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Completed Phase 3 Interventional Results available

An Extension Study to Assess Long-term Safety, Tolerability, and Efficacy of KarXT in Adult Patients With Schizophrenia (EMERGENT-4)

ClinicalTrials.gov ID: NCT04659174

Public ClinicalTrials.gov record NCT04659174. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.

ClinicalTrials.gov public records Last synced Sep 3, 2026, 5:23 AM EDT

Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.

Official title

An Open-label Extension Study to Assess the Long-term Safety, Tolerability, and Efficacy of KarXT in Subjects With DSM-5 Schizophrenia

Brief summary

Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.

This is a Phase 3, multicenter, 53-week, outpatient, open-label extension (OLE) study to evaluate the long-term safety, tolerability, and efficacy of KarXT in subjects with Diagnostic and Statistical Manual-Fifth Edition (DSM-5) schizophrenia who previously completed the treatment period of one of the two Phase 3 double-blind studies, KAR-007 or KAR-009. In this OLE study, all subjects will receive KarXT (a fixed combination of xanomeline 125 mg and trospium chloride 30 mg twice daily \[BID\]) for up to 52 weeks regardless of treatment assignment in the preceding Phase 3 acute study. The primary objective of the study is to assess the long-term safety and tolerability of KarXT in subjects with a DSM-5 diagnosis of schizophrenia. The secondary objective of this study is to assess the long-term efficacy and monitor trough concentrations of xanomeline and trospium after administration of KarXT.

Study identification

NCT ID
NCT04659174
Recruitment status
Completed
Study type
Interventional
Phase
Phase 3
Enrollment
152 participants

Conditions and interventions

Eligibility (public fields only)

Age range
18 Years to 65 Years
Sex
All
Healthy volunteers
Healthy volunteers not accepted

This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.

Study timeline

Start date
Jan 31, 2021
Primary completion
Oct 2, 2023
Completion
Oct 2, 2023
Last update posted
Oct 27, 2024

2021 – 2023

United States locations

U.S. sites
34
U.S. states
10
U.S. cities
30
Facility City State ZIP Site status
Pillar Clinical Research Bentonville Arkansas 72712
Woodland International Research Group Little Rock Arkansas 72211
Advanced Research Center, Inc. Anaheim California 92805
Advanced Research Center Inc Bellflower California 90706
CITrials Bellflower California 90706
Proscience Research Group Culver City California 90230
Collaborative NeuroScience Research, LLC Garden Grove California 92845
California Clinical Trial Medical Group Glendale California 91206
Synergy San Diego Lemon Grove California 91945
CNS Network Long Beach California 90806
Catalina Research Institute, LLC Montclair California 91763
NRC Research Institute Orange California 92868
California Neuropsychopharmacology Clinical Research Institute Pico Rivera California 90660
California Neuropsychopharmacology Clinical Research Institute San Diego California 92102
Artemis Institute for Clinical Research San Diego California 92103
Schuster Medical Research Institute Sherman Oaks California 91403
Collaborative Neuroscience Research, LLC. Torrance California 90502
Behavioral Clinical Research, Inc. Hollywood Florida 33021
Research Centers of America Hollywood Florida 33024
Innovative Clinical Research, Inc. Miami Lakes Florida 33016
Atlanta Center for Medical Research Atlanta Georgia 30331
iResearch Atlanta, LLC Decatur Georgia 30030
Mitchell L. Glaser Chicago Illinois 60622
Uptown Research Institute Chicago Illinois 60640
AMITA Health Center for Psychiatric Research Hoffman Estates Illinois 60169
Pillar Clinical Research Lincolnwood Illinois 60712
Arch Clinical Trials St Louis Missouri 63125
Altea Research Institute Las Vegas Nevada 89102
Hassman Research Institute Berlin New Jersey 08009
Hassman Research Institute Marlton New Jersey 08053
Neuro-Behavioral Clinical Research, Inc. North Canton Ohio 44720
Community Clinical Research Austin Texas 78754
InSite Clinical Research DeSoto Texas 75115
Pillar Clinical Research, LLC Richardson Texas 75080

Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.

Non-U.S. locations

This page focuses on the U.S. directory. The official record also lists 10 non-U.S. sites.

About this trial record page

What this page shows
Public field values for ClinicalTrials.gov record NCT04659174, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
What this page does not do
No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
Where the data comes from
Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
Last refresh
Last update posted Oct 27, 2024 · Synced Sep 3, 2026

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Open the official record

The complete protocol, eligibility criteria, and contact information for NCT04659174 live on ClinicalTrials.gov.

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