Clinical trial • Phase III • Psychiatry

TROSPIUM CHLORIDE; XANOMELINE TARTRATE for Schizophrenia

Phase III trial of TROSPIUM CHLORIDE; XANOMELINE TARTRATE for Schizophrenia.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Schizophrenia
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
05-12-2025
First CTIS Authorization Date
20-04-2026

Trial design

Randomised, karxt matching placebo (placebo comparator). no dose or schedule for comparator specified in the available record.-controlled Phase III trial in Romania.

Randomised
Yes
Comparator
KarXT Matching Placebo (placebo comparator). No dose or schedule for comparator specified in the available record.
Target Sample Size
138

Eligibility

Recruits 138 paediatric patients.

Pregnancy Exclusion
IOCBP must have a negative highly sensitive serum pregnancy test at screening and a urine test within 24 hours prior to the start of study intervention
Vulnerable Population
Participants are adolescents (13-17 years). The legally acceptable representative (eg, legal guardian or caregiver) must sign and date an IRB/IEC-approved informed consent form; assent documents for participants are provided (assent forms are included among the L1 SIS and ICF Assent documents). Vulnerable status is explicitly selected in the trial record.

Inclusion criteria

  • {"criterion_text":"- Participants must be 13 to 17 years of age, inclusive, at the time of signing the ICF"}
  • {"criterion_text":"- Participants' legally acceptable representative (ie, legal guardian or caregiver) must have signed and dated an IRB/IEC-approved ICF in accordance with regulatory, local, and institutional guidelines"}
  • {"criterion_text":"- Participants with diagnosis of schizophrenia as defined by the DSM-5-TR criteria and experiencing symptoms of psychosis during screening"}
  • {"criterion_text":"- IOCBP must have a negative highly sensitive serum pregnancy test at screening and a urine test within 24 hours prior to the start of study intervention"}
  • {"criterion_text":"- Participants must agree to follow instructions for highly effective method(s) of contraception as described in the protocol and included in the ICF"}
  • {"criterion_text":"- Participants in a stable living condition and are expected to remain at the same location for the duration of the trial"}

Exclusion criteria

  • {"criterion_text":"- Participants with any primary DSM-5-TR disorder diagnosis other than schizophrenia within 12 months before screening including, but not limited to moderate to severe alcohol use disorder, substance (other than nicotine or caffeine) use disorder, major depressive disorder, bipolar I or II disorder, schizoaffective disorder, obsessive compulsive disorder, and post-traumatic stress disorder"}
  • {"criterion_text":"- Participants who are showing inability to tolerate oral medication or swallow capsules"}
  • {"criterion_text":"- Participants with a history or presence of clinically significant cardiovascular, pulmonary, hepatic impairment, renal, hematologic, GI, endocrine, immunologic, dermatologic, neurologic, or oncologic disease"}
  • {"criterion_text":"- Participants with any neurological disorder, except for Tourette’s Syndrome"}
  • {"criterion_text":"- Participants with uncontrolled diabetes or clinically significant abnormal fasting blood glucose level at screening"}
  • {"criterion_text":"- Participants who have been diagnosed with epilepsy, or have a history of seizures, severe head trauma or stroke"}
  • {"criterion_text":"- Participants who have a significant risk of committing violent acts, serious self-harm, or attempting suicide"}
  • {"criterion_text":"- Participants with prior exposure to KarXT(xanomeline-trospiumchloride)"}
  • {"criterion_text":"- Participants who experienced any adverse effects due to xanomeline or trospiumchloride"}
  • {"criterion_text":"- Participants with any clinically significant abnormal laboratory test results at Visit 1 (screening) as per investigator discretion"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change from baseline in Positive and Negative Syndrome Scale (PANSS) total score at Week 5","definition_or_measurement_approach":"Change from baseline in PANSS total score at Week 5 (measured using the Positive and Negative Syndrome Scale total score)"}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in Clinical Global Impression -Severity (CGI-S) score at Week 5","definition_or_measurement_approach":"Change from baseline in CGI-S score at Week 5 (measured using the Clinical Global Impression - Severity scale)"}

Recruitment

Planned Sample Size
138
Recruitment Window Months
41
Consent Approach
Informed consent must be provided by the participant's legally acceptable representative (eg, legal guardian or caregiver) who must sign an IRB/IEC-approved ICF. Assent documents for participants are provided (L1 SIS and ICF Assent documents are listed). English-language and Romanian-language protocol/synopsis and ICF/assent documents are present among the submitted documents (EN and RO versions listed).

Methods

  • Patient recruitment: duty assigned to Praxis Communications LLC (listed sponsor duty: Patient recruitment) — no channel, target audience, or country-specific approach described in the available documents.

Geography

Total Number Of Sites
6
Total Number Of Participants
138

Romania

Earliest CTIS Part Ii Submission Date
26-03-2026
Latest Decision Or Authorization Date
20-04-2026
Processing Time Days
25
Number Of Sites
6
Number Of Participants
28

Sites

Site Name
CABINET MEDICAL INDIVIDUAL DR GHEORGHITA KARINA LIDIA
Department Name
Psychiatry
Contact Person Name
Karina Gheorghita
Contact Person Email
karina.gheorghita@gmail.com
Site Name
Spitalul Clinic De Urgenta Pentru Copii Louis Turcanu Timisoara
Department Name
Psychiatry
Contact Person Name
Laura Nussbaum
Contact Person Email
nussbaumlaura@yahoo.com
Site Name
Spitalul Clinic De Urgenta Pentru Copii Cluj-Napoca
Department Name
Psychiatry
Contact Person Name
Elena Predescu
Contact Person Email
elenepredescu@yahoo.com
Site Name
Clinica Animedica
Department Name
Psychiatry
Contact Person Name
Monica Safer
Contact Person Email
monica_safer@yahoo.com
Site Name
Spitalul Clinic De Psihiatrie Prof.Dr.Alexandru Obregia
Department Name
Psychiatry
Contact Person Name
Florina Rad
Contact Person Email
florina2rad@yahoo.com
Site Name
Institutul De Psihiatrie Socola Iasi
Department Name
Psychiatry
Contact Person Name
Carmen Lupusoru
Contact Person Email
sectia3@socola.eu

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
Syneos Health Inc.
Responsibilities
Patient eligibility
Name
Iqvia Inc.
Responsibilities
site payments

Third parties

  • {"country":"United States","full_name":"Praxis Communications LLC","duties_or_roles":"Patient recruitment","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"Patient eligibility","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Iqvia Inc.","duties_or_roles":"site payments","organisation_type":"Pharmaceutical company"}
  • {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"Embarc operations","organisation_type":"Pharmaceutical company"}
  • {"country":"India","full_name":"Accenture Solutions Private Limited","duties_or_roles":"pharmacovigilance duties, medical review and cases data entry","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Provides electronic payments, travel arrangements,electronic study-related comunications to patients","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health LLC","duties_or_roles":"Subject Number assignment, Treatment/Arm assignment,Drug (re)supplies assignment, PRO/COA","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
KarXT
Active Substance
TROSPIUM CHLORIDE; XANOMELINE TARTRATE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus:1
Investigational Product Name
KarXT Matching Placebo
Modality
Other
Combination Treatment
Yes

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