CClinicalTrials.gg
Active, not recruitingNCT06894212Updated Oct 5, 2026

A Trial of the Efficacy and Safety of SEP-363856 in Acutely Psychotic Participants With Schizophrenia

A Phase 3 interventional study of SEP-363856 and Placebo in Schizophrenia, sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc.. Active, not recruiting at 73 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-05.

Sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc. · Phase 3, Interventional, and Treatment

Updated Oct 5, 2026Now Active, not recruitingEnrollment updatedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
538
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Evaluate the efficacy and safety of Ulotaront (SEP-363856) in acutely psychotic subjects with schizophrenia

Read the detailed description

A Phase 3, Randomized, Double-blind, Parallel-group, Placebo-controlled, Multicenter Trial to Evaluate the Efficacy and Safety of SEP-363856 in Acutely Psychotic Participants with Schizophrenia

02

Conditions studied

  • Schizophrenia

Browse trials for

03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 538 is above the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. is the lead sponsor of 289 studies on the registry; 18 are open to participants now.

Of its 104 completed or terminated interventional studies of FDA-regulated products, 69 (66%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Male or female participants between 18 to 65 years of age (inclusive) at the time of consent.
  • Participant has an identified reliable informant (eg, caregiver, relative, friend, case worker, residential treatment staff).
  • Participant is experiencing an acute exacerbation or relapse of symptoms, with onset ≤ 2 months prior to screening

    1. The participant requires hospitalization for this acute exacerbation or relapse of symptoms.
    2. If already an inpatient at screening, has been hospitalized for less than 2 weeks for the current exacerbation at the time of screening.
  • Participants who are experiencing an acute exacerbation of psychotic symptoms and marked deterioration of usual function as demonstrated by meeting ALL of the following criteria at the screening and baseline visits:

    1. Participant must have a PANSS total score ≥ 80

      AND

    2. Participant must have a CGI-S score ≥ 4.
  • Participants who have received previous outpatient antipsychotic treatment at an adequate dose (minimal recommended dose for the treatment of schizophrenia according to the manufacturer labeling) for an adequate duration (at least 6 weeks) and who showed a previous good response.

Key Exclusion Criteria:

  • Sexually active participants or persons of childbearing potential who do not agree to practice 2 different clinical trial sponsor approved methods of birth control or remain abstinent during the course of the trial and for 30 days after the last dose of study drug.
  • Participant has a current DSM-5 diagnosis or presence of symptoms consistent with a DSM-5 diagnosis other than schizophrenia.
  • Participant has had psychiatric hospitalization(s) for more than 30 days (cumulative) during the 90 days prior to screening.
  • Participant has previously received SEP-363856 or was previously enrolled in a SEP-363856 clinical study
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
538 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo

    Other: Placebo

  • Experimental
    SEP-363856 75 mg

    SEP-363856 75 mg/day

    Drug: SEP-363856

  • Experimental
    SEP-363856 100 mg

    SEP-363856 100 mg/day

    Drug: SEP-363856

Interventions

  • DrugSEP-363856

    tablet

  • OtherPlacebo

    tablet

06

What researchers measure

Primary outcomes

  1. The change from baseline in Positive And Negative Syndrome Scale (PANSS) total score at Week 6

    To evaluate the efficacy of SEP-363856 (75 and 100 mg/day) compared with placebo in acutely psychotic participants with schizophrenia. PANSS total - 30-210 Higher score is indicative of greater symptomatology

    Time frame: Baseline to Week 6

Secondary outcomes

  1. Clinical Global Impression-Severity (CGI-S)

    Change from baseline in CGI-S score at Week 6. CGI-S is 0-7 with higher score is indicative of greater symptomatology

    Time frame: Baseline to Week 6

07

Study locations

73 sites
  • Pillar Clinical Research LLC - Bentonville Site
    Bentonville, Arkansas 72712, United States
  • Pillar Clinical Research (Little Rock AR) Site
    Little Rock, Arkansas 72204, United States
  • Woodland International Research Group Site
    Little Rock, Arkansas 72211, United States
  • Woodland Research Northwest Site
    Rogers, Arkansas 72758, United States
  • Clinical Innovations, Inc. dba CITrials (Bellflower)
    Bellflower, California 90706, United States
  • ProScience Research Group Site
    Culver City, California 90230, United States
  • CenExel CNS - Garden Grove (Collaborative Neuroscience Research) Site
    Garden Grove, California 92845, United States
  • Synergy San Diego Site
    Lemon Grove, California 91945, United States
  • Catalina Research Institute Site
    Montclair, California 91763, United States
  • Clinical Innovations Inc. DBA CITrials (Riverside)
    Riverside, California 92506, United States
  • Richmond Behavioral Associates LLC
    Riverside, California 92506, United States
  • CNRI - San Diego LLC Site
    San Diego, California 92123, United States
  • Schuster Medical Research Institute
    Sherman Oaks, California 91403, United States
  • CenExel CNS - Los Alamitos (Collaborative Neuroscience Research)
    Torrance, California 90504, United States
  • Galiz Research Site
    Hialeah, Florida 33016, United States
  • Segal Trials - Larkin Behavioral Health - Inpatient & Early Phase Site
    Hollywood, Florida 33021, United States
  • Cenexel RCA (Research Centers of America) Site
    Hollywood, Florida 33024, United States
  • Premier Clinical Research Institute
    Miami, Florida 33122, United States
  • D & H National Research Centers NC
    Miami, Florida 33155, United States
  • Innovative Clinical Research, Inc. Site
    Miami Lakes, Florida 33016, United States
  • Health Synergy Clinical Research LLC Site
    West Palm Beach, Florida 33407, United States
  • Synexus Clinical Research US Inc - Atlanta
    Atlanta, Georgia 30328, United States
  • CenExel ACMR (Atlanta Center for Medical Research, LLC) Site
    Atlanta, Georgia 30331, United States
  • CenExel IRA (CenExcel iResearch, LLC) Site
    Decatur, Georgia 30030, United States
  • Accelerated Clinical Trials in Peachtree Corners GA Site
    Peachtree Corners, Georgia 30071, United States
  • Uptown Research Institute
    Chicago, Illinois 60640, United States
  • Pillar Clinical Research LLC (Chicago)
    Chicago, Illinois 60641, United States
  • Eastern Clinical Research Associates
    New Orleans, Louisiana 70127, United States
  • Cenexel CBH (CBH Health)
    Gaithersburg, Maryland 20877, United States
  • Hassman Research Institute, LLC
    Marlton, New Jersey 20877, United States
  • Neuro-Behavioral Clinical Research Site
    North Canton, Ohio 44720, United States
  • Community Clinical Research Inc
    Austin, Texas 78754, United States
  • InSite Clinical Research
    DeSoto, Texas 75115, United States
  • HD Research - Memorial Hermann Surgery Center Memorial Village
    Houston, Texas 77043, United States
  • Pillar Clinical Research LLC (Richardson, TX) Site
    Richardson, Texas 75080, United States
  • Hotei Hospital
    Konan-shi, Aichi-ken 483-8248, Japan
  • Seishinkai Okehazama Hospital
    Toyoake-shi, Aichi-ken 470-1168, Japan
  • Seijinkai Seinan Hospital
    Hachinohe-shi, Aomori 039-1104, Japan
  • National Hospital Organization Shimofusa Psychiatric Medical Center
