Clinical trial Recruiting at 17 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment576 (estimated)
SponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
Industry-sponsored
Locations17 sites (Tucson, Arizona and 16 other locations)
StatusRecruiting
StartedJuly 28, 2026
Main results expectedDecember 6, 2028
Study endsDecember 13, 2028
Registry record updatedOctober 26, 2026
Trial IDNCT07759128 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.