Trial Outcomes & Findings for Ketamine as a Treatment for Post-Traumatic Stress Disorder (PTSD) (NCT NCT02397889)

NCT ID: NCT02397889

Last Updated: 2021-03-11

Results Overview

full range score from 0-80, with higher scores indicating greater PTSD symptoms

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

30 participants

Primary outcome timeframe

2 weeks after the first infusion

Results posted on

2021-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Ketamine Group
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Overall Study
STARTED
15
15
Overall Study
COMPLETED
14
15
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Ketamine Group
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Overall Study
Physician Decision
1
0

Baseline Characteristics

Ketamine as a Treatment for Post-Traumatic Stress Disorder (PTSD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
39.3 years
STANDARD_DEVIATION 13.8 • n=5 Participants
38.5 years
STANDARD_DEVIATION 13.0 • n=7 Participants
38.9 years
STANDARD_DEVIATION 13.2 • n=5 Participants
Sex/Gender, Customized
Females
13 Participants
n=5 Participants
10 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex/Gender, Customized
Males
1 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex/Gender, Customized
Other
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Current treatment with psychotropic medication
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Clinician Administered PTSD Scale (CAPS-5) score
41.9 units on a scale
STANDARD_DEVIATION 6.1 • n=5 Participants
40.1 units on a scale
STANDARD_DEVIATION 5.9 • n=7 Participants
40.9 units on a scale
STANDARD_DEVIATION 5.9 • n=5 Participants
The Impact of Events Scale - Revised (IES-R)
41.4 units on a scale
STANDARD_DEVIATION 14.0 • n=5 Participants
48.3 units on a scale
STANDARD_DEVIATION 20.1 • n=7 Participants
44.8 units on a scale
STANDARD_DEVIATION 17.3 • n=5 Participants
Montgomery Asberg Depression Rating Scale (MADRS) score
26.4 units on a scale
STANDARD_DEVIATION 6.6 • n=5 Participants
25.3 units on a scale
STANDARD_DEVIATION 9.0 • n=7 Participants
25.8 units on a scale
STANDARD_DEVIATION 7.8 • n=5 Participants
Duration of PTSD
15.1 years
STANDARD_DEVIATION 17.8 • n=5 Participants
14.6 years
STANDARD_DEVIATION 7.8 • n=7 Participants
14.9 years
STANDARD_DEVIATION 13.5 • n=5 Participants

PRIMARY outcome

Timeframe: 2 weeks after the first infusion

full range score from 0-80, with higher scores indicating greater PTSD symptoms

Outcome measures

Outcome measures
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
22.5 score on a scale
Standard Deviation 14.4
33.2 score on a scale
Standard Deviation 11.8

SECONDARY outcome

Timeframe: 24 hours after the first drug infusion

full range score from 0-88, with higher scores indicating greater PTSD symptoms

Outcome measures

Outcome measures
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
The Impact of Event Scale - Revised (IES-R)
19.7 score on a scale
Standard Deviation 15.2
24.8 score on a scale
Standard Deviation 13.1

SECONDARY outcome

Timeframe: 24 hours after the first drug infusion

full range score from 0-60, with higher scores indicating greater depressive symptoms

Outcome measures

Outcome measures
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Montgomery Asberg Depression Rating Scale (MADRS)
16.5 score on a scale
Standard Deviation 9.6
17.1 score on a scale
Standard Deviation 9.4

SECONDARY outcome

Timeframe: 2 weeks after the first drug infusion

full range score from 0-60, with higher scores indicating greater depressive symptoms

Outcome measures

Outcome measures
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Montgomery Asberg Depression Rating Scale (MADRS)
14.7 score on a scale
Standard Deviation 12.1
21.9 score on a scale
Standard Deviation 8.5

SECONDARY outcome

Timeframe: 2 weeks after the first drug infusion

full range score from 0-27, with higher scores indicating greater depressive symptoms

Outcome measures

Outcome measures
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Quick Inventory of Depression Symptomatology - Self-Report (QIDS-SR)
6.6 score on a scale
Standard Deviation 7.1
6.7 score on a scale
Standard Deviation 5.4

SECONDARY outcome

Timeframe: up to 21 weeks

All side effects listed in Adverse Event section.

Outcome measures

Outcome measures
Measure
Experimental Ketamine Group
n=15 Participants
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 Participants
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Number of Participants With Patient-Rated Inventory of Side Effects (PRISE)
15 Participants
15 Participants

Adverse Events

Experimental Ketamine Group

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Active Control Midazolam Group

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Experimental Ketamine Group
n=15 participants at risk
0.5mg/kg repeated dose ketamine (6 infusions, 3 per week for 2 weeks).
Active Control Midazolam Group
n=15 participants at risk
0.045mg/kg repeated dose midazolam (6 infusions, 3 per week for 2 weeks).
Gastrointestinal disorders
Diarrhea
20.0%
3/15 • up to 21 weeks
26.7%
4/15 • up to 21 weeks
Gastrointestinal disorders
Dry mouth
13.3%
2/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
Gastrointestinal disorders
Nausea/Vomiting
46.7%
7/15 • up to 21 weeks
40.0%
6/15 • up to 21 weeks
Cardiac disorders
Palpitation
6.7%
1/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
Skin and subcutaneous tissue disorders
Rash
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
Skin and subcutaneous tissue disorders
Increased persipiration
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
Skin and subcutaneous tissue disorders
Itching
0.00%
0/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
Nervous system disorders
Headache
46.7%
7/15 • up to 21 weeks
40.0%
6/15 • up to 21 weeks
Nervous system disorders
Tremors
0.00%
0/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
Nervous system disorders
Dizziness
40.0%
6/15 • up to 21 weeks
13.3%
2/15 • up to 21 weeks
Eye disorders
Blurred vision
66.7%
10/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
Renal and urinary disorders
Difficulty urinating
6.7%
1/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
Renal and urinary disorders
Painful urination
0.00%
0/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
Renal and urinary disorders
Frequent urination
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
General disorders
Difficulty sleeping
13.3%
2/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
General disorders
Sleeping too much
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
Reproductive system and breast disorders
Loss of sexual desire
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
Reproductive system and breast disorders
Trouble achieving orgasm
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
General disorders
Anxiety
6.7%
1/15 • up to 21 weeks
0.00%
0/15 • up to 21 weeks
General disorders
Poor concentration
26.7%
4/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
General disorders
Fatigue
46.7%
7/15 • up to 21 weeks
93.3%
14/15 • up to 21 weeks
General disorders
Decreased energy
6.7%
1/15 • up to 21 weeks
6.7%
1/15 • up to 21 weeks
General disorders
Other
100.0%
15/15 • up to 21 weeks
66.7%
10/15 • up to 21 weeks

Additional Information

Adriana Feder

Icahn School of Medicine at Mount Sinai

Phone: 212-659-9279

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place