A Study to Evaluate the Efficacy and Safety of KarXT + KarX-EC for Cognitive Impairment in Alzheimer's Disease

NCT ID: NCT06976216

Last Updated: 2025-11-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

586 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-14

Study Completion Date

2029-02-23

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of KarXT + KarX-EC for cognitive impairment in Alzheimer's Disease

Detailed Description

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Conditions

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Alzheimer's Disease

Keywords

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Dementia Cognitive Impairment Kar-XT KarX-EC Mild Alzheimer's Disease Moderate Alzheimer's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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KarXT + KarX-EC

Group Type ACTIVE_COMPARATOR

KarXT

Intervention Type DRUG

Specified dose on specified days

KarX-EC

Intervention Type DRUG

Specified dose on specified days

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Specified dose on specified days

Interventions

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KarXT

Specified dose on specified days

Intervention Type DRUG

KarX-EC

Specified dose on specified days

Intervention Type DRUG

Placebo

Specified dose on specified days

Intervention Type OTHER

Other Intervention Names

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BMS-986510 BMS-986519

Eligibility Criteria

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Inclusion Criteria

* Participants must have a confirmed diagnosis of Alzheimer's disease (AD), specifically at the mild (stage 4) or moderate (stage 5) dementia stages, as defined by the National Institute on Aging and Alzheimer's Association (NIA-AA) core clinical criteria. The diagnosis of AD pathology must be confirmed through the 2024 revised NIA-AA Workgroup criteria using a stepwise diagnostic approach.
* Participants must have an Mini-Mental State Examination (MMSE) score ranging from 12 through 22, inclusive, at the time of screening.
* Participants must have a designated caregiver who maintains adequate contact (around 10 hours per week or more) and is willing to attend all study visits. The caregiver must also be responsible for reporting on the participant's condition, overseeing medication compliance, and consenting to their involvement in both their own and the participant's study-related activities.
* Participants on acetyl choline esterase inhibitors (AChEIs) and/or memantine, must have been on a stable dosage for at least 12 weeks prior to screening, and agree to maintain this stable dose for the study duration.

Exclusion Criteria

* Participants must not present with any significant or severe medical conditions that could compromise their safety, the ability to comply with or complete the study, or the integrity of the study results. This includes any grade of hepatic impairment.
* Participants must not have any primary psychiatric diagnoses such as major depression, schizoaffective disorder, or bipolar disorder, and those with severe psychiatric symptoms that could complicate the interpretation of treatment effects, impair cognitive assessment, or impact study completion.
* Participants must not have a history of schizophrenia or other chronic psychosis, as well as those who have previously been exposed to KarXT or are currently undergoing treatment with disease-modifying anti-amyloid therapies for AD within the past 6 months prior to screening.
* Participants must not have significant pathological findings on brain magnetic resonance imaging (MRI) at screening that could affect safety or interfere with study procedures.
Minimum Eligible Age

60 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Healthy Brain Clinic

Long Beach, California, United States

Site Status RECRUITING

Anderson Clinical Research

Redlands, California, United States

Site Status RECRUITING

Mountain Neurological Research Center

Basalt, Colorado, United States

Site Status RECRUITING

Local Institution - 0024

Washington D.C., District of Columbia, United States

Site Status NOT_YET_RECRUITING

JEM Research Institute

Atlantis, Florida, United States

Site Status RECRUITING

VIN-Julie Schwartzbard

Aventura, Florida, United States

Site Status RECRUITING

Merritt Island Medical Research, LLC

Merritt Island, Florida, United States

Site Status RECRUITING

Local Institution - 0055

Ocala, Florida, United States

Site Status NOT_YET_RECRUITING

Alzheimer's Research and Treatment Center

Stuart, Florida, United States

Site Status RECRUITING

Charter Research - Lady Lake

The Villages, Florida, United States

Site Status RECRUITING

Local Institution - 0016

Columbus, Georgia, United States

Site Status NOT_YET_RECRUITING

Center for Advanced Research & Education

Gainesville, Georgia, United States

Site Status RECRUITING

Local Institution - 0109

Chicago, Illinois, United States

Site Status NOT_YET_RECRUITING

Ascension Alexian Brothers

Elk Grove Village, Illinois, United States

Site Status RECRUITING

Boston Center for Memory

Newton, Massachusetts, United States

Site Status RECRUITING

HealthPartners Neuroscience Center

Saint Paul, Minnesota, United States

Site Status RECRUITING

Advanced Memory Research Institute of New Jersey

Toms River, New Jersey, United States

Site Status RECRUITING

Local Institution - 0101

New York, New York, United States

Site Status NOT_YET_RECRUITING

Adams Clinical Harlem

New York, New York, United States

Site Status RECRUITING

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status RECRUITING

AMC Research, LLC

Matthews, North Carolina, United States

Site Status RECRUITING

Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Local Institution - 0026

Dayton, Ohio, United States

Site Status NOT_YET_RECRUITING

Summit Headlands

Portland, Oregon, United States

Site Status RECRUITING

Local Institution - 0004

Abington, Pennsylvania, United States

Site Status WITHDRAWN

Rhode Island Mood & Memory Research Institute

East Providence, Rhode Island, United States

Site Status RECRUITING

Neurology Clinic, P.C.

