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Search / Trial NCT06929273

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

Bipolar I Disorder Mania Bipolar I Disorder With Mania

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.

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

0 patients applied

Trial Officials

Bristol-Myers Squibb

Study Director

Bristol-Myers Squibb

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported