Clinical Development - The company is focused on developing fasedienol, a synthetic investigational neuroactive pherine nasal spray, for the acute treatment of social anxiety disorder (SAD) and is currently in Phase 3 clinical development[68]. - The PALISADE-2 Phase 3 trial of fasedienol met its primary efficacy endpoint, showing a statistically significant mean change from baseline in SUDS scores of -5.8 (p=0.015) compared to placebo[72]. - In the PALISADE-2 trial, 37.7% of fasedienol-treated patients were rated as responders on the CGI-I scale, compared to 21.4% for placebo (p=0.033)[72]. - The trial also demonstrated that 40.6% of fasedienol-treated patients were rated as responders on the PGI-C scale, compared to 18.6% for placebo (p=0.003)[72]. - Fasedienol was well-tolerated in the PALISADE-2 trial, with no serious adverse events reported and treatment-emergent adverse events comparable between fasedienol and placebo[72]. - The company plans to launch the PALISADE-3 Phase 3 trial in March 2024 and the PALISADE-4 trial in the second half of 2024, both designed to evaluate the efficacy and safety of fasedienol[73]. - The PALISADE Phase 3 Program includes open-label extension safety studies and a small Phase 2 repeat dose study planned for the second half of 2024[74]. - Fasedienol's proposed mechanism of action is fundamentally differentiated from currently approved anti-anxiety medications, as it does not require systemic absorption[69]. - The company emphasizes the potential of fasedienol to provide rapid-onset anxiolytic effects on an as-needed basis, reducing the risk of unwanted side effects associated with current oral medications[69]. - Fasedienol has received Fast Track designation from the FDA for the acute treatment of Seasonal Affective Disorder (SAD) and may support a New Drug Application (NDA) submission[75][82]. - In a Phase 2A clinical trial, Itruvone significantly reduced depressive symptoms as early as one week, with a p-value of 0.022, demonstrating its potential as a treatment for Major Depressive Disorder (MDD)[81]. - PH80 demonstrated a significant reduction in the daily number of hot flashes from 7.7 (baseline) to 2.8 after one week of treatment, compared to 6.4 in the placebo group (p<0.001)[85]. - In the same study, after four weeks of treatment, the number of hot flashes dropped to 1.5 for PH80 compared to 5.1 for placebo (p<0.001)[85]. - PH80 showed statistically significant improvement in symptoms of Premenstrual Dysphoric Disorder (PMDD) as early as Day 4 (p=0.008) and Day 6 (p=0.006) in a Phase 2A study[89]. - PH15 demonstrated a statistically significant improvement in reaction time compared to placebo and caffeine in sleep-deprived participants, with p-values less than 0.001[95]. - The FDA has granted Fast Track designation for Itruvone for the treatment of MDD, indicating its potential for expedited development[82]. Financial Performance - The company reported a net loss of approximately $10.7 million for the three months ended June 30, 2024, compared to a net loss of $6.9 million for the same period in 2023, reflecting an increase in operating expenses[106]. - Total revenues for the three months ended June 30, 2024, were $0.1 million, a decrease from $0.2 million in the same period in 2023[107]. - Research and development expenses increased to $7.6 million for the three months ended June 30, 2024, up from $4.2 million in the same period in 2023, primarily due to the initiation of the PALISADE-3 Phase 3 clinical trial[108]. - The company has an accumulated deficit of approximately $366.9 million as of June 30, 2024[104]. - The company had cash and cash equivalents of approximately $108.4 million at June 30, 2024, which is expected to fund operations for more than twelve months[114]. - General and administrative expenses rose to $4.6 million for the three months ended June 30, 2024, compared to $3.0 million for the same period in 2023, driven by increased headcount and consulting fees[110]. - The company has not generated any revenue from product sales since inception and has incurred significant operating losses[112]. - The company expects research and development expenses to increase substantially over the next several years as it advances its pipeline of product candidates[109]. - Interest income, net, increased to $1.4 million for the three months ended June 30, 2024, compared to $0.1 million in the same period in 2023, due to higher interest rates and larger cash balances[111]. - The company plans to seek additional financing to support its operations and product development, including equity-based capital and non-dilutive funding sources[116]. - Net cash used in operating activities for Q2 2024 was $10.9 million, compared to $7.9 million in Q2 2023, reflecting an increase of approximately 38%[118]. - Net cash used in investing activities for Q2 2024 was $5.5 million, while it was immaterial in Q2 2023[119]. - Net cash provided by financing activities in Q2 2024 was immaterial, compared to $0.9 million in Q2 2023[121]. - The net decrease in cash and cash equivalents for Q2 2024 was $16.2 million, compared to a decrease of $7.0 million in Q2 2023, indicating a significant increase in cash outflow[120]. - Cash and cash equivalents at the end of Q2 2024 were $102.9 million, down from $119.2 million at the beginning of the period[120]. - Cash and cash equivalents at the end of Q2 2023 were $9.6 million, showing a substantial increase year-over-year[120]. - The company reported a net loss of $10.7 million for Q2 2024, compared to a net loss of $6.9 million in Q2 2023, representing an increase in losses of approximately 55%[118]. - Non-cash charges in Q2 2024 included $1.3 million primarily related to stock-based compensation and amortization of operating lease right-of-use assets[118]. - There were no material changes in contractual obligations during the three months ended June 30, 2024[122]. - There were no material changes to critical accounting policies and estimates during the three months ended June 30, 2024[123]. Market Need - The company aims to address the unmet needs of patients with SAD, a disorder affecting approximately 12% of adults in the U.S.[64]. - Cachexia affects more than five million people in the U.S., with an estimated prevalence of 1% of the population, highlighting a significant unmet medical need[97].

Financial Data and Key Metrics Changes - The net loss attributed to common stockholders was $29.4 million for the year ended March 31, 2024, compared to $59.2 million for the year ended March 31, 2023, indicating a significant reduction in losses [8] - Research and development expenses decreased to $20 million for the year ended March 31, 2024, from $44.4 million for the year ended March 31, 2023, primarily due to timing of expenses related to Phase 3 trials [56] - General and administrative expenses slightly decreased to $14.1 million for the year ended March 31, 2024, from $14.7 million for the year ended March 31, 2023, mainly due to reduced professional fees and stock-based compensation [56] Business Line Data and Key Metrics Changes - The company is advancing its registration-directed PALISADE-Phase 3 program for fasedienol targeting the acute treatment of social anxiety disorder (SAD), with the PALISADE-3 trial recently launched and expected to provide top-line data by mid-2025 [42] - The company is also preparing for the PALISADE-4 trial, which is anticipated to be initiated in the second half of 2024 and completed by the end of calendar 2025 [42] Market Data and Key Metrics Changes - The market for social anxiety disorder is significant, with over 30 million adults in the U.S. affected, yet there are currently no FDA-approved acute treatments available [5][14] - The company is exploring the therapeutic potential of PH80, a nasal spray candidate for women's health, which has shown statistically significant results in managing menopausal hot flashes and premenstrual dysphoric disorder [12] Company Strategy and Development Direction - The company aims to develop and commercialize a diversified pipeline of neuroactive pherines for multiple high-prevalence CNS disorders, focusing on conditions with limited treatment options [5] - The strategic focus includes enhancing clinical trial designs and operational efficiencies to optimize patient enrollment and data quality in ongoing studies [11][64] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the execution of the PALISADE-3 and PALISADE-4 trials, highlighting a more favorable clinical research environment compared to the pandemic period [11][64] - The company anticipates that successful outcomes from the ongoing trials could support a potential U.S. new drug application for fasedienol for the acute treatment of SAD in the first half of 2026 [54] Other Important Information - Vistagen received the Platinum Bell Seal Award from Mental Health America and the Great Place to Work certification, reflecting its commitment to workplace practices that support mental health [7] - The company has entered into an exclusive negotiation agreement with Fuji Pharma for the potential development and commercialization of PH80 in Japan [55] Q&A Session Summary Question: How many sites are up and enrolling patients for PALISADE-3? - Management indicated that approximately 10 sites are currently up and running for PALISADE-3, with some overlap from previous studies [33][34] Question: What enhancements have been made to PALISADE-3 and PALISADE-4? - Enhancements include operational changes, improved surveillance, and rigorous protocol adherence to optimize patient enrollment and data quality [11][64] Question: What is the purpose of the repeat dose study? - The repeat dose study aims to evaluate the effects of a second dose of fasedienol administered shortly after the first, primarily to inform labeling and provide guidance for physicians [85]

