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.
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BOLD fMRI signal in the amygdala in response to fearful stimuli
Timeframe: 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
Timeframe: 4 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Defensive behavior: Joystick Operated Runway Task Risk Assessment Intensity
Timeframe: 4 hours post-dose, Day 2 Treatment Period 1 and Day 2 Treatment period 2
Subjective dread during Joystick Operated Runway Task (JORT)
Timeframe: 4 hours post-dose, Day 2 Treatment Period 1 and Day 2 Treatment period 2
Approach-avoidance learning: reward-punishment sensitivity index
Timeframe: 4 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Approach-avoidance learning: punishment sensitivity index
Timeframe: 4 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Default Mode Network connectivity (fMRI)
Timeframe: 7 hours post dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Reaction time to fearful faces (fMRI task)
Timeframe: 7 hours post-dose, Day 2 Treatment period 1 and Day 2 Treatment period 2
Self reported State Trait Anxiety Inventory (STAI) subscale score
Timeframe: 1 day post-dose, on Day 3 Treatment period 1 and Day 3 treatment period 2