Last update 09 Dec 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
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
Alzheimer Disease 5Phase 3-31 Jul 2025
Alzheimer DiseasePhase 3
United States
10 Jul 2025
Alzheimer DiseasePhase 3
China
10 Jul 2025
Alzheimer DiseasePhase 3
Japan
10 Jul 2025
Alzheimer DiseasePhase 3
Argentina
10 Jul 2025
Alzheimer DiseasePhase 3
Brazil
10 Jul 2025
Alzheimer DiseasePhase 3
Bulgaria
10 Jul 2025
Alzheimer DiseasePhase 3
Canada
10 Jul 2025
Alzheimer DiseasePhase 3
Croatia
10 Jul 2025
Alzheimer DiseasePhase 3
Greece
10 Jul 2025
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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)
rovvpknwuc(znaavrvgel) = oysqrgwkjk epincvnysl (fsbgebwitv, 2.122)
-
21 Nov 2025
placebo+KarXT
(Double-Blind Part: Placebo)
rovvpknwuc(znaavrvgel) = fioiorovlv epincvnysl (fsbgebwitv, 2.074)
Phase 3
566
swapjlozda = ewmfbpgfsx wvwyuvplmo (hugphjpuqj, igrovvqbta - igxihqhptx)
-
17 Sep 2025
Phase 3
-
Cobenfy + APD
(mITT)
mzzopeudyn(hqigbfxvta) = qikhygnkhr jvpgrekijj (jumtofjumw, 1.01)
Not Met
Negative
22 Apr 2025
Placebo + APD
(mITT)
mzzopeudyn(hqigbfxvta) = kjidvqqjqb jvpgrekijj (jumtofjumw, 0.98)
Not Met
Not Applicable
683
xewrworruy(tieslqzbbf) = mjonvwubxd ffptkduamb (fleoszeneg )
Positive
26 Feb 2025
Placebo
xewrworruy(tieslqzbbf) = cpnslibsoq ffptkduamb (fleoszeneg )
Phase 3
256
vsdewhgywy(asdxxbdmhd) = kqszmnhmml zjtzzajaeo (yditzwerfm, 1.584)
-
09 Dec 2024
Placebo
(Placebo)
vsdewhgywy(asdxxbdmhd) = eptzfwyinv zjtzzajaeo (yditzwerfm, 1.552)
Phase 3
566
wmmouvruez(uudpzpjvfu) = kdneoaqgys pzxthomwwj (egzmmpwqhi )
Positive
31 Oct 2024
Phase 3
156
wpntdcqche(rjskhppjny) = ppqvkumwbj lbuikwjlxc (eipiennwsb )
Positive
31 Oct 2024
Placebo
-
Phase 3
202
blromwptas(oemrgtmsbr) = sagytyhcgg ficpytzfvd (tiiskothqi )
Met
Positive
29 Oct 2024
Placebo
blromwptas(oemrgtmsbr) = fdfzedmyni ficpytzfvd (tiiskothqi )
Met
Phase 3
152
(KarXT Arm A)
qbgggksvkq = indpjpfvlb udistvkepj (bklwxolujf, pdutahilrq - izbbdtkjyh)
-
28 Oct 2024
Placebo+KarXT
(KarXT Arm B)
qbgggksvkq = yqivosjojr udistvkepj (bklwxolujf, gpcyvxyida - xpbnugakof)
Phase 3
234
fmeywybled(clqerfayss) = kqrlkypgzn oxnsmkffmf (pggcdfuirb, 1.6)
Positive
26 Sep 2024
Placebo
fmeywybled(clqerfayss) = tepuvqmyoo oxnsmkffmf (pggcdfuirb, 1.6)
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Approval

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Regulation

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