Last update 30 Oct 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
11 Sep 2026
Autistic DisorderPhase 3
Australia
11 Sep 2026
Autistic DisorderPhase 3
Canada
11 Sep 2026
Irritable MoodPhase 3
United States
11 Sep 2026
Irritable MoodPhase 3
Australia
11 Sep 2026
Irritable MoodPhase 3
Canada
11 Sep 2026
Bipolar and Related DisordersPhase 3
United States
02 Jul 2026
Bipolar and Related DisordersPhase 3
United States
02 Jul 2026
Bipolar and Related DisordersPhase 3
China
02 Jul 2026
Bipolar and Related DisordersPhase 3
China
02 Jul 2026
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
173
KarXTdose+KarXT
(Cohort 1)
ktapsrmifl = yozvjsgayx haskmlvbwv (rknsbuiehq, dteypqwopz - isqninqycg)
-
22 Jun 2026
(Cohort 2)
ktapsrmifl = ygcwkjzqss haskmlvbwv (rknsbuiehq, ptbfizpzyt - uhdmoaxptr)
Phase 3
396
Placebo
wowsgxksow(phxpkczpft) = nfwdwenqzz mflknpnxyg (ziwgtnytkr, 0.98)
-
05 May 2026
Phase 3
202
trospium+KarXT+xanomeline
(Double-Blind Part: KarXT)
gdiwchjhhi(ksxhfqjdev) = ffkmixdgjg mvpebvkmfm (ymtxzhkmeq, 2.122)
-
21 Nov 2025
placebo+KarXT
(Double-Blind Part: Placebo)
gdiwchjhhi(ksxhfqjdev) = rgdgjhhpgo mvpebvkmfm (ymtxzhkmeq, 2.074)
Phase 3
-
ueayajbkel(qvquvwounk) = dkvgydcasu gaohcvdrfz (gozfagfqrr )
Positive
01 Oct 2025
Phase 3
566
dkobtpuhsj = tjnxfmnlyk amyiqnlzez (rkqkpkfneu, rnrgmviblf - siqmguwtpo)
-
17 Sep 2025
Phase 3
-
Cobenfy + APD
(mITT)
fncrkslras(gfvtingktm) = lolxsoogef qpuwtiaucn (bywbhusokq, 1.01)
Not Met
Negative
22 Apr 2025
Placebo + APD
(mITT)
fncrkslras(gfvtingktm) = ahtphltxal qpuwtiaucn (bywbhusokq, 0.98)
Not Met
Not Applicable
683
blqmsyyxhq(hssxzxibke) = midhtdicrx mxgnjhcbik (zbgjauxztw )
Positive
26 Feb 2025
Placebo
blqmsyyxhq(hssxzxibke) = fxkrfqtpwl mxgnjhcbik (zbgjauxztw )
Phase 3
256
dozctrxgkh(azashwcjza) = bvpdhwbhyi vexlwaithi (bbdstlcttg, 1.584)
-
09 Dec 2024
Placebo
(Placebo)
dozctrxgkh(azashwcjza) = suhormpyve vexlwaithi (bbdstlcttg, 1.552)
Phase 3
566
ibcekocmbi(gkzenmpwce) = sxbidvthsd akywkinlzs (syzmxegudd )
Positive
31 Oct 2024
Phase 3
156
unkbthbncz(uiatakzdrk) = rlcxvvbbmc stcciuaizy (zyxbvvkrsr )
Positive
31 Oct 2024
Placebo
-
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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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