Study of ITI-1284 as an Adjunctive Treatment in Patients With Generalized Anxiety Disorder
A Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy, Safety, and Tolerability of ITI-1284 as an Adjunctive Treatment in Patients With Generalized Anxiety Disorder Who Have an Inadequate Response to Generalized Anxiety Disorder Treatment
1 other identifier
interventional
705
6 countries
69
Brief Summary
This is a multicenter, randomized, double-blind, placebo-controlled study evaluating the efficacy, safety, and tolerability of ITI-1284 compared with placebo as adjunctive therapy to GAD treatment in patients meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria for GAD who have an inadequate response to ongoing GAD treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2024
Typical duration for phase_2
69 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 24, 2024
CompletedFirst Posted
Study publicly available on registry
June 28, 2024
CompletedStudy Start
First participant enrolled
August 5, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2027
January 9, 2026
January 1, 2026
2.8 years
June 24, 2024
January 7, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Hamilton Anxiety Rating Scale (HAM-A)
The HAM-A Scale is a clinician-rated scale measuring both psychic anxiety (mental agitation and psychological distress) and somatic anxiety (physical complaints related to anxiety). It comprises of 14 items that are rated on a 5-point scale ranging from 0 = not present to 4 = very severe, disabling symptoms. The HAM-A total score ranges from 0 to 56 with a higher score indicating increased severity of anxiety symptoms.
Week 6
Secondary Outcomes (1)
Clinical Global Impression Scale-Severity (CGI-S)
Week 6
Study Arms (3)
ITI-1284 10mg
EXPERIMENTALITI-1284 20mg
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Provide written informed consent before the initiation of any study specific procedures;
- Male or female patients ≥ 18 years of age;
- At Screening, meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) diagnostic criteria for moderate or severe 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 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 the minimum GAD-approved dose per package insert) and duration (ie, daily for at least 6 weeks) for the treatment of ongoing GAD symptoms;
- 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 the minimum GAD-approved dose per package insert) 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.
You may not qualify if:
- 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 (ie, at least the minimum dose approved for GAD per package insert) and for an adequate duration (ie, at least 6 weeks).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (69)
Clinical Site
Chandler, Arizona, 85224, United States
Clinical Site
Encino, California, 91316, United States
Clinical Site
Glendale, California, 91206, United States
Clinical Site
Imperial, California, 92251, United States
Clinical Site
Lemon Grove, California, 91945, United States
Clinical Site
Oceanside, California, 92056, United States
Clinical Site
Orange, California, 92868, United States
Clinical Site
Redlands, California, 92374, United States
Clinical Site
San Diego, California, 92106, United States
Clinical Site
Farmington, Connecticut, 06030, United States
Clinical Site
Gainesville, Florida, 32607, United States
Clinical Site
Lauderhill, Florida, 33319, United States
Clinical Site
Maitland, Florida, 32751, United States
Clinical Site
Miami, Florida, 33122, United States
Clinical Site
Miami, Florida, 33125, United States
Clinical Site
Miami, Florida, 33176, United States
Clinical Site
Miami Springs, Florida, 33166, United States
Clinical Site
Orlando, Florida, 32803, United States
Clinical Site
Tampa, Florida, 33634, United States
Clinical Site
Atlanta, Georgia, 30331, United States
Clinical Site
Decatur, Georgia, 30030, United States
Clinical Site
Boston, Massachusetts, 02131, United States
Clinical Site
Ann Arbor, Michigan, 48105, United States
Clinical Site
Toms River, New Jersey, 08755, United States
Clinical Site
Brooklyn, New York, 11235, United States
Clinical Site
North Canton, Ohio, 44720, United States
Clinical Site
Oklahoma City, Oklahoma, 73120, United States
Clinical Site
Allentown, Pennsylvania, 18104, United States
Clinical Site
Media, Pennsylvania, 19063, United States
Clinical Site
Austin, Texas, 78737, United States
Clinical Site
Austin, Texas, 78759, United States
Clinical SIte
DeSoto, Texas, 75115, United States
Clinical Site
Plano, Texas, 75093, United States
Clinical Site
Bellevue, Washington, 98007, United States
Clinical Site
Blagoevgrad, 2700, Bulgaria
Clinical Site
Burgas, 8001, Bulgaria
Clinical Site
Pleven, 5800, Bulgaria
Clinical Site
Plovdiv, 4002, Bulgaria
Clinical Site
Rousse, 7000, Bulgaria
Clinical Site
Sofia, 1113, Bulgaria
Clinical Site
Sofia, 1408, Bulgaria
Clinical Site
Sofia, 1510, Bulgaria
Clinical Site
Sofia, 1680, Bulgaria
Clinical Site
Targovishte, 7703, Bulgaria
Clinical Site
Varna, 9010, Bulgaria
Clinical Site
Varna, 9020, Bulgaria
Clinical Site
Vratsa, 3000, Bulgaria
Clinical Site
Brno, 602 00, Czechia
Clinical Site
Pilsen, 301 00, Czechia
Clinical Site
Prague, 100 00, Czechia
Clinical Site
Prague, 160 00, Czechia
Clinical Site
Prague, 186 00, Czechia
Clinical Site
Helsinki, 00100, Finland
Clinical Site
Kuopio, 70110, Finland
Clinical Site
Oulu, 90100, Finland
Clinical Site
Tampere, 33210, Finland
Clinical Site
Bialystok, 15404, Poland
Clinical Site
Bydgoszcz, 85-080, Poland
Clinical Site
Gorlice, 38300, Poland
Clinical Site
Leszno, 64100, Poland
Clinical Site
Poznan, 60744, Poland
Clinical Site
Torun, 87100, Poland
Clinical Site 2
Belgrade, 11000, Serbia
Clinical Site 3
Belgrade, 11000, Serbia
Clinical Site 4
Belgrade, 11000, Serbia
Clinical Site
Belgrade, 11000, Serbia
Clinical Site
Kovin, 26220, Serbia
Clinical Site
Kragujevac, 34000, Serbia
Clinical Site
Novi Kneževac, 23330, Serbia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 24, 2024
First Posted
June 28, 2024
Study Start
August 5, 2024
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
June 1, 2027
Last Updated
January 9, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share