A Study to Evaluate the Long-term Safety and Tolerability of KarXT and KarX-EC for the Treatment of Schizophrenia and Autism-Related Irritability in Adolescents, Respectively
A Phase 3 Multicenter, Open-label Study to Assess the Long-term Safety and Tolerability of KarXT in Adolescents (13 to 17 Years of Age) With Schizophrenia and KarXT+KarX-EC in Children and Adolescents (5 to 17 Years of Age) With Irritability Associated With Autism Spectrum Disorder
3 other identifiers
interventional
400
10 countries
59
Brief Summary
The purpose of this study is to evaluate the long-term safety and tolerability of KarXT and KarX-EC for the treatment of Schizophrenia and autism-related irritability in adolescents, respectively
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 schizophrenia
Started Apr 2026
Longer than P75 for phase_3 schizophrenia
59 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 13, 2026
CompletedFirst Posted
Study publicly available on registry
February 20, 2026
CompletedStudy Start
First participant enrolled
April 7, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 8, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 8, 2030
May 11, 2026
May 1, 2026
3.9 years
February 13, 2026
May 7, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Number of participants with treatment emergent adverse events (TEAEs)
Up to 54 weeks
Number of participants with adverse events of special interest (AESIs)
Up to 54 weeks
Number of participants with serious adverse events (SAEs)
Up to 54 weeks
Secondary Outcomes (6)
Number or participants with procholinergic symptoms
Up to 54 weeks
Number of participants with anticholinergic symptoms
Up to 54 weeks
Number of participants with suicidal ideation and behavior assessed using the Columbia Suicide Severity Rating Scale (C-SSRS)
Up to 54 weeks
Change from baseline on the Simpson-Angus Scale (SAS)
Up to 52 weeks
Change from baseline on the Abnormal Involuntary Movement Scale (AIMS)
Up to 52 weeks
- +1 more secondary outcomes
Study Arms (2)
Administration of KarXT for Schizophrenia
EXPERIMENTALAdministration of KarXT for Autism-related Irritability
EXPERIMENTALInterventions
Specified dose on specified days
Eligibility Criteria
You may qualify if:
- \- Participants must have completed the double-blind treatment period (ie, Visit 8) of Study CN0120020 or the double-blind treatment period (ie, Week 8) of Study CN0120044 or CN0120045, without an adverse event (AE) that, in the investigator's opinion, may indicate an unacceptable safety risk.
You may not qualify if:
- Participants must not have any clinically significant abnormality including any finding(s) from the physical examination, vital signs, ECG at the end of treatment visit of Study CN0120020, CN0120044, or CN0120045 that the investigator, in consultation with the Sponsor Medical Monitor, would jeopardize the safety of the participant.
- Participants must not have either a systolic blood pressure (sBP) or diastolic blood pressure (dBP) meeting criteria for stage 2 hypertension (HTN), regardless of the presence or absence of symptoms.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (59)
Local Institution - 0077
Anaheim, California, 92805, United States
Local Institution - 0058
Chino, California, 91710, United States
Local Institution - 0024
Culver City, California, 90230, United States
Local Institution - 0083
Redlands, California, 92373, United States
Local Institution - 0089
San Francisco, California, 94158, United States
Apg Research, Llc
Orlando, Florida, 32803, United States
Atlanta Center for Medical Research
Atlanta, Georgia, 30331, United States
Salveo Integrative Health - Lawrenceville
Lawrenceville, Georgia, 30046, United States
Local Institution - 0039
Stone Mountain, Georgia, 30083, United States
EmVenio Research Center - Prime Healthcare
Chicago, Illinois, 60622, United States
Local Institution - 0076
Boston, Massachusetts, 02115, United States
Local Institution - 0059
Worcester, Massachusetts, 01608, United States
Local Institution - 0061
Great Neck, New York, 11021, United States
University of Cincinnati Cancer Institute
Cincinnati, Ohio, 45219, United States
Local Institution - 0097
Philadelphia, Pennsylvania, 19139, United States
Local Institution - 0137
Nashville, Tennessee, 37212, United States
Local Institution - 0046
Garland, Texas, 75043, United States
Local Institution - 0066
Spring, Texas, 77381, United States
Local Institution - 0050
Richmond, Virginia, 23284, United States
Local Institution - 0084
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1107, Argentina
Local Institution - 0085
La Plata, Buenos Aires, 1900, Argentina
Local Institution - 0036
Buenos Aires, C1405BOA, Argentina
Local Institution - 0035
Córdoba, X5003DCE, Argentina
Local Institution - 0116
Santiago del Estero, G4200DND, Argentina
Local Institution - 0111
Edmonton, Alberta, T6G 1Z1, Canada
Local Institution - 0110
Kingston, Ontario, K7L4X3, Canada
Local Institution - 0113
Toronto, Ontario, M4G 1R8, Canada
Local Institution - 0112
Montreal, Quebec, H3T 1C5, Canada
Local Institution - 0118
Bordeaux, 33076, France
Local Institution - 0120
Bron, 69678, France
Local Institution - 0119
Paris, 75019, France
Local Institution - 0121
Gdansk, 80-546, Germany
Local Institution - 0129
Budapest, 1143, Hungary
Local Institution - 0130
Gyula, 5700, Hungary
Local Institution - 0131
Szeged, 6720, Hungary
Local Institution - 0075
Chikugo, Fukuoka, 833-0041, Japan
Goryokai Medical Corporation - Goryokai Hospital
Sapporo, Hokkaido, 002-8029, Japan
Local Institution - 0025
Zentsujichó, Kagawa-ken, 765-8507, Japan
Local Institution - 0062
Miyakonojō, Miyazaki, 885-0093, Japan
Local Institution - 0086
Bunkyo-ku, Tokyo, 113-8431, Japan
Local Institution - 0056
Ōta-ku, Tokyo, 143-8541, Japan
Local Institution - 0063
Yokohama, Kanagawa, 213-8507, Japan
Local Institution - 0128
Poznan, Greater Poland Voivodeship, 60-744, Poland
Local Institution - 0125
Wroclaw, Lower Silesian Voivodeship, 54-234, Poland
Local Institution - 0122
Kraśnik, Lublin Voivodeship, 23-210, Poland
Local Institution - 0127
Warsaw, Masovian Voivodeship, 02-957, Poland
Local Institution - 0126
Gdansk, Pomeranian Voivodeship, 80-542, Poland
Local Institution - 0123
Szczecin, West Pomeranian Voivodeship, 70-419, Poland
Local Institution - 0124
Katowice, 40-146, Poland
Local Institution - 0029
Bucharest, Bucharest, 041914, Romania
Local Institution - 0031
Cluj-Napoca, Cluj, 400370, Romania
Local Institution - 0040
Bucharest, 021056, Romania
Local Institution - 0042
Bucharest, 031871, Romania
Local Institution - 0008
Iași, 700282, Romania
Local Institution - 0038
Timișoara, 300011, Romania
Local Institution - 0101
Barcelona, 08036, Spain
Local Institution - 0099
Barcelona, 8035, Spain
Local Institution - 0098
Madrid, 28007, Spain
Local Institution - 0100
Madrid, 28031, Spain
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Central Study Contacts
BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
CONTACT
First line of the email MUST contain NCT # and Site #.
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2026
First Posted
February 20, 2026
Study Start
April 7, 2026
Primary Completion (Estimated)
March 8, 2030
Study Completion (Estimated)
March 8, 2030
Last Updated
May 11, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- See Plan Description
- Access Criteria
- See Plan Description
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