Investigation of Intranasal Ketamine Related Changes in Attentional Brain Networks With Functional and Structural MRI: a Placebo Controlled, Randomized, Cross-over Trial
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- BOLD response assessed with fMRI to arousal task
研究概览
简要总结
Subanesthetic ketamine is currently used as a rapid-acting antidepressant. It is an antagonist of the N-methyl-d-aspartate (NMDA) receptor, but former results indicate that its action also depends on the noradrenaline system and the locus coeruleus (LC).
Based on this known impact of ketamine on the sympathetic nervous system the aim of this study is to investigate the effects of intranasal esketamine on LC related attentional brain networks in task based functional MRI, to relate those attention network changes to behavioural measures and to predict ketamine related attention network changes by brain structure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Basic Science
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •General health (no serious internal or neurologic pre-existing conditions) 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
排除标准
- •Current or history of psychiatric or neurological disease
- •Current medical illness requiring treatment
- •Current or former substance abuse
- •Pregnancy or current breastfeeding
- •Diagnosis of an Axis-1 psychotic disorder in a first-degree relative
- •Known aneurysmal vascular disease based on medical history (including intracranial, thoracic, or abdominal aorta, or peripheral arterial vessels), history of intracerebral haemorrhage, recent (within 6weeks) cardiovascular event, including myocardial infarction (MI)
- •Significant pulmonary insufficiency, including COPD; sleep apnoea with morbid obesity (BMI ≥35), uncontrolled brady- or tachyarrhythmias that lead to haemodynamic instability; history of an MI, haemodynamically significant valvular heart disease or heart failure (NYHA Class III-IV)
- •Hyperthyroidism that has not been sufficiently treated
- •History of brain injury, hypertensive encephalopathy, intrathecal therapy with ventricular shunts, or any other condition associated with increased intracranial pressure
- •Child-Pugh class C (severe) hepatic impairment
- •Any contraindication for MRI (e.g., MR incompatible implants, etc.) including dental implants causing signal artifacts
- •Failure to comply with the study protocol or to follow the instruction of the investigating team
研究组 & 干预措施
first 56mg esketamine (2x Spravato® 28 mg nasal spray), then placebo
干预措施: 56mg esketamine (2x Spravato® 28 mg nasal spray) (Drug)
first 56mg esketamine (2x Spravato® 28 mg nasal spray), then placebo
干预措施: 0.9% saline solution nasal spray (Drug)
first placebo (0.9% saline solution nasal spray), then ketamine
干预措施: 56mg esketamine (2x Spravato® 28 mg nasal spray) (Drug)
first placebo (0.9% saline solution nasal spray), then ketamine
干预措施: 0.9% saline solution nasal spray (Drug)
结局指标
主要结局
BOLD response assessed with fMRI to arousal task
时间窗: up to two weeks
Blood oxygen level (BOLD) response assessed with functional magnetic resonance imaging (fMRI) during an arousal task
次要结局
未报告次要终点
研究者
Rupert Lanzenberger
Prof. Dr. Rupert Lanzenberger
Medical University of Vienna