New anxiety drug candidate ITI-1284 enters Mid-Stage trial
NCT ID NCT06701903
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 4 times
Summary
This study tests whether a daily tablet called ITI-1284, taken under the tongue, can help people with generalized anxiety disorder whose current treatments aren't working well enough. About 570 adults will receive either the drug or a placebo, and researchers will measure changes in anxiety symptoms over time. The trial is double-blind, meaning neither participants nor doctors know who gets the real drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ITI-1284 (a tablet taken under the tongue once daily)
- What this could lead to
- If successful, this could offer a new option for people with generalized anxiety disorder who don't get enough relief from existing treatments.
- What could go wrong
- This is an early Phase 2 trial, so results are uncertain. The drug may not work better than placebo, and side effects are still being studied.
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 570 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Jul 2028
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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18 years and older
- 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: * Provide written informed consent before the initiation of any study specific procedures; * 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: * HAM-A Total score of ≥ 22; * HAM-A Items 1 (anxious mood) and 2 (tension) scores ≥ 2; * CGI-S score of ≥ 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 2 of the following GAD-approved treatments: paroxetine, venlafaxine XR, duloxetine, escitalopram, or buspirone taken at an adequate dose (that is, at least a minimum total daily dose of paroxetine 20 milligram \[mg\], venlafaxine XR 75mg, duloxetine 60 mg, escitalopram 10mg, or buspirone 20 mg) and duration (ie, for at least 6 weeks prior to Screening) for the treatment of ongoing GAD symptoms. Exclusion Criteria: * Within the patient's lifetime, has one of the following confirmed DSM-5-TR psychiatric diagnoses: * Schizophrenia, Schizoaffective Disorder, Schizophreniform Disorder or other psychotic disorder; * Bipolar Disorder; * MADRS total score \> 18 at Screening or Baseline; * In the opinion of the Investigator, the patient has a significant risk for suicidal behavior during his/her participation in the study or * 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; * At Screening, the patient has had 1 or more suicidal attempts within the 2 years prior to Screening; * At Screening or Baseline MADRS Item 10 score ≥ 5; or * The patient is considered to be an imminent danger to him/herself or others based on the assessment of the Investigator; * 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 (that is, at least a minimum total daily dose of paroxetine 20 mg, venlafaxine XR 75mg, duloxetine 60 mg, escitalopram 10mg, 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
49 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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Agnieszka Nowakowska Rudzka Gabinet Lekarski TCP Neuromed
RECRUITINGTorun, 87 100, Poland
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CalNeuro Research
RECRUITINGLos Angeles, California, 90025, United States
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California Neuroscience Research
RECRUITINGSherman Oaks, California, 91403, United States
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Centrum Zdravia R.B.K. S.R.O. Poliklinika Medic Sk
RECRUITINGSvidník, 08901, Slovakia
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Centrum Zdrowia Alcea
RECRUITINGGdansk, 80 283, Poland
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Clinical Center Dr Dragisa Misovic Dedinje
RECRUITINGBelgrade, 11000, Serbia
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Crystal Comfort s.r.o.
RECRUITINGVranov nad Topľou, 093 01, Slovakia
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DCC 'Sv. Vrach and Sv. Sv. Kuzma and Damyan', OOD
RECRUITINGSofia, 1408, Bulgaria
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Excell Research Inc
RECRUITINGOceanside, California, 92056, United States
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Institute of Mental Health Serbia
RECRUITINGBelgrade, 11000, Serbia
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Leading Edge Research
RECRUITINGEncino, California, 91316, 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 Lifemed
RECRUITINGKardzhali, 6600, Bulgaria
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Medical Center Medconsult-Pleven
RECRUITINGPleven, 5800, 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 center - VAS OOD
RECRUITINGTargovishte, 7700, Bulgaria
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Mental Health Center - Rousse
RECRUITINGRousse, 7003, Bulgaria
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Miami Dade Medical Research Institute
RECRUITINGMiami, Florida, 33176, 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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Pacific Clinical Research Medical Group
COMPLETEDUpland, California, 91786, United States
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Precise Clinical Research, Inc.
RECRUITINGFlowood, Mississippi, 39232, United States
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Proscience Research Group
RECRUITINGCulver City, California, 90230, United States
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Prywatne Gabinety Lekarskie PROMEDICUS
RECRUITINGBialystok, 15272, Poland
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Przychodnia Srodmiescie SP. z o.o.
RECRUITINGBydgoszcz, 85-080, Poland
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Psychiatricka Ambulancia Mentum S.R.O.
RECRUITINGBratislava, 821 01, Slovakia
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Psychiatricka Ambulancia Psycholine S.R.O.
RECRUITINGRimavská Sobota, 979 01, Slovakia
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Relaro Medical Trials
RECRUITINGDallas, Texas, 75243, United States
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Richmond Behavioral Associates
RECRUITINGStaten Island, New York, 10314, United States
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SPRI Clinical Trials, LLC
RECRUITINGBrooklyn, New York, 11235, United States
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Sarkis Clinical Trials
COMPLETEDGainesville, Florida, 32607, United States
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Sooner Clinical Research
RECRUITINGOklahoma City, Oklahoma, 73116, 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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Suburban Research Associates
RECRUITINGMedia, Pennsylvania, 19063, United States
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Sunwise Clinical Research
RECRUITINGWalnut Creek, California, 94596, United States
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The Ohio State University
RECRUITINGColumbus, Ohio, 43210, United States
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University Clinical Center Kragujevac
RECRUITINGKragujevac, 34000, Serbia
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University Clinical Center NIS
RECRUITINGNiš, 18000, 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 of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35294, United States
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University of Buffalo
RECRUITINGBuffalo, New York, 14215, United States
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University of Connecticut Health Center
RECRUITINGFarmington, Connecticut, 06032, United States
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University of South Florida
RECRUITINGTampa, Florida, 33613, United States
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Wake Research PRI Encino
RECRUITINGEncino, California, 91316, United States
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Woodland International Research Group
RECRUITINGLittle Rock, Arkansas, 72211, United States
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Woodland Research Northwest
RECRUITINGRogers, Arkansas, 72758, United States
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iResearch Atlanta LLC
RECRUITINGDecatur, Georgia, 30030, United States
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?