Actively Recruiting

Phase 3
Age: 55Years - 90Years
All Genders
ID06947941

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of KarXT + KarX-EC for Psychosis Associated with Alzheimer's Disease

Led by Bristol-Myers Squibb · Updated on 2026-06-02

325

Participants Needed

22

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the combination of KarXT and KarX-EC as a treatment for psychosis linked to Alzheimer's disease in adults aged 55 to 90. This Phase 3, randomized, double-blind, placebo-controlled study aims to assess the safety and effectiveness of these drugs in managing symptoms such as hallucinations and delusions related to this condition. Participants will be assigned to receive either the KarXT plus KarX-EC treatment or a matching placebo, with specified doses given on certain days over approximately 14 weeks. The study will monitor changes in neuropsychiatric symptoms, agitation, and caregiver distress, along with safety measures including adverse events and laboratory tests. During the trial, participants will undergo various evaluations such as neuropsychiatric inventories, clinical global impressions, cognitive assessments, and safety monitoring through lab tests, vital signs, and symptom tracking. The primary outcome focuses on changes in hallucinations and delusions up to week 14, with ongoing review of additional cognitive and safety outcomes throughout the study period.

CONDITIONS

Brief Title

A Study to Evaluate Safety and Efficacy of KarXT + KarX-EC as a Treatment for Psychosis Associated With Alzheimer's Disease (ADEPT-5)

Who Can Participate

Age: 55Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must be 55 to 90 years old at screening.
  • Diagnosed with Alzheimer's disease according to the 2024 revised criteria.
  • Have a brain MRI or CT scan from within the past 5 years to exclude other CNS diseases.
  • History of psychotic symptoms meeting specific criteria for at least 2 months before screening.
Not Eligible

You will not qualify if you...

  • Psychotic symptoms primarily caused by conditions other than Alzheimer's disease, such as schizophrenia or mood disorders.
  • History of major depressive episode with psychotic features in the past 12 months.
  • History of bipolar disorder, schizophrenia, or schizoaffective disorder.
  • Certain safety concerns including specific abnormal laboratory tests.
  • Other protocol-defined inclusion/exclusion criteria.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to approximately 14 weeks

Participants receive the study drugs KarXT and KarX-EC or matching placebo as a treatment for psychosis associated with Alzheimer's disease.

Trial Site Locations

Total: 22 locations

1

Gilbert Neurology Partners/CCT Research

Gilbert, Arizona, United States, 85297

Actively Recruiting

2

Inland Psychiatric Medical Group.

Chino, California, United States, 91710

Actively Recruiting

3

Local Institution - 0001

Naples, Florida, United States, 34105

Withdrawn

4

Local Institution - 1401

Naples, Florida, United States, 34105

Not Yet Recruiting

5

Local Institution - 0029

Cleveland, Ohio, United States, 44195

Not Yet Recruiting

6

Local Institution - 0043

Shaker Heights, Ohio, United States, 44122-5288

Not Yet Recruiting

7

Local Institution - 0020

Macquarie Park, New South Wales, Australia, 2113

Not Yet Recruiting

8

Local Institution - 0052

Nedlands, Western Australia, Australia, 6009

Not Yet Recruiting

9

Local Institution - 0054

Toronto, Ontario, Canada, M6J1H4

Not Yet Recruiting

10

Local Institution - 0027

Whitby, Ontario, Canada, L1N 5S9

Not Yet Recruiting

11

Local Institution - 0025

Montreal, Quebec, Canada, H4H 1R3

Not Yet Recruiting

12

Local Institution - 0040

Suita, Osaka, Japan, 565-0871

Not Yet Recruiting

13

Local Institution - 0035

Nankoku-shi, Japan, 783-8505

Not Yet Recruiting

14

Local Institution - 0034

Osaka, Japan, 550-0006

Not Yet Recruiting

15

Local Institution - 0005

Exeter, Devon, United Kingdom, EX12LU

Not Yet Recruiting

16

Local Institution - 0018

Saint Leonards-on-Sea, East Sussex, United Kingdom, TN61HB

Not Yet Recruiting

17

Local Institution - 0023

London, England, United Kingdom, W1G 8TA

Not Yet Recruiting

18

Local Institution - 0015

Oxford, Oxfordshire, United Kingdom, OX3 7JX

Not Yet Recruiting

19

Local Institution - 0009

Chertsey, Surrey, United Kingdom, KT160PZ

Not Yet Recruiting

20

Local Institution - 0017

Sheffield, Yorkshire and the Humber, United Kingdom, S47QQ

Not Yet Recruiting

21

Local Institution - 0024

London, United Kingdom, WC1N3BG

Not Yet Recruiting

22

Local Institution - 0004

Motherwell, United Kingdom, ML1 4UF

Not Yet Recruiting

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Research Team

B

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com, www.BMSStudyConnect.com

F

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

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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