Cordova, Tennessee, United States

Site Status RECRUITING

Local Institution - 0152

Knoxville, Tennessee, United States

Site Status NOT_YET_RECRUITING

Local Institution - 0018

Beaumont, Texas, United States

Site Status NOT_YET_RECRUITING

Local Institution - 0088

Banfield, Buenos Aires, Argentina

Site Status NOT_YET_RECRUITING

Local Institution - 0001

Buenos Aires, Buenos Aires F.D., Argentina

Site Status NOT_YET_RECRUITING

Local Institution - 0271

Buenos Aires, , Argentina

Site Status NOT_YET_RECRUITING

Local Institution - 0228

Córdoba, , Argentina

Site Status NOT_YET_RECRUITING

Local Institution - 0232

Córdoba, , Argentina

Site Status NOT_YET_RECRUITING

Local Institution - 0085

Córdoba, , Argentina

Site Status NOT_YET_RECRUITING

Local Institution - 0279

Kogarah, New South Wales, Australia

Site Status NOT_YET_RECRUITING

Local Institution - 0245

Macquarie Park, New South Wales, Australia

Site Status NOT_YET_RECRUITING

Local Institution - 0244

Sydney, New South Wales, Australia

Site Status NOT_YET_RECRUITING

Local Institution - 0242

Carlton, Victoria, Australia

Site Status NOT_YET_RECRUITING

Local Institution - 0243

Perth, Western Australia, Australia

Site Status NOT_YET_RECRUITING

Local Institution - 0168

Brasília, Federal District, Brazil

Site Status NOT_YET_RECRUITING

Local Institution - 0180

Curitiba, Paraná, Brazil

Site Status NOT_YET_RECRUITING

Local Institution - 0266

Aracaju, Sergipe, Brazil

Site Status NOT_YET_RECRUITING

Local Institution - 0165

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

OCT Research ULC

Kelowna, British Columbia, Canada

Site Status RECRUITING

Richmond Clinical Trials

Richmond, British Columbia, Canada

Site Status RECRUITING

Centricity Research Halifax Multispecialty

Halifax, Nova Scotia, Canada

Site Status RECRUITING

Ottawa Memory Clinic

Ottawa, Ontario, Canada

Site Status RECRUITING

Toronto Memory Program

Toronto, Ontario, Canada

Site Status RECRUITING

MoCA Research and Innovation Inc.

Greenfield Park, Quebec, Canada

Site Status RECRUITING

Local Institution - 0239

Victoriaville, Quebec, Canada

Site Status NOT_YET_RECRUITING

ALPHA Recherche Clinique

Québec, , Canada

Site Status RECRUITING

Local Institution - 0230

Antofagasta, AN, Chile

Site Status NOT_YET_RECRUITING

Local Institution - 0272

Providencia, Santiago Metropolitan, Chile

Site Status NOT_YET_RECRUITING

Local Institution - 0094

Santiago, Santiago Metropolitan, Chile

Site Status NOT_YET_RECRUITING

Local Institution - 0089

Santiago, Santiago Metropolitan, Chile

Site Status NOT_YET_RECRUITING

Local Institution - 0241

Santiago, Santiago Metropolitan, Chile

Site Status NOT_YET_RECRUITING

Local Institution - 0215

Zagreb, City of Zagreb, Croatia

Site Status NOT_YET_RECRUITING

Local Institution - 0284

Zagreb, City of Zagreb, Croatia

Site Status NOT_YET_RECRUITING

Local Institution - 0216

Osijek, , Croatia

Site Status NOT_YET_RECRUITING

Local Institution - 0267

Rijeka, , Croatia

Site Status NOT_YET_RECRUITING

Local Institution - 0240

Zagreb, , Croatia

Site Status NOT_YET_RECRUITING

Local Institution - 0227

Brno, Brno-město, Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0225

Olomouc, Olomoucký kraj, Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0221

