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
Related trials
Other published trials that may interest you.