PH94B Nasal Spray for Anxiety Induced by a Public Speaking Challenge - 2

Last updated: November 13, 2025
Sponsor: VistaGen Therapeutics, Inc.
Overall Status: Terminated

Phase

3

Condition

Mood Disorders

Social Phobia

Anxiety Disorders

Treatment

PH94B Nasal Spray

Placebo Nasal Spray

Clinical Study ID

NCT05011396
PH94B-CL032
  • Ages 18-65
  • All Genders

Study Summary

This Phase 3 clinical trial is designed to evaluate the efficacy, safety, and tolerability of the acute administration of 3.2 µg of PH94B to relieve symptoms of anxiety in adult subjects with social anxiety disorder (SAD) during an induced public speaking challenge.

Subject participation in the Study will last a total of 3 to 7 weeks, depending on the duration of the screening period and intervals between visits. Upon signing an informed consent, all subjects will complete Visit 1 (Screening) and enter a screening period lasting between 3 and 35 days. If subjects meet all eligibility criteria at the end of the screening period, subjects will return for Visit 2 and self-administer the nasal spray and then participate in a 5 minute public speaking challenge. During the public speaking challenge, the subject will be asked for their anxiety score, which will be recorded by a trained observer. At Visit 3, the subjects will undergo the same public speaking procedure once again as they did in Visit 2. One week after the completion of the Visit 3 public speaking challenge, the subject will come back for Visit 4 (Follow-up) that will involve a repeat of the safety and psychiatric assessments conducted at Screening.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Written informed consent provided prior to conducting any study-specific assessment.

  2. Male and female adults, 18 through 65 years of age, inclusive.

  3. Current diagnosis of SAD as defined in the Diagnostic and Statistical Manual ofMental Disorders, 5th Edition, and confirmed by the MINI.

  4. Clinician-rated LSAS total score ≥70 at Screening (Visit 1).

  5. Clinician-rated Hamilton Depression Score 17-items total score <18 at Screening (Visit 1).

  6. Women of childbearing-potential must be able to commit to the consistent and correctuse of an effective method of birth control throughout the study, and must also havea negative urine pregnancy test result at both Screening (Visit 1) and Baseline (Visit 2), prior to investigational product (IP) administration. Effective methodsof contraception include: condoms with spermicide, diaphragm with spermicide,hormonal contraceptive agents (oral, transdermal, or injectable), or implantablecontraceptive devices.

  7. Negative COVID-19 test either in the presence of COVID-19 symptoms or after directexposure to someone with a positive COVID-19 test

Exclusion

Exclusion Criteria:

  1. Any history of bipolar disorder (I or II), schizophrenia, schizoaffective disorder,psychosis, anorexia or bulimia, premenstrual dysphoric disorder, autism-spectrumdisorder, or obsessive-compulsive disorder. Any other current Axis I disorder, other than SAD, which is the primary focus oftreatment. Note that subjects with concurrent Generalized Anxiety Disorder areeligible for the study provided that Generalized Anxiety Disorder is not the primarydiagnosis.

  2. Subjects who meet criteria for moderate or severe alcohol or substance use disorderwithin the 1 year prior to Study entry.

  3. In the opinion of the investigator, the subject has a significant risk for suicidalbehavior during the course of their participation in the study, or

  4. At Screening (Visit 1): the subject scores "yes" on items 4 or 5 in theSuicidal Ideation section of the Columbia-Suicide Severity Rating Scale (CSSRS) with reference to a 6-month period prior to screening; or

  5. At Screening (Visit 1): the subject has had 1 or more suicidal attempts withreference to a 2 year period prior to screening; or

  6. At Baseline (Visit 2): the subject scores "yes" on items 4 or 5 in the SuicidalIdeation section of the C-SSRS with reference to screening; or

  7. The subject is considered to be an imminent danger to themself or others.

  8. Clinically significant nasal pathology or history of significant nasal trauma, nasalsurgery, total anosmia, or nasal septum perforation that may have damaged the nasalchemosensory epithelium.

  9. An acute or chronic condition, including an infectious illness, uncontrolledseasonal allergies at the time of the study, or significant nasal congestion thatpotentially could affect drug delivery to the nasal chemosensory epithelium.

  10. Two or more documented failed treatment trials with a registered medication approvedfor SAD, at any time during the lifetime of the subject, whereby an adequatetreatment trial is defined as that described in the package insert for a particulardrug during which the subject received an adequate medication dosage (defined as thetreatment dose indicated in the package insert to obtain efficacy for thatparticular drug).

  11. Use of any psychotropic medication within 30 days before study entry (other thanmedication permitted for insomnia: eszopiclone, ramelteon, melatonin, zaleplon,zolpidem, or antihistamines).

  12. Use of any anxiolytics, such as benzodiazepines or unapproved treatments such asbeta blockers, within 30 days before study entry; concomitant use is prohibitedduring the study. Subjects who have been taking benzodiazepines daily for 1 month orlonger at the time of Visit 1 are not eligible to participate.

  13. Use of any over-the-counter product, prescription product, or herbal preparation fortreatment of the symptoms of anxiety or social anxiety within 30 days before studyentry; concomitant use is prohibited during the study.

  14. Prior participation in a clinical trial involving PH94B.

  15. Women who have a positive urine pregnancy test prior to IP administration.

  16. Subjects with clinically significant abnormalities in hematology, blood chemistry,urinalysis, electrocardiogram, or physical examination identified at the Screeningvisit or Baseline visit that in the clinical judgment of the Investigator, couldplace the subject at undue risk, interfere with study participation, or confound theresults of the study.

Study Design

Total Participants: 228
Treatment Group(s): 2
Primary Treatment: PH94B Nasal Spray
Phase: 3
Study Start date:
August 30, 2021
Estimated Completion Date:
August 16, 2022

Connect with a study center

  • VistaGen Clinical Site

    Phoenix, Arizona 85012
    United States

    Site Not Available

  • VistaGen Clinical Site

    Phoenix 5308655, Arizona 5551752 85012
    United States

    Site Not Available

  • VistaGen Clinical Site

    Garden Grove, California 92845
    United States

    Site Not Available

  • VistaGen Clinical Site

    Oceanside, California 92056
    United States

    Site Not Available

  • VistaGen Clinical Site

    Temecula, California 92591
    United States

    Site Not Available

  • VistaGen Clinical Site

    Garden Grove 5351515, California 5332921 92845
    United States

    Site Not Available

  • VistaGen Clinical Site

    Oceanside 5378771, California 5332921 92056
    United States

    Site Not Available

  • VistaGen Clinical Site

    Temecula 5401395, California 5332921 92591
    United States

    Site Not Available

  • VistaGen Clinical Site

    Alpharetta, Georgia 30022
    United States

    Site Not Available

  • VistaGen Clinical Site

    Alpharetta 4179574, Georgia 4197000 30022
    United States

    Site Not Available

  • VistaGen Clinical Site

    Prairie Village, Kansas 66208
    United States

    Site Not Available

  • VistaGen Clinical Site

    Prairie Village 4277718, Kansas 4273857 66208
    United States

    Site Not Available

  • VistaGen Clinical Site

    Boston, Massachusetts 02131
    United States

    Site Not Available

  • VistaGen Clinical Site

    Boston 4930956, Massachusetts 6254926 02131
    United States

    Site Not Available

  • VistaGen Clinical Site

    Flowood, Mississippi 39232
    United States

    Site Not Available

  • VistaGen Clinical Site

    Flowood 4426822, Mississippi 4436296 39232
    United States

    Site Not Available

  • VistaGen Clinical Site

    Berlin, New Jersey 08009
    United States

    Site Not Available

  • VistaGen Clinical Site

    Berlin 4500771, New Jersey 5101760 08009
    United States

    Site Not Available

  • VistaGen Clinical Site

    Brooklyn, New York 11235
    United States

    Site Not Available

  • VistaGen Clinical Site

    New York, New York 10032
    United States

    Site Not Available

  • VistaGen Clinical Site

    Rochester, New York 14618
    United States

    Site Not Available

  • VistaGen Clinical Site

    Brooklyn 5110302, New York 5128638 11235
    United States

    Site Not Available

  • VistaGen Clinical Site

    New York 5128581, New York 5128638 10032
    United States

    Site Not Available

  • VistaGen Clinical Site

    Rochester 5134086, New York 5128638 14618
    United States

    Site Not Available

  • VistaGen Clinical Center

    Allentown, Pennsylvania 18104
    United States

    Site Not Available

  • VistaGen Clinical Center

    Allentown 5178127, Pennsylvania 6254927 18104
    United States

    Site Not Available

  • VistaGen Clinical Site

    Memphis, Tennessee 38119
    United States

    Site Not Available

  • VistaGen Clinical Site

    Memphis 4641239, Tennessee 4662168 38119
    United States

    Site Not Available

  • VistaGen Clinical Site

    Austin, Texas 78737
    United States

    Site Not Available

  • VistaGen Clinical Site

    Austin 4671654, Texas 4736286 78737
    United States

    Site Not Available

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