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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 Oct 19, 2026, 1:16 PM 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
Feb 1, 2021 (Actual)
Primary completion
Oct 3, 2023 (Actual)
Completion
Oct 3, 2023 (Actual)
Last update posted
Oct 28, 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 28, 2024 · Synced Oct 19, 2026

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Open the official record

The complete public registry record, listed eligibility criteria, and available contact information for NCT04659174 live on ClinicalTrials.gov.

View official ClinicalTrials.gov record →