Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 and up

Long-term SEP-363856 treatment for adults with schizophrenia

Official title: A Multicenter, Uncontrolled, Open-label Trial to Evaluate the Tolerability, Safety, and Efficacy of Long-term Administration of SEP-363856 in Patients With Schizophrenia

Run by Otsuka Pharmaceutical Co., Ltd. · NCT07225712 · Data updated 2026-11-12

This trial will test whether taking SEP-363856 (75 mg or 100 mg daily) for 52 weeks is safe for adults in Japan who have stable schizophrenia.

More Schizophrenia trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorOtsuka Pharmaceutical Co., Ltd.
Industry-sponsored
Locations1 site (Fukuoka)
StatusRecruiting
StartedDecember 22, 2025
Main results expectedMarch 2028
Study endsMarch 2028
Registry record updatedJanuary 14, 2026
Trial IDNCT07225712 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Japanese adults aged 18 or older with DSM-5 schizophrenia who have been clinically stable for ≥8 weeks, with PANSS ≤80 and CGI-S ≤4 and no recent antipsychotic changes are the intended participants.

Probably not a fit

Patients with recent psychiatric hospitalization, treatment-resistant schizophrenia, prior clozapine use, or unstable symptoms are unlikely to benefit from or qualify for this protocol.

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

What this trial studies

This Phase 3 interventional trial gives adult participants with DSM-5 schizophrenia daily SEP-363856 at either 75 mg or 100 mg for 52 weeks to collect long-term safety data. Eligible participants must be clinically stable for at least 8 weeks, have PANSS total ≤80 and CGI-S ≤4, and have had no recent significant antipsychotic changes. The study excludes those with recent psychiatric hospitalization, treatment-resistant illness, or prior clozapine treatment. Safety measures and clinical status will be monitored regularly at the single participating clinic in Fukuoka.

Why it matters

Potential benefit: If successful, the drug could become a well-tolerated oral option for long-term maintenance treatment in schizophrenia.

How similar studies have gone: Earlier short-term trials of SEP-363856 showed promising efficacy and tolerability signals, but long-term safety data remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Japanese male or female participants 18 years of age or older at the time of informed consent
* Diagnosed with schizophrenia according to the DSM-5®
* Judged by the investigator to be clinically stable for at least 8 weeks prior to screening
* PANSS total score of 80 or less and CGI-S score 4 or less at both screening and baseline
* No changes in antipsychotic medication for at least 6 weeks before screening (excluding minor dose adjustments for tolerability)

Exclusion Criteria:

* History of psychiatric hospitalization within 8 weeks prior to screening
* Treatment-resistant to antipsychotic therapy (ie, within 1 year to screening, despite administration of two or more marketed antipsychotics at appropriate doses for at least 4 weeks \[28 consecutive days\] in accordance with the package insert, psychiatric symptoms did not improve)
* History of treatment with clozapine
* Unwillingness, before or during the trial period, to comply with the requirements for prior and concomitant medications/therapies as specified in the protocol or use of prohibited medications at screening or baseline as specified in the protocol.

Where it's running

  • Jimbo Kokorono Clinic
    Fukuoka, Japan
    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.