Recruiting
Phase 3

SEP-363856

Sponsor:

Otsuka Pharmaceutical Development & Commercialization, Inc.

Code:

NCT07767903

Conditions

Generalized Anxiety Disorder

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

SEP-363856

Placebo

Study Details

Brief summary:

This is a global, phase 3, randomized, double-blind, parallel-group, 2-arm, placebo controlled, multicenter trial designed to compare the efficacy, safety and tolerability of a fixed dose of SEP-363856 (75 millligrams per day \[mg/day\]) to placebo over an 8-week double-blind treatment period in adults with generalized anxiety disorder (GAD).

Conditions

Generalized Anxiety Disorder

Study ID

NCT07767903

Start date

Aug 7, 2026

Status verified date

Aug, 2026

Completion date

Nov 1, 2028

Anticipated

Primary completion date

Oct 25, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

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

Study Design

Enrollment

384 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: SEP-363856

Participants will receive SEP-363856, 50 mg (Days 1 to 3) and 75 mg/day tablet, from Days 4 to 56, orally, QD.

placebo comparator: Placebo

Participants will receive SEP-363856-matching placebo tablet, orally, QD from Days 1 to 56.

Interventions

SEP-363856

Oral tablet

Placebo

Oral tablet

Primary outcome measure

  • Change From Baseline at Week 8 in Hamilton Anxiety Rating Scale (HAM-A) Total Score [ Time Frame: Baseline, Week 8 ]

Central Contacts and Locations

Central contacts

Locations

Lumina Clinical Research Center

Recruiting

Cherry Hill, New Jersey, United States, 08002

Contacts

Principal Investigator:

Corcoran

Basil Clinical

Recruiting

Jamaica, New York, United States, 11413

Contacts

Principal Investigator:

Rapp

More Information

Sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc.

Last update posted

Aug 17, 2026

Last verified

Aug, 2026

Keywords

  • Generalized Anxiety Disorder
  • GAD
  • Anxiety

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Otsuka Pharmaceutical Development & Commercialization, Inc. on 2026-08-17.