New pill may ease anxiety when current meds fall short
NCT ID NCT06480383
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 4 times
Summary
This study tests an experimental drug called ITI-1284 for people with generalized anxiety disorder (GAD) whose current treatment isn't working well enough. About 705 adults will receive either ITI-1284 or a placebo added to their usual therapy. The goal is to see if the drug safely reduces anxiety symptoms better than placebo.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 705 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Provide written informed consent before the initiation of any study specific procedures; 2. Male or female patients ≥ 18 years of age; 3. At Screening, meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) diagnostic criteria for moderate or severe GAD (current GAD) as confirmed by the Investigator or Sponsor-approved rater using the Structured Clinical Interview for DSM-5 Clinical Trials Version (SCID-5-CT), and meets all of the following at Screening and Baseline: 1. HAM-A Total score of ≥ 22; 2. HAM-A Items 1 (anxious mood) and 2 (tension) scores ≥ 2; 3. CGI-S score of ≥ 4; 4. History of inadequate response (\< 50% improvement in anxiety symptoms as measured by the modified Antidepressant Treatment Response Questionnaire \[ATRQ\] for GAD) to at least 1 GAD-approved treatment (ie, one of the following GAD-approved treatments: paroxetine, venlafaxine XR, duloxetine, escitalopram, or buspirone) taken at an adequate dose (at least a minimum total daily dose of paroxetine 20 milligrams \[mg\], venlafaxine XR 75 mg, duloxetine 60 mg, escitalopram 10 mg, or buspirone 20 mg) and duration (ie, daily for at least 6 weeks) for the treatment of ongoing GAD symptoms; 5. Currently having an inadequate response to one of the following GAD-approved treatments: paroxetine, venlafaxine XR, duloxetine, escitalopram, or buspirone taken at an adequate dose (at least a minimum total daily dose of paroxetine 20 mg, venlafaxine XR 75 mg, duloxetine 60 mg, escitalopram 10 mg, or buspirone 20 mg) and duration (ie, for at least 6 weeks prior to Screening) and agrees to continue the same dosing regimen for the duration of the study. NOTE: The current GAD-approved treatment must be different from the GAD treatment identified as the historical failure. Exclusion Criteria: 1. Within the patient's lifetime, has one of the following confirmed DSM-5-TR psychiatric diagnoses: 1. Schizophrenia, Schizoaffective Disorder, Schizophreniform Disorder or other psychotic disorder; 2. Bipolar Disorder; 2. MADRS total score \> 18 at Screening or Baseline; 3. In the opinion of the Investigator, the patient has a significant risk for suicidal behavior during his/her participation in the study or 1. At Screening, the patient scores "yes" on Suicidal Ideation Items 4 or 5 of the C-SSRS within 6 months prior to Screening or, at Baseline, the patient scores "yes" on Suicidal Ideation Items 4 or 5 since the Screening Visit; 2. At Screening, the patient has had 1 or more suicidal attempts within the 2 years prior to Screening; 3. At Screening or Baseline MADRS Item 10 score ≥ 5; or 4. The patient is considered to be an imminent danger to him/herself or others based on the assessment of the Investigator. 4. Lifetime history of failure to respond to \> 3 of the approved treatments for GAD (ie, paroxetine, venlafaxine XR, duloxetine, escitalopram, or buspirone) at an adequate dose (at least a minimum total daily dose of paroxetine 20 mg, venlafaxine XR 75 mg, duloxetine 60 mg, escitalopram 10 mg, or buspirone 20 mg) and for an adequate duration (ie, at least 6 weeks).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
56 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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A Shine S R O
RECRUITINGPilsen, 301 00, Czechia
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Agnieszka Nowakowska Rudzka Gabinet Lekarski TCP Neuromed
RECRUITINGTorun, 87 100, Poland
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Aims Trials LLC
RECRUITINGPlano, Texas, 75093, United States
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Anderson Clinical Research
RECRUITINGRedlands, California, 92374, United States
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Atlanta Center for Medical Research
RECRUITINGAtlanta, Georgia, 30331, United States
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Austin Clinical Trial Partners
RECRUITINGAustin, Texas, 78737, United States
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Behavioral Research Specialists LLC
RECRUITINGGlendale, California, 91206, United States
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Bio Behavioral Health
RECRUITINGToms River, New Jersey, 08755, United States
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BioBehavioral Research of Austin PC
RECRUITINGAustin, Texas, 78759, United States
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CenExeli Research LLC
RECRUITINGAtlanta, Georgia, 30030, United States
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Clintrial s r o
RECRUITINGPrague, 10000, Czechia
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DCC 'Sv. Vrach and Sv. Sv. Kuzma and Damyan', OOD
RECRUITINGSofia, 1408, Bulgaria
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Diagnostic Consulting Center Mladost - M Varna
RECRUITINGVarna, 9020, Bulgaria
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Diagnostic Consulting Center Mladost - M Varna 1
RECRUITINGVarna, 9020, Bulgaria
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Excell Research Inc
RECRUITINGOceanside, California, 92056, United States