    Chiba, Chiba 266-0007, Japan
  • National Kohnodai Medical Center
    Ichikawa-shi, Chiba 272-8516, Japan
  • Fukuoka University Hospital
    Fukuoka, Fukuoka 814-0180, Japan
  • Kuramitsu Hospital
    Fukuoka, Fukuoka 819-0037, Japan
  • National Hospital Organization Kokura Medical Center Site
    Kokuraminami-ku, Kitakyushu-shi, Fukuoka 802-8533, Japan
  • Shiranui Hospital
    Omuta-shi, Fukuoka 836-0004, Japan
  • Social Medical Corporation Asaka Hospital
    Kōriyama, Fukushima 963-0198, Japan
  • Hayakawa Clinic
    Kure, Hiroshima 737-0111, Japan
  • NHO Kure Medical Center
    Kure-shi, Hiroshima 737-0023, Japan
  • Nayoro City General Hospital
    Nayoro-shi, Hokkaido 096-8511, Japan
  • Obihiro Kosei Hospital
    Obihiro, Hokkaido 080-0024, Japan
  • Goryokai Medical Corporation Hospital
    Sapporo, Hokkaido 002-8029, Japan
  • Iwate Medical University Hospital
    Shiwa-gun, Iwate 028-3695, Japan
  • Hatano Kousei Hospital
    Hadano-shi, Kanagawa 257-0003, Japan
  • Tanzawa Hospital
    Hadano-shi, Kanagawa 259-1304, Japan
  • Fujimidai Hospital Site
    Hiratsuka-shi, Kanagawa 259-1205, Japan
  • Yokohama Hino Hospital
    Yokohama, Kanagawa 234-0051, Japan
  • Yuge Hospital
    Kumamoto, Kumamoto 861-8002, Japan
  • Miyakonojo Shinsei Hospital
    Miyakonojo-shi, Miyazaki 885-0093, Japan
  • Kansai Medical University Medical Center
    Moriguchi-shi, Osaka 570-8507, Japan
  • Neyagawa Sanatorium
    Neyagawa, Osaka 572-0854, Japan
  • National Hospital Organization Hizen Psychiatric Medical Center Site
    Kanzaki-gun, Saga-ken 842-0192, Japan
  • Rainbow and Sea Hospital
    Karatsu-shi, Saga-ken 847-0031, Japan
  • Inuo Hospital
    Tosu-shi, Saga-ken 841-0081, Japan
  • Shiga University of Medical Science Hospital
    Ōtsu, Shiga 520-2192, Japan
  • Dokkyo Medical University Hospital
    Shimotsuga-gun, Tochigi 321-0293, Japan
  • Jichi Medical University Hospital
    Shimotsuke-Shi, Tochigi 329-0498, Japan
  • Tochigi Prefectural Okamotodai Hospital
    Utsunomiya, Tochigi 329-1104, Japan
  • National Center of Neurology and Psychiatry
    Kodaira-shi, Tokyo 187-8551, Japan
  • Asuka Hospital
    Machida-shi, Tokyo 194-0005, Japan
  • Showa Medical University Karasuyama Hospital
    Setagaya-ku, Tokyo 157-8577, Japan
  • Toyama Prefectural Center Hospital
    Toyama, Toyama 930-8550, Japan
  • Sanyo Hospital
    Sakata-shi, Yamagata 998-0074, Japan
  • Yamagata Sakuracho Hospital Site
    Yamagata, Yamagata 990-0045, Japan
  • Wakayama Medical University Hospital
    Wakayama, 641-8510, Japan
08

References and documents

Individual participant data

Plan to share: Yes — Anonymized Individual participant data (IPD) that underlie the result of this study will be shared with researchers to achieve aims pre-specified in a methodology sound research proposal. Small studies with less than 25 participants are excluded from data sharing.

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Oct 5, 2026
Enrollment
522 (estimated)→538 (actual)
Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    Recruiting→Active, not recruiting
    Enrollment 522 (estimated)→538 (actual)
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06894212
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Responsible party
Sponsor
First posted
Mar 25, 2025
Start date
Feb 28, 2025
Primary completion
Oct 20, 2026 (estimated)
Completion
Oct 29, 2026 (estimated)
Last update
Oct 5, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion