Effects of Ketamine on Mentalizing and Metacognition in Healthy Volunteers

NCT ID: NCT05320991

Last Updated: 2022-04-18

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-15

Study Completion Date

2020-09-27

Brief Summary

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Antipsychotic medication shows generally good effect sizes when looking at reduction of positive psychotic symptoms of schizophrenia, such as paranoia or delusion. However, social functioning often remains deficient in patients, meaning dopamine-receptor antagonists are not sufficient in treatment of people with schizophrenia.

A naturalistic video-based paradigm, named MASC has been used in the past to model over- and undermentalizing in patients with autism spectrum disorder and schizophrenia, since deficits in mentalizing can be explained by either overinterpreting a social situation (e.g. paranoid thoughts about intentions of others towards self) or by lacking the skill to read intentions of others.

To find out whether experimental manipulation via a non-competetive N-methyl-D-aspartate antagonist can induce difficulties with social cognition similar to those observed in people with schizophrenia, the investigators will conduct a RCT applying either ketamine or a placebo intravenously while participants are completing the above mentioned mentalizing task in the fMRI-scanner.

Detailed Description

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Conditions

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Ketamine-Induced Psychotic Disorder Social Cognition Theory of Mind

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
All investigators (except anesthesiologists) are blinded until fMRI data has been preprocessed

Study Groups

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Placebo

Participants receive a saline-solution intravenously

Group Type PLACEBO_COMPARATOR

Nacl 0.9%

Intervention Type DRUG

Saline solution will also be applied with the Graseby 3500 intravenous infusion pump controlled by the STANPUMP software (Steven Shafer, M.D., Anesthesiology Service, PAVAMC 3801 Miranda Ave., Palo Alto, USA).

Ketamine

Participants receive ketamine (Plasma-level 100 ng/ml with an initial bolus administered as a 2 mg/ml solution)

Group Type EXPERIMENTAL

Ketamine

Intervention Type DRUG

Ketamine is applied with a Graseby 3500 intravenous infusion pump controlled by the STANPUMP software (Steven Shafer, M.D., Anesthesiology Service, PAVAMC 3801 Miranda Ave., Palo Alto, USA). Target plasma levels are 100 ng/ml with an initial bolus administered as a 2 mg/ml solution.

Interventions

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Ketamine

Ketamine is applied with a Graseby 3500 intravenous infusion pump controlled by the STANPUMP software (Steven Shafer, M.D., Anesthesiology Service, PAVAMC 3801 Miranda Ave., Palo Alto, USA). Target plasma levels are 100 ng/ml with an initial bolus administered as a 2 mg/ml solution.

Intervention Type DRUG

Nacl 0.9%

Saline solution will also be applied with the Graseby 3500 intravenous infusion pump controlled by the STANPUMP software (Steven Shafer, M.D., Anesthesiology Service, PAVAMC 3801 Miranda Ave., Palo Alto, USA).

Intervention Type DRUG

Eligibility Criteria

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Exclusion Criteria

* history of psychiatric/neurological disorder (self and first-degree relatives)
* learning disabilities, or loss of consciousness for more than 5 minutes
* history of alcohol or drug abuse within the last 12 months
* history of ketamine abuse
* history of complications during anesthesia (self and first-degree relatives)
* serious physical illness
* claustrophobia
* color-blindness
* metalliferous implant
* visual impairments other than corrective lenses
* injury or disease of the inner ear with loss of hearing
* consumption of any prescription or over-the-counter medication 3 days previous to the examination
* pregnancy
* currently breastfeeding a baby
* hypotension (blood pressure \< 100/60)
* hypertension (blood pressure \> 140/90)
* underweight (BMI \<17)
* overweight (BMI ≥30)

Recruited participants are required to meet the following criteria:

* height between 150 and 195 cm
* bodyweight between 50 and 99kg
* male or female
* right-handed
* physically, neurologically and psychiatrically healthy
* non-smoker
* normal or corrected-to-normal eye-sight
* good command of German language
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Bonn

OTHER

Sponsor Role lead

Responsible Party

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Rene Hurlemann

Professor for Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Psychiatry and Psychotherapy, University Hospital Bonn

Bonn, , Germany

Site Status

Countries

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Germany

Related Links

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Other Identifiers

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#19-03-29 (METAKETA)

Identifier Type: -

Identifier Source: org_study_id

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