CTRI Number |
CTRI/2021/07/035229 [Registered on: 28/07/2021] Trial Registered Prospectively |
Last Modified On: |
22/07/2021 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Drug |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
A clinical trial to compare the effectiveness of repeated infusions of Ketamine and Midazolam in Obsessive Compulsive disorders that have not responded to previuous treatments with medicines or psychotherapy, and to see how this relates to the Brain Dericed Neurotrophic Factor(BDNF). |
Scientific Title of Study
|
Effectiveness of Repeated Ketamine Infusions in Treatment Non-Responding Obsessive Compulsive Disorder And its Relation to BDNF: a Double-Blind Randomized COntrolled Trial. |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Lalchhandama Hauhnar |
Designation |
Post Graduate Trainee, MD Psychiatry, Central Institute of Psychiatry (CIP) |
Affiliation |
Central Institute of Psychiatry |
Address |
Al Razi Hostel,
Central Institute of Psychiatry (CIP), Kanke, Ranchi, Jharkhand.
Ranchi JHARKHAND 834006 India |
Phone |
8794104751 |
Fax |
|
Email |
damtea.hauhnar@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Varun S Mehta |
Designation |
Associate Professor of Psychiatry, Central Institute of Psychiatry (CIP) |
Affiliation |
Central Institute of Psychiatry |
Address |
Central Institute of Psychiatry(CIP), Kanke, Ranchi
Ranchi JHARKHAND 834006 India |
Phone |
9204858189 |
Fax |
|
Email |
vs_mehta@yahoo.co.in |
|
Details of Contact Person Public Query
|
Name |
Dr Varun S Mehta |
Designation |
Associate Professor of Psychiatry, Central Institute of Psychiatry (CIP) |
Affiliation |
Central Institute of Psychiatry |
Address |
Central Institute of Psychiatry (CIP), Kanke, Ranchi, Jharkhand.
Ranchi JHARKHAND 834006 India |
Phone |
9204858189 |
Fax |
|
Email |
vs_mehta@yahoo.co.in |
|
Source of Monetary or Material Support
|
Central Institute of Psychiatry(CIP), Kanke, Ranchi, Jharkhand. |
|
Primary Sponsor
|
Name |
Central Institute of Psychiatry CIP |
Address |
Kanke, Ranchi, Jharkhand, India.
PIN: 834006 |
Type of Sponsor |
Government medical college |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Basudeb Das |
Central Institute of Psychiatry |
Kanke, Ranchi Ranchi JHARKHAND |
919431108544
basudebdas@cipranchi.nic.in |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institute Ethics Committee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: F42||Obsessive-compulsive disorder, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Comparator Agent: Injection MIdazolam |
6 infusions of Injection Midazolam 0.045mg/kg body weight over 2 weeks. |
Intervention |
Intervention:Injection Ketamine |
6 infusions of Injection Ketamine 0.5 mg/kg body weight over 2 weeks. |
|
Inclusion Criteria
|
Age From |
21.00 Year(s) |
Age To |
50.00 Year(s) |
Gender |
Both |
Details |
1. Patients of either sex, aged between 21-50 years.
2. Inpatients fulfilling ICD 10-DCR diagnostic criteria for OCD but are treatment non-responders.
3. Patients giving written informed consent. |
|
ExclusionCriteria |
Details |
1. Any other major co-morbid psychiatric diagnoses (except depression and mild to moderate anxiety) and substance dependence excluding nicotine & caffeine.
2. Presence of an acute/unstable medical or neurological condition.
3. Pregnancy or lactation.
4. Childhood onset OCD (age at onset <10 years) [Geller et al, 1998].
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Participant and Investigator Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Score on the Dimensional Yale Brown Obsessive Compulsive Scale(DY-BOCS)
Plasma BDNF levels as measured by Sandwich ELISA method |
DY-BOCS-1 hour before and 1 hour, 4 hours and 24 hours after each infusion for 2 weeks and 4 weeeks after last infusion.
Plasma BDNF-1 day before 1sy infusion, after 3rd infusion or 1st week and after 6th infusion or 2nd week. |
|
Secondary Outcome
|
Outcome |
TimePoints |
Score on the Montgomery Asberg Depression Rating scale (MADRS).
Score on the Hamilton Anxiety Rating Scale(HAM-A)
Score on the Clinician-Administered Dissociative States Scale(CADSS), and
Score on the Systemic Assessment for Treatment Emergent Events(SAFTEE) |
1 hour before and 1 hour, 4 hours and 24 hours after each infusion for 2 weeks and 4 weeeks after last infusion. |
|
Target Sample Size
|
Total Sample Size="30" Sample Size from India="30"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
Phase of Trial
|
Phase 2 |
Date of First Enrollment (India)
|
02/08/2021 |
Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
Not yet published |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identiļ¬cation.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report Response - Analytic Code
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [damtea.hauhnar@gmail.com].
- For how long will this data be available start date provided 31-05-2023 and end date provided 31-05-2028?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
|
The study is a double-blind randomized controlled trial to assess and compare the effectiveness of repeated ketamine infusions and repeated midazolam infusions in treatment non-responding Obsessive Compulsive Disorder and to assess their relation with BDNF. The study will be conducted at a premiere psychiatric institute in India. The primary outcome measures will be 1) scores on the Dimensional Y-BOCS 1hour before ,and 1 hour, 4 hours and 24 hours after each infusion for 2 weeks and after 4 weeks of the last infusion, and 2) plasma levels of BDNF 1 day before 1st infusion, after the 3rd infusion/after 1st week and after the 6th infusion/after 2nd week. The secondary outcome measures will be scores on the Montgomery Asberg Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Clinician Administered Dissociative State Scale and the Systemic Assessment for Treatment Emergent Events Scale, 1 hour before, and 1 hour, 4 hours and 24 hours after each infusion for 2 weeks and after 4 weeks of last infusion. |