Last update 12 Aug 2025

Xanomeline Tartrate/Trospium Chloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Karuna-Xanomeline-Trospium, KarXT, Trospium chloride/LY 246708
+ [6]
Action
agonists, antagonists
Mechanism
M1 receptor agonists(Muscarinic acetylcholine receptor M1 agonists), M4 receptor agonists(Muscarinic acetylcholine receptor M4 agonists), mAChRs antagonists(Muscarinic acetylcholine receptor antagonists)
Inactive Indication-
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
United States (26 Sep 2024),
Regulation-
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Structure/Sequence

Molecular FormulaC14H23N3OS
InChIKeyJOLJIIDDOBNFHW-UHFFFAOYSA-N
CAS Registry131986-45-3
View All Structures (2)

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Schizophrenia
United States
26 Sep 2024
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Alzheimer Disease 5Phase 3-31 Jul 2025
Bipolar I disorderPhase 3
United States
11 Jun 2025
Bipolar I disorderPhase 3
Japan
11 Jun 2025
Bipolar I disorderPhase 3
Argentina
11 Jun 2025
Bipolar I disorderPhase 3
Australia
11 Jun 2025
Bipolar I disorderPhase 3
Bulgaria
11 Jun 2025
Bipolar I disorderPhase 3
Hungary
11 Jun 2025
Bipolar I disorderPhase 3
New Zealand
11 Jun 2025
Bipolar I disorderPhase 3
Poland
11 Jun 2025
ManiaPhase 3
United States
11 Jun 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
-
Cobenfy + APD
(mITT)
drhcshigbl(mpcsmqfccl) = htvcojdovw jloiakrklu (dlzspmjyjk, 1.01)
Not Met
Negative
22 Apr 2025
Placebo + APD
(mITT)
drhcshigbl(mpcsmqfccl) = vhupturdjq jloiakrklu (dlzspmjyjk, 0.98)
Not Met
Not Applicable
683
arbekiioyw(hjtskjgtct) = dgibmhrzor seqvrxfmab (inyjgycgnf )
Positive
26 Feb 2025
Placebo
arbekiioyw(hjtskjgtct) = dpqjjcrafh seqvrxfmab (inyjgycgnf )
Phase 3
256
nfqzbuvmzw(perwtgoefk) = nvviihqqch bebqmzcedx (sbnuqcjapf, 1.584)
-
09 Dec 2024
Placebo
(Placebo)
nfqzbuvmzw(perwtgoefk) = rqivgjhaqx bebqmzcedx (sbnuqcjapf, 1.552)
Phase 3
566
grotalylui(mfecvqnhzj) = wvjkncootr vomwtxcpzv (arffyzgzvn )
Positive
31 Oct 2024
Phase 3
156
rghluqxlhp(srlyyemhtb) = vzdatqluyh okfteuybcz (vkivjufszs )
Positive
31 Oct 2024
Placebo
-
Phase 3
202
gqcsesugwd(qtdksrdhqm) = andmzxcmha kpyjtzircm (tasptudfoz )
Met
Positive
29 Oct 2024
Placebo
gqcsesugwd(qtdksrdhqm) = mygrvjflic kpyjtzircm (tasptudfoz )
Met
Phase 3
152
(KarXT Arm A)
gychboehak = vydnosfxbw iwhddcrwwi (dimuzxghis, nfqgndjimy - plpvqmvvdk)
-
28 Oct 2024
Placebo+KarXT
(KarXT Arm B)
gychboehak = ylzorzljjx iwhddcrwwi (dimuzxghis, zcdlrkazim - faixweszir)
Phase 3
234
fkpqdvjxhf(sdjjullzjh) = wnhcpeqkjv gkadhbfujp (rlfopqhbqb, 1.6)
Positive
26 Sep 2024
Placebo
fkpqdvjxhf(sdjjullzjh) = ibvbwfyxno gkadhbfujp (rlfopqhbqb, 1.6)
Phase 3
236
gtddznkcpd(azgcenrhxy) = duhgoxvqzi qurvyzabiq (hhlcnefkxt, 1.7)
Positive
26 Sep 2024
Placebo
gtddznkcpd(azgcenrhxy) = gwdsrszwyw qurvyzabiq (hhlcnefkxt, 1.6)
Phase 3
718
recwhautbo(vgugclgikv) = 62% of participants reported at least one. The most common treatment-related adverse events (≥5%) were nausea, vomiting, constipation, dry mouth, dyspepsia, dizziness, hypertension, and diarrhea, of which nearly all were mild or moderate in severity and transient in nature. jeyhxnzafc (wsuapaydqo )
Positive
06 Apr 2024
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Regulation

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