A Study to Assess the Long-term Safety of KarXT for the Treatment of Manic Episodes in Bipolar-I Disorder (BALSAM-3)
Launched by BRISTOL-MYERS SQUIBB · Apr 14, 2025
Trial Information
Current as of July 23, 2025
Not yet recruiting
Keywords
ClinConnect Summary
The BALSAM-3 clinical trial is studying the long-term safety of a medication called KarXT for people with Bipolar-I Disorder who are experiencing manic episodes. This is an important study because it aims to find out how well KarXT works over time and if it is safe for patients to use. The trial is open to individuals between the ages of 6 and 74 who have previously participated in related studies or who are newly diagnosed with Bipolar-I Disorder showing symptoms of mania. To join, participants need to have a certain level of mania, as measured by specific rating scales, and they should not require hospitalization for their symptoms.
If someone is eligible and decides to participate, they can expect to take KarXT and be monitored for any side effects or changes in their condition over a longer period. This trial is not yet recruiting, which means it’s still in the planning stages. It's important to note that certain individuals, such as those at risk for suicidal behavior or with specific medical conditions, may not be able to participate. Overall, this study will help gather valuable information about KarXT’s effects on patients with Bipolar-I Disorder in the long run.
Gender
ALL
Eligibility criteria
- Inclusion Criteria:
- * Participants who participated in double-blind placebo-controlled study (CN0120036 or CN0120037):
- • a. Participants must have completed treatment period of parent study.
- * De novo participants who did not participate in double-blind placebo-controlled studies:
- • 1. Participants must have primary diagnosis of Bipolar-I disorder established by a comprehensive psychiatric evaluation based on DSM-5-TR criteria and confirmed by the Mini International Neuropsychiatric Interview (MINI, v7.0.2), with symptoms of mania or mixed mania.
- • 2. Participants must have Young Mania Rating Scale (YMRS) score of ≥ 14 at Screening and at baseline.
- • 3. Participants must have CGI-BP score of ≥ 3 at Screening and at baseline.
- • 4. Participants does not require hospitalization for acute mania.
- Exclusion Criteria:
- * Participants who participated in double-blind placebo-controlled study (CN0120036 or CN0120037):
- • a. Discontinuation from any KarXT parent studies.
- * De novo participants who did not participate in double-blind placebo-controlled studies:
- • 1. All participants with a risk for suicidal behavior at baseline as determined by Investigator's clinical assessment or history of suicidal behavior as assessed on C-SSRS.
- • 2. Participants must not have primary diagnosis of BP-I with rapid cycling (ie, ≥ 4 distinct mood episodes in one year).
- • 3. Participants must not have any primary DSM-5-TR disorder other than BP-I with mania or mania with mixed features within 12 months before Screening (confirmed using MINI version 7.0.2 at Screening), including BP-I with depression, (previous 3 months only), Bipolar-II disorder, major depressive disorder, and primary psychotic disorder, with the exception of mild anxiety disorders.
- • 4. Individual has a DSM-5-TR diagnosis of moderate to severe substance use disorder (except tobacco use disorder) within the 12 months before Screening (confirmed using MINI version 7.0.2 at Screening), or current use as determined by urine toxicology screen or alcohol test.
- • 5. Participants must not have history of irritable bowel syndrome (with or without constipation) or serious constipation requiring treatment within the last 6 months.
- • 6. Participants must not have history or high risk of urinary retention, gastric retention, or untreated narrow-angle glaucoma.
- • 7. Other protocol-defined Inclusion/Exclusion criteria apply.
