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Karuna’s lead product candidate, KarXT (Karuna-Xanomeline-Trospium), is being evaluated in a Phase 2 study in people with schizophrenia, with top-line results anticipated at the end of 2019. • xanomeline + trospium (KARX-T) shows efficacy in Phase 2 studies on psychotic symptom severity 4 1 Scarr E, Hopper S, Vos V, et al. Low levels of muscarinic M1 receptor-positive neurons in cortical layers III and V in Brodmann areas 9 and 17 from individuals with schizophrenia. J Psychiatry Neurosci.

Xanomeline-trospium

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Oral xanomeline 50 mg/trospium 20 mg BID on days 1-2 followed by xanomeline 100 mg/trospium 20 mg BID on days 3-7. The dose is increased to xanomeline 125 mg/trospium 30 mg BID on days 8-35 unless the subject is experiencing adverse events from the xanomeline 100 mg/ trospium 20 mg dose. Reuters Health – 24/02/2021 – Combination therapy with xanomeline, a muscarinic-receptor agonist, and trospium, which limits xanomeline’s cholinergic effects peripherally, appears to be effective against acute psychosis in people with schizophrenia, researchers have found. On the 181-point Positive and Negative Symptom Scale, which measures the severity of schizophrenia symptoms, the For the biopharma industry investment, business development and competitive intelligence professionals who require information to support financing, partnering and licensing activities, BCIQ provides accurate information and context to support profitable and strategic decision making. Unlike other intelligence solutions, BCIQ exclusively supports the unique needs of the biopharma industry and The combination has been badged up as KarXT (Karuna-xanomeline-trospium chloride) and in phase 1 has been shown to reduce side effects compared to xanomeline alone.

Karuna Therapeutics to Present at Upcoming Investor

It has a role as a muscarinic agonist and a serotonergic agonist. Xanomeline is under investigation in clinical trial NCT02831231 (Pilot Study Comparing Effects of Xanomeline Alone to Xanomeline Plus Trospium ). Xanomeline 50 mg/trospium 20 mg BID on days 1-2 followed by xanomeline 100 mg/trospium 20 mg BID on days 3-7. The dose is increased to xanomeline 125 mg/trospium 30 mg BID on days 8-34 unless the subject is experiencing adverse events from the xanomeline 100 mg/trospium 20 mg dose.

Xanomeline-trospium

Karuna Therapeutics to Present at Upcoming Investor

Xanomeline-trospium

The dose is increased to xanomeline 125 mg/trospium 30 mg BID on days 8-34 unless the subject is experiencing adverse events from the xanomeline 100 mg/trospium 20 mg dose. The primary objective of the study is to assess the long-term safety and tolerability of KarXT in subjects with a DSM-5 diagnosis of schizophrenia. The secondary objective of this study is to assess the long-term efficacy and monitor trough concentrations of xanomeline and trospium after administration of KarXT.. Clinical Trials Registry. ICH GCP. 2021-4-9 · The drugs are xanomeline, which has shown promise for Alzheimer’s disease, and trospium chloride, which is approved for overactive bladder and has been shown to reduce some of the gastrointestinal side effects of xanomeline.

Xanomeline-trospium

Patients treated with xanomeline-trospium experienced adverse events such as constipation and nausea … In this inpatient study, volunteers will received either xanomeline alone, or xanomeline plus trospium for 7 days. Subjects will report cholinergic side effects daily via visual analog scales, for each of nausea, vomiting, diarrhea, sweating and excessive salivation. The most common adverse events with xanomeline-trospium were constipation, nausea, dry mouth, dyspepsia, and vomiting, researchers reported. Incidences of somnolence, weight gain, restlessness, and extrapyramidal symptoms were similar with xanomeline-trospium and placebo.
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Phase 2 trial results of KarXT (xanomeline + trospium) in patients with schizophrenia: superior efficacy to placebo across positive and negative symptoms and a favorable safety/tolerability profile STEPHEN BRANNAN, M.D. CMO, KARUNA THERAPEUTICS NEW MEDICINES SESSION ECNP 2020 ANNUAL MEETING This study is intended to determine whether the addition of trospium chloride to xanomeline tartrate will ameliorate the peripheral cholinergic side effects that have been previously experienced with xanomeline tartrate when administered alone. Trospium is a muscarinic receptor antagonist, but it notably does not cross the blood-brain barrier. So the idea behind this new formulation is that trospium should help counteract the broader Xanomeline–trospium was associated with significant benefits over placebo with respect to the PANSS positive and negative symptom subscores as well as categorical CGI-S scores and the PANSS KarXT is our proprietary product candidate that combines xanomeline, a novel muscarinic agonist, with trospium, an approved muscarinic antagonist, to preferentially stimulate muscarinic receptors in the CNS. Xanomeline (LY-246,708; Lumeron, Memcor) is a muscarinic acetylcholine receptor agonist with reasonable selectivity for the M 1 and M 4 subtypes, though it is also known to act as a M 5 receptor antagonist.

Karuna Pharmaceuticals has the cash it needs to start mid-stage trials of an Eli Lilly drug, shelved because of side effects, as part of a combination therapy for schizophrenia and Alzheimer’s.
Med 2021

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Mean weekly maximum composite Visual Analogue Scale (VAS) score (nausea, diarrhea, sweating, salivation and vomiting combined) comparing xanomeline + placebo to xanomeline + trospium [ Time Frame: 7 days ] The newer KarXT formulation blends an already approved drug called trospium with xanomeline. Trospium is a muscarinic receptor antagonist, but it notably does not cross the blood-brain barrier.