Investigation of neurobiological mechanisms of antidepressant action of ketamine using neuroimaging

2024-519234-23-00 Protocol RS-Ket_PETMR Human pharmacology (Phase I) - Other Ongoing, recruiting

Start 17 Jan 2020 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol RS-Ket_PETMR

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ongoing, recruiting
Participants planned 75
Countries 1
Sites 1

Healthy volunteers - no medical condition

Main study: To characterize the effects of ketamine enantiomers on brain activation and metabolism. Pilot I: To obtain behavioral data associated with ketamine application Pilot II: To optimize procedures associated with application of the study medication To demonstrate feasibility of this novel functional PET approac…

Key facts

Sponsor
Medical University Of Vienna
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Not possible to specify, Psychiatry and Psychology [F] - Mental Disorders [F03]
Trial duration
17 Jan 2020 → ongoing
Decision date (initial)
2025-01-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-519234-23-00
EudraCT number
2019-003174-11

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic

Main study:
To characterize the effects of ketamine enantiomers on brain activation
and metabolism.
Pilot I:
To obtain behavioral data associated with ketamine application
Pilot II:
To optimize procedures associated with application of the study
medication
To demonstrate feasibility of this novel functional PET approach

Secondary objectives 1

  1. To identify downstream metabolites relevant for antidepressant treatment response

Conditions and MedDRA coding

Healthy volunteers - no medical condition

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

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

Exclusion criteria 1

  1. - 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 30mSv over the last 10 years must not be exceeded, as specified in the Austrian legislation on radiation protection (Med. Strahlenschutzverordnung 11.01.2011; www.ris.bka.gv.at). Accordingly, body weight >100kg is an exclusion criterion (5.1 MBq/kg * 100kg * 0.019 mSv/Mbq * 0.885 = 8.58mSv 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.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. regional cerebral metabolic rate of glucose (rCMRGlu), cerebral blood flow (CBF), functional connectivity (FC), Volumen (GMV), mean diffusivity (MD), fractional anisotropy (FA)

Secondary endpoints 1

  1. Psychopathological effects of administration of the study medication

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Ketanest® S 25 mg/ml - Ampullen

PRD412849 · Product

Active substance
Esketamine Hydrochloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
0.25 mg/kg milligram(s)/kilogram
Max total dose
0.25 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01AX14 — ESKETAMINE
Marketing authorisation
1-22525
MA holder
PFIZER CORPORATION AUSTRIA GESELLSCHAFT M.B.H.
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Off-Label use in healthy volunteers

Ketamin-hameln 50 mg/ml Injektionslösung

PRD3244513 · Product

Active substance
Ketamine Hydrochloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
0.5 mg/kg milligram(s)/kilogram
Max total dose
0.5 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01AX03 — KETAMINE
Marketing authorisation
32265.00.00
MA holder
HAMELN PHARMA GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Off-label use in healthy volunteers

Placebo 1

Saline Solution Basi 9 mg/ml solution for infusion

PRD11121726 · Product

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
500 ml millilitre(s)
Max total dose
500 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
B05XA03 — SODIUM CHLORIDE
Marketing authorisation
5211800
MA holder
LABORATÓRIOS BASI – INDÚSTRIA FARMACÊUTICA, S.A.
MA country
Malta
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Psychiatry and Psychotherapy, Division of General Psychiatry

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Psychiatry and Psychotherapy, Division of General Psychiatry

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 75 1
Rest of world 0

Investigational sites

Austria

1 site · Ongoing, recruiting
Medical University Of Vienna
Department of Psychiatry and Psychotherapy, Division of General Psychiatry, Waehringer Guertel 18-20, Alsergrund, Vienna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2020-01-17 2020-10-05

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2019-003174-11 2.3
Protocol (for publication) D1_Protocol 2019-003174-11_redacted 2.3
Recruitment arrangements (for publication) K1_Recruitment arrangements_placeholder 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 5.2
Summary of Product Characteristics (SmPC) (for publication) SmPC Ketamin-hameln 1
Summary of Product Characteristics (SmPC) (for publication) SmPC Ketanest 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-30 Austria Acceptable
2025-01-30
2025-01-30