Fixed-dose SEP-363856 for Generalized Anxiety Disorder
Official title: A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Multicenter Trial to Compare the Efficacy and Safety of Fixed Doses of SEP-363856 to Placebo in the Treatment of Adults With Generalized Anxiety Disorder
Run by Otsuka Pharmaceutical Development & Commercialization, Inc. · NCT07759128 · Data updated 2026-11-12
A large, global study will test whether daily doses of SEP-363856 (50 mg or 75 mg) help adults with generalized anxiety disorder more than a placebo over 8 weeks.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 576 (estimated) |
| Sponsor | Otsuka Pharmaceutical Development & Commercialization, Inc. Industry-sponsored |
| Locations | 17 sites (Tucson, Arizona and 16 other locations) |
| Status | Recruiting |
| Started | July 28, 2026 |
| Main results expected | December 6, 2028 |
| Study ends | December 13, 2028 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07759128 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with a primary diagnosis of generalized anxiety disorder who are medically stable and willing to discontinue prohibited medications per protocol.
✕Probably not a fit
Individuals who do not respond to SEP-363856 or who experience intolerable side effects may not benefit from the treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 3, randomized, double-blind, parallel-group trial conducted at multiple centers. Adults 18 and older with a DSM-5-confirmed generalized anxiety disorder will be assigned to either 50 mg daily, 75 mg daily, or placebo for 8 weeks. The study aims to compare efficacy, safety, and tolerability across the three groups, using fixed daily doses of SEP-363856. Key assessments will include psychiatric evaluations and routine safety monitoring. The trial is sponsor-initiated and global in scope with several U.S. investigational sites.
Why it matters
Potential benefit: If successful, participants may experience reduced anxiety symptoms and better overall functioning with SEP-363856 compared with placebo.
How similar studies have gone: Previous fixed-dose trials in similar anxiety populations have shown mixed results; this study builds on prior phase 2/3 exploration of SEP-363856 for anxiety disorders.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Male or female participants at least 18 years of age at the time of informed consent 2. Primary diagnosis of Generalized Anxiety Disorder (GAD) per Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), confirmed by Mini-International Neuropsychiatric Interview (MINI) and clinical psychiatric evaluation 3. Body Mass Index (BMI) between 18 and 40 kilograms per square meter (kg/m\^2) (inclusive) 4. Participant is willing and able to comply with study procedures and visit schedule 5. Medically stable as determined by medical history, physical exam, vital signs, and laboratory tests 6. Willing and able to discontinue prohibited medications/therapies per protocol 7. i) Females of childbearing potential: negative pregnancy test and agreement to use acceptable contraception ii) Males: agreement to follow protocol-defined contraception and reproductive restrictions 8. Participant is willing and able to safely discontinue all prohibited medications/therapies/herbal supplements in accordance with the protocol-required washouts prior to baseline/Day 1 and during the trial period. Key Exclusion Criteria: 1. Current DSM-5 diagnosis of major depressive episode, post traumatic stress disorder (PTSD), or any psychiatric disorder other than GAD that was the primary focus of treatment within 12 months prior to screening 2. Substance use disorder (excluding nicotine/caffeine) within 12 months prior to screening 3. Lifetime history of certain psychiatric disorders (e.g., schizophrenia spectrum disorders, bipolar disorder, obsessive-compulsive disorder, borderline or antisocial personality disorder) 4. Significant suicide risk (e.g., recent suicidal behavior/ideation per Columbia-Suicide Severity Rating Scale \[C-SSRS\] or MADRS) 5. Use of prohibited medications/therapies within protocol-defined timeframes (e.g., certain antipsychotics, mood stabilizers, benzodiazepines, investigational treatments) 6. Prior exposure to restricted treatments 7. Pregnant or breastfeeding females 8. Participation in another investigational study within 180 days (or more than \[\>\] 1 trial in last year) 9. Known history of human immunodeficiency virus seropositivity, hepatitis B or C
Where it's running
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Del Sol Research Management
Tucson, Arizona, United States Recruiting -
Pharmacology Research Institute
Encino, California, United States Recruiting -
California Neuroscience Research Medical Group, Inc
Sherman Oaks, California, United States Recruiting -
Emerson Clinical Research Institute - Washington, DC
Washington D.C., District of Columbia, United States Recruiting -
Sarkis Clinical Trials - Gainesville
Gainesville, Florida, United States Recruiting -
Clinical Neuroscience Solutions, LLC
Jacksonville, Florida, United States Recruiting
Show 11 more locations
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Accel Research Sites - Maitland
Maitland, Florida, United States Recruiting -
AMR Conventions Research, Inc
Warrenville, Illinois, United States Recruiting -
Research Works, Inc
New Orleans, Louisiana, United States Recruiting -
Adams Clinical Boston
Boston, Massachusetts, United States Recruiting -
Vector Clinical Trials - Las Vegas
Las Vegas, Nevada, United States Recruiting -
Adams Clinical Harlem
New York, New York, United States Recruiting -
Manhattan Behavioral Medicine PLLC
New York, New York, United States Recruiting -
Insight Clinical Trials
Independence, Ohio, United States Recruiting -
Sooner Clinical Research, Inc.
Oklahoma City, Oklahoma, United States Recruiting -
FutureSearch Trials of Dallas
Dallas, Texas, United States Recruiting -
Adams Clinical Dallas
DeSoto, Texas, United States Recruiting
Study contacts
- Study coordinator: Otsuka Call Center
- Email: ProfessionalServices@otsuka-us.com
- Phone: 844-687-8522
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Adjunctive JNJ-99245354 for Generalized Anxiety Disorder (GAD)
This study tests whether adding JNJ-99245354 to existing GAD treatment helps reduce anxiety more than a placebo for adults with GAD who didn’t get adequate benefit from previous treatments.
-
Testing ITI-1284 for Generalized Anxiety Disorder (GAD)
This phase 3 trial tests whether ITI-1284 is safe and tolerable when taken alone or with other medicines by adults with generalized anxiety disorder who haven’t responded to prior treatment.
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Long-term safety and tolerability of SEP-363856 in adults with generalized anxiety disorder
In adults with generalized anxiety disorder, this Phase 3 open-label extension tests whether continuing SEP-363856 at 50 mg or 75 mg daily for 26 weeks is safe, tolerable, and possibly helpful.
-
Anxiety Skills Study: See if video skill training plus therapy helps people with anxiety
This study tests whether a brief video-based skill training can help people with anxiety as well as four therapy sessions, and how durable the effects are over a year.
-
Continuous Theta Burst Stimulation for Generalized Anxiety Disorder (cTBS for GAD)
This study tests whether applying continuous theta burst stimulation to the right posterior parietal cortex or the right dorsolateral prefrontal cortex helps adults with generalized anxiety disorder.
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Fixed-dose SEP-363856 vs placebo for adults with generalized anxiety disorder
This trial tests whether a fixed 75 mg/day dose of SEP-363856 helps adults with generalized anxiety disorder more than placebo over 8 weeks.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.