Imaging Neural Correlates of Ketamine Using PET/MR

NCT ID: NCT04587778

Last Updated: 2024-03-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-05

Study Completion Date

2025-03-31

Brief Summary

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The purpose of this randomized, placebo-controlled study is to investigate pharmacodynamic differences between racemic ketamine and esketamine using functional fluorodeoxyglucose (\[18F\]FDG) positron emission tomography/magnetic resonance imaging (PET/MR)

Pilot study I:

A pilot study with healthy controls will be performed in order to investigate pharmacokinetic behavior and acute behavioral effects of intravenous ketamine infusion.

Pilot study II:

A pilot study including 15 healthy volunteers will be performed in order to optimize scanning procedures. The pilot study follows a randomized, placebo-controlled, double-blind, cross-over study design. After enrollment into the study all subjects will undergo two \[18F\]FDG PET/CT scans in the course of which they will receive either S-ketamine or placebo during the first scan and the respective other study medication during the second scan.

Detailed Description

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Conditions

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Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Esketamine ((S)-Ketamine)

Single-blind placebo (saline) infusion will be performed during the first PET/MR scan in all subjects, i.e. both arms.

In a cross-over study design, esketamine will be administered during the second scan and racemic ketamine during the third scan.

Group Type EXPERIMENTAL

Ketamine Hydrochloride

Intervention Type DRUG

intravenous infusion

Esketamine

Intervention Type DRUG

intravenous infusion

Placebo

Intervention Type DRUG

intravenous infusion

Racemic ketamine ((R,S)-Ketamine)

Single-blind placebo (saline) infusion will be performed during the first PET/MR scan in all subjects, i.e. both arms.

In a cross-over study design, racemic ketamine will be administered during the second scan and esketamine during the third scan.

Group Type EXPERIMENTAL

Ketamine Hydrochloride

Intervention Type DRUG

intravenous infusion

Esketamine

Intervention Type DRUG

intravenous infusion

Placebo

Intervention Type DRUG

intravenous infusion

Pilot study II: Esketamine ((S)-Ketamine)

In a cross-over study design, esketamine will be administered during the first scan and placebo during the second scan.

Group Type EXPERIMENTAL

Pilot study II: Esketamine

Intervention Type DRUG

intravenous infusion

Pilot study II: Placebo

Intervention Type DRUG

intravenous infusion

Interventions

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Ketamine Hydrochloride

intravenous infusion

Intervention Type DRUG

Esketamine

intravenous infusion

Intervention Type DRUG

Placebo

intravenous infusion

Intervention Type DRUG

Pilot study II: Esketamine

intravenous infusion

Intervention Type DRUG

Pilot study II: Placebo

intravenous infusion

Intervention Type DRUG

Other Intervention Names

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Racemic ketamine (R, S)-Ketamine (S)-Ketamine saline solution (S)-Ketamine Saline solution

Eligibility Criteria

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Inclusion Criteria

* General health based on medical history, physical examination and structured clinical interview for the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (SCID)
* Age 18 to 55 years
* Right-handedness (due to potential lateralization effects of lefthanded subjects)
* Willingness and competence to sign the informed consent form.

Exclusion Criteria

* Current or history of psychiatric or neurological disease
* Current medical illness requiring treatment
* Pregnancy or current breastfeeding
* Current or former substance abuse
* Diagnosis of an Axis-1 psychotic disorder in a first-degree relative
* Any contraindication for MRI (e.g., MR incompatible implants, etc.) including dental implants causing signal artifacts
* For subjects participating in earlier studies using ionizing radiation, the total radiation exposure of 30 millisievert (mSv) over the last 10 years must not be exceeded, as specified in the Austrian legislation on radiation protection (www.ris.bka.gv.at). Accordingly, body weight \>100kg is an exclusion criterion (5.1 Megabequerel (MBq)/kg \* 100kg \* 0.019 mSv/MBq\* 0.885 = 8.58 mSv per scan, the factor 0.885 is considered due to continuous radioligand infusion, see PET scanning).
* Failure to comply with the study protocol or to follow the instruction of the investigating team.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Rupert Lanzenberger

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Medical University of Vienna

Vienna, , Austria

Site Status RECRUITING

Countries

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Austria

Central Contacts

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Rupert Lanzenberger, Prof.

Role: CONTACT

004314040035760

Facility Contacts

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Rupert Lanzenberger, Prof.

Role: primary

Other Identifiers

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v2_06.02.2024

Identifier Type: -

Identifier Source: org_study_id

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