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A Study to Assess the Safety, Tolerability and Pharmacokinetics (PK) of Xanomeline With Trospium Chloride Versus KarXT in Healthy Adult and Elderly Participants of Japanese Ethnicity and to Assess the Effect of Omeprazole on the PK of Xanomeline With Trospium Chloride in Healthy Adult Participants

A 2-Part, Phase 1, Randomized, Double-blind, Placebo-controlled Study to Assess the Safety, Tolerability and Pharmacokinetics of Multiple Doses of Dual-burst Release of Xanomeline With Immediate-Release Trospium Chloride Versus KarXT in Healthy Adult and Elderly Participants of Japanese Ethnicity (Part 1) and an Open-label Study to Assess the Effect of Omeprazole on the Pharmacokinetics of Dual-burst Release of Xanomeline With Immediate-Release Trospium Chloride in Healthy Adult Participants (Part 2)

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06605950
Enrollment
78
Registered
2024-09-20
Start date
2024-10-01
Completion date
2025-05-31
Last updated
2025-07-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Volunteers

Keywords

Japanese, Elderly, Adult, Healthy, Pharmacokinetics, BMS-986510, BMS-986519, KarXT, Omeprazole, Drug interaction

Brief summary

The purpose of this study is to assess the safety, tolerability, and pharmacokinetics (PK) of multiple doses of KarXT + KarX-EC capsules versus KarXT capsules in healthy adult and elderly participants of Japanese ethnicity and to assess the effect of multiple doses of omeprazole on the exposure of xanomeline and trospium administered as KarXT + KarX-EC capsules in healthy adult participants.

Interventions

DRUGKarXT

Specified dose on specified days

Specified dose on specified days

DRUGPlacebo

Specified dose on specified days

DRUGOmeprazole

Specified dose on specified days

Sponsors

Karuna Therapeutics
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

Part 1 of this study is double-blind while Part 2 is open-label.

Eligibility

Sex/Gender
ALL
Age
19 Years to 90 Years
Healthy volunteers
Yes

Inclusion criteria

* Inclusion Criteria for Healthy Adult Japanese Participants (Group A):. * Healthy adult participants must be 19 to 55 years of age, inclusive. i) Both participant's biological parents are of ethnic Japanese ancestry. Participants must be first generation Japanese. ii) Must have a body mass index (BMI) of 18.0 to 32.0 kg/m2 (inclusive), at the time of signing the ICF. iii) Must have an estimated glomerular filtration rate (eGFR) of ≥ 90 mL/min/1.73m2 by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation at the screening visit. One repeat measurement is allowed. * Inclusion Criteria for Healthy Elderly Japanese Participants (Groups B and C):. * Healthy elderly participants must be 56 to 90 years of age, inclusive. i) Both participant's biological parents are of ethnic Japanese ancestry. Participants must be first generation Japanese. ii) Must have a BMI ≥ 18.0 and ≤ 35.0 kg/m2 (inclusive), at the time of signing the ICF. iii) Must have an eGFR of \> 60 mL/min/1.73m2 by the CKD-EPI equation at the screening visit. One repeat measurement is allowed. * Inclusion Criteria for Healthy Adult Participants (Groups D):. * Healthy adult participants must be 19 to 55 years of age, inclusive. i) Participants with any ethnicity can be included. ii) Must have a BMI of 18.0 to 32.0 kg/m2 (inclusive), at the time of signing the ICF. iii) Must have an eGFR of ≥ 90 mL/min/1.73m2 by the CKD-EPI equation at the screening visit. One repeat measurement is allowed.

Exclusion criteria

\-

Design outcomes

Primary

MeasureTime frameDescription
Terminal elimination half-life (T-HALF)Up to Day 29Part 2
Number of participants with Adverse Events (AEs)Up to 28 days post last dosePart 1
Number of participants with Serioues AEs (SAEs)Up to 28 days post last dosePart 1
Number of participants with vital sign abnormalitiesUp to 28 days post last dosePart 1
Body weightUp to 28 days post last dosePart 1
Number of participants with 12-lead electrocardiogram abnormalitiesUp to 28 days post last dosePart 1
Number of participants with physical examination abnormalitiesUp to 28 days post last dosePart 1
Number of participants with clinical laboratory assessment abnormalitiesUp to 28 days post last dosePart 1
Columbia-Suicide Severity Rating Scale (C-SSRS)On Day 30Part 1
Maximum observed plasma concentration (Cmax)Up to Day 29Part 2
Time of maximum observed plasma concentration (Tmax)Up to Day 29Part 2
Area under the concentration-time curve in 1 dosing interval (AUC(TAU))Up to Day 29Part 2
Area under the plasma concentration-time curve from time zero to 24 hours (AUC(0-24))Up to Day 29Part 2
Apparent total body clearance (CLT/F)Up to Day 29Part 2
Apparent volume of distribution (Vz/F)Up to Day 29Part 2

Secondary

MeasureTime frameDescription
Number of participants with 12-lead electrocardiogram abnormalitiesUp to 28 days post last dosePart 2
T-HALFUp to Day 29Part 1
Number of participants with physical examination abnormalitiesUp to 28 days post last dosePart 2
Number of participants with clinical laboratory assessment abnormalitiesUp to 28 days post last dosePart 2
C-SSRSOn Day 30Part 2
Number of participants with AEsUp to 28 days post last dosePart 2
Number of participants with SAEsUp to 28 days post last dosePart 2
Number of participants with vital sign abnormalitiesUp to 28 days post last dosePart 2
Body weightUp to 28 days post last dosePart 2
CmaxUp to Day 29Part 1
TmaxUp to Day 29Part 1
AUC(0-24)Up to Day 29Part 1
AUC(TAU)Up to Day 29Part 1
Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUC(0-T))Up to Day 29Part 1
CLT/FUp to Day 29Part 1
Vz/FUp to Day 29Part 1

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026