RecruitingPhase 3NCT06937229

A Study to Evaluate the Long-term Efficacy and Safety of KarXT + KarX-EC for Agitation in Alzheimer's Disease (ADAGIO-3)

A Phase 3, Open-label Extension Study to Evaluate the Long-term Safety and Tolerability of KarXT + KarX-EC for the Treatment of Agitation Associated With Alzheimer's Disease (ADAGIO-3)


Sponsor

Bristol-Myers Squibb

Enrollment

600 participants

Start Date

Dec 2, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to evaluate the long-term efficacy and safety of combined formulation of xanomeline tartrate/trospium chloride in an immediate release (IR) capsule (KarXT) and xanomeline enteric capsules (KarX-EC) in participants with agitation associated with Alzheimer's Disease who completed the parent studies CN012-0023 or CN012-0024.


Eligibility

Min Age: 55 YearsMax Age: 90 Years

Inclusion Criteria2

  • Participants must have completed study CN012-0023 or CN012-0024 per protocol.
  • Participants must have one identified caregiver who should have sufficient contact (approximately 10 hours a week or more).

Exclusion Criteria1

  • Participants must not have clinically significant cardiovascular (eg, untreated or unstable hypertension, clinically significant tachycardia), pulmonary, renal, hematologic, GI, endocrine, immunologic, dermatologic, neurologic, or oncologic disease or any other condition that, in the opinion of the investigator, would jeopardize the safety of the participant or the validity of the study results.

Interventions

DRUGKarXT

Specified dose on specified days

DRUGKarX-EC

Specified dose on specified days


Locations(241)

