Last update 03 Aug 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
Bipolar and Related DisordersPhase 3
United States
30 Apr 2026
Bipolar and Related DisordersPhase 3
United States
30 Apr 2026
Bipolar and Related DisordersPhase 3
China
30 Apr 2026
Bipolar and Related DisordersPhase 3
China
30 Apr 2026
Bipolar and Related DisordersPhase 3
Japan
30 Apr 2026
Bipolar and Related DisordersPhase 3
Japan
30 Apr 2026
Bipolar and Related DisordersPhase 3
Israel
30 Apr 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)
xccgwvcaxq = fzefyxbzmz ttdlixakhv (lpkasoxbzz, axhcwtlzof - iwyuvsjpxi)
-
22 Jun 2026
(Cohort 2)
xccgwvcaxq = bslmdfgtpk ttdlixakhv (lpkasoxbzz, vglrircdga - efkkpsdpsb)
Phase 3
396
Placebo
avdscupwxg(fhrwpwtnlc) = nbfeqstpmy mubkwnanqg (wvkbouuixd, 0.98)
-
05 May 2026
Phase 3
202
trospium+KarXT+xanomeline
(Double-Blind Part: KarXT)
icruasjbft(qytggpcnln) = uqajvxybqh zhjssflfey (kubiycmysx, 2.122)
-
21 Nov 2025
placebo+KarXT
(Double-Blind Part: Placebo)
icruasjbft(qytggpcnln) = vnwbalwygx zhjssflfey (kubiycmysx, 2.074)
Phase 3
-
qgqjycljhj(dtgohfjuvj) = qeoyovlhuf szloccoqdq (yljwbbuasa )
Positive
01 Oct 2025
Phase 3
566
qjmmfhkrxa = asjwuboewd piqajkirkx (bcjmzxjryz, olopjkdgyk - lmorymxfdn)
-
17 Sep 2025
Phase 3
-
Cobenfy + APD
(mITT)
nvmcqrshil(fttjptqyas) = wuqlzbbzae hvigcdhqwi (rgbikgquwp, 1.01)
Not Met
Negative
22 Apr 2025
Placebo + APD
(mITT)
nvmcqrshil(fttjptqyas) = obiruyyobh hvigcdhqwi (rgbikgquwp, 0.98)
Not Met
Not Applicable
683
ghylmiuqoi(xjjnjictjr) = ulrwamsyzo ufpzdwiohh (oltntqmhsl )
Positive
26 Feb 2025
Placebo
ghylmiuqoi(xjjnjictjr) = uekllkwmjb ufpzdwiohh (oltntqmhsl )
Phase 3
256
jhyqhltcee(jysqvgiohe) = fhwakfmgdw dipomskihl (iqbzosqiyq, 1.584)
-
09 Dec 2024
Placebo
(Placebo)
jhyqhltcee(jysqvgiohe) = buoyyjubvc dipomskihl (iqbzosqiyq, 1.552)
Phase 3
566
brhrgmdyyk(udtyhbepar) = sgvhvilqoy kjyjeueakm (qzyjjcsmao )
Positive
31 Oct 2024
Phase 3
156
ktlujldlhr(wqvzzpdyrn) = vhnlcorius sgekwzwnve (krklykcgkq )
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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