Fasedienol for the Acute Treatment of Social Anxiety Disorder (SAD) Exhibit 99.1 Vistagen Reports Fiscal Year 2024 Financial Results and Provides Corporate Update Registration-directed fasedienol PALISADE Phase 3 program for the acute treatment of social anxiety disorder progressing on track PALISADE-3 Phase 3 trial recently initiated; PALISADE-4 Phase 3 trial initiation anticipated in 2H 2024 SOUTH SAN FRANCISCO, Calif.--(BUSINESS WIRE)—February 13, 2024-- Vistagen (Nasdaq: VTGN), a neuroscience- focused b ...

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 10-K x Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the fiscal year ended: March 31, 2024 or o Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission file number: 001-37761 Vistagen Therapeutics, Inc. (Exact name of registrant as specified in its charter) Nevada 20-5093315 (State or other jurisdiction of incorporation or organ ...

Vistagen Therapeutics, Inc. (NASDAQ:VTGN) Q3 2024 Earnings Conference Call February 13, 2024 5:00 PM ET Company Participants Mark McPartland - Senior Vice President, Investor Relations Shawn Singh - Chief Executive Officer Cindy Anderson - Chief Financial Officer Josh Prince - Chief Operating Officer Conference Call Participants Andrew Tsai - Jefferies Tim Lugo - William Blair Operator Greetings and welcome to Vistagen Therapeutics' Fiscal Year 2024 Third Quarter Financial Results and Corporate Update. At t ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 Form 10-Q (Mark One) ☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended December 31, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to . Commission File Number: 001-37761 VISTAGEN THERAPEUTICS, INC. (Exact name of registrant as specified in its charter) (Address of principal executive of ...

Vistagen Therapeutics, Inc. (NASDAQ:VTGN) Q2 2024 Earnings Conference Call November 9, 2023 5:00 PM ET Company Participants Mark McPartland - Senior Vice President, Investor Relations Shawn Singh - Chief Executive Officer Cindy Anderson - Chief Financial Officer Josh Prince - Chief Operating Officer Conference Call Participants Andrew Tsai - Jefferies Tim Lugo - William Blair Operator Good day, everyone and welcome to today's Vistagen Fiscal Year 2024 Second Quarter Corporate Update Conference Call. [Operat ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 Form 10-Q (Mark One) ☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to . Commission File Number: 001-37761 VISTAGEN THERAPEUTICS, INC. (Exact name of registrant as specified in its charter) Nevada 20-5093315 (I.R.S. Employer ...

Vistagen Therapeutics, Inc. (NASDAQ:VTGN) Q1 2024 Earnings Conference Call August 10, 2023 4:30 PM ET Company Participants Mark Flather - VP of IR Shawn Singh - CEO Josh Prince - SVP of Business Operations Conference Call Participants Andrew Tsai - Jefferies Joanne Lee - Maxim Group Operator Greetings, and welcome to the Vistagen Therapeutics Fiscal Year 2024 First Quarter Corporate Update Conference Call. [Operator Instructions] And as a reminder, this conference is being recorded, Thursday, August 10, 202 ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 Form 10-Q (Mark One) ☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to . Commission File Number: 001-37761 VISTAGEN THERAPEUTICS, INC. (Exact name of registrant as specified in its charter) (State or other jurisdiction of incorpo ...