New drug combo KarXT tested for Long-Term safety in schizophrenia

NCT ID NCT05304767

First seen Jun 24, 2026 · Last updated Jul 31, 2026 · Updated 2 times

Summary

This study looks at the long-term safety of an investigational drug called KarXT when added to current antipsychotic medications for people with schizophrenia. About 280 adults who completed a previous KarXT study will take the drug for up to 52 weeks. Researchers will track side effects to see if KarXT is safe for extended use.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
KarXT (a combination of xanomeline and trospium chloride)
What this could lead to
If successful, this could show that KarXT is safe to use long-term alongside standard antipsychotics, potentially offering a new option for people with schizophrenia who don't fully respond to current treatments.
What could go wrong
This is an open-label extension study, meaning everyone knows they are getting the drug, which can bias results. It focuses on safety, not effectiveness, and the 52-week duration may not capture very rare or long-term side effects.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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

  • Local Institution - 101

    Bellevue, Washington, 98007, United States

  • Local Institution - 103

    Irving, Texas, 75062-2757, United States

  • Local Institution - 104

    New York, New York, 10017, United States

  • Local Institution - 105

    Lauderhill, Florida, 33319-4985, United States

  • Local Institution - 108

    Rochester, New York, 14623, United States

  • Local Institution - 109

    Torrance, California, 90504, United States

  • Local Institution - 110

    Cerritos, California, 90703, United States

  • Local Institution - 111

    Atlanta, Georgia, 30328, United States

  • Local Institution - 112

    Little Rock, Arkansas, 72211, United States

  • Local Institution - 113

    Staten Island, New York, 10314-1607, United States

  • Local Institution - 126

    Lafayette, California, 94549, United States

  • Local Institution - 127

    Garden Grove, California, 92845, United States

  • Local Institution - 128

    Austin, Texas, 78754, United States

  • Local Institution - 129

    St Louis, Missouri, 63128, United States

  • Local Institution - 130

    Bellflower, California, 90706, United States

  • Local Institution - 131

    Lemon Grove, California, 91945-2956, United States

  • Local Institution - 133

    Hialeah, Florida, 33016-1814, United States

  • Local Institution - 136

    Atlanta, Georgia, 30303-3031, United States

  • Local Institution - 138

    Decatur, Georgia, 30030, United States

  • Local Institution - 140

    Rutland, Vermont, 05701, United States

  • Local Institution - 144

    Riverside, California, 92506, United States

  • Local Institution - 145

    Miami, Florida, 33122-1335, United States

  • Local Institution - 146

    Anaheim, California, 92805, United States

  • Local Institution - 148

    Las Vegas, Nevada, 89102, United States

  • Local Institution - 150

    Orange, California, 92868, United States

  • Local Institution - 151

    Chicago, Illinois, 60640, United States

  • Local Institution - 152

    La Habra, California, 90631-3842, United States

  • Local Institution - 153

    Miami Lakes, Florida, 33016, United States

  • Local Institution - 155

    Tampa, Florida, 33629, United States

  • Local Institution - 156

    Pembroke Pines, Florida, 33025, United States

  • Local Institution - 157

    New York, New York, 10036, United States

  • Local Institution - 159

    Richmond, Texas, 77407, United States

  • Local Institution - 160

    New York, New York, 10035, United States

  • Local Institution - 161

    Phoenix, Arizona, 85012, United States

  • Local Institution - 163

    Independence, Ohio, 44131, United States

  • Local Institution - 164

    Stanford, California, 94305, United States

