Evidence map›Paper›PMID 41742980›Full record

ReviewCureus2026

Xanomeline-Trospium Chloride as a New Paradigm in the Treatment of Schizophrenia Through Muscarinic Modulation: A Renewed Hope in Psychiatric Care.

Mohsin Raza, Jasleen Kaur

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mohsin RazaPsychiatry, Dover Behavioral Health System, Dover, USA.
Jasleen KaurPsychiatry, University of Connecticut Health, Farmington, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schizophrenia remains one of the most challenging clinical issues, despite the efforts made and the number of treatments available to date. This review examines xanomeline-trospium chloride, a novel therapeutic approach to treating schizophrenia by targeting muscarinic acetylcholine receptors (mAChRs). The drug consists of xanomeline, a selective M1/M4 receptor agonist, and trospium, a peripheral muscarinic antagonist, which are used, respectively, to meet central therapeutic needs and avoid peripheral side effects. Xanomeline-trospium chloride has demonstrated clinical efficacy. Moreover, xanomeline-trospium chloride exhibited a better safety profile compared to prior agents, with no major metabolic impact and low discontinuation rates. However, studies show transient mild to moderate gastrointestinal effects. Nevertheless, the clinical trials of this drug have shown that it is effective and well tolerated. Although xanomeline-trospium chloride is already approved for the treatment of schizophrenia, particularly for patients who need better metabolic and cognitive outcomes, future studies should aim to investigate its efficacy in treatment-resistant schizophrenia, early-stage intervention, and other neuropsychiatric disorders. This review aims to integrate the current evidence and assess the potential of xanomeline-trospium chloride as a novel therapeutic approach in the management of schizophrenia.

Indexed as

antipsychoticscobenfyschizophreniatrospium chloridexanomelinexanomeline-trospium

Identifiers

PMID41742980
PMCPMC12930935

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.