Anxiety disorders affect about 1 in 5 adults and include generalized anxiety, social anxiety, panic disorder, and phobias. Current treatment combines therapy (especially cognitive behavioral therapy) with medications like SSRIs, SNRIs, and benzodiazepines. Many people respond well, but side effects, slow onset, and incomplete relief drive interest in new approaches.
What's actually going on in research
Trials are testing fast-acting drugs that work through different brain pathways than SSRIs, digital therapeutics that deliver therapy through apps, psychedelic-assisted therapy for treatment-resistant cases, and drugs that target specific anxiety circuits. Researchers are also studying biomarkers that might predict which treatment will work for whom.
Rapid-acting treatments
New drugs aim to reduce anxiety within hours or days instead of the 4-6 weeks SSRIs typically require. Some work through the GABA system differently than benzodiazepines, aiming for relief without dependence risk.
Digital therapeutics
Apps delivering cognitive behavioral therapy are being tested as standalone treatments and add-ons to medication. Some use AI to personalize exercises and track patterns in real time.
Psychedelic-assisted therapy
MDMA and psilocybin are being studied in combination with therapy for social anxiety and treatment-resistant cases. Early trials suggest potential for lasting relief after a small number of sessions.
What to know before you search
Eligibility typically depends on anxiety severity scores, specific diagnosis type, whether you've tried standard treatments, and absence of certain other mental health conditions.
What types of trials are currently open
- Medication trials — Testing new pills or nasal sprays against placebo or existing medications, usually over 8-12 weeks. Most measure anxiety symptoms weekly using standard questionnaires.
- Digital therapy trials — Testing apps that deliver cognitive behavioral therapy, mindfulness training, or exposure exercises. May be used alone or alongside medication.
- Psychedelic trials — Small studies testing MDMA or psilocybin in controlled settings with trained therapists, typically 2-3 dosing sessions over several weeks.
- Neurostimulation trials — Testing devices that stimulate the brain or vagus nerve to reduce anxiety, either through implants or external devices.
- Observational studies — Following people with anxiety to understand what predicts treatment response, how symptoms change over time, and what factors trigger worsening.
Recently added Anxiety trials
EEG Microstate Parameters and Neuroinflammatory Biomarkers in Patients With Treatment-Resistant Major Depressive Disorder Receiving ECT
This study aims to investigate the neurophysiological and inflammatory changes associated with electroconvulsive therapy (ECT) in patients diagnosed with Major Depressive Disorder who are resistant to at least two antidepressant treatments, using microstate analysis derived from resting-state electroencephalography (EEG) recordings. Within this scope, EEG recordings obtained before and after ECT will be compared to determine the relationships between changes in microstate parameters and inflammatory marker levels, clinical variables, and psychometric scale scores reflecting clinical improvement. Peripheral blood samples collected from the same patient group will be analyzed for complete blood count parameters as well as levels of interleukin-1 alpha (IL-1α), interleukin-1 beta (IL-1β), interleukin-2 (IL-2), interleukin-6 (IL-6), interleukin-8 (IL-8), interleukin-10 (IL-10), tumor necrosis factor-alpha (TNF-α), soluble glycoprotein 130 (sgp-130), soluble interleukin-6 receptor (sIL-6R), interferon gamma-induced protein 10 kDa (IP-10), and C-reactive protein (CRP). In addition, inflammatory indices, including the Neutrophil-to-Lymphocyte Ratio (NLR), Platelet-to-Lymphocyte Ratio (PLR), and Monocyte-to-Lymphocyte Ratio (MLR), will be calculated. The association between baseline levels of these biomarkers and treatment response will be evaluated. Moreover, changes in biomarker levels following ECT will be statistically examined in relation to clinical scale scores and EEG microstate parameters. Although microstate analysis and inflammatory biomarkers have each been extensively investigated in psychiatric disorders, studies evaluating these two biomarkers together, particularly with the inclusion of healthy control participants, remain limited. In this regard, the present study aims to evaluate the effects of ECT on patients with treatment-resistant depression using objective neurophysiological indicators, to contribute to the understanding of the pathophysiology of depression at the level of brain networks, and to provide a scientific basis for the development of personalized treatment approaches in the future.
Remimazolam Versus Midazolam for General Anesthesia Induction in Elderly Patients Undergoing Non-Cardiac Surgery
This prospective observational cohort study evaluates the effectiveness and safety of two benzodiazepine sedatives-remimazolam and midazolam-used for general anesthesia induction in elderly patients (≥65 years) undergoing elective non-cardiac surgery. Elderly patients have reduced organ reserve and altered pharmacokinetics/pharmacodynamics, increasing their susceptibility to anesthesia-related complications such as intraoperative hypotension, delayed emergence, and postoperative delirium. Remimazolam, an ultra-short-acting benzodiazepine metabolized by organ-independent tissue esterases, is hypothesized to offer greater hemodynamic stability, faster recovery, and a more favorable safety profile than midazolam in this vulnerable population. Investigators prospectively observe and collect data without altering routine clinical care; the choice of sedative is made by the attending anesthesiologist according to standard practice. Propensity score methods will be used to reduce confounding by indication.
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