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Nasal spray could ease stage fright for social anxiety sufferers

NCT ID NCT04754802

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time

Summary

This Phase 3 trial tested whether a low-dose nasal spray called PH94B can quickly reduce anxiety in adults with social anxiety disorder when they have to speak in public. 224 participants used the spray or a placebo 20 minutes before a short speech and rated their distress. The study aims to see if PH94B offers a fast, non-sedating option for managing acute anxiety in stressful social situations.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
PH94B nasal spray
What this could lead to
If it works, this could provide a fast-acting, on-demand treatment for anxiety during stressful situations like public speaking for people with social anxiety disorder.
What could go wrong
This is a completed Phase 3 trial, but results are not yet published. The effect may be modest or no better than placebo, and the spray only targets acute episodes, not the underlying disorder.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

224 people

The number who actually took part.

Started

May 2021

Finished

Jun 2022

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 65 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Written informed consent provided prior to conducting any study-specific assessment. 2. Male or female adult, 18 through 65 years of age, inclusive. 3. Current diagnosis of SAD as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, as confirmed by the Mini-International Neuropsychiatric Interview (MINI). 4. Clinician-rated Liebowitz Social Anxiety Scale (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 child bearing-potential must be able to commit to the consistent and correct use of an effective method of birth control throughout the study, and must also have a negative urine pregnancy test result at both Screening (Visit 1) and Baseline (Visit 2), prior to IP administration. Effective methods of contraception include: condoms with spermicide, diaphragm with spermicide, hormonal contraceptive agents (oral, transdermal, or injectable), or implantable contraceptive devices. 7. Negative COVID-19 test either in the presence of COVID-19 symptoms or after direct exposure to someone with a positive COVID-19 test. Exclusion Criteria: 1. Any history of bipolar disorder (I or II), schizophrenia, schizoaffective disorder, psychosis, anorexia or bulimia, premenstrual dysphoric disorder, or obsessive-compulsive disorder. Any other current Axis I disorder, other than SAD, which is the primary focus of treatment. Note that subjects with concurrent Generalized Anxiety Disorder are eligible for the study provided that Generalized Anxiety Disorder is not the primary diagnosis. 2. Subjects who meet criteria for moderate or severe alcohol or substance use disorder within the 1 year prior to Study entry. 3. In the opinion of the investigator, the subject has a significant risk for suicidal behavior during the course of their participation in the study, or considered to be an imminent danger to themselves or others. 4. Clinically significant nasal pathology or history of significant nasal trauma, nasal surgery, anosmia, or nasal septum perforation that may have damaged the nasal chemosensory epithelium. 5. An acute or chronic condition, including an infectious illness, uncontrolled seasonal allergies at the time of the study, or significant nasal congestion that potentially could affect drug delivery to the nasal chemosensory epithelium. 6. Two or more documented failed treatment trials with a registered medication approved for SAD, taken at any time during the lifetime of the patient, whereby an adequate treatment trial is defined as that documented in the package insert for a particular drug during which the subject received an adequate medication dosage (defined as the treatment dose indicated in the package insert to obtain efficacy for that particular drug). 7. Use of any psychotropic medication within 30 days before Study entry (other than allowed medication for insomnia. 8. Concomitant use of any anxiolytics, such as benzodiazepines or unapproved treatments such as beta blockers, during the Study and within 30 days before Study entry. 9. Concomitant use of any over-the-counter, prescription product, or herbal preparation for treatment of the symptoms of anxiety or social anxiety during the Study and within 30 days before Study entry. 10. Prior participation in a clinical trial involving PH94B. 11. Women who have a positive serum or urine pregnancy test prior to IP administration. 12. Subjects with clinically significant abnormalities in hematology, blood chemistry, urinalysis, electrocardiogram, or physical examination identified at the Screening visit or Baseline visit that in the clinical judgment of the Investigator, could place the subject at undue risk, interfere with study participation, or confound the results of the study. 13. Subjects with a positive urine drug screen at either the Screening visit or Baseline visit (not including tetrahydrocannabinol). 14. Any current clinically significant and/or uncontrolled medical condition, based on medical history or as evidenced in screening assessments, such as SARS-Cov-2, HIV, cancer, stroke, congestive heart failure, uncontrolled diabetes mellitus, or any other medical condition or disease that, in the clinical judgment of the Investigator, could place the subject at undue risk, interfere with Study participation, or confound the results of the Study. 15. History of cancer or malignant tumor not in remission for at least 2 years. Basal cell skin cancers are not exclusionary.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • VistaGen Clinical Site

    Los Angeles, California, 90024, United States

  • VistaGen Clinical Site

    Orange, California, 92868, United States

  • VistaGen Clinical Site

    Riverside, California, 92503, United States

  • VistaGen Clinical Site

    San Diego, California, 92103, United States

  • VistaGen Clinical Site

    San Jose, California, 95124, United States

  • VistaGen Clinical Site

    Sherman Oaks, California, 91403, United States

  • VistaGen Clinical Site

    Jacksonville, Florida, 32256, United States

  • VistaGen Clinical Site

    Orlando, Florida, 32801, United States

  • VistaGen Clinical Site

    Tampa, Florida, 33614, United States

  • VistaGen Clinical Site

    Chicago, Illinois, 60640, United States

  • VistaGen Clinical Site

    Watertown, Massachusetts, 02472, United States

  • VistaGen Clinical Site

    Princeton, New Jersey, 08540, United States

  • VistaGen Clinical Site

    New York, New York, 10128, United States

  • VistaGen Clinical Site

    Oklahoma City, Oklahoma, 73106, United States

  • VistaGen Clinical Site

    Allentown, Pennsylvania, 18104, United States

  • VistaGen Clinical Site

    Media, Pennsylvania, 19063, United States

  • VistaGen Clinical Site

    Houston, Texas, 77030, United States

  • VistaGen Clinical Site

    San Antonio, Texas, 78229, United States

  • VistaGen Clinical Site

    Woodstock, Vermont, 05091, United States

  • VistaGen Clinical Site

    Bellevue, Washington, 98007, United States

  • VistaGen Clinical Sites

    Fort Myers, Florida, 33912, United States

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