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A Study to Evaluate the Effects of KarXT on the Drug Levels of Midazolam, Fexofenadine, and Digoxin

A Phase 1, 3-part, Open-label Study to Evaluate the Effects of KarXT Administration on the Pharmacokinetics of Midazolam, Fexofenadine, and Digoxin in Healthy Adult Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07118215
Enrollment
62
Registered
2025-08-12
Start date
2025-09-29
Completion date
2026-06-25
Last updated
2026-07-22

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

Conditions

Healthy Volunteers

Keywords

Healthy volunteer, Pharmacokinetics, BMS-986510, KarXT, Cobenfy, Midazolam, Fexofenadine, Digoxin, Drug-drug interaction

Brief summary

The purpose of this study is to evaluate the effects of KarXT administration on the drug levels of midazolam, fexofenadine, and digoxin in healthy adult participants.

Interventions

DRUGKarXT

Specified dose on specified days

DRUGMidazolam

Specified dose on specified days

DRUGFexofenadine

Specified dose on specified days

DRUGDigoxin

Specified dose on specified days

Sponsors

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

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Participants must be healthy male and female (INOCBP) as determined by no clinically significant deviation from normal in medical history, physical examination, 12-lead ECG, VS, and clinical laboratory determinations. * Participants must have BMI of 18.0 to 32.0 kg/m2.

Exclusion criteria

* Participants must not have organ dysfunction or any clinically significant deviation from normal in physical examination, VS, ECG, or clinical laboratory determinations beyond what is consistent with the target population reference ranges. * Participants must not have cirrhosis, biliary duct abnormalities, hepatobiliary carcinoma, and/or active hepatic viral infections based on the LFT results. * Participants must not have any other significant acute or chronic medical illness, as assessed by the investigator. * Participants must not have history or high risk of urinary retention, gastric retention, or narrow-angle glaucoma or known history of prostate hypertrophy or nocturia. * Participants must not have current or recent (within 3 months of first study intervention administration) GI disease that could possibly affect drug ADME (eg, bariatric procedure). * Participants must not have any major surgery, including GI surgery (eg, cholecystectomy and any other GI surgery) that could impact upon the absorption of study intervention (uncomplicated appendectomy and hernia repair are acceptable). * Participants must not have history of active GI obstructive disorder. * Participants must not have history of bladder stones. * Participants must not have history of recurrent urinary tract infections. * Other protocol-defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Part 1/1a: Geometric mean ratio (GMR) of Maximum observed plasma concentration (Cmax) of midazolam with and without KarXTUp to approximately day 24
Part 1/1a: GMR of Area under the plasma concentration-time curve (AUC) of midazolam with and without KarXTUp to approximately day 24
Part 2: GMR of Cmax of fexofenadine with and without KarXTUp to approximately day 24
Part 2: GMR of AUC of fexofenadine with and without KarXTUp to approximately day 24
Part 3: GMR of Cmax of digoxin with and without KarXTUp to approximately day 24
Part 3: GMR of AUC of digoxin with and without KarXTUp to approximately day 24

Secondary

MeasureTime frame
Number of participants with adverse events (AEs)Up to approximately day 47
Number of participants with serious adverse events (SAEs)Up to approximately day 47
Number of participants with physical examination abnormalitiesUp to approximately day 24
Number of participants with vital sign abnormalitiesUp to approximately day 24
Number of participants with 12-lead electrocardiogram abnormalities (ECGs)Up to approximately day 24
Number of participants with clinical laboratory assessment abnormalitiesUp to approximately day 24
Number of participants with suicidal ideation with the use of the Columbia-Suicide Severity Rating Scale (C-SSRS)Up to approximately day 24
Number of participants with adverse event of special interest (AESIs)Up to approximately day 47

Countries

United States

Contacts

STUDY_DIRECTORBristol-Myers Squibb

Bristol-Myers Squibb

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 23, 2026