Social Anxiety Disorder Clinical Trial
Official title:
Double Blind Placebo Controlled Study of PH94B for Management of the Symptoms of Generalized Social Phobia
The purpose of this study is to determine the efficacy of PH94B, a new class of therapeutic compound, administered intranasally for the management of acute anxiety in patients diagnosed with generalized social phobia.
The essential features of generalized social phobia are defined by the Diagnostic and
Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), criteria as a marked and
persistent fear of most (generally accepted as four or more) social or performance situations
in which the patient believes embarrassment could occur as a consequence of exposure to
unfamiliar people and/or possible scrutiny by others. The anxiety resulting from the social
or performance situation is profound. The avoidance, fear, or anxious anticipation of these
situations interferes significantly with the person's daily routine, having a marked impact
on occupational functioning and/or social life. The disorder has a lifetime prevalence
estimated at up to 13%, with onset typically in the mid-teens, and it is diagnosed slightly
more frequently in females than in males. Social phobia tends to be a chronic disorder with
periods of exacerbation, with a reported mean duration of illness of approximately 20 years.
There are two subtypes of social phobia: (i) generalized (discrete), which is suffered by
approximately 50% of social phobia patients and in which fear and avoidance extend to a wide
range of social situations, and (ii) non-generalized, in which the patient fears only one or
a few circumscribed situations. Speaking in front of large groups is by far the most
prevalent of social fears (Lang and Stein, 2001).
Social phobia has a lifetime comorbidity rate of approximately 81% with other psychiatric
disorders (particularly affective disorders, other anxiety disorders, and substance abuse
disorders), as well as to being associated with increased nonpsychiatric medical
difficulties. People with social phobia identify social impairment, inadequate social
support, overall role impairment, specific impairment in education, work, and other
activities, as well as interference in their efforts at self-improvement. Unfortunately, for
these patients, there is a strong consensus that social phobia is one of the least commonly
recognized and treated mental disorders
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