Evidence map›Paper›PMID 42728876›Full record

ReviewClinical and translational science2026

Xanomeline and Trospium Chloride: Mechanism of Action, Clinical, and Translational Science.

Samantha Avila, Ingrid L Chen

Abstract readReview
In one paragraph

Review in Clinical and translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Samantha AvilaDepartment of Psychiatry, Kaiser Permanente Oakland Medical Center, Oakland, California, USA.
Ingrid L ChenThe Permanente Medical Group, Oakland, Northern California, USA.ORCID https://orcid.org/0009-0004-2950-5069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Xanomeline-trospium chloride (Cobenfy, formerly KarXT) is a first-in-class, oral central M1/M4 muscarinic receptor agonist approved for the treatment of schizophrenia in adults. Cobenfy represents a paradigm shift by avoiding direct dopamine D2 receptor blockade and thus significantly reduces the burden of metabolic, extrapyramidal, and sedative side effects observed in standard first and second-generation antipsychotics. Trospium chloride is a peripheral muscarinic antagonist with negligible blood-brain barrier penetration. Cobenfy is co-formulated with trospium to minimize peripheral cholinergic effects caused by xanomeline. Under fasting conditions, xanomeline and trospium reach peak plasma concentrations (T

Indexed as

Antipsychotic AgentsBenzilatesNortropanesPyridinesSchizophreniaThiadiazolesHumansTranslational Research, BiomedicalAntipsychotic AgentsBenzilatesNortropanesPyridinesThiadiazolestrospium chloridexanomelineantipsychoticEMERGENT trialsKarXTM1/M4 muscarinic receptorsnon‐dopaminergicschizophrenia

Identifiers

PMID42728876
PMCPMC13570331

What OpenQuestion holds

Textmetadata
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.