The Journal of Clinical Psychiatry

ASCP Corner August 13, 2026

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From the Editors






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2026
Clinical Pearls

Switching stable schizophrenia from an oral atypical to xanomeline–trospium

SWITCH trial · Walling et al. · SIRS/ASCP 2026 · NCT06924255 · 2-week vs 4-week taper

Trial At A Glance

XX
Randomized
XX%
Completed switch
XX wk
Follow-up
2-week taper

XX%
Placeholder endpoint — trial data (sapphire)
4-week taper

XX%
Placeholder endpoint — 4-wk arm (plum)
Expert consensus

Panel Guidance

  • Placeholder consensus point one (Melnick et al., J Clin Psychiatry 2025).
  • Placeholder consensus point two — plum bullet marks consensus wayfinding.
  • Placeholder consensus point three.

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