Sep 363856

Supposedly its different as in it doesn’t work on D2 receptors maybe a different side effect profile? Might help alot with negatives

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I read about it but it has side effects and a lot of meds fail final clinical trials for negative symptoms, there is also KarXT:

“Some adverse events reported in preliminary clinical trials are somnolence, agitation, nausea, diarrhea, and dyspepsia

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Does KarXT work differently than regular antipsychotics?

Yes, it works on muscarinic acetylcholine receptors:

Xanomeline ( LY-246,708 ; Lumeron , Memcor ) is a muscarinic acetylcholine receptor agonist with reasonable selectivity for the M1 and M4 subtypes, though it is also known to act as a M5 receptor antagonist. It has been studied for the treatment of both Alzheimer’s disease and schizophrenia, particularly the cognitive and negative symptoms

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First clinical trial it caused gastrointestinal problems but this was fixed in the second trial by adding Tropsium to the main drug Xanomeline.
Second trials have no gastrointestinal problems.

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It seems to still cause nausea and dyspepsia though doesn’t it?

That’s in the first trial without Tropsium. Its bcz Xanomeline also acted outside the brain on the spinal cord but the added Tropsium blocks the effects of Xanomeline outside the brain now in KarXT.

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Here is the company website:

https://karunatx.com/programs/

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Do you know when they will begin phase 3 trials?

One additional Phase 3 trial, along with previously completed Phase 2 trial, would be acceptable to support an efficacy claim for a New Drug Application filing
Company on track to initiate Phase 3 program, including efficacy and open-label long-term safety trials, by the end of 2020

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