Clinical trial Recruiting at 11 sites Phase 3 Interventional Ages 18 and up

Fixed-dose SEP-363856 vs placebo for adults with generalized anxiety disorder

Official title: A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Multicenter Trial to Compare the Efficacy and Safety of a Fixed Dose of SEP-363856 to Placebo in the Treatment of Adults With Generalized Anxiety Disorder

Run by Otsuka Pharmaceutical Development & Commercialization, Inc. · NCT07767903 · Data updated 2026-11-12

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.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment384 (estimated)
SponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
Industry-sponsored
Locations11 sites (Redlands, California and 10 other locations)
StatusRecruiting
StartedAugust 6, 2026
Main results expectedOctober 25, 2028
Study endsNovember 1, 2028
Registry record updatedOctober 20, 2026
Trial IDNCT07767903 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 and older with a primary DSM-5 diagnosis of generalized anxiety disorder, medically stable, and willing to adhere to contraception and study procedures.

Probably not a fit

Individuals with non-GAD anxiety disorders, significant comorbidities, or who do not respond to the fixed-dose regimen may not experience benefit.

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 global phase 3, randomized, double-blind, placebo-controlled study comparing SEP-363856 at 75 mg per day to placebo in adults with generalized anxiety disorder. It uses a parallel-group design across multiple centers and aims to evaluate efficacy, safety, and tolerability during an 8-week treatment period. Participants must meet DSM-5 GAD criteria, be medically stable, and comply with visit schedules, with specific contraception requirements for those of reproductive potential. The trial is led by Otsuka and includes sites in California, Florida, and Massachusetts. Results will contribute to understanding whether SEP-363856 can provide meaningful symptom relief with acceptable safety in GAD.

Why it matters

Potential benefit: If successful, participants may experience greater reduction in anxiety symptoms and improved daily functioning compared with placebo.

How similar studies have gone: There is prior evidence from related anxiety disorder trials supporting the potential benefit of novel fixed-dose treatments in GAD, though results can vary by compound.

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 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) 18-40 kilograms per square meter (kg/m\^2)
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 and able to comply with study procedures
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. Willing and able to discontinue prohibited medications/therapies per protocol

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

  • Anderson Clinical Research
    Redlands, California, United States
    Recruiting
  • Clinical Neuroscience Solutions Inc. (CNS) - Orlando
    Orlando, Florida, United States
    Recruiting
  • Adams Clinical - Watertown
    Watertown, Massachusetts, United States
    Recruiting
  • Lumina Clinical Research Center
    Cherry Hill, New Jersey, United States
    Recruiting
  • Basil Clinical
    Jamaica, New York, United States
    Recruiting
  • IMA Clinical Research NYC Uptown
    New York, New York, United States
    Recruiting
Show 5 more locations
  • Summit Research Network
    Portland, Oregon, United States
    Recruiting
  • Adams Clinical Philadelphia
    Philadelphia, Pennsylvania, United States
    Recruiting
  • CNS Healthcare - Memphis
    Memphis, Tennessee, United States
    Recruiting
  • DM Clinical Research - Bellaire
    Houston, Texas, United States
    Recruiting
  • Core Clinical Research
    Everett, Washington, United States
    Recruiting

Study contacts

Similar studies

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

  • 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.

    Recruiting at 4 sites Phase 3 Intra-Cellular Therapies, Inc. · Temecula, California and 3 other locations · NCT07856420

  • 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.

    Recruiting at 3 sites Phase 3 Intra-Cellular Therapies, Inc. · Los Angeles, California and 2 other locations · NCT07807865

  • 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.

    Recruiting at 2 sites Phase 3 Otsuka Pharmaceutical Development & Commercialization, Inc. · Jacksonville, Florida and 1 other locations · NCT07786454

  • 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.

    Recruiting Ohio State University · Columbus, Ohio · NCT07774481

  • 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.

    Recruiting Military Hospital 175 · Ho Chi Minh City · NCT07770919

  • Fixed-dose SEP-363856 for Generalized Anxiety Disorder

    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.

    Recruiting at 17 sites Phase 3 Otsuka Pharmaceutical Development & Commercialization, Inc. · Tucson, Arizona and 16 other locations · NCT07759128

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.