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KarXT

Phase 3

Schizophrenia | Small molecule | Psychiatry |Bristol-Myers Squibb Company|Last Updated: Jun 2, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment1,037
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07424404A 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, RespectivelyPHASE3 RECRUITING 400Apr 7, 2026Mar 8, 2030May 11, 202659 United States, Argentina +8
NCT07288567A Study to Evaluate the Efficacy and Safety of KarXT for the Treatment of Schizophrenia in Adolescents (EMERGENT TEEN)PHASE3 RECRUITING 166Jan 29, 2026Dec 18, 2029Jun 2, 202641 United States, Argentina +3
NCT06882785A Study to Evaluate the Efficacy and Safety of KarXT in Acutely Psychotic Japanese Adult Participants With SchizophreniaPHASE3 RECRUITING 250Jun 10, 2025Aug 23, 2029May 13, 202656 Japan
NCT06572449Study to Assess Safety and Effectiveness of Slowly Increasing Dose and Food Effect of KarXT in Participants With SchizophreniaPHASE3 COMPLETED 173Oct 28, 2024Mar 13, 2025Apr 2, 20256 United States
NCT07061288A Study to Evaluate the Dose Levels, Safety, and Drug Levels of Single KarXT Intramuscular Injection in Participants With SchizophreniaPHASE1 RECRUITING 48Sep 3, 2025Oct 15, 2027Dec 22, 20258 United States
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Study Endpoints
Primary Endpoints
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
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score
Week 5
Number of participants with treatment-emergent adverse events (TEAEs)
At Week 52 from OLE baseline

Open-label extension (OLE) Part

Incidence of treatment-emergent adverse events (TEAEs)
Up to approximately 11 weeks
Number of participants with adverse events (AEs)
Up to 3 weeks
Secondary Endpoints
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
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Administration of KarXT for SchizophreniaEXPERIMENTAL -
Administration of KarXT for Autism-related IrritabilityEXPERIMENTAL -
KarXTEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Administration of KarXTACTIVE_COMPARATOR -
KarXT on empty stomach and with foodEXPERIMENTAL -
Interventions
NameTypeDescription
KarXTDRUGSpecified dose on specified days
KarXT Matching PlaceboOTHERSpecified dose on specified days
PlaceboOTHERSpecified dose on specified days
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Eligibility Criteria
Age Range5 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites59

Inclusion Criteria \- 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 unacceptabl...

Countries:United StatesArgentinaCanadaFranceGermanyHungaryJapanPolandRomaniaSpainColombia
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT07288567lastUpdatePostDate: changed
LOWJun 2, 2026NCT07288567lastUpdatePostDate: changed
LOWJun 2, 2026NCT07288567lastUpdatePostDate: changed
MEDIUMMay 26, 2026NCT07424404Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 26, 2026NCT07061288primaryCompletionDate: changed
LOWMay 26, 2026NCT07288567primaryCompletionDate: changed
LOWMay 26, 2026NCT06882785primaryCompletionDate: changed
LOWMay 24, 2026NCT07061288studyFirstPostDate: changed
LOWMay 24, 2026NCT07288567studyFirstPostDate: changed
LOWMay 24, 2026NCT06882785studyFirstPostDate: changed
LOWMay 24, 2026NCT07424404studyFirstPostDate: changed