Fasedienol Nasal Spray for treating anxiety in adults with Social Anxiety Disorder
Official title: US, Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial of Fasedienol Nasal Spray for the Acute Treatment of Anxiety Induced by a Public Speaking Challenge in Adult Subjects with Social Anxiety Disorder, with an Open-Label Extension (PALISADE-3)
Run by VistaGen Therapeutics, Inc. · NCT06358651 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing whether a nasal spray called Fasedienol can help adults with Social Anxiety Disorder feel less anxious during public speaking.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 236 (estimated) |
| Sponsor | VistaGen Therapeutics, Inc. Industry-sponsored |
| Locations | 19 sites (Phoenix, Arizona and 18 other locations) |
| Trial ID | NCT06358651 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 65 with a confirmed diagnosis of Social Anxiety Disorder and significant anxiety symptoms.
✕Probably not a fit
Patients with a history of certain psychiatric disorders or those with olfactory dysfunction may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 clinical trial evaluates the effectiveness, safety, and tolerability of Fasedienol Nasal Spray for alleviating acute anxiety symptoms in adults aged 18 to 65 diagnosed with Social Anxiety Disorder during a public speaking challenge. Participants will receive either the Fasedienol spray or a placebo, with the option to enter an open-label extension phase for additional treatment. The study aims to assess the nasal spray's impact on anxiety relief and its safety profile over a period of up to 12 months.
Why it matters
Potential benefit: If successful, this treatment could provide rapid relief from acute anxiety symptoms for individuals with Social Anxiety Disorder.
How similar studies have gone: Other studies have shown promise with similar approaches, but this specific treatment is being evaluated in a Phase 3 setting, indicating a significant step towards potential approval.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Written informed consent provided prior to conducting any study specific assessment.
* Male and female adults, 18 through 65 years of age, inclusive.
* Current diagnosis of SAD as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), and confirmed by the Mini-International Neuropsychiatric Interview (MINI).
* Clinician-rated Liebowitz Social Anxiety Scale (LSAS) total score ≥70 at Screening (Visit 1).
* Clinician-rated Hamilton Depression Rating Scale (HAM-D) (17-items) total score \<16.
* Female subjects of childbearing potential must be able to commit to the consistent and correct use of an effective method of birth control throughout the study
* Subjects must have normal olfactory function
Exclusion Criteria:
* Any history of bipolar disorder (I or II), schizophrenia, schizoaffective disorder, psychosis, anorexia or bulimia, premenstrual dysphoric disorder, autism spectrum disorder, or obsessive-compulsive disorder.
* Any other current principal or personality disorder (previously known as Axis I or Axis II disorders), except for specific phobias or generalized anxiety disorder, provided that these are not the primary diagnosis.
* Subjects who meet criteria for moderate or severe alcohol use disorder within the 1 year prior to study entry, or any use of illicit substances or tetrahydrocannabinol ("THC") within 2 months prior to study entry.
* 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 the subject is considered to be an imminent danger to themself or others.
* Clinically significant nasal pathology or history of significant nasal trauma, nasal surgery, total anosmia, or nasal septum perforation that may have damaged the nasal chemosensory epithelium.
* Two or more documented failed adequate treatment trials with a registered medication approved for SAD.
* Currently receiving cognitive-behavioral therapy (CBT), exposure therapy, or acceptance and commitment therapy.
* Subjects taking psychotropic medications within 30 days before Visit 2
* Use of any over-the-counter product, prescription product, off-label treatment, cannabidiol ("CBD"), or herbal preparation for treatment of the symptoms of anxiety or social anxiety within 30 days before Visit 2.
* Prior participation in a clinical trial involving fasedienol.
* Participation in any other clinical trial within the last 30 days or during the course of the current trial.
* Subjects with a positive urine drug screen.
* Women who have a positive urine pregnancy test.
* Women who are currently breastfeeding are not eligible unless they are willing to stop breastfeeding for the duration of the study.
* Subjects who have tested positive and/or have exhibited symptoms consistent with SARS-CoV-2 infection during the 4 weeks prior to Screening (Visit 1).
* Any clinically significant medical history or findings as determined by the Investigator that could interfere with the objectives of the study or put the participant at risk.
Where it's running
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Vistagen Clinical Site
Phoenix, Arizona, United States Recruiting -
Vistagen Clinical Site
Lafayette, California, United States Recruiting -
Vistagen Clinical Site
Oceanside, California, United States Recruiting -
Vistagen Clinical Site
Sherman Oaks, California, United States Recruiting -
Vistagen Clinical Site
Cromwell, Connecticut, United States Recruiting -
Vistagen Clinical Site
Lakeland, Florida, United States Recruiting
Show 13 more locations
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Vistagen Clinical Site
Orlando, Florida, United States Recruiting -
Vistagen Clinical Site
Chicago, Illinois, United States Recruiting -
Vistagen Clinical Site
Baltimore, Maryland, United States Recruiting -
Vistagen Clinical Site
Boston, Massachusetts, United States Recruiting -
Vistagen Clinical Site
St. Charles, Missouri, United States Recruiting -
Vistagen Clinical Site
New York, New York, United States Recruiting -
Vistagen Clinical Site
Media, Pennsylvania, United States Recruiting -
Vistagen Clinical Site
Memphis, Tennessee, United States Recruiting -
Vistagen Clinical Site
Fort Worth, Texas, United States Recruiting -
Vistagen Clinical Site
Draper, Utah, United States Recruiting -
Vistagen Clinical Site
Everett, Washington, United States Recruiting -
Vistagen Clinical Site
Jacksonville, Florida, United States Terminated -
Vistagen Clinical Site
Overland Park, Kansas, United States Active not recruiting
Study contacts
- Study coordinator: Clinical Studies Vistagen Therapeutics, Inc.
- Email: clinicalstudies@vistagen.com
- Phone: 650-577-3693
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Anxiety Skills Study: See if video skill training plus therapy helps people with anxiety
This study tests whether a brief video-based skill training can help people with anxiety as well as four therapy sessions, and how durable the effects are over a year.
-
taVNS Therapy for Social Anxiety Disorder
This study tests whether non-invasive taVNS can help reduce social anxiety symptoms in adults with SAD.
-
Metacognitive Therapy vs Cognitive-Behavioral Therapy for Anxiety Disorders
This study asks people with generalized anxiety disorder, social anxiety disorder, or PTSD to share their experiences after trying metacognitive therapy or disorder-specific cognitive-behavioral therapy in a randomized trial.
-
VR exposure therapy versus sertraline for social anxiety in teens
This study will test whether virtual reality exposure therapy or the medication sertraline works better for adolescents aged 12–17 with social anxiety.
-
Mindful Self-Compassion delivered in person versus by video for anxiety and depression
This project will see if an 8-week Mindful Self-Compassion class delivered in person or by video helps people with anxiety or depression have fewer symptoms.
-
Stepped versus stratified care for anxiety in children and adolescents
This project tests whether starting all 8–17-year-olds with anxiety on online CBT and adding in-person CBT only if needed (stepped care) works as well as assigning online or in-person CBT up front based on clinical complexity (stratified care).
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.