New schizophrenia drug KarXT under scrutiny for bladder safety
NCT ID NCT07221877
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing how the drug KarXT affects bladder function and overall safety in 60 adults with schizophrenia over 12 months. Participants will stop their current antipsychotics and take KarXT to see if it causes any urinary problems. The goal is to ensure the drug is safe for long-term 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 (xanomeline and trospium chloride)
- What this could lead to
- If successful, this study could show that KarXT is safe for the bladder and urinary system, supporting its use as a long-term treatment for schizophrenia.
- What could go wrong
- This is a small, open-label safety study with no placebo group, so results may not prove effectiveness. Side effects related to bladder function or other issues could still arise.
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.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Dec 2027
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.
- Ages
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18 to 65 years
- 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 * Male and Female participants (age 18 to 65 years of age, with a primary diagnosis of schizophrenia based on psychiatric evaluation (DSM-5) and confirmed by MINI (v 7.0.2). * Participants must have a PANSS total score ≤ 80 and CGI-S score ≤ 4, at screening and baseline, and a BMI ≥18 and ≤ 40 kg/m2. * Participants must be willing and able to discontinue all antipsychotic medications prior to the baseline visit and be willing and able to comply with protocol requirements. Exclusion Criteria * Participants with newly diagnosed schizophrenia, any other DSM-5 disorder diagnosed within the past 12 months, alcohol or drug use disorder within the past 12 months, history/presence of clinically significant disease or disorder that would jeopardize participant safety or validity of study results. * Participants at risk for suicidal behavior, as well as individuals who are pregnant or breastfeeding, will be excluded from the study. * Other protocol-defined Inclusion/Exclusion criteria apply
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
13 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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ATP Clinical Research
RECRUITINGOrange, California, 92866, United States
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Adams Clinical Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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CenExel CNS - Garden Grove
RECRUITINGGarden Grove, California, 92845, United States
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Clinical Innovations, Inc. dba CITrials
RECRUITINGBellflower, California, 90706, United States
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Hassman Research Institute Marlton Site
RECRUITINGMarlton, New Jersey, 08053, United States
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Health Synergy Clinical Research
RECRUITINGWest Palm Beach, Florida, 33407, United States
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IMA Clinical Research Las Vegas
RECRUITINGLas Vegas, Nevada, 89102, United States
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InSite Clinical Research
RECRUITINGDeSoto, Texas, 75115, United States
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Innovative Clinical Research
RECRUITINGLauderhill, Florida, 33319, United States
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Local Institution - 0001
NOT_YET_RECRUITINGAustin, Texas, 78754, United States
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Pillar Clinical Research -Chicago
RECRUITINGChicago, Illinois, 60641, United States
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Pillar Clinical Research- Little Rock
RECRUITINGLittle Rock, Arkansas, 72204, United States
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Uptown Research Institute
RECRUITINGChicago, Illinois, 60640, United States
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