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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1120 (estimated) |
| Sponsor | Otsuka Pharmaceutical Development & Commercialization, Inc. Industry-sponsored |
| Locations | 2 sites (Jacksonville, Florida and 1 other locations) |
| Status | Recruiting |
| Started | October 8, 2026 |
| Main results expected | May 26, 2029 |
| Study ends | June 2, 2029 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07786454 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
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Clinical Neuroscience Solutions, LLC
Jacksonville, Florida, United States Recruiting -
Basil Clinical
Jamaica, New York, 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.
-
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.
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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.