Ketamine and Propofol NeuroImaging

NCT ID: NCT07294092

Last Updated: 2025-12-19

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

EARLY_PHASE1

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-01

Study Completion Date

2028-08-02

Brief Summary

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This is a multi-visit which will collect MRI (pictures of the brain) and EEG (brain waves) data to determine changes in brain connectivity and brain activity for memory formation and pain perception while receiving the commonly-used anesthetic agents ketamine and propofol, both alone and in combination.

Detailed Description

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There are four independent drug-administration sessions, visits 1, 3, 5, and 7. In all four of these sessions, both drugs are received, but in two different sequences. Two of these are EEG sessions and two are MRI sessions. Both EEG and MRI will have the same two drug orderings:

* Propofol alone, followed by ketamine and propofol together
* Ketamine alone, followed by propofol and ketamine together Assignment to propofol alone first, versus ketamine alone first will be randomized. But, all subjects will be assigned to receive both drug orderings under both EEG monitoring and MRI acquisition.

A follow-up memory testing visit will occur the day after each MRI/EEG session, on visits 2, 4, 6, and 8. No drugs are given during the next-day testing sessions.

Conditions

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Anesthesia Pain

Keywords

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Propofol Ketamine functional MRI electric nerve stimulation sedation functional connectivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Only the ordering of drug assignments is randomized. After completing all visits, all subjects will have underwent all the same interventions.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Propofol, followed by propofol+ketamine (given at first visit)

* Propofol, followed by propofol+ketamine at Visit 1
* Ketamine, followed by ketamine+propofol at Visit 3
* Propofol, followed by propofol+ketamine at Visit 5
* Ketamine, followed by ketamine+propofol at Visit 7

EEG will be done at either visits 1 and 3 or 5 and 7; fMRI will be done at the other two (non-EEG) visits.

Group Type EXPERIMENTAL

Propofol

Intervention Type DRUG

Subjects will receive an intravenous infusion of this drug, during portions of the study.

Ketamine

Intervention Type DRUG

Subjects will receive an intravenous infusion of this drug, during portions of the study.

Peripheral Nerve Stimulation

Intervention Type DEVICE

Experimental acute pain stimulus will be delivered using a nerve stimulator. These painful shocks will be paired with specific experimental events.

Ketamine, followed by ketamine+propofol (given at first visit)

* Ketamine, followed by ketamine+propofol at Visit 1
* Propofol, followed by propofol+ketamine at Visit 3
* Ketamine, followed by ketamine+propofol at Visit 5
* Propofol, followed by propofol+ketamine at Visit 7

EEG will be done at either visits 1 and 3 or 5 and 7; fMRI will be done at the other two (non-EEG) visits.

Group Type EXPERIMENTAL

Propofol

Intervention Type DRUG

Subjects will receive an intravenous infusion of this drug, during portions of the study.

Ketamine

Intervention Type DRUG

Subjects will receive an intravenous infusion of this drug, during portions of the study.

Peripheral Nerve Stimulation

Intervention Type DEVICE

Experimental acute pain stimulus will be delivered using a nerve stimulator. These painful shocks will be paired with specific experimental events.

Interventions

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Propofol

Subjects will receive an intravenous infusion of this drug, during portions of the study.

Intervention Type DRUG

Ketamine

Subjects will receive an intravenous infusion of this drug, during portions of the study.

Intervention Type DRUG

Peripheral Nerve Stimulation

Experimental acute pain stimulus will be delivered using a nerve stimulator. These painful shocks will be paired with specific experimental events.

Intervention Type DEVICE

Other Intervention Names

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Diprivan ketalar electric nerve stimulation

Eligibility Criteria

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Inclusion Criteria

* Adults 18-59 years of age, who:

Exclusion Criteria

* have a valid email address and valid phone number throughout the study
* free from any non-MRI compatible implants


* are pregnant or attempting to conceive
* body mass index (BMI) \> 35
* significant memory impairment or hearing loss
* sleep apnea
* chronic pain or frequently taking pain medication
* chronic medical conditions requiring treatment (hypertension, diabetes, high cholesterol)
* neurologic disease, including seizures and tremor
* psychiatric diagnoses, including anxiety, depression, panic, or PTSD
* a history of any of these medical conditions: abnormal heartbeats (cardiac conduction abnormality or arrhythmia), liver or kidney disease, or significant lung disease
* severe claustrophobia or intolerance of an MRI
* have metal implants or non-removable metal piercings
* having a history of adverse reaction to ketamine or propofol
* daily alcohol or heavy alcohol use; history of alcohol abuse
* current daily smoker
* regular or recent marijuana use (including prescribed/medical marijuana)
* illicit drug use, i.e., street drugs
* regularly taking: antiepileptics, antidepressants, anti-psychotics, antihistamines, anti-anxiety medication, stimulants, or sleep-aids
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of General Medical Sciences (NIGMS)

NIH

Sponsor Role collaborator

Keith M Vogt

OTHER

Sponsor Role lead

Responsible Party

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Keith M Vogt

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Keith M Vogt, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Keith M Vogt, MD, PhD

Role: CONTACT

Phone: 4126473147

Email: [email protected]

Facility Contacts

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Keith M Vogt, MD, PhD

Role: primary

Other Identifiers

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STUDY25110029

Identifier Type: -

Identifier Source: org_study_id

R35GM146822

Identifier Type: NIH

Identifier Source: secondary_id

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