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A Study to Evaluate the Effects of Lithium, Valproic Acid, and Lamotrigine on the Pharmacokinetics of KarXT and Effects of KarXT on the Pharmacokinetics of Lithium, Valproic Acid, and Lamotrigine in Healthy Participants

A Phase 1, 6-part, Open-label, Fixed-sequence Study to Evaluate the Effects of Lithium, Valproic Acid, and Lamotrigine on the Single-dose Pharmacokinetics of KarXT and Effects of KarXT on the Single-dose Pharmacokinetics of Lithium, Valproic Acid, and Lamotrigine in Healthy Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06729970
Enrollment
133
Registered
2024-12-12
Start date
2024-12-26
Completion date
2026-01-23
Last updated
2026-02-24

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

Conditions

Healthy Volunteers

Keywords

KarXT, Lithium, Valproic acid, Drug-Drug Interaction study, Healthy Volunteers, BMS-986510, Pharmacokinetics, Lamotrigine

Brief summary

The purpose of this study is to evaluate the effects of lithium, valproic acid, and lamotrigine on the single-dose pharmacokinetics (PK) of KarXT and the effect of KarXT on the single-dose PK of lithium, valproic acid, and lamotrigine in healthy participants.

Interventions

Specified dose on specified days

DRUGLithium

Specified dose on specified days

DRUGValproic Acid

Specified dose on specified days

DRUGLamotrigine

Specified dose on specified days

Sponsors

Karuna Therapeutics
Lead SponsorINDUSTRY
Karuna Therapeutics, Inc., a Bristol Myers Squibb company
CollaboratorUNKNOWN

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Parallel A & B cohorts, then Parallel C & D cohorts and then parallel E&F cohorts

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male and female \[individual not of childbearing potential (INOCBP)\] participants as determined by no clinically significant deviation from normal in medical history, physical examination, 12-lead ECG, vital signs, and clinical laboratory determinations. * BMI of 18.0 to 32.0 kg/m2, inclusive.

Exclusion criteria

* History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, GI, endocrine, immunologic, dermatologic, neurologic, or oncologic disease or any other condition that, in the opinion of the investigator, would jeopardize the safety of the participant or the validity of the study results. Note: Any grade of hepatic impairment (Child-Pugh Grade A or higher) is excluded. * Parts B and D only: History of pancreatitis. * Any significant acute or chronic medical illness, in the opinion of the investigator. * History or high risk of urinary retention, gastric retention, or narrow-angle glaucoma or known history of prostate hypertrophy or nocturia. * Parts E \& F only: history of skin rash and mucus ulcerations of no obvious cause and Gilbert's syndrome * Other protocol-defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Maximum observed plasma concentration (Cmax)Up to day 54
Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUC(0-T))Up to day 54
Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUC(INF))Up to day 54

Secondary

MeasureTime frame
Number of participants with adverse events (AEs)Up to 28 days post discontinuation of dosing
Number of participants with serious adverse events (SAEs)Up to 28 days post discontinuation of dosing
Number of participants with physical examination abnormalitiesUp to 2 days post discontinuation of dosing
Number of participants with vital sign abnormalitiesUp to 2 days post discontinuation of dosing
Number of participants with 12-lead electrocardiogram (ECG) abnormalitiesUp to 2 days post discontinuation of dosing
Number of participants with clinical laboratory abnormalitiesUp to 2 days post discontinuation of dosing
Columbia-Suicide Severity Rating Scale (C-SSRS)Up to 2 days post discontinuation of dosing
Number of participants with AEs of Special Interest (AESIs)Up to 28 days post discontinuation of dosing

Countries

United States

Contacts

STUDY_DIRECTORBristol-Myers Squibb

Bristol-Myers Squibb

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 25, 2026