  • Local Institution - 166

    Gaithersburg, Maryland, 20877, United States

  • Local Institution - 167

    Culver City, California, 90230, United States

  • Local Institution - 169

    Marietta, Georgia, 30060, United States

  • Local Institution - 170

    Pico Rivera, California, 90660, United States

  • Local Institution - 171

    Miami, Florida, 33166, United States

  • Local Institution - 172

    Richardson, Texas, 75080, United States

  • Local Institution - 173

    Miami Lakes, Florida, 33014, United States

  • Local Institution - 174

    Omaha, Nebraska, 68144, United States

  • Local Institution - 175

    Little Rock, Arkansas, 72204, United States

  • Local Institution - 176

    Hickory, North Carolina, 28601, United States

  • Local Institution - 178

    St Louis, Missouri, 63141, United States

  • Local Institution - 179

    Eugene, Oregon, 97403, United States

  • Local Institution - 180

    Houston, Texas, 77074, United States

  • Local Institution - 181

    Oceanside, California, 92056, United States

  • Local Institution - 182

    Hialeah, Florida, 33012, United States

  • Local Institution - 186

    Coral Gables, Florida, 33134, United States

  • Local Institution - 187

    Boston, Massachusetts, 02118, United States

  • Local Institution - 188

    Berlin, New Jersey, 08009, United States

  • Local Institution - 190

    Fort Worth, Texas, 76104, United States

  • Local Institution - 192

    Atlanta, Georgia, 30331, United States

  • Local Institution - 250

    Toyoake-shi, Aichi-ken, 470-1168, Japan

  • Local Institution - 253

    Meguro-ku, Tokyo, 1540012, Japan

  • Local Institution - 254

    Karatsu-shi, Saga-ken, 847-0031, Japan

  • Local Institution - 255

    Fukuoka, Fukuoka, 819-0037, Japan

  • Local Institution - 256

    Shinjuku-ku, Tokyo-To, 162-0843, Japan

  • Local Institution - 257

    Shirakawa-shi, Fukushima, 961-0021, Japan

  • Local Institution - 301

    Pleven, 5800, Bulgaria

  • Local Institution - 302

    Kazanlak, Stara Zagora, 6100, Bulgaria

  • Local Institution - 303

    Sofia, 1680, Bulgaria

  • Local Institution - 304

    Novi Iskar, 1282, Bulgaria

  • Local Institution - 305

    Sofia, 1113, Bulgaria

  • Local Institution - 306

    Sofia, Sofia-Grad, 1202, Bulgaria

  • Local Institution - 307

    Sofia, 1510, Bulgaria

  • Local Institution - 308

    Varna, 9020, Bulgaria

  • Local Institution - 309

    Sofia, Sofia-Grad, 1463, Bulgaria

  • Local Institution - 310

    Vratsa, 3000, Bulgaria

  • Local Institution - 311

    Dupnitsa, 2600, Bulgaria

  • Local Institution - 312

    Sliven, 8800, Bulgaria

  • Local Institution - 313

    Razgrad, 7200, Bulgaria

  • Local Institution - 314

    Plovdiv, 4002, Bulgaria

  • Local Institution - 315

    Pleven, 5800, Bulgaria

  • Local Institution - 316

    Kardzhali, 6600, Bulgaria

  • Local Institution - 317

    Targovishte, 7700, Bulgaria

  • Local Institution - 318

    Cherven Bryag, 5980, Bulgaria

  • Local Institution - 319

    Sofia, 1408, Bulgaria

  • Local Institution - 321

    Plovdiv, 4004, Bulgaria

  • Local Institution - 401

    Kragujevac, 34 000, Serbia

  • Local Institution - 402

    Belgrade, 11000, Serbia

  • Local Institution - 403

    Belgrade, 101421, Serbia

  • Local Institution - 404

    Kovin, 306041, Serbia

  • Local Institution - 405

    Belgrade, 11000, Serbia

  • Local Institution - 406

    Kragujevac, 34 000, Serbia

  • Local Institution - 407

    Kragujevac, 34 000, Serbia

  • Local Institution - 408

    Kragujevac, 34 000, Serbia

  • Local Institution - 410

    Novi Kneževac, 23330, Serbia

  • Local Institution - 411

    Gornja Toponica, 705631, Serbia

  • Local Institution - 414

    Kovin, 26220, Serbia

  • Sangenjaya Neurology- Psychosomatic Clinic

    Setagaya-ku, Tokyo, 1540004, Japan

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