About Bristol Myers Squibb
Bristol-Myers Squibb (BMS) is a global biopharmaceutical company dedicated to discovering, developing, and delivering innovative medicines that help patients prevail over serious diseases. With a robust portfolio of products across multiple therapeutic areas, including oncology, immunology, cardiovascular, and fibrotic diseases, BMS emphasizes cutting-edge research and a commitment to advancing medical science through clinical trials. The company is driven by a mission to provide transformative therapies, leveraging collaboration and scientific expertise to address unmet medical needs and improve patient outcomes worldwide.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
Abb, Ciudad Autónoma De Buenos Aires, Argentina
Bentonville, Arkansas, United States
Little Rock, Arkansas, United States
Little Rock, Arkansas, United States
Rogers, Arkansas, United States
Anaheim, California, United States
Cerritos, California, United States
Culver City, California, United States
Garden Grove, California, United States
Montclair, California, United States
Orange, California, United States
Riverside, California, United States
Santa Ana, California, United States
Hialeah Gardens, Florida, United States
Miami Lakes, Florida, United States
Miami Springs, Florida, United States
Miami, Florida, United States
Miami, Florida, United States
Saint Petersburg, Florida, United States
Stuart, Florida, United States
Atlanta, Georgia, United States
Atlanta, Georgia, United States
Decatur, Georgia, United States
Savannah, Georgia, United States
Chicago, Illinois, United States
Chicago, Illinois, United States
Gaithersburg, Maryland, United States
Flowood, Mississippi, United States
Saint Louis, Missouri, United States
Marlton, New Jersey, United States
Staten Island, New York, United States
Cincinnati, Ohio, United States
North Canton, Ohio, United States
Desoto, Texas, United States
Houston, Texas, United States
Irving, Texas, United States
Richardson, Texas, United States
St Leonards, New South Wales, Australia
Brisbane, Queensland, Australia
Burgas, , Bulgaria
Novi Iskar, , Bulgaria
Pleven, , Bulgaria
Sliven, , Bulgaria
Vratsa, , Bulgaria
Zagreb, Grad Zagreb, Croatia
Zagreb, , Croatia
Zagreb, , Croatia
Zagreb, , Croatia
Győr, Győr Moson Sopron, Hungary
Budapest, , Hungary
Budapest, , Hungary
Vadodara, Gujarat, India
Kozhikode, Kerala, India
Hyderabad, Telangana, India
Hyderabad, Telangana, India
Kolkata, West Bengal, India
Ludhiana, , India
Be'er Sheva, Hadarom, Israel
Hod Hasharon, Hamerkaz, Israel
Ness Ziona, Hamerkaz, Israel
Petah Tikva, Hamerkaz, Israel
Ramat Gan, Hamerkaz, Israel
Jerusalem, Yerushalayim, Israel
Milano, Lombardia, Italy
Pisa, Toscana, Italy
Siena, Toscana, Italy
Ancona, , Italy
Genova, , Italy
Konan, Aichi, Japan
Toyoake, Aichi, Japan
Ichikawa, Chiba, Japan
Kitakyushu, Fukuoka, Japan
Obihiro, Hokkaido, Japan
Sapporo, Hokkaido, Japan
Sakai Shi, Osaka, Japan
Karatsu Shi, Saga Ken, Japan
Iruma, Saitama, Japan
Kumagaya, Saitama, Japan
Itabashi City, Tokyo, Japan
Kodaira, Tokyo, Japan
Fukuoka, , Japan
Miyazaki, , Japan
Osaka, , Japan
Osaka, , Japan
Tokyo, , Japan
Wakayama, , Japan
Yamagata, , Japan
Auckland, , New Zealand
Warsaw, Mazowieckie, Poland
Bialystok, Podlaskie, Poland
Gdańsk, Pomorskie, Poland
Poznań, Wielkopolskie, Poland
Tuszyn, łódzkie, Poland
Chorzów, śląskie, Poland
Brașov, Brăila, Romania
Bucharest, București, Romania
Bucharest, București, Romania
Bucharest, București, Romania
Bucharest, București, Romania
Bucharest, București, Romania
Bucharest, București, Romania
Bucharest, București, Romania
București, , Romania
Iași, , Romania
Kosice, Košický Kraj, Slovakia
Vranov Nad Topľou, Prešovský Kraj, Slovakia
Barcelona, Barcelona [Barcelona], Spain
Barcelona, Catalunya [Cataluña], Spain
Bilbo, País Vasco, Spain
Uppsala, , Sweden
Gothenburg, , Sweden
Glendale, Arizona, United States
Torrance, California, United States
Hollywood, Florida, United States
Hollywood, Florida, United States
North Las Vegas, Nevada, United States
North Las Vegas, Nevada, United States
Charlotte, North Carolina, United States
Košice, Košický Kraj, Slovakia
Nacka, , Sweden
Córdoba, , Argentina
Mendoza, , Argentina
Jerusalem, , Israel
Sanpetru /Brasov, , Romania
Abb, , Argentina
Győr, , Hungary
Tuszyn, , Poland
Chorzów, , Poland
Bucharest, , Romania
Bucharest, , Romania
Bucharest, , Romania
Bucharest, , Romania
Bucharest, , Romania
Bucharest, , Romania
Bucharest, , Romania
Kosice, , Slovakia
Košice, , Slovakia
Vranov Nad Topľou, , Slovakia
Barcelona, , Spain
Barcelona, , Spain
Bilbo, , Spain
Nacka, , Sweden
Uppsala, , Sweden
Gothenburg, , Sweden
Bellflower, California, United States
Zagreb, , Croatia
Be'er Sheva, Southern, Israel
Patients applied
Trial Officials
Bristol-Myers Squibb
Study Director
Bristol-Myers Squibb
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported