This is a single dose study to investigate the efficacy, safety, tolerability and the PK, of SYT-510 in participants who meet diagnostic criteria of GAD. This study represents an evaluation of the effects of SYT-510 in participants meeting DSM-5 GAD diagnostic criteria. As a single dose study, it is designed to evaluate the efficacy of SYT-510 on neurobiological and behavioral markers associated with anxiety and will inform the design of future clinical trials in anxiety disorders. By integrating efficacy / PD, safety, tolerability, and PK measures within the same study framework, the study enables the translational value of the program, ensuring a more comprehensive understanding of SYT-510 effects in patients with generalized anxiety disorders. The plan is to evaluate a single dose of SYT-510 as compared with its matching placebo in a two-way crossover design, separated by a washout period of 7 to 14 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
24
SYT-510 will be administered as a single oral dose in the morning with liquid.
Matching placebo will be administered as a single oral dose in the morning with liquid.
SLaM
London, United Kingdom
RECRUITINGBOLD fMRI signal in the amygdala in response to fearful stimuli
Time frame: 7 hours post-dose on Day 2 Treatment period 1 and Day 2 Treatment period 2
Defensive behavior: Joystick Operated Runway Task (JORT) Flight Intensity
The JORT uses a force sensing joystick combined with a two-dimensional runway positioned vertically on a computer monitor to measure one-way active avoidance and two-way active avoidance in response to threat of a white noise burst. Each JORT session generates a time series datafile. These time series files are fed into custom programmed scoring software. This software calculates Flight Intensity and RAI for that session
Time frame: 4 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Defensive behavior: Joystick Operated Runway Task Risk Assessment Intensity
The JORT uses a force sensing joystick combined with a two-dimensional runway positioned vertically on a computer monitor to measure one-way active avoidance and two-way active avoidance in response to threat of a white noise burst. Each JORT session generates a time series datafile. These time series files are fed into custom programmed scoring software. This software calculates Risk Assessment Intensity for that session
Time frame: 4 hours post-dose, Day 2 Treatment Period 1 and Day 2 Treatment period 2
Subjective dread during Joystick Operated Runway Task (JORT)
Dread rating on a scale of 1 (no threat) to 10 (maximum dread) .
Time frame: 4 hours post-dose, Day 2 Treatment Period 1 and Day 2 Treatment period 2
Approach-avoidance learning: reward-punishment sensitivity index
Time frame: 4 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Approach-avoidance learning: punishment sensitivity index
Time frame: 4 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Default Mode Network connectivity (fMRI)
Time frame: 7 hours post dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Reaction time to fearful faces (fMRI task)
Time frame: 7 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Self reported State Trait Anxiety Inventory (STAI) subscale score
The STAI sub-scale is a questionnaire that consists of 20 self-report items that assess current symptoms of anxiety, each item is rated on a four-point Likert scale from "Not at all" to "Very much so".
Time frame: 1 day post-dose, on Day 3 Treatment period 1 and Day 3 treatment period 2
EEG power across frequency bands
Time frame: 3 and 6 hours post-dose
Plasma concentrations of endocannabinoids and ECS related biomarkers
Time frame: pre-dose to 24 hours post-dose, Day 2 to Day 3 Treatment period 1 and 2
Maximum Observed Concentration (Cmax) of SYT 510
Time frame: Up to 24 hours post-dose, Day 2 to Day3 Treatment period 1 and 2
Time of maximal plasma concentration (tmax) of SYT-510
Time frame: From dosing to follow-up visit, up to 11 weeks
Area Under the SYT-510 concentration -time Curve (AUC) from time 0 to 24 hours
Time frame: pre-dose to 24 hours post dose, on Day 2 to Day 3 Treatment periods 1 and 2
14. Incidence and severity of Treatment Emergent Adverse Events and Serious Adverse Events, changes and/or abnormalities in clinical laboratory tests, physical examination findings, vital signs, and ECGs.
Time frame: From Day 2 treatment period 1 to follow-up visit, up to 11 weeks
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