ClinicalTrials.gg
CompletedNCT06010654Updated Sep 19, 2024

Pivotal RCT to Test Safety and Efficacy of Digital Therapeutics 'ANZEILAX' for Managing Generalized Anxiety Disorder

An interventional study of Software as a Medical device in Generalized Anxiety Disorder, sponsored by HAII corp.ltd. Completed at 1 site in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by HAII corp.ltd · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
19 Years and older
Sex
All
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Study summary

The investigators propose to develop and adapt 'ANZEILAX' smartphone app specifically for individuals with Generalized anxiety disorder. The study will measure the therapeutic effects and safety of 'ANZEILAX' on symptoms of anxiety using pre- and post-treatment scores for generalized anxiety disorder and other physical, emotional, and cognitive symptoms of anxiety

Read the detailed description

Purpose: This study is designed to evaluate the safety and efficacy of ANZEILAX, a digital therapeutic intervention delivered via a smartphone application. The application incorporates Acceptance and Commitment Therapy (ACT), a type of cognitive behavioral therapy, and self-communicational techniques to treat Generalized Anxiety Disorder(GAD). The study amis to assess the effectiveness to thie digital therapeutic in reducing anxiety symptoms and improving overall mental health outcomes in individuals with GAD.

Study Population: The study will enroll adults aged 19 years older who have completed at least a high school education.

Study Duration: The intervention period will last for 10 weeks, followed by a follow-up visit at Week 15 to assess long-term outcomes and effects after the completion of the intervention.

Intervention: Participants will use the smartphone application for a period of 10 weeks. The application is recommended to be used twice daily, with a minimum required use of once per day. It can be used during flexible time periods, such as before sleep, after waking up, or at any other when the participant feels it is necessary. The application delivers Acceptance and Commitment Therapy(ACT). It also encourages self-referencing activities, which help participants focus on and reflects upon experiences associated with positive emotions. Additionally, the application promotes self-distancing techniques, helping participants to avoid excessive immersion in negative emotional experiences.

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Conditions studied

  • Generalized Anxiety Disorder
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In context

Generalized Anxiety Disorder

518 studies on the registry are indexed under Generalized Anxiety Disorder; 125 are open to participants now.

This study's enrollment of 96 is above the median of 83 across 440 interventional studies indexed under Generalized Anxiety Disorder.

Browse Generalized Anxiety Disorder studies →

Lead sponsor

HAII corp.ltd is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

People can participate in this clinical trial only if following criteria are met.

  1. Adults aged 19 years or older with a high school diploma or higher
  2. Disease groups according to the criteria below:

    • A person diagnosed with Generalized Anxiety Disorder ( (ICD-10) code: 300.02 (F41.1))
    • Those who are classified as moderate or severe with 10 points or more through GAD-7
    • Those taking prescription drugs related to generalized anxiety disorder
  3. A group of disorders with generalized anxiety disorder, or a group of disorders with worry that is a major symptom of generalized anxiety disorder in any of the following criteria:

    • Those suffering from other anxiety disorders such as panic disorder and social anxiety disorder
    • Those suffering from major depressive disorder accompanied by worry, the main symptom of generalized anxiety disorder
  4. A person who fully understands the purpose, contents, and process of the clinical trial, agrees to participate, and signs the consent form in handwriting

Exclusion criteria

Exclusion Criteria:

If any of the following criteria is applicable, the person cannot participate in this clinical trial.

  1. Those who cannot read the consent form
  2. Those who are inexperienced in using smartphones
  3. In case of psychiatric symptoms or history (including schizophrenia, psychosis, bipolar disorder, epilepsy)
  4. In case of brain damage, cognitive impairment, or neurological disease
  5. In case of intellectual disability
  6. Having a substance and alcohol use disorder
  7. Suicidal intent, suicidal ideation, or self-injurious behavior in the past 6 months
  8. Receiving cognitive behavioral therapy for anxiety, depression or mood disorders, or participating in such therapy in the past 3 months
  9. Those who are registered in other clinical studies
  10. Other investigators judged that the conduct of this clinical trial was inappropriate
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
96 participants (actual)

Study arms

  • Experimental
    Experimental Group

    The general treatment of the standard treatment method and the test device that provides self-talk training based on acceptance and commitment therapy (ACT) are used concurrently for 10 weeks.

