56 Participants Needed

Xanomeline/Trospium Chloride for Healthy Subjects

Recruiting at 5 trial locations
BC
Overseen ByBMS Clinical Trials Contact Center www.BMSClinicalTrials.com
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Karuna Therapeutics
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests how the body processes a treatment called KarXT, a combination of xanomeline and trospium chloride, by focusing on different types of metabolism in healthy individuals. Researchers aim to determine how various genetic profiles affecting metabolism influence the treatment's processing. It is suitable for healthy individuals who know their specific metabolism type—normal, intermediate, poor, or very fast. Participants should be in good health and have a BMI between 18.0 and 32.0. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators for specific guidance.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research has shown that the treatment KarXT, which combines xanomeline and trospium chloride, is generally well tolerated. In studies involving people with schizophrenia, KarXT reduced symptoms of psychosis and was mostly safe. The most common side effects included mild stomach issues. However, some individuals might experience bladder difficulties, such as trouble emptying it. Risks may also exist for those with liver or kidney problems, and an increase in heart rate has been observed.

Overall, while KarXT has shown promise in previous studies, potential side effects should be considered when deciding to join a clinical trial.12345

Why do researchers think this study treatment might be promising?

KarXT is unique because it combines two different active ingredients, xanomeline and trospium chloride, to target conditions like schizophrenia and Alzheimer's disease. Unlike standard treatments that primarily focus on dopamine pathways, KarXT also engages muscarinic receptors, which might lead to fewer side effects related to movement or weight gain. Researchers are excited about KarXT's potential to offer an alternative with a better side effect profile, providing a new approach for patients who might not respond well to current antipsychotics or Alzheimer's medications.

What evidence suggests that KarXT might be an effective treatment for healthy subjects?

Research has shown that KarXT, a combination of xanomeline and trospium chloride, may help treat schizophrenia. Studies have found it effective in reducing symptoms of acute psychosis, a serious mental condition where people lose touch with reality. KarXT outperformed placebos, with improvements appearing as soon as two weeks after starting treatment. These benefits mainly result from xanomeline's effect on specific brain receptors involved in signaling. Overall, current evidence suggests that KarXT could be a helpful treatment option for schizophrenia.56789

Who Is on the Research Team?

BS

Bristol-Myers Squibb

Principal Investigator

Bristol-Myers Squibb

Are You a Good Fit for This Trial?

This trial is for healthy adults who can metabolize drugs normally, at an intermediate level, poorly, or very quickly. Specific genetic testing may be required to determine eligibility based on how their body processes certain medications.

Inclusion Criteria

I am healthy with normal medical exams, ECG, vital signs, and lab tests.
My body processes some medications in a specific way due to my CYP2D6 gene.
My BMI is between 18.0 and 32.0.

Exclusion Criteria

Other protocol-defined Inclusion/Exclusion criteria apply
My organs function properly, and my medical tests are within normal ranges.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive KarXT to evaluate the pharmacokinetics of xanomeline in different CYP2D6 metabolizer phenotypes

4 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • KarXT
Trial Overview The study is examining how different people process the drug Xanomeline when it's given with Trospium Chloride as part of a combination called KarXT. It focuses on individuals with varying CYP2D6 enzyme activity levels that affect drug metabolism.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: KarXTExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Karuna Therapeutics

Lead Sponsor

Trials
17
Recruited
4,100+

Citations

Efficacy and Safety of Xanomeline-Trospium Chloride in ...Conclusions and Relevance Xanomeline-trospium was efficacious and well tolerated in people with schizophrenia experiencing acute psychosis.
NCT04659161 | A Study to Assess Efficacy and Safety of ...The primary objective of the study is to assess the efficacy of KarXT (a fixed combination of xanomeline 125 mg and trospium chloride 30 mg twice daily [BID]) ...
Does KarXT (xanomeline-trospium) represent a novel ...KarXT, a novel combination of xanomeline and trospium, offers potential therapeutic benefits for schizophrenia treatment by targeting muscarinic receptors and ...
Efficacy, tolerability, and safety of xanomeline-trospium ...In post-hoc analyses, xanomeline-trospium outperformed placebo regarding response (≥20 % and ≥30 % threshold) starting at week 2, negative symptoms in patients ...
Efficacy of xanomeline and trospium chloride in ...In analyses of data pooled from three clinical trials, individuals treated with xanomeline/trospium exhibited significant improvements in ...
6.cobenfyhcp.comcobenfyhcp.com/safety
Cobenfy™ (xanomeline and trospium chloride) Safety DataRisk of use in patients with narrow-angle glaucoma · Increases in heart rate · Anticholinergic adverse reactions in patients with renal impairment · Central ...
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38691387/
Efficacy and Safety of Xanomeline-Trospium Chloride in ...Xanomeline-trospium chloride was effective in reducing symptoms of psychosis and generally well tolerated in people with schizophrenia.
Side Effects of COBENFY™ (xanomeline and trospium ...COBENFY may cause serious side effects, including: Problems with emptying your bladder (urinary retention), risks in people with liver problems.
216158Orig1s000 OTHER REVIEW(S) - accessdata.fda.govTrospium has not been shown to prolong the QT interval, in fact because of the tachycardia it may shorten the QT interval (Guay, 2005; Leone ...
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