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Filip Rybakowski Specjalistyczna Praktyka Lekarska
RECRUITINGPoznan, 60 744, Poland
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Global Medical Institutes
RECRUITINGMiami, Florida, 33125, United States
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Institut Neuropsychiatricke pece
RECRUITINGPrague, 18600, Czechia
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Institute of Mental Health Serbia
RECRUITINGBelgrade, 11000, Serbia
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K2 Medical Research
RECRUITINGTampa, Florida, 33634, United States
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Lehigh Center for Clinical Research LLC
RECRUITINGAllentown, Pennsylvania, 18103, United States
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Medical Center Hera EOOD
RECRUITINGSofia, 1510, Bulgaria
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Medical Center Intermedica, OOD
RECRUITINGSofia, 1680, Bulgaria
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Medical Center Mentalcare OOD
RECRUITINGPlovdiv, 4004, Bulgaria
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Medical Center Sv Dimitar Blagoevgrad
RECRUITINGBlagoevgrad, 2700, Bulgaria
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Medical Services Prague S R O
RECRUITINGPrague, 16000, Czechia
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Medical center - VAS OOD
RECRUITINGTargovishte, 7700, Bulgaria
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Medipa S R O
RECRUITINGBrno, 60200, Czechia
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Mental Health Center - Rousse
RECRUITINGRousse, 7003, Bulgaria
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Mental Health Center - Vratsa EOOD
RECRUITINGVratsa, 3000, Bulgaria
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Mental Health Center Prof. Dr. Ivan Temkov
RECRUITINGBurgas, 8001, Bulgaria
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Miami Dade Medical Research Institute
RECRUITINGMiami, Florida, 33176, United States
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Michigan Clinical Research Institute
RECRUITINGAnn Arbor, Michigan, 48105, United States
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Mlynowamed Specjalistyczny Psychiatryczny Gabinet Lekarski Joanna Lazarczyk
RECRUITINGBialystok, 15-404, Poland
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Multiprofile Hospital for Active Treatment in Neurology and Psychiatry Sveti Naum
RECRUITINGSofia, 1113, Bulgaria
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NRC Research Institute
RECRUITINGOrange, California, 92868, United States
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Neuro Behavioral Clinical Research
RECRUITINGNorth Canton, Ohio, 44720, United States
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Niepubliczny Zaklad Opieki Psychiatrycznej MENTIS
RECRUITINGLeszno, 64-100, Poland
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Northwest Clinical Research Center
RECRUITINGBellevue, Washington, 98007, United States
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Outpatient care-group practice for specialized psychiatric care Datamed OOD
RECRUITINGPleven, 5800, Bulgaria
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Premier Clinical Research
RECRUITINGMiami, Florida, 33122, United States
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Przychodnia Srodmiescie SP. z o.o.
RECRUITINGBydgoszcz, 85-080, Poland
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SPRI Clinical Trials, LLC
RECRUITINGBrooklyn, New York, 11235, United States
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Sooner Clinical Research
RECRUITINGOklahoma City, Oklahoma, 73120, United States
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South Florida Research Inc
RECRUITINGMiami Springs, Florida, 33166, United States
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Special Neuropsychiatric Hospital Kovin
RECRUITINGKovin, 26220, Serbia
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Specialized Hospital for Neuropsychiatric Diseases Sveti Vracevi
RECRUITINGNovi Kneževac, 23330, Serbia
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Specjalistyczna Praktyka Lekarska Piotr Zalitacz
RECRUITINGGorlice, 38-300, Poland
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Suburban Research Associates
RECRUITINGMedia, Pennsylvania, 19063, United States
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Sun Valley Research Center
RECRUITINGImperial, California, 92251, United States
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Sunshine Medical Solution
RECRUITINGMiami, Florida, 33186, United States
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Synergy East
RECRUITINGLemon Grove, California, 91945, United States
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University Clinical Center Kragujevac
RECRUITINGKragujevac, 34000, Serbia
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University Clinical Center of Serbia
RECRUITINGBelgrade, 11000, Serbia
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University Clinical Center of Serbia 1
RECRUITINGBelgrade, 11000, Serbia
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University Clinical Hospital Center Dr Dragisa Misovic- Dedi
RECRUITINGBelgrade, 11000, Serbia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a cannabis tincture quiet an anxious mind?
- Can a computer game rewire anxious Kids' brains?
- Can a new Under-the-Tongue drug offer lasting relief for Treatment-Resistant anxiety?
- Can tailored brain stimulation quiet anxiety that drugs Can't?
- Can a smartphone app calm anxiety and protect the heart?
- Can a new daily pill offer lasting relief for anxiety?