A Study of KarXT + KarX-EC for Treatment of Irritability in Children and Adolescents With Autism
Irritability Associated With Autism Spectrum Disorder
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Phase 3
- Age range
- 5 years - 17 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 176 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
The purpose of this study is to assess KarXT + KarX-EC for the treatment of irritability associated with autism in children and adolescents.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria
- Participants must have a confirmed diagnosis of ASD, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria, confirmed by the K-SADS-PL and must be experiencing symptoms of irritability.
- Participants must have ABC-I ≥18 (Irritability subscale of the ABC) and CGIS specific to irritability ≥4, at screening and baseline (Day 1).
Exclusion Criteria
- Participants must not have a current primary DSM-5 diagnosis of bipolar disorder, including bipolar II disorder, schizophrenia, schizoaffective disorder, major depressive episode as determined by clinical instrument, or post-traumatic stress disorder (PTSD).
- Exception Include: Participants with comorbid ADHD, provided that attention deficit/hyperactivity disorder (ADHD) is not the primary disorder, the participant is adequately treated and based on the investigator judgment the disorder is clinically stable.
- Participants must not have history/presence of clinically significant disease or disorder that would jeopardize participant safety or validity of study results.
- Participants must not have a risk for suicidal behavior, and any clinically significant abnormal laboratory test.
- Other protocol-defined Inclusion/Exclusion criteria may apply.
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- Quadruple masked
KarXT + KarX-EC Arm
Not reported in this registry record.
Drug: KarXT · Drug: KarX-EC
Placebo
Not reported in this registry record.
Drug: KarXT + KarX-EC Matching Placebo
KarXT DRUG
Specified dose on specified days
KarX-EC DRUG
Specified dose on specified days
KarXT + KarX-EC Matching Placebo DRUG
Specified dose on specified days
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Change From Baseline in the Aberrant Behavior Checklist Irritability (ABC-I) Score at Week 8
Time frame: Week 8
Not reported in this registry record.
Secondary measures
Change From Baseline in the Clinical Global Impression-Severity (CGI-S) Score at Week 8
Time frame: Week 8
Not reported in this registry record.
Clinical Global Impression-Improvement (CGI-I) Score at Week 8
Time frame: Week 8
Not reported in this registry record.
Number of Participants With ABC-I Response at Week 8
Time frame: Week 8
Not reported in this registry record.
Change From Baseline on the ABC Subscale for Social Withdrawal at Week 8
Time frame: Week 8
Not reported in this registry record.
Change From Baseline on the Stereotypic Behavior Subscale at Week 8
Time frame: Week 8
Not reported in this registry record.
Change From Baseline on the Hyperactivity/Noncompliance Subscale at Week 8
Time frame: Week 8
Not reported in this registry record.
Change From Baseline on the Inappropriate Speech Subscale at Week 8
Time frame: Week 8
Not reported in this registry record.
Number of Participants With Procholinergic Symptoms
Time frame: Up to approximately 12 weeks
Not reported in this registry record.
Number of Participants With Anticholinergic Symptoms
Time frame: Up to approximately 12 weeks
Not reported in this registry record.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Up to approximately 12 weeks
Not reported in this registry record.
Number of Participants With Serious Adverse Events (SAEs)
Time frame: Up to approximately 12 weeks
Not reported in this registry record.
Number of Participants With Adverse Events of Special Interest (AESIs)
Time frame: Up to approximately 12 weeks
Not reported in this registry record.
Number of Participants With AEs Leading to Discontinuation of Study Intervention
Time frame: Up to approximately 8 weeks
Not reported in this registry record.
Plasma concentrations of KarXT
Time frame: Up to approximately 8 weeks
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (41)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
41 locations
Local Institution - 0036Dothan, Alabama, United StatesNot yet recruiting
Local Institution - 0236Phoenix, Arizona, United StatesNot yet recruiting
Local Institution - 0031Anaheim, California, United StatesNot yet recruiting
Cortica - GlendaleGlendale, California, United StatesRecruiting
Local Institution - 0233Redlands, California, United StatesWithdrawn
Cortica - MarinSan Rafael, California, United StatesRecruiting
Local Institution - 0252Colorado Springs, Colorado, United StatesWithdrawn
Local Institution - 0264Boca Raton, Florida, United StatesNot yet recruiting
Local Institution - 0099Gainesville, Florida, United StatesNot yet recruiting
Local Institution - 0278Gainesville, Florida, United StatesNot yet recruiting
Local Institution - 0295Virginia Gardens, Florida, United StatesNot yet recruiting
Local Institution - 0155Peachtree Corners, Georgia, United StatesNot yet recruiting
EmVenio Research - ChicagoChicago, Illinois, United StatesRecruiting
Local Institution - 0242Louisville, Kentucky, United StatesNot yet recruiting
Local Institution - 0160Bloomfield Hills, Michigan, United StatesNot yet recruiting
Local Institution - 0110Las Vegas, Nevada, United StatesNot yet recruiting
Local Institution - 0290New York, New York, United StatesNot yet recruiting
Local Institution - 0246Staten Island, New York, United StatesNot yet recruiting
Local Institution - 0263The Bronx, New York, United StatesNot yet recruiting
Local Institution - 0122Cincinnati, Ohio, United StatesNot yet recruiting
Local Institution - 0247West Chester, Ohio, United StatesWithdrawn
Local Institution - 0269Danville, Pennsylvania, United StatesNot yet recruiting
Local Institution - 0292Nashville, Tennessee, United StatesNot yet recruiting
Local Institution - 0041Dallas, Texas, United StatesNot yet recruiting
Local Institution - 0034Houston, Texas, United StatesNot yet recruiting
Local Institution - 0273Plano, Texas, United StatesNot yet recruiting
Local Institution - 0291San Antonio, Texas, United StatesNot yet recruiting
Local Institution - 0185Spring, Texas, United StatesNot yet recruiting
Local Institution - 0294Orem, Utah, United StatesNot yet recruiting
Local Institution - 0293West Point, Utah, United StatesNot yet recruiting
Local Institution - 0260Richmond, Virginia, United StatesNot yet recruiting
Local Institution - 0010Westmead, New South Wales, AustraliaNot yet recruiting
Local Institution - 0007Brisbane, Queensland, AustraliaNot yet recruiting
Local Institution - 0045Melbourne, Victoria, AustraliaNot yet recruiting
Local Institution - 0286Melbourne, Victoria, AustraliaNot yet recruiting
Local Institution - 0289Airdrie, Alberta, CanadaNot yet recruiting
Local Institution - 0136Edmonton, Alberta, CanadaNot yet recruiting
Local Institution - 0135Kingston, Ontario, CanadaNot yet recruiting
Local Institution - 0205Toronto, Ontario, CanadaNot yet recruiting
CHU Sainte-JustineMontreal, Quebec, CanadaRecruiting
Local Institution - 0234San Juan, Puerto RicoNot yet recruiting
Study team and timeline
- Lead sponsor
- Bristol-Myers Squibb
- Study start
- Oct 6, 2026 Actual
- Primary completion
- Aug 6, 2029 Estimated
- Study completion
- Aug 6, 2029 Estimated
- First posted
- Dec 16, 2025 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy, Safety, Tolerability, and Pharmacokinetics of KarXT + KarX-EC in Children and Adolescents (5 to 17 Years of Age) With Irritability Associated With Autism Spectrum Disorder
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
