Asset profile

Xanomeline/trospium chloride · Cobenfy

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Schizophrenia

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Reliable signal

Also in development:Alzheimer's Disease · Phase 3

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Competitive landscape

119 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 119 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Xanomeline / Trospium Chloride (Cobenfy): this drugApprovedSmall moleculeMuscarinic M1/M4 receptor (agonist/antagonist combination)
Aripiprazole (Abilify Maintena)ApprovedSmall moleculeDopamine D2 and serotonin 5-HT1A receptors (partial agonist), Dopamine D2/D3 and serotonin 5-HT1A receptor, Dopamine D2 receptor (partial agonist)
Aripiprazole (Abilify MyCite)ApprovedCombinationDopamine D2 and serotonin 5-HT1A receptors (partial agonist); serotonin 5-HT2A receptor (antagonist)
Aripiprazole (Abilify)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole Lauroxil (Aristada Initio)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Aripiprazole Lauroxil (Aristada)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
AsenapineApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)
Benzgalantamine (Zunveyl)ApprovedSmall moleculeAcetylcholinesterase/nicotinic receptor (prodrug)
Brexpiprazole (Rexulti)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Cariprazine (Vraylar)ApprovedSmall moleculeDopamine D3/D2 receptor (partial agonist)
ClozapineApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)
Dexmedetomidine (Igalmi)Approved——
Dexmedetomidine (Igalmi)ApprovedSmall moleculeAlpha-2 adrenergic receptor (agonist)
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA
Donanemab (Kisunla)ApprovedMonoclonal antibodyAmyloid-beta (monoclonal antibody)
FazacloApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist)

…and 104 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(31 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (8)
October 2026 (2)
Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2026-10-05 · NCT05511363 · CT.gov ↗
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Phase 4SchizophreniaNot yet recruiting
Est. primary completion 2026-10-30 · NCT06923891 · CT.gov ↗
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November 2026 (4)
Phase 3Bipolar-I Disorder With Mania or Mania With Mixed FeaturesRecruiting
Est. primary completion 2026-11-01 · NCT06951698 · CT.gov ↗
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Phase 3Bipolar Disorder Type I With Mania or Mania With Mixed FeaturesRecruiting
Est. primary completion 2026-11-02 · NCT06951711 · CT.gov ↗
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Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2026-11-24 · NCT06585787 · CT.gov ↗
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Phase 4Healthy VolunteersRecruiting
Est. primary completion 2026-11-30 · NCT07681076 · CT.gov ↗
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December 2026 (2)
Phase 1Healthy VolunteersRecruiting
Est. primary completion 2026-12-03 · NCT07204418 · CT.gov ↗
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Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2026-12-09 · NCT06126224 · CT.gov ↗
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2027 (6)
March 2027 (1)
Phase 1Healthy VolunteersRecruiting
Est. primary completion 2027-03-29 · NCT07063342 · CT.gov ↗
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April 2027 (1)
Phase 1/2SchizophreniaRecruiting
Est. primary completion 2027-04-30 · NCT07423546 · CT.gov ↗
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June 2027 (2)
Phase 1SchizophreniaRecruiting
Est. primary completion 2027-06-21 · NCT07061288 · CT.gov ↗
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Phase 3Mania, Bipolar DisorderRecruiting
Est. primary completion 2027-06-28 · NCT07140913 · CT.gov ↗
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September 2027 (1)
Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2027-09-07 · NCT05980949 · CT.gov ↗
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December 2027 (1)
Phase 4SchizophreniaRecruiting
Est. primary completion 2027-12-30 · NCT07221877 · CT.gov ↗
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2028 (7)
February 2028 (1)
Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2028-02-21 · NCT06947941 · CT.gov ↗
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June 2028 (1)
Phase 3Bipolar Disorder Type I With ManiaRecruiting
Est. primary completion 2028-06-13 · NCT06929273 · CT.gov ↗
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September 2028 (3)
Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2028-09-11 · NCT06976216 · CT.gov ↗
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Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2028-09-11 · NCT06976203 · CT.gov ↗
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Phase 3SchizophreniaRecruiting
Est. primary completion 2028-09-23 · NCT06882785 · CT.gov ↗
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November 2028 (2)
Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2028-11-03 · NCT07011745 · CT.gov ↗
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Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2028-11-24 · NCT07011732 · CT.gov ↗
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2029 (6)
January 2029 (1)
Phase 3SchizophreniaNot yet recruiting
Est. primary completion 2029-01-01 · NCT07084831 · CT.gov ↗
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March 2029 (1)
Phase 3SchizophreniaRecruiting
Est. primary completion 2029-03-03 · NCT07686263 · CT.gov ↗
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June 2029 (1)
Phase 3Alzheimer's DiseaseRecruiting
Est. primary completion 2029-06-22 · NCT06937229 · CT.gov ↗
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August 2029 (2)
Phase 3Irritability Associated With Autism Spectrum DisorderNot yet recruiting
Est. primary completion 2029-08-06 · NCT07284745 · CT.gov ↗
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Phase 3Irritability Associated With Autism Spectrum DisorderNot yet recruiting
Est. primary completion 2029-08-06 · NCT07285798 · CT.gov ↗
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December 2029 (1)
Phase 3SchizophreniaRecruiting
Est. primary completion 2029-12-18 · NCT07288567 · CT.gov ↗
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2030 (2)
March 2030 (1)
Phase 3SchizophreniaRecruiting
Est. primary completion 2030-03-08 · NCT07424404 · CT.gov ↗
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September 2030 (1)
Phase 1Epilepsy, Essential Tremor, Seizures, Memory Consolidation, Memory Disorders, Memory Replay, Memory Encoding, Cognitive Control …Not yet recruiting
Est. primary completion 2030-09 · NCT07721272 · CT.gov ↗
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2031 (1)
December 2031 (1)
Phase 1Epilepsy, Seizures, Cognitive Impairment, Mild, Memory Disorder, Memory LossNot yet recruiting
Est. primary completion 2031-12 · NCT07228338 · CT.gov ↗
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2032 (1)
June 2032 (1)
Phase 1/2Cocaine Use Disorder (CUD)Recruiting
Est. primary completion 2032-06-30 · NCT07624227 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (30)
Phase 2 (1)
Phase 1/2 (2)
Phase 1 (10)
Phase 4 (5)