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Study to Assess Safety and Effectiveness of Slowly Increasing Dose and Food Effect of KarXT in Participants With Schizophrenia

Phase 3
Completed
Conditions
Schizophrenia
Interventions
Registration Number
NCT06572449
Lead Sponsor
Karuna Therapeutics
Brief Summary

The purpose of this study is to assess the safety and efficacy of slowly increasing dose and food effect of KarXT in adult participants with schizophrenia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
173
Inclusion Criteria
  • Has a primary diagnosis of schizophrenia established by a comprehensive psychiatric evaluation based on the DSM-5 (American Psychiatric Association 2013) criteria and confirmed by Mini International Neuropsychiatric Interview (MINI) for Schizophrenia and Psychotic Disorder Studies version 7.0.2.
  • Positive and Negative Syndrome Scale (PANSS) total score of ≤ 80 at screening and Baseline.
  • Clinical Global Impression-Severity (CGI-S) score of ≤ 4 at screening and Baseline.
  • Willing and able to discontinue all antipsychotic medications prior to baseline visit.
Exclusion Criteria
  • History or presence of clinically significant cardiovascular, pulmonary, renal, hematologic, gastrointestinal (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.
  • Any primary DSM-5 disorder other than schizophrenia within 12 months before screening.
  • History of treatment resistance to schizophrenia medications.
  • History of allergy/hypersensitivity to KarXT.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
KarXT on empty stomach and with foodKarXT-
Primary Outcome Measures
NameTimeMethod
Incidence of treatment-emergent adverse events (TEAEs)Up to approximately 11 weeks
Secondary Outcome Measures
NameTimeMethod
Change from baseline in clinical laboratory assessment (Drug screen)Up to approximately 11 weeks
Change from baseline in 12-lead ECG [Ventricular rate (bpm)]Up to approximately 11 weeks
Change from baseline in 12-lead ECG [PR interval (msec)]Up to approximately 11 weeks
Change from baseline in 12-lead ECG [QTcF interval (msec)]Up to approximately 11 weeks
Incidence of pro- and anticholinergic TEAEs by study periodUp to approximately 11 weeks
Incidence of TEAEs by study periodUp to approximately 11 weeks
Incidence of pro- and anticholinergic TEAEsUp to approximately 11 weeks
Spontaneously reported adverse event of special interest (AESIs)Up to approximately 11 weeks
Change from baseline in waist circumferenceUp to approximately 11 weeks
Change from baseline in blood pressureUp to approximately 11 weeks
Change from baseline in clinical laboratory assessment (Hematology)Up to approximately 11 weeks

Hematology will include full, differential blood \[red blood cell (RBC), white blood cell (WBC)\] and platelet counts, hemoglobin, hematocrit, mean corpuscular measures.

Change from baseline in clinical laboratory assessment (Clinical chemistry)Up to approximately 11 weeks

Clinical chemistry will include liver and kidney function tests along with metabolic, lipids panel and electrolytes.

Change from baseline in clinical laboratory assessment (Urinalysis)Up to approximately 11 weeks
Change from baseline in PANSS negative scoreUp to approximately 11 weeks
Change from baseline in body mass index (BMI)Up to approximately 11 weeks
Incidence of serious TEAEsUp to approximately 11 weeks
Incidence of TEAEs leading to study intervention discontinuation by study periodUp to approximately 11 weeks
Incidence of TEAEs leading to study intervention discontinuationUp to approximately 11 weeks
Change from baseline in Positive and Negative Syndrome Scale (PANSS) total scoreUp to approximately 11 weeks
Change from baseline in PANSS positive scoreUp to approximately 11 weeks
Change from baseline in PANSS negative Marder Factor scoreUp to approximately 11 weeks
Change from baseline in heart rateUp to approximately 11 weeks
Change from baseline in 12-lead ECG [QRS interval (msec)]Up to approximately 11 weeks
Incidence of serious TEAEs by study periodUp to approximately 11 weeks
Change from baseline in Clinical Global Impression-Severity (CGI-S) scoreUp to approximately 11 weeks
Change from baseline in body weightUp to approximately 11 weeks
Change from baseline in orthostatic vital signs (supine and standing after 2 minutes) at Day 7 and Day 14: blood pressure (systolic and diastolic) and heart rateUp to approximately 11 weeks

BP includes systolic and diastolic measurements (mm Hg); Heart rate is measured in beats/minute (bpm)

Change from baseline in 12-lead ECG [QT interval (msec)]Up to approximately 11 weeks
Change from baseline in physical examinationUp to approximately 11 weeks

A complete (body temperature, general appearance, head/eyes/ears/nose/throat, examination of thorax and abdomen, assessment of cardiac, musculoskeletal, and circulatory systems, palpations for lymphadenopathy, and limited neurological examination) and targeted organ systems physical examinations will be performed.

Suicidal ideation scale with the use of Columbia-Suicide Severity Rating Scale (C-SSRS)Up to approximately 11 weeks

Trial Locations

Locations (6)

Local Institution - 0002

🇺🇸

Los Alamitos, California, United States

Local Institution - 0004

🇺🇸

Riverside, California, United States

Local Institution - 0006

🇺🇸

Hollywood, Florida, United States

Local Institution - 0005

🇺🇸

Atlanta, Georgia, United States

Local Institution - 0003

🇺🇸

Decatur, Georgia, United States

Local Institution - 0001

🇺🇸

Marlton, New Jersey, United States

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