Local Institution - 2609

Chandler, Arizona, United States

Imaging Endpoints

Scottsdale, Arizona, United States

Local Institution - 1657

Anaheim, California, United States

Local Institution - 2620

Canoga Park, California, United States

Local Institution - 1637

La Jolla, California, United States

Local Institution - 2625

Long Beach, California, United States

Local Institution - 2607

Long Beach, California, United States

Local Institution - 2642

Long Beach, California, United States

Local Institution - 2613

Pasadena, California, United States

Local Institution - 1662

Pomona, California, United States

Local Institution - 2614

San Diego, California, United States

Local Institution - 1651

Walnut Creek, California, United States

Local Institution - 2602

Bonita Springs, Florida, United States

Local Institution - 2626

Hialeah, Florida, United States

Local Institution - 1602

Miami, Florida, United States

Local Institution - 1618

Miami, Florida, United States

Local Institution - 1609

Miami, Florida, United States

Nuovida Research Center

Miami, Florida, United States

Local Institution - 1635

Orlando, Florida, United States

Progressive Medical Research

Port Orange, Florida, United States

Local Institution - 2621

Tampa, Florida, United States

Local Institution - 1636

Gaithersburg, Maryland, United States

Boston Center for Memory

Newton, Massachusetts, United States

Local Institution - 2615

Worcester, Massachusetts, United States

Local Institution - 2618

Ann Arbor, Michigan, United States

Local Institution - 1620

Troy, Michigan, United States

Local Institution - 2256

Saint Paul, Minnesota, United States

Local Institution - 2629

Hattiesburg, Mississippi, United States

Local Institution - 2628

Las Vegas, Nevada, United States

Local Institution - 1649

Las Vegas, Nevada, United States

Local Institution - 1647

West Long Branch, New Jersey, United States

Local Institution - 1656

New Windsor, New York, United States

Local Institution - 2619

Staten Island, New York, United States

Local Institution - 1658

Woodmere, New York, United States

Local Institution - 2608

Morehead City, North Carolina, United States

Local Institution - 2617

Blue Ash, Ohio, United States

Local Institution - 1640

Tulsa, Oklahoma, United States

Local Institution - 1653

Columbia, South Carolina, United States

Epic Medical Research, LLC - Carrolton

Carrollton, Texas, United States

Local Institution - 2605

Cypress, Texas, United States

Local Institution - 1643

El Paso, Texas, United States

Local Institution - 2622

Mesquite, Texas, United States

Local Institution - 2623

San Antonio, Texas, United States

Pantheon Clinical Research, LLC

Bountiful, Utah, United States

Local Institution - 1646

Bennington, Vermont, United States

Local Institution - 1644

Seattle, Washington, United States

Local Institution - 1654

Spokane, Washington, United States

Local Institution - 2610

Milwaukee, Wisconsin, United States

Local Institution - 2005

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Local Institution - 1001

La Plata, Buenos Aires, Argentina

Local Institution - 1002

Mar del Plata, Buenos Aires, Argentina

Local Institution - 2006

Buenos Aires, Buenos Aires F.D., Argentina

Local Institution - 1006

Rosario, Santa Fe Province, Argentina

Local Institution - 2004

Buenos Aires, Argentina

Local Institution - 1003

Buenos Aires, Argentina

Local Institution - 1004

Córdoba, Argentina

Local Institution - 2000

Córdoba, Argentina

Local Institution - 2002

Córdoba, Argentina

Local Institution - 1005

Córdoba, Argentina

Local Institution - 1000

Córdoba, Argentina

Local Institution - 2003

Córdoba, Argentina

Local Institution - 2001

Mendoza, Argentina

Local Institution - 1051

Brasília, Federal District, Brazil

Local Institution - 1052

Curitiba, Paraná, Brazil

Local Institution - 1053

Curitiba, Paraná, Brazil

Local Institution - 1058

Porto Alegre, Rio Grande do Sul, Brazil

Local Institution - 1054

Porto Alegre, Rio Grande do Sul, Brazil

Local Institution - 1057

Campinas, São Paulo, Brazil

Local Institution - 1050

Rio de Janeiro, Brazil

Local Institution - 1055

São Paulo, Brazil

Local Institution - 1056

São Paulo, Brazil

Local Institution - 1100

Sofia, Sofia-Grad, Bulgaria

Local Institution - 1101

Pleven, Bulgaria

Local Institution - 1103

Razgrad, Bulgaria

