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KarXT Concentrations in the Breast Milk and Plasma of Lactating Females

A Phase IV, Open-label, Single-group Study Evaluating KarXT Concentrations in the Breast Milk and Plasma of Healthy Lactating Female Participants

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07257120
Enrollment
10
Registered
2025-12-02
Start date
2026-01-09
Completion date
2026-06-08
Last updated
2026-06-23

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, Healthy lactating women

Brief summary

The purpose of this study is to characterize the PK of xanomeline and trospium in breast milk and plasma in healthy lactating female participants, following multiple oral administration of KarXT in healthy lactating participants.

Interventions

Specified dose on specified days

Sponsors

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

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Participants should have a body mass index (BMI) of 18.0 kg/m2 to 35.0 kg/m2, inclusive, and body weight ≥ 50 kg (110 lb), at screening. * Participants should have well-established lactation (ie, at least 4 weeks postpartum) and can produce stable milk product (ie, approximately 3 oz per 3 hours at screening) using the methods required for the study. * Participants should be willing to exclusively pump breast milk throughout the treatment period and during the 24-hour post last dose period of milk collection during the CRU domincile period. * Participants should agree not to breastfeed or provide milk to infant until after 96 hours post last dose.

Exclusion criteria

* Participants must not have evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, 12-lead ECG, or clinical laboratory determinations beyond what is consistent with the target population reference ranges as assessed by the investigator. * Participants must not have history or presence of clinically significant cardiovascular, pulmonary, renal, hematologic, gastrointestinal (eg, obstructive disorders \[including conditions that may decrease GI motility, such as ulcerative colitis, intestinal atony, and myasthenia gravis\]), 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. * Other protocol defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Maximum observed concentration (Cmax) of KarXT in MilkUp to Day 7
Time of maximum observed concentration (Tmax) of KarXT in MilkUp to Day 7
Area under the concentration-time curve from time zero to 12 hours post morning dose [AUC(0-12)] of KarXT in MilkUp to Day 7
Area under the concentration-time curve from time zero to 24 hours post morning dose [AUC(0-24)] of KarXT in MilkUp to Day 7
Average concentration (Cavg) of KarXT in MilkUp to Day 7
Amount of KarXT recovered in milk within 12 hours of dosing [AR(12)]Up to Day 7
Total amount of KarXT recovered in milk (AR)Up to Day 7
Milk-plasma ratio of KarXT (M/P)Up to Day 7Calculated as milk AUC(0-12)/plasma AUC(0-12)

Secondary

MeasureTime frame
Cmax of KarXT in plasmaUp to Day 7
Tmax of KarXT in plasmaUp to Day 7
AUC (0-12) of KarXT in plasmaUp to Day 7
AUC (0-24) of KarXT in plasmaUp to Day 7
Cavg of KarXT in plasmaUp to Day 7
Estimated daily infant dosage of KarXTUp to Day 7
Relative infant dosage of KarXTUp to Day 7
Number of participants with Adverse Events (AEs)Up to Day 34
Number of participants with Serious Adverse Events (SAEs)Up to Day 34
Number of participants with physical examination abnormalitiesUp to Day 7
Number of participants with vital signs abnormalitiesUp to Day 7
Number of participants with 12-Lead electrocardiogram (ECG) abnormalitiesUp to Day 7
Number of participants with clinical laboratory abnormalitiesUp to Day 7
Columbia-Suicide Severity Rating Scale (C-SSRS)Up to Day 7
Number of participants with Adverse Events of Special Interest (AESIs)Up to Day 34

Countries

United States

Contacts

STUDY_DIRECTORBristol-Myers Squibb

Bristol-Myers Squibb

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 24, 2026