RecruitingPhase 2Phase 3NCT05343507

Ketamine to Treat Patients With Post-comatose Disorders of Consciousness

Complexity-enhancing Drugs to Treat Disorders of Consciousness (DoC): a Ketamine Study


Sponsor

University of Liege

Enrollment

30 participants

Start Date

May 1, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The investigators will run a Randomized Clinical Trial with 30 patients with disorders of consciousness (DoC), with intravenous subanesthetic doses of ketamine. Patients will simultaneously undergo TMS-EEG. The piloting will be done on 3 patients, with EEG only.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria4

  • Clinically stable
  • Diagnosis of UWS or MCS based on repeated "coma recovery scale-revised) (CRS-R) or SECONDs
  • More than 28 days post-insult
  • Informed consent from the legal representative of the patient

Exclusion Criteria8

  • Neurological medications other than anti-spasticity drugs in the last 2 weeks or 4 half-lives
  • Previous neurological functional impairment other than related to their DoC
  • A history of psychotic disorders
  • Contraindication to MRI, EEG, PET or TMS
  • Use of nitrates or other vasodilators, central nervous system acting agents such as barbiturates, morphine and related drugs.
  • Use of drugs known to interact with ketamine (i.e., CYP3A4, diazepam, ...)
  • Coronary insufficiency
  • Other sympathomimetic drugs

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Interventions

DRUGKetalar 50 MG/ML Injectable Solution

Intravenous solution (other info already provided)

DRUGPlacebo

Saline Solution


Locations(1)

Centre Hospitalier Neurologique William Lennox

Ottignies-Louvain-la-Neuve, Wallonia, Belgium

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NCT05343507


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