Local Institution - 1102

Varna, Bulgaria

Local Institution - 1153

Hamilton, Ontario, Canada

Local Institution - 1155

London, Ontario, Canada

Local Institution - 1151

Toronto, Ontario, Canada

Local Institution - 1154

Toronto, Ontario, Canada

Local Institution - 1152

Whitby, Ontario, Canada

Local Institution - 2055

Viña del Mar, Región de Valparaíso, Chile

Local Institution - 2051

Santiago, Santiago Metropolitan, Chile

Local Institution - 2052

Santiago, Santiago Metropolitan, Chile

Local Institution - 2054

Vitacura, Santiago Metropolitan, Chile

Local Institution - 2053

Antofagasta, Chile

Local Institution - 1553

Zagreb, City of Zagreb, Croatia

Local Institution - 1554

Rijeka, Croatia

Local Institution - 1551

Split, Croatia

Local Institution - 1552

Varaždin, Croatia

Local Institution - 1550

Zagreb, Croatia

Local Institution - 2107

Olomouc, Olomoucký kraj, Czechia

Local Institution - 2100

Prague, Praha 6, Czechia

Local Institution - 2106

Prague, Praha 8, Czechia

Local Institution - 2103

Brno, South Moravian, Czechia

Local Institution - 2101

Choceň, Czechia

Local Institution - 2104

Pilsen, Czechia

Local Institution - 2102

Prague, Czechia

Local Institution - 2105

Prague, Czechia

Local Institution - 2108

Rychnov nad Kněžnou, Czechia

Local Institution - 2150

Toulouse, Haute-Garonne, France

Local Institution - 2151

Villeurbanne, Rhône, France

Local Institution - 2153

Lille, France

Local Institution - 2156

Limoges, France

Local Institution - 2157

Montpellier, France

Local Institution - 2152

Paris, France

Local Institution - 2155

Strasbourg, France

Local Institution - 2201

Düsseldorf, Germany

Local Institution - 2205

Halle, Germany

Local Institution - 2206

Westerstede, Germany

Local Institution - 1200

Pátrai, Achaḯa, Greece

Local Institution - 1205

Athens, Attica, Greece

Local Institution - 1202

Athens, Attica, Greece

Local Institution - 1203

Chaïdári, Attikí, Greece

Local Institution - 0027

Athens, Greece

Local Institution - 1206

Athens, Greece

Local Institution - 1207

Athens, Greece

Local Institution - 1201

Ioannina, Greece

Local Institution - 1204

Thessaloniki, Greece

Local Institution - 2257

Kalocsa, Bács-Kiskun county, Hungary

Local Institution - 2250

Győr, Győr-Moson-Sopron, Hungary

Local Institution - 2254

Gyöngyös, Heves County, Hungary

Local Institution - 2255

Budapest, Hungary

Local Institution - 2251

Budapest, Hungary

Local Institution - 2253

Budapest, Hungary

Local Institution - 2252

Debrecen, Hungary

Local Institution - 1251

Hyderabad, Andhra Pradesh, India

Local Institution - 1255

Ahmedabad, Gujarat, India

Local Institution - 1252

Hyderabad, Telangana, India

Local Institution - 1254

Varanasi, Uttar Pradesh, India

Local Institution - 1250

Kolkata, West Bengal, India

Local Institution - 1256

Delhi, India

Local Institution - 1253

New Delhi, India

Local Institution - 2302

Petch Tikva, IL, Israel

Local Institution - 2301

Jerusalem, Israel

Local Institution - 2303

Netanya, Israel

Local Institution - 2305

Ramat Gan, Israel

Local Institution - 2300

Ramat Gan, Israel

Local Institution - 2304

Rishon Le'Tzion, Israel

Local Institution - 2351

Napoli, Campania, Italy

Local Institution - 2354

Rome, Lazio, Italy

Local Institution - 2352

Rome, Lazio, Italy

Local Institution - 2353

Milan, Lombardy, Italy

Local Institution - 2350

Pisa, PI, Italy

Local Institution - 2356

Brescia, Italy

Local Institution - 2355

Isernia, Italy

Local Institution - 2357

Roma, Italy

Local Institution - 1301

Hadano, Kanagawa, Japan

Local Institution - 1307

Kawasaki, Kanagawa, Japan

Local Institution - 1304

Sakai, Osaka, Japan

National Hospital Organization Hizen Psychiatric Center

Kanzaki-Gun Yoshinogari-Cho, Saga-ken, Japan

Rainbow and Sea Hospital

Karatsu-shi, Saga-ken, Japan

Local Institution - 1305

Bunkyo-ku, Tokyo, Japan

Kuramitsu Hospital

Fukuoka, Japan

Okayama City General Medical Center Okayama City Hospital

Okayama, Japan

Local Institution - 1308

Shimotsuke-shi, Tochigi, Japan

Local Institution - 1355

Saltillo, Coahuila, Mexico

Local Institution - 1356

Guadalajara, Jalisco, Mexico

Local Institution - 1363

Mexico City, Mexico City, Mexico

Local Institution - 1360

Mexico City, Mexico City, Mexico

Local Institution - 1364

Monterrey, Nuevo León, Mexico

Local Institution - 1350

