychotics between 27 September 2024 and 26 September 2027.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years at the index date. * Either: 1. ≥1 inpatient/emergency room claim with a primary diagnosis of schizophrenia; or 2. ≥2 office visit claims with a diagnosis of schizophrenia; or 3. ≥2 qualifying claims with a diagnosis of schizophrenia plus qualifying psychiatric Current Procedural Terminology (CPT) services. * ≥1 prescription dispensation claim for xanomeline-trospium chloride or a comparator oral antipsychotic during the study period. * Continuous medical and pharmacy coverage during the 183 days before and including the index date. * No prescription claims for xanomeline-trospium chloride or the index comparator oral antipsychotic during the 183-day baseline period. * Primary objective: earliest eligible treatment episode included once per participant. * Secondary objectives: eligible participants may be selected more than once for inclusion in the study. The treatment episode closest to the start of the study period that is eligible for inclusion will be selected as the first treatment episode for each individual. If an individual switches treatment group during the follow-up period, then this will result in another treatment episode for that individual. Exclusion Criteria: * Prior exposure to xanomeline-trospium chloride or the index comparator oral antipsychotic during the 183-day baseline period. * Age \<18 years. * Primary outcome: urinary retention during the baseline period or on the index date. * Secondary outcome: occurrence of sinus tachycardia, syncope resulting from orthostatic hypotension, hypertension, or liver injury during the baseline period or on the index date.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Local Institution - 0001
Suwanee, Georgia, 30024, United States
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