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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02134951
Other study ID # 6925
Secondary ID HHS-N-271-2012-0
Status Completed
Phase Phase 4
First received
Last updated
Start date May 2014
Est. completion date November 2015

Study information

Verified date August 2018
Source New York State Psychiatric Institute
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to assess the relative feasibility of 2 potential functional measures of target engagement (Glx MRS, BOLD fMRI) to systematically assess mGluR 2/3 in drug development for psychotic spectrum disorders.


Description:

This is a pilot study of healthy subject to assess the feasibility of Glx MRS and BOLD fMRI to measure ketamine induced changes in glutamatergic indices. The investigators will randomize 18 subjects at each site. Subjects will be randomized to ketamine or placebo in a 2:1 ratio and receive two drug challenges separated by at least two weeks. Ketamine challenge is used to induce a "glutamate surge" within prefrontal brain regions that can be detected using neurochemical and functional imaging techniques. Each subject will receive MRS and BOLD fMRI during each challenge day. The goal of the pilot study is to assess the feasibility of both the proposed ketamine challenge paradigm and of the proposed imaging-based biomarkers. Specific indices to be used in assessing feasibility will include effect size, cross-site and cross-subject reliability, safety, and subject tolerability as similar studies will be performed independently at Yale and UC Davis. Second this information will be used to select and refine final study parameters for a subsequent full proof-of-clinical mechanism (POCM) study investigating the effect of Pomaglumetad on ketamine-induced MRS and fMRI effects.


Recruitment information / eligibility

Status Completed
Enrollment 65
Est. completion date November 2015
Est. primary completion date October 2015
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 55 Years
Eligibility Inclusion Criteria:

- Age 18-55

- Negative Urine Toxicology

- No present or past psychiatric conditions (including substance abuse or dependence, with the exception of nicotine dependence)

- No family history of schizophrenia in a first-degree relative

Exclusion Criteria:

- Any current DSM IV Axis I disorder and/or past substance abuse of dependence (nicotine dependence is allowed)

- Any current use of amphetamines, opiates, cocaine, sedative-hypnotics, or cannabis

- Current (i.e., within the last 3 months) treatment with any psychotropic medications

- Pregnancy, lactation, or lack of use of effective birth control

- Presence of positive history of significant medical or neurological illness (including any history of seizure), including high blood pressure (SBP >140, DBP >90), low blood pressure (SBP <100, DBP <60), orthostatic BP change>20% (1/3 SBP + 2/3 DBP) or cardiac illness or resting heart rate >100 or <50

- History of significant violent behavior

- History of recreational ketamine use, recreational PCP use, or an adverse reaction to ketamine. Subjects who have participated prior research ketamine studies will be eligible providing they have participated in no more than 5 previous research ketamine infusions. Subjects can have infusions not more frequently than biweekly and not more than 1/month on average, therefore subjects entering the study will need to wait 1 month if they had a single infusion and 6 weeks if they have had two closely spaced infusions.

- Contraindication to MRI scanning, including metal implants or claustrophobia. Metal implants, pacemaker, other metal (e.g. shrapnel or surgical prostheses) or paramagnetic objects contained within the body which may present a risk to the subject or interfere with the MR scan, as determined in consultation with a neuroradiologist and according to the guidelines set forth in the following reference book commonly used by neuroradiologists: "Guide to MR procedures and metallic objects", F.G. Shellock, Lippincott Williams and Wilkins NY 2001

- Color Blindness

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Ketamine
intravenous infusion of saline solution with ketamine
Normal saline
Normal saline will be used for placebo in this group

Locations

Country Name City State
United States Yale University New Haven Connecticut
United States New York State Psychiatric Institute New York New York
United States University of California Davis Sacramento California

Sponsors (2)

Lead Sponsor Collaborator
New York State Psychiatric Institute National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Pharmacological Blood-oxygen-level Dependent (pharmacoBOLD) Response Compare changes inpharmacoBOLD in response to infusion of ketamine vs. placebo, as measured by resting state functional magnetic resonance imaging. Calculated by post-pre changes, with higher values indicating higher response Day 14
Primary Glutamate + Glutamine (Glx) Response Compare changes in Glx response to infusion of ketamine vs placebo, as measured by proton magnetic resonance spectroscopy (¹H MRS). Calculated by post-pre changes in the Glx over creatinine ratios, with higher values indicating higher Glx/creatinine ratios. Day 1
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