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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 384 (estimated) |
| Sponsor | Otsuka Pharmaceutical Development & Commercialization, Inc. Industry-sponsored |
| Locations | 11 sites (Redlands, California and 10 other locations) |
| Status | Recruiting |
| Started | August 6, 2026 |
| Main results expected | October 25, 2028 |
| Study ends | November 1, 2028 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07767903 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
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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
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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
- 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.
-
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 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.
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.