Clinical trial • Psychiatry

Ketamine for Depression | Alcohol use disorder

Clinical trial of Ketamine for Depression | Alcohol use disorder.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Depression | Alcohol use disorder
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
25-10-2023
First CTIS Authorization Date
23-02-2024

Trial design

Randomised, midazolam accord 1 mg/ml, solution for injection/infusion, intravenous infusion (active placebo)-controlled trial across 1 site in Norway.

Randomised
Yes
Comparator
Midazolam Accord 1 mg/ml, solution for injection/infusion, intravenous infusion (active placebo)
Target Sample Size
34

Eligibility

Recruits 34 Vulnerable population not selected; exclusion criterion: 'Not able to provide adequate informed consent'. No additional assent/consent handling details provided..

Vulnerable Population
Vulnerable population not selected; exclusion criterion: 'Not able to provide adequate informed consent'. No additional assent/consent handling details provided.

Inclusion criteria

  • {"criterion_text":"- 18-65 years of age\n- At least moderate depression without psychotic features\n- Alcohol dependence as their primary substance use disorder\n- Must be admitted to the hospital for inpatient addiction therapy at one of the inpatient units at University Hospital of North Norway"}

Exclusion criteria

  • {"criterion_text":"- Not able to provide adequate informed consent\n- Illegal use of ketamine the last 6 months\n- Current or past history of psychotic disorder\n- Significant cardiovascular event during the last year\n- Liver failure or impariment of liver function\n- Significant chronic kidney failure\n- Significant chronic heart failure\n- Significant chronic respiratory failure\n- Previous anaphylactic reaction to the IMP or AMP"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary outcome is the difference in the change in MADRS from baseline to within three days from the final treatment session between intervention group and control group","definition_or_measurement_approach":"Difference in change in MADRS (Montgomery-Åsberg Depression Rating Scale) score from baseline to within three days after the final treatment session between intervention and control groups."}

Secondary endpoints

  • {"endpoint_text":"- Assess group differences in the change in alcohol craving from baseline","definition_or_measurement_approach":"Change in alcohol craving from baseline compared between groups (measurement instrument not specified here)."}
  • {"endpoint_text":"- Assess changes in alcohol consumption (measured by average number of alcohol units per week and percentage of days abstinent) from three months prior to admission until six-months post-treatment","definition_or_measurement_approach":"Alcohol consumption measured by average number of alcohol units per week and percentage of days abstinent from 3 months prior to admission until 6 months post-treatment."}
  • {"endpoint_text":"- Assess frequency, severity and duration of ARs/SARs","definition_or_measurement_approach":"Assessment of adverse reactions/serious adverse reactions frequency, severity and duration (methods not detailed here)."}
  • {"endpoint_text":"- Assess and compare between groups tolerability for each treatment session (participant- and physician-reported tolerability)","definition_or_measurement_approach":"Participant- and physician-reported tolerability for each treatment session compared between groups (specific scales not provided here)."}
  • {"endpoint_text":"- Assess within- and between-group changes in neurocognitive function from baseline to within three days from the final treatment session","definition_or_measurement_approach":"Change in neurocognitive function from baseline to within three days after final treatment session within and between groups (specific tests not specified here)."}

Recruitment

Planned Sample Size
34
Recruitment Window Months
33
Consent Approach
Participants must be able to provide adequate informed consent; exclusion criterion: 'Not able to provide adequate informed consent'. No further details on assent, age-specific documents, or languages available provided.

Geography

Total Number Of Sites
1
Total Number Of Participants
34

Norway

Latest Decision Or Authorization Date
14-05-2024
Number Of Sites
1
Number Of Participants
34

Sites

Site Name
Universitetssykehuset Nord-Norge HF
Department Name
Department of Addiction
Contact Person Name
Andreas Wahl Blomkvist
Contact Person Email
andreas.wahl.blomkvist@unn.no
Number Of Participants
34

Sponsor

Primary sponsor

Full Name
University Hospital Of North Norway HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Investigational products

Investigational Product Name
Ketalar 50 mg/ml injeksjonsvæske, oppløsning
Active Substance
Ketamine
Modality
Small molecule
Routes Of Administration
Intravenous infusion
Route
Intravenous infusion
Authorisation Status
Marketing authorisation present (miaNumber: 0000-05724)
Investigational Product Name
Midazolam Accord 1 mg/ml, injeksjonsvæske/infusjonsvæske, oppløsning
Active Substance
Midazolam hydrochloride
Modality
Small molecule
Routes Of Administration
Intravenous infusion
Route
Intravenous infusion
Authorisation Status
Marketing authorisation present (miaNumber: 07-5068)

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