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    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
    EudraCT number
    2020-004487-25
    Trial protocol
    SE  
    Global end of trial date
    25 Nov 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Mar 2024
    First version publication date
    06 Mar 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    KETASELF-1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Linköpings Universitet
    Sponsor organisation address
    Linköping Campus US, Linköping, Sweden,
    Public contact
    Markus Heilig, Linköpings Universitet, 0046 1036479, Markus.Heilig@liu.se
    Scientific contact
    Markus Heilig, Linköpings Universitet, 0046 1036479, Markus.Heilig@liu.se
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    17 Jan 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    22 Nov 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Nov 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    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.
    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.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Feb 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Sweden: 30
    Worldwide total number of subjects
    30
    EEA total number of subjects
    30
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    30
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    -

    Pre-assignment period milestones
    Number of subjects started
    30
    Number of subjects completed
    30

    Period 1
    Period 1 title
    main (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    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.

    Arms
    Arm title
    ketamine
    Arm description
    ketamine-placebo within subject (randomized session order)
    Arm type
    Experimental

    Investigational medicinal product name
    Ketamine
    Investigational medicinal product code
    Other name
    Abcur 10mg/ml
    Pharmaceutical forms
    Solution for solution for infusion
    Routes of administration
    Intravenous drip use
    Dosage and administration details
    0.5 mg*kg bodyweight per 40 min = 0.0125 mg*kg bodyweight per min

    Investigational medicinal product name
    0.9% NaCl
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    0.9% NaCl

    Number of subjects in period 1
    ketamine
    Started
    30
    Completed
    30

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    main
    Reporting group description
    -

    Reporting group values
    main Total
    Number of subjects
    30 30
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    30 30
        From 65-84 years
    0 0
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    15 15
        Male
    15 15

    End points

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    End points reporting groups
    Reporting group title
    ketamine
    Reporting group description
    ketamine-placebo within subject (randomized session order)

    Primary: self-other-distinction measures - see article

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    End point title
    self-other-distinction measures - see article [1]
    End point description
    End point type
    Primary
    End point timeframe
    start-end
    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.
    End point values
    ketamine
    Number of subjects analysed
    30
    Units: 1
    30
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Inclusion - Follow-up phone call 2-3 days after last study visit
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    1
    Reporting groups
    Reporting group title
    all subjects
    Reporting group description
    -

    Serious adverse events
    all subjects
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 30 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    all subjects
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    17 / 30 (56.67%)
    Injury, poisoning and procedural complications
    Fall
    alternative assessment type: Systematic
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Nervous system disorders
    Dizziness
    alternative assessment type: Systematic
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Headache
    alternative assessment type: Systematic
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Migraine
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    2
    General disorders and administration site conditions
    Feeling cold
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Discomfort
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Gastritis
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Eye disorders
    Eye pain
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Gastrointestinal disorders
    Diarrhoea
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Nausea
    alternative assessment type: Systematic
         subjects affected / exposed
    2 / 30 (6.67%)
         occurrences all number
    2
    Vomiting
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Eczema
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Urticaria
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Psychiatric disorders
    Depersonalisation/derealisation disorder
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Insomnia
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Nightmare
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Infections and infestations
    Cystitis
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Eye infection
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 30 (3.33%)
         occurrences all number
    1
    Nasopharyngitis
    alternative assessment type: Systematic
         subjects affected / exposed
    7 / 30 (23.33%)
         occurrences all number
    8

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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