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List of investigational generalized anxiety disorder drugs

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This is a list of investigational generalized anxiety disorder drugs, or drugs that are currently under development for clinical use in the treatment of generalized anxiety disorder (GAD) but are not yet approved.

Contents

Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses. The format of list items is "Name (Synonyms) – Mechanism of Action [Reference]".

This list was last comprehensively updated in September 2025. It is likely to become outdated with time.

Under development

Phase 3

Phase 2/3

Phase 2

Phase 1/2

Phase 1

Preclinical

Phase unknown

Not under development

Preregistration submission withdrawal

Suspended

No development reported

Discontinued

Clinically used drugs

Approved drugs

Selective serotonin reuptake inhibitors (SSRIs)

  • Escitalopram (Cipralex; Entact; Lexapro; LU-26054; MLD-55; (S)-citalopram; Seroplex; Sipralex; Sipralexa) – selective serotonin reuptake inhibitor (SSRI)
  • Paroxetine (Aropax; BRL-29060; Deroxat; Divarius; FG-7051; Frosinor; Motivan; NNC-207051; Paxil; Seroxat; SI-211103; Tagonis) – selective serotonin reuptake inhibitor (SSRI)
  • Paroxetine (Dropax; Dropaxin; Serestill) – selective serotonin reuptake inhibitor (SSRI)

Serotonin–norepinephrine reuptake inhibitors (SNRIs)

  • Duloxetine (Ariclaim; Cymbalta; LY-227942; LY-248686; Xeristar; Yentreve) – serotonin–norepinephrine reuptake inhibitor (SNRI)
  • Venlafaxine (Dobupal; Efexor XR; Effexor; Effexor XR; Elafax; WY-45030; WY-45651; WY-45655) – serotonin–norepinephrine reuptake inhibitor (SNRI)

Azapirones (serotonin 5-HT1A receptor agonists)

  • Buspirone (Buspar) – serotonin 5-HT1A receptor partial agonist and other actions [4]
  • Tandospirone (metanopirone; Sediel; SM-3997) – serotonin 5-HT1A receptor partial agonist

GABAA receptor positive allosteric modulators

  • Alpidem (Ananxyl; SL800342; SL-800342) – GABAA receptor positive allosteric modulator and nonbenzodiazepine/imidazopyridine; discontinued
  • Alprazolam (Xanax) – GABAA receptor positive allosteric modulator and benzodiazepine

Other drugs

  • Opipramol (Ensidon; G-33040; Insidon; Nisidana) – tricyclic antidepressant (TCA) (non-selective monoamine receptor modulator and other actions)
  • Pregabalin (CI-1008; isobutylgaba; Lyrica; PD-144723) – gabapentinoid (α2δ subunit-containing voltage-gated calcium channel ligand)

Off-label drugs

See also

References

  1. Robison R, Barrow R, Conant C, Foster E, Freedman JM, Jacobsen PL, Jemison J, Karas SM, Karlin DR, Solomon TM, Halperin Wernli M, Fava M (September 2025). "Single Treatment With MM120 (Lysergide) in Generalized Anxiety Disorder: A Randomized Clinical Trial". JAMA. doi:10.1001/jama.2025.13481. PMID   40906494.
  2. "SPT-320 - Seaport Therapeutics". AdisInsight. 2 January 2024. Retrieved 14 January 2025.
  3. "Delving into the Latest Updates on SPT-320 with Synapse". Synapse. 21 November 2024. Retrieved 14 January 2025. By leveraging Glyph, SPT-320 bypasses liver first-pass metabolism, allowing for lower dosing and reduced liver exposure.
  4. 1 2 3 4 5 6 7 8 9 10 11 12 Strawn JR, Geracioti L, Rajdev N, Clemenza K, Levine A (July 2018). "Pharmacotherapy for generalized anxiety disorder in adult and pediatric patients: an evidence-based treatment review". Expert Opin Pharmacother. 19 (10): 1057–1070. doi:10.1080/14656566.2018.1491966. PMC   6340395 . PMID   30056792.
  5. 1 2 3 4 5 Fagan HA, Baldwin DS (June 2023). "Pharmacological Treatment of Generalised Anxiety Disorder: Current Practice and Future Directions". Expert Rev Neurother. 23 (6): 535–548. doi:10.1080/14737175.2023.2211767. PMID   37183813.
  6. Tyrer P, Baldwin D (December 2006). "Generalised anxiety disorder". Lancet. 368 (9553): 2156–2166. doi:10.1016/S0140-6736(06)69865-6. PMID   17174708.
  7. Davidson JR, Zhang W, Connor KM, Ji J, Jobson K, Lecrubier Y, McFarlane AC, Newport DJ, Nutt DJ, Osser DN, Stein DJ, Stowe ZN, Tajima O, Versiani M (January 2010). "A psychopharmacological treatment algorithm for generalised anxiety disorder (GAD)". J Psychopharmacol. 24 (1): 3–26. doi:10.1177/0269881108096505. PMC   2951594 . PMID   18832431.
  8. Stein DJ (September 2021). "Evidence-Based Pharmacotherapy of Generalised Anxiety Disorder: Focus on Agomelatine". Adv Ther. 38 (Suppl 2): 52–60. doi:10.1007/s12325-021-01860-1. PMC   8437845 . PMID   34417992.
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