Pilsen, Plzeň-město, Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0223

Prague, Praha 6, Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0224

Prague, Praha 6, Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0222

Prague, Praha 8, Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0226

Rychnov nad Kněžnou, , Czechia

Site Status NOT_YET_RECRUITING

Local Institution - 0217

München, Bavaria, Germany

Site Status NOT_YET_RECRUITING

Local Institution - 0219

Münster, North Rhine-Westphalia, Germany

Site Status NOT_YET_RECRUITING

Local Institution - 0276

Mainz, Rhineland-Palatinate, Germany

Site Status NOT_YET_RECRUITING

Local Institution - 0218

Berlin, , Germany

Site Status NOT_YET_RECRUITING

Local Institution - 0277

Bremen, , Germany

Site Status NOT_YET_RECRUITING

Local Institution - 0275

Hamburg, , Germany

Site Status WITHDRAWN

Local Institution - 0281

Alexandroupoli, Anatolikí Makedonía Kai Thráki, Greece

Site Status NOT_YET_RECRUITING

Local Institution - 0256

Athens, Attikí, Greece

Site Status NOT_YET_RECRUITING

Local Institution - 0274

Athens, Attikí, Greece

Site Status NOT_YET_RECRUITING

Local Institution - 0251

Thessaloniki, Thessaloníki, Greece

Site Status NOT_YET_RECRUITING

Local Institution - 0257

Larissa, Thessalía, Greece

Site Status NOT_YET_RECRUITING

Local Institution - 0288

Bengaluru, Karnataka, India

Site Status NOT_YET_RECRUITING

Local Institution - 0282

Hyderabad, Telangana, India

Site Status NOT_YET_RECRUITING

Local Institution - 0285

Hyderabad, Telangana, India

Site Status NOT_YET_RECRUITING

Local Institution - 0287

Varanasi, Uttar Pradesh, India

Site Status NOT_YET_RECRUITING

Local Institution - 0286

Kolkata, West Bengal, India

Site Status NOT_YET_RECRUITING

Local Institution - 0249

Milan, Lombardy, Italy

Site Status NOT_YET_RECRUITING

Local Institution - 0246

Milan, Lombardy, Italy

Site Status NOT_YET_RECRUITING

Local Institution - 0248

Monza, Lombardy, Italy

Site Status NOT_YET_RECRUITING

Local Institution - 0247

Brescia, , Italy

Site Status NOT_YET_RECRUITING

Local Institution - 0262

Poznan, Greater Poland Voivodeship, Poland

Site Status NOT_YET_RECRUITING

Local Institution - 0261

Torun, Kuyavian-Pomeranian Voivodeship, Poland

Site Status NOT_YET_RECRUITING

Local Institution - 0280

Bialystok, Podlaskie Voivodeship, Poland

Site Status NOT_YET_RECRUITING

Local Institution - 0260

Gdansk, Pomeranian Voivodeship, Poland

Site Status NOT_YET_RECRUITING

Local Institution - 0181

San Juan, , Puerto Rico

Site Status NOT_YET_RECRUITING

Local Institution - 0269

Bucharest, București, Romania

Site Status NOT_YET_RECRUITING

Local Institution - 0270

Bucharest, București, Romania

Site Status NOT_YET_RECRUITING

Local Institution - 0273

Bucharest, București, Romania

Site Status NOT_YET_RECRUITING

Local Institution - 0278

Bucharest, , Romania

Site Status NOT_YET_RECRUITING

Local Institution - 0268

Iași, , Romania

Site Status NOT_YET_RECRUITING

Chonnam National University Hospital

Gwangju, Kwangju-Kwangyǒkshi, South Korea

Site Status RECRUITING

Seoul National University Bundang Hospital

Seongnam, Kyǒnggi-do, South Korea

Site Status RECRUITING

Ewha Womans University Seoul Hospital

Gangseo-gu, Seoul-teukbyeolsi [Seoul], South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status RECRUITING

Local Institution - 0208

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status NOT_YET_RECRUITING

Konkuk University Medical Center

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status RECRUITING

Local Institution - 0255

Seville, Andalusia, Spain

Site Status NOT_YET_RECRUITING

Local Institution - 0254

Sant Cugat del Vallès, Barcelona [Barcelona], Spain

Site Status NOT_YET_RECRUITING

Local Institution - 0258

Barcelona, Catalunya [Cataluña], Spain

Site Status NOT_YET_RECRUITING

Local Institution - 0253

Lleida, Lleida [Lérida], Spain

Site Status NOT_YET_RECRUITING

Local Institution - 0252

Pamplona, Navarre, Spain

Site Status NOT_YET_RECRUITING

Local Institution - 0250

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Countries

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United States Argentina Australia Brazil Canada Chile Croatia Czechia Germany Greece India Italy Poland Puerto Rico Romania South Korea Spain

Central Contacts

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BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

Role: CONTACT

Phone: 8559073286

Email: [email protected]

First line of the email MUST contain the NCT# and Site#

Role: CONTACT

Facility Contacts

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Dung Trinh, Site 0173

Role: primary

Donald Anderson, Site 0008

Role: primary

Alison Allen, Site 0025

Role: primary

Site 0024

Role: primary

Linda Pao, Site 0154

Role: primary

Julie Schwartzbard, Site 0128

Role: primary

Wasim Niazi, Site 0023

Role: primary

Site 0055

Role: primary

Adam Falchook, Site 0263

Role: primary

Jeffrey Norton, Site 0184

Role: primary

Site 0016

Role: primary

Chris Recknor, Site 0125

Role: primary

Site 0109

Role: primary

Concetta Forchetti, Site 0054

Role: primary

Paul Solomon, Site 0009

Role: primary

Marcel Hungs, Site 0110

Role: primary

Arun Singh, Site 0123

Role: primary

Site 0101

Role: primary

Patricia Walsh, Site 0259

Role: primary

Sharon Brangman, Site 0202

Role: primary

Mohammad Bolouri, Site 0007

Role: primary

Douglas Scharre, Site 0073

Role: primary

Site 0026

Role: primary

Scott Losk, Site 0067

Role: primary

john stoukides, Site 0056

Role: primary

Thomas Arnold, Site 0099

Role: primary

Site 0152

Role: primary

Site 0018

Role: primary

Site 0088

Role: primary

Site 0001

Role: primary

Site 0271

Role: primary

Site 0228

Role: primary

Site 0232

Role: primary

Site 0085

Role: primary

Site 0279

Role: primary

Site 0245

Role: primary

Site 0244

Role: primary

Site 0242

Role: primary

Site 0243

Role: primary

Site 0168

Role: primary

Site 0180

Role: primary

Site 0266

Role: primary

Site 0165

Role: primary

Eugene Okorie, Site 0233

Role: primary

Harris Lari, Site 0234

Role: primary

Kerrie Schoffer, Site 0236

Role: primary

Richard Bergeron, Site 0237

Role: primary

Manpreet Kaur, Site 0235

Role: primary

Ziad Nasreddine, Site 0238

Role: primary

Site 0239

Role: primary

Claude Patry, Site 0264

Role: primary

Site 0230

Role: primary

Site 0272

Role: primary

Site 0094

Role: primary

Site 0089

Role: primary

Site 0241

Role: primary

Site 0215

Role: primary

Site 0284

Role: primary

Site 0216

Role: primary

Site 0267

Role: primary

Site 0240

Role: primary

Site 0227

Role: primary

Site 0225

Role: primary

Site 0221

Role: primary

Site 0223

Role: primary

Site 0224

Role: primary

Site 0222

Role: primary

Site 0226

Role: primary

Site 0217

Role: primary

Site 0219

Role: primary

Site 0276

Role: primary

Site 0218

Role: primary

Site 0277

Role: primary

Site 0281

Role: primary

Site 0256

Role: primary

Site 0274

Role: primary

Site 0251

Role: primary

Site 0257

Role: primary

Site 0288

Role: primary

Site 0282

Role: primary

Site 0285

Role: primary

Site 0287

Role: primary

Site 0286

Role: primary

Site 0249

Role: primary

Site 0246

Role: primary

Site 0248

Role: primary

Site 0247

Role: primary

Site 0262

Role: primary

Site 0261

Role: primary

Site 0280

Role: primary

Site 0260

Role: primary

Site 0181

Role: primary

Site 0269

Role: primary

Site 0270

Role: primary

Site 0273

Role: primary

Site 0278

Role: primary

Site 0268

Role: primary

Byeong Chae Kim, Site 0209

Role: primary

Ji Won Han, Site 0214

Role: primary

Jee Hyang Jeong, Site 0211

Role: primary

Manho Kim, Site 0213

Role: primary

Site 0208

Role: primary

Seol-Heui Han, Site 0210

Role: primary

Sang Won Seo, Site 0212

Role: primary

Site 0255

Role: primary

Site 0254

Role: primary

Site 0258

Role: primary

Site 0253

Role: primary

Site 0252

Role: primary

Site 0250

Role: primary

Related Links

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Other Identifiers

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2025-520746-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1317-4462

Identifier Type: OTHER

Identifier Source: secondary_id

CN012-0051

Identifier Type: -

Identifier Source: org_study_id