Clinical Trial Results:
Experiencing the self through touch - self-other-distinction in an altered state of self: An exploratory randomized placebo-controlled experimental medicine study
Summary
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EudraCT number |
2020-004487-25 |
Trial protocol |
SE |
Global end of trial date |
25 Nov 2022
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Results information
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Results version number |
v1(current) |
This version publication date |
06 Mar 2024
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First version publication date |
06 Mar 2024
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
KETASELF-1
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Additional study identifiers
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ISRCTN number |
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US NCT number |
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WHO universal trial number (UTN) |
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Sponsors
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Sponsor organisation name |
Linköpings Universitet
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Sponsor organisation address |
Linköping Campus US, Linköping, Sweden,
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Public contact |
Markus Heilig, Linköpings Universitet, 0046 1036479, Markus.Heilig@liu.se
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Scientific contact |
Markus Heilig, Linköpings Universitet, 0046 1036479, Markus.Heilig@liu.se
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
17 Jan 2024
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
22 Nov 2022
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Global end of trial reached? |
Yes
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Global end of trial date |
25 Nov 2022
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
1. Psychophysical measure: Tactile detection threshold during self-touch will be lower during the ketamine- than during the placebo-session.
2. Neurophysiological measure: The difference between neural signatures of self-touch and other-touch will be smaller during the ketamine session than during the placebo-session.
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Protection of trial subjects |
To minimize the risks, only healthy volunteers were included in the study. The research subjects were required not to be pregnant or planning to become pregnant during study participation. For women of childbearing age, the use of a highly effective contraceptive was required throughout the study participation. All female research subjects also underwent pregnancy tests at visits 1, 3, and 4 to minimize the risk of fetal exposure to ketamine.
Ketamine infusion
Individuals with predisposing conditions such as respiratory diseases were excluded. During the MRI sessions when ketamine infusion was given, the participants were carefully monitored by a nurse and via physiological parameters. The study participants had access to an alarm button with which they could signal any problems to the study staff and were then allowed to leave the MR machine. Any adverse events were recorded at visits 3 and 4 and at follow-up telephone calls after both of these visits.
MRI examination
The study participants were provided with earplugs to protect them from the high noise level in the MRI. A research nurse was present at the experiment and provided subjects with detailed MRI safety information before entering the MRI room. The research nurse ensured that the participant did not enter the room with ferromagnetic metal objects on or inside the body.
Intravenous catheterization
The risks of intravenous catheterization were minimized with the help of experienced medical personnel who used sterile technique and took standard precautions.
Integrity
To minimize the risk of breach of privacy, the research subject was assigned a study code, and all samples and collected data were labeled with this code. All data were stored on computers that were password-protected and encrypted.
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Background therapy |
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Evidence for comparator |
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Actual start date of recruitment |
01 Feb 2021
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Sweden: 30
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Worldwide total number of subjects |
30
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EEA total number of subjects |
30
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
30
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||
Pre-assignment
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Screening details |
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Pre-assignment period milestones
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Number of subjects started |
30 | ||||||
Number of subjects completed |
30 | ||||||
Period 1
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Period 1 title |
main (overall period)
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Is this the baseline period? |
Yes | ||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||
Roles blinded |
Subject, Investigator, Data analyst, Carer | ||||||
Blinding implementation details |
The pharmacy prepared, based on the randomization list, an infusion bag containing ketamine or placebo. Both products looked identical and a blinded label was added on the bag. Randomization and blinding were insulated from any of the investigators and study staff.
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Arms
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Arm title
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ketamine | ||||||
Arm description |
ketamine-placebo within subject (randomized session order) | ||||||
Arm type |
Experimental | ||||||
Investigational medicinal product name |
Ketamine
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Investigational medicinal product code |
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Other name |
Abcur 10mg/ml
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Pharmaceutical forms |
Solution for solution for infusion
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Routes of administration |
Intravenous drip use
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Dosage and administration details |
0.5 mg*kg bodyweight per 40 min = 0.0125 mg*kg bodyweight per min
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Investigational medicinal product name |
0.9% NaCl
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for infusion
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Routes of administration |
Infusion
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Dosage and administration details |
0.9% NaCl
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Baseline characteristics reporting groups
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Reporting group title |
main
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Reporting group description |
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End points reporting groups
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Reporting group title |
ketamine
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Reporting group description |
ketamine-placebo within subject (randomized session order) |
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End point title |
self-other-distinction measures - see article [1] | ||||||
End point description |
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End point type |
Primary
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End point timeframe |
start-end
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: This is an within-subject repeated measures fMRI analysis, which I am not able to manage to fit into this reporting scheme. The primary endpoint results are reported in the published article. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Inclusion - Follow-up phone call 2-3 days after last study visit
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
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Reporting groups
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Reporting group title |
all subjects
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Reporting group description |
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |