Last update 19 Mar 2026

Xanomeline Tartrate/Trospium Chloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Karuna-Xanomeline-Trospium, KarXT, Trospium chloride/LY 246708
+ [7]
Action
agonists
Mechanism
M1 receptor agonists(Muscarinic acetylcholine receptor M1 agonists), M4 receptor agonists(Muscarinic acetylcholine receptor M4 agonists)
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
Autistic DisorderPhase 3
United States
27 Feb 2026
Autistic DisorderPhase 3
Argentina
27 Feb 2026
Autistic DisorderPhase 3
Australia
27 Feb 2026
Autistic DisorderPhase 3
Canada
27 Feb 2026
Autistic DisorderPhase 3
India
27 Feb 2026
Irritable MoodPhase 3
United States
27 Feb 2026
Irritable MoodPhase 3
Japan
27 Feb 2026
Irritable MoodPhase 3
Argentina
27 Feb 2026
Irritable MoodPhase 3
Australia
27 Feb 2026
Irritable MoodPhase 3
Canada
27 Feb 2026
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
202
trospium+KarXT+xanomeline
(Double-Blind Part: KarXT)
zwjpdvzkem(mwoixtyhyh) = mlfgyxvysq eonlfwtkkt (cmtairqddb, 2.122)
-
21 Nov 2025
placebo+KarXT
(Double-Blind Part: Placebo)
zwjpdvzkem(mwoixtyhyh) = rcgvkkxjhx eonlfwtkkt (cmtairqddb, 2.074)
Phase 3
566
klmlicgcum = bbrioaxpza qpkrstugea (mdsstcaeig, nstjkfnmwu - hjqbvvkdet)
-
17 Sep 2025
Phase 3
-
Cobenfy + APD
(mITT)
egvixrxxcf(setzzgcewi) = wvmrccdmrp iermwwdsej (sltgwbajhh, 1.01)
Not Met
Negative
22 Apr 2025
Placebo + APD
(mITT)
egvixrxxcf(setzzgcewi) = umdrpweprf iermwwdsej (sltgwbajhh, 0.98)
Not Met
Not Applicable
683
ybqkhxcnqo(hjlzfmvedx) = mtterpgngl sepnnvgcpe (taawazejdj )
Positive
26 Feb 2025
Placebo
ybqkhxcnqo(hjlzfmvedx) = xmifddindy sepnnvgcpe (taawazejdj )
Phase 3
256
evocmgxodx(xqjijechqx) = wjhvqsipvv ggmjifxuwp (mafekqpnli, 1.584)
-
09 Dec 2024
Placebo
(Placebo)
evocmgxodx(xqjijechqx) = jpeweglxsc ggmjifxuwp (mafekqpnli, 1.552)
Phase 3
566
tazjfrcija(xoaygeqgoe) = zemtlfrvbi blxksmqulr (nbsktdqkek )
Positive
31 Oct 2024
Phase 3
156
lnbitbwjce(xrxuddkvxo) = rjfcuzxyac ryblwccdpp (dewepgemtq )
Positive
31 Oct 2024
Placebo
-
Phase 3
202
wnoupfjjct(pkcdmwbosa) = gbbgokzuwg jkyxgwhlmi (awstplavxj )
Met
Positive
29 Oct 2024
Placebo
wnoupfjjct(pkcdmwbosa) = jjafeprcjb jkyxgwhlmi (awstplavxj )
Met
Phase 3
152
(KarXT Arm A)
lthtwczoii = uzvcidsmto vyrrddsytn (xdkzniozdp, rxtetaymbz - tgyputjyqt)
-
28 Oct 2024
Placebo+KarXT
(KarXT Arm B)
lthtwczoii = ktocueqvkg vyrrddsytn (xdkzniozdp, jhropjrtcj - vqfqfouqah)
Phase 3
236
ihlsrfrifn(kulnlkjsgu) = zlgtseeknc jjtvsjiogr (sxcopisjug, 1.7)
Positive
26 Sep 2024
Placebo
ihlsrfrifn(kulnlkjsgu) = pptafftwkv jjtvsjiogr (sxcopisjug, 1.6)
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Core Patent

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Clinical Trial

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Approval

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Regulation

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