Monterrey, Nuevo León, Mexico

Local Institution - 1361

Mexico City, Mexico

Local Institution - 1362

San Luis Potosí City, Mexico

Local Institution - 1352

Tlalnepantla, Mexico

Local Institution - 2450

Poznan, Greater Poland Voivodeship, Poland

Local Institution - 2454

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Local Institution - 2456

Chorzów, Poland

Local Institution - 2455

Katowice, Poland

Local Institution - 2451

Lublin, Poland

Local Institution - 2452

Lublin, Poland

Local Institution - 2453

Sochaczew, Poland

Local Institution - 1401

Coimbra, Portugal

Local Institution - 1402

Guimarães, Portugal

Local Institution - 1404

Lisbon, Portugal

Local Institution - 1403

Senhora da Hora, Portugal

Local Institution - 1400

Torres Vedras, Portugal

Local Institution - 1450

Bucharest, București, Romania

Local Institution - 1452

Bucharest, București, Romania

Local Institution - 1453

Bucharest, București, Romania

Local Institution - 1454

Bucharest, București, Romania

Local Institution - 1455

Bucharest, București, Romania

Local Institution - 1456

Bucharest, București, Romania

Local Institution - 1458

Bucharest, București, Romania

Local Institution - 1451

Bucharest, Romania

Local Institution - 1459

Bucharest, Romania

Local Institution - 1461

Constanța, Romania

Local Institution - 1457

Iași, Romania

Local Institution - 1460

Sanpetru /Brasov, Romania

Local Institution - 1462

Sibiu, Romania

Local Institution - 2401

Incheon, Incheon Gwang'yeogsi, South Korea

Seoul National University Hospital

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 2403

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 2406

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 2400

Deagu, Taegu-Kwangyǒkshi, South Korea

Local Institution - 2409

Incheon, South Korea

Local Institution - 2402

Seoul, South Korea

Gangnam Severance Hospital, Yonsei University Health System

Seoul, South Korea

Local Institution - 2405

Seoul, South Korea

The Catholic University of Korea, Yeouido St.Mary's Hospital

Seoul, South Korea

Local Institution - 1510

Getxo, Bizkaia, Spain

Local Institution - 1509

Elche (alicante), Spain

Local Institution - 1508

Madrid, Spain

Local Institution - 1505

Madrid, Spain

Local Institution - 0003

Málaga, Spain

Local Institution - 1502

Málaga, Spain

Local Institution - 1507

Pamplona, Spain

Local Institution - 1500

Salamanca, Spain

Local Institution - 1503

Seville, Spain

Local Institution - 1504

Terrassa, Spain

Local Institution - 1506

Valladolid, Spain

Local Institution - 1501

Zaragoza, Spain

Local Institution - 1753

Kaohsiung Niao Sung Dist, Kaohsiung, Taiwan

Local Institution - 1751

Tainan, Taiana, Taiwan

Local Institution - 1754

Taipei, Taiwan

Local Institution - 1750

Taipei, Taiwan

Local Institution - 1752

Taoyuan District, Taiwan

Local Institution - 2555

Smila, Cherkasy Oblast, Ukraine

Local Institution - 2554

Dnipro, Dnipropetrovsk Oblast, Ukraine

Local Institution - 2559

Skarzhyntsi, Khmelnytskyi Oblast, Ukraine

Local Institution - 2556

Hlevakha, Kyiv Oblast, Ukraine

Local Institution - 2566

Hlevakha, Kyiv Oblast, Ukraine

Local Institution - 2553

Kyiv, Kyivska Oblast, Ukraine

Local Institution - 2552

Lviv, Lviv Oblast, Ukraine

Local Institution - 2558

Lviv, Lviv Oblast, Ukraine

Local Institution - 2569

Lviv, Lviv Oblast, Ukraine

Local Institution - 2567

Oleksandrivka, Odesa Oblast, Ukraine

Local Institution - 2557

Poltava, Poltava Oblast, Ukraine

Local Institution - 2551

Vinnytsia, Vinnytsia Oblast, Ukraine

Local Institution - 2550

Kropyvnytskyi, Ukraine

Local Institution - 2565

Kyiv, Ukraine

Local Institution - 2568

Odesa, Ukraine

Local Institution - 2505

Preston, Lancashire, United Kingdom

Surrey and Borders Partnership NHS Foundation Trust

Chertsey, Surrey, United Kingdom

Local Institution - 2502

Cambridge, United Kingdom

Local Institution - 2501

London, United Kingdom

Local Institution - 2500

London, United Kingdom

Local Institution - 2510

Motherwell, United Kingdom

Local Institution - 2507

Redruth, United Kingdom

Local Institution - 2504

Sheffield, United Kingdom

Local Institution - 2509

Stafford, United Kingdom

Local Institution - 2503

Wolverhampton, United Kingdom

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NCT06937229


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