Clinical trial Recruiting at 2 sites Phase 3 Interventional Ages 18 and up

Long-term safety and tolerability of SEP-363856 in adults with generalized anxiety disorder

Official title: A Phase 3, Multicenter, Open-Label Extension Trial to Evaluate the Safety and Tolerability of SEP-363856 in the Treatment of Adults With Generalized Anxiety Disorder

Run by Otsuka Pharmaceutical Development & Commercialization, Inc. · NCT07786454 · Data updated 2026-11-12

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.

More Generalized Anxiety Disorder trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1120 (estimated)
SponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
Industry-sponsored
Locations2 sites (Jacksonville, Florida and 1 other locations)
StatusRecruiting
StartedOctober 8, 2026
Main results expectedMay 26, 2029
Study endsJune 2, 2029
Registry record updatedOctober 20, 2026
Trial IDNCT07786454 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with generalized anxiety disorder who completed a prior SEP-363856 Phase 3 study and can comply with study visits and contraception requirements.

Probably not a fit

Patients who do not experience tolerability issues may still not derive additional benefit from long-term use.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This global, multicenter Phase 3 extension study evaluates the long-term safety and tolerability of SEP-363856 at two daily doses (50 mg or 75 mg) in adults with GAD who completed an earlier Phase 3 trial. It is an open-label design, meaning all participants receive the medication and know what they are taking. The trial focuses on safety outcomes, with additional measures related to efficacy and ongoing symptom management over a 26-week treatment period. Eligible participants are adults with GAD who previously completed a prior SEP-363856 Phase 3 study and who can adhere to the visit schedule and follow contraception requirements as applicable.

Why it matters

Potential benefit: If successful, the study could support longer-term use of SEP-363856 for sustained symptom management in GAD.

How similar studies have gone: Previous Phase 3 work with SEP-363856 has informed longer-term safety data, and extension studies in other conditions have helped clarify tolerability over extended treatment.

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. Completed one of the prior GAD Phase 3 studies involving SEP-363856 through Week 8 without discontinuation of trial intervention
3. Able to continue treatment without interruption, and is considered by investigator to potentially benefit from SEP-363856
4. Participant is willing and able to comply with study procedures and visit schedule
5. 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

Key Exclusion Criteria

1. Diagnosis other than GAD that is the primary focus of treatment
2. Clinically significant psychiatric or medical condition that may interfere with study participation
3. Lifetime history of meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for, or was diagnosed during the prior study with, a psychiatric disorder that would compromise accurate assessment of safety and efficacy outcomes
4. Clinically significant abnormal laboratory values or ECG findings
5. Significant suicide risk
6. Substance use/positive drug screen
7. Use of prohibited medications/therapies
8. Known sensitivity to SEP-363856

Where it's running

  • Clinical Neuroscience Solutions, LLC
    Jacksonville, Florida, United States
    Recruiting
  • Basil Clinical
    Jamaica, New York, 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

  • 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 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.

    Recruiting at 11 sites Phase 3 Otsuka Pharmaceutical Development & Commercialization, Inc. · Redlands, California and 10 other locations · NCT07767903

  • 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.