    Device: Software as a Medical device

  • No intervention
    Control Group

    Treatment as usual (TAU) is a standard treatment for 10 weeks, which is the clinical trial period.

Interventions

  • DeviceSoftware as a Medical device

    The test device is a software medical device designed for the purpose of treating generalized anxiety disorder that provides self-talk training based on acceptance and commitment therapy (ACT). Use 2 sets per day for 10 weeks with generalized treatment of standard treatment method.

    Also known as: ANZEILAX

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What researchers measure

Primary outcomes

  1. Generalized Anxiety Disorder-7

    The primary outcome will be measured using the Generalized Anxiety Disorder 7-item (GAD-7) scale, wich assesses the severity of generalized anxiety symptoms. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety. Anxiety severity is categorized into four levels: 0-4(minimal anxiety), 5-9 (mile anxiety), 10-14 (moderate anxiety), and 15-21 (severe anxiety.)

    Time frame: Measured at Baseline, Week 5, Week 10, and Week 15.

Secondary outcomes

  1. Beck Anxiety Inventory

    The Beck Anxiety Inventory (BAI) is a 21-tem, self-report tool designed to measure the severity of anxiety symptoms. It includes items that assess cognitive, emotional, and physical aspects of anxiety. The BAI is specifically designed to differentiate betwwen symptoms of ansiety and depression, with a focus on physical symptoms typically assocaiated with anxiety.

    Time frame: Measured at Baseline, Week 5, Week 10, and Week 15.

  2. Penn State Worry Questionnaire

    The Penn State Worry Questionnaire (PSWQ) is a self-report tool developed to assess the presence and severity of pathologicla worry. It is designed to identify excessive, uncontrollabel worry, a key feafure of generalized anxiety disorder.

    Time frame: Measured at Baseline, Week 5, Week 10, and Week 15.

  3. Hospital Anxiety and Depression Scale

    The Hospital Anxiety and Depression Scale(HADS) is a self-report tool used to assess anxiety symptoms, focusing on both physical and emotional aspects of anxiety. It is specifically designed for use in hospital settings to evaluate both anxiety and depression in patients.

    Time frame: Measured at Baseline, Week 5, Week 10, and Week 15.

  4. Treatment adherence

    During the clinical trial, Treatment As Usual (TAU) will vary depending on the severity of the participants' conditions, making it difficult to uniformly control across all subjects. Therefore, treatment adherence will be specifically assessed in the treatment group, where participants receive both TAU and ANZEILAX intervention. To evaluate adherence to the DTx, user log data from the DTx application will be collected and analyzed.

    Time frame: Measured at Week 5 and Week 10

  5. Satisfaction evaluation

    Satisfaction with both Treatment As Usual (TAU) for anxiety and the digital therapeutic (DTx), ANZEILAX, will be assessed using two questions. The first question will ask participants to rate their satisfaction on a scale of 0 to 10, with 0 being "not satisfied" and 10 being "extremely satisfied." The second question will be an open-ended prompt asking participants to "write about their experiences during the treatment," allowing for qualitative feedback on their personal feelings and perceptions.

    Time frame: Measured at Week 5 and Week 10

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Study locations

1 site
  • Yonsei University Health System, Gangnam Severance Hospital
    Seoul, 06273, South Korea
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References and documents

Publications

  • Park C, Song H, Kim H, Kim E, Jo HJ, Kim JJ, Lee JH, Kim J. Efficacy of a Smartphone-Based Digital Therapeutic (Anzeilax) in Generalized Anxiety Disorder: Randomized Controlled Trial. J Med Internet Res. 2025 Oct 14;27:e69981. doi: 10.2196/69981. PubMed 41086425 ↗

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2023 to primary completion in Jul 2024, 11 months.

Of 183 interventional studies with no phase under Generalized Anxiety Disorder, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 53. This study's 11 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 20, 2023
First posted
Aug 24, 2023
StartActual
Aug 14, 2023
Primary completionActual
Jul 24, 2024
CompletionActual
Jul 24, 2024
Last update
Sep 19, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06010654
Lead sponsor
HAII corp.ltd
Responsible party
Sponsor
First posted
Aug 24, 2023
Start date
Aug 14, 2023
Primary completion
Jul 24, 2024
Completion
Jul 24, 2024
Last update
Sep 19, 2024

Study contacts

Jaejin Kim, Ph.D
principal investigator · Location Yonsei University Health System, Gangnam Severance Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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