120 Participants NeededMy employer runs this trial

Ketamine + Ts-134 for Healthy Subjects

MD
JK
Overseen ByJoshua Kantrowitz

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how different doses of ketamine, combined with a new drug called TS-134, affect brain activity in healthy individuals. Participants are divided into three groups receiving low, medium, or high doses of ketamine. Within each group, participants will take either TS-134, another treatment called XT, or a placebo. The study aims to understand the brain's response to these combinations, potentially informing future treatments for mental health issues. Individuals who are generally healthy and can commit to the study schedule might be a good fit for this trial. As a Phase 1 trial, participants will be among the first to receive this new treatment, aiding researchers in understanding its effects in people.

Do I have to stop taking my current medications for the trial?

Yes, you must stop taking any psychotropic medications (drugs affecting mood, perception, or behavior) to participate in this trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that ketamine is generally safe for people, with a wide margin of safety, allowing for safe use even at higher doses. However, about 12% of people may experience "emergence reactions," such as confusion or hallucinations upon waking.

Specific safety studies for TS-134 are not yet available. This trial is in its early phase, so researchers are closely monitoring its safety for people. Early phases often focus on understanding the treatment's safety.

Overall, ketamine has been used safely for many years, but the combination with TS-134 remains under study. Participants in clinical trials help researchers learn more about any potential risks.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about this treatment because it pairs ketamine, a fast-acting anesthetic known for its rapid impact on mood, with TS-134 or its alternative, XT, offering a potentially new approach to managing conditions like depression. Unlike traditional antidepressants, which can take weeks to become effective, ketamine can work in just hours. The combination with TS-134 or XT might enhance or prolong these effects, offering hope for faster and possibly more sustained relief. This dual approach could address the urgent need for quicker-acting therapies in mental health.

What evidence suggests that this trial's treatments could be effective?

This trial will evaluate the effects of different doses of ketamine, both alone and combined with TS-134, on mood in healthy subjects. Studies have shown that ketamine can quickly improve mood, particularly in individuals with depression. For example, one study found that within two hours of treatment, depression symptoms decreased by about 57% to 60%, with benefits lasting at least four days. Ketamine effectively reduces symptoms even at lower doses, while higher doses provide greater benefits. Although specific data on TS-134 is limited, combining it with ketamine in this trial might enhance or prolong ketamine's effects. Overall, ketamine has shown promise for rapidly improving mood.16789

Who Is on the Research Team?

JK

Joshua Kantrowitz, MD

Principal Investigator

NYSPI

Are You a Good Fit for This Trial?

This trial is for healthy men and women ages 18-55 who do not have any major medical or psychiatric conditions, are not pregnant or breastfeeding, can use reliable birth control if needed, and can safely undergo MRI scans. People with certain health issues, metal implants, drug use history, or family history of schizophrenia cannot join.

Inclusion Criteria

Age between 18-55
Medically healthy, as assessed by study physician
Eligible men and women must agree to use a reliable method of birth control (for example, use of oral contraceptives or Norplant; a reliable barrier method of birth control diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam; intrauterine devices; partner with vasectomy; or abstinence) during the study. Women who are post-menopausal or otherwise not of childbearing potential are also eligible.
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Exclusion Criteria

Current or past Axis I psychiatric history (including Substance Use Disorder/Alcohol Use Disorder, with the exception of nicotine use disorder)
Pregnancy or breast-feeding. This exclusion criterion applies only to females of child-bearing potential (not surgically sterilized and between menarche and 1 year postmenopausal). Must test negative for pregnancy at the time of screening based on a serum pregnancy test.
Presence or positive history of significant medical illness, including renal problems (GFR<60), high blood pressure (defined as systolic blood pressure (SBP) > 140 or diastolic blood pressure (DBP) > 90), low blood pressure (SBP < 100, DBP < 60), orthostatic blood pressure at baseline (change in mean arterial pressure [1/3 systolic + 2/3 diastolic] of > 20%), cardiac illness, or clinically significant abnormal screening labs, as determined by the site physician.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

Up to 31 days
1 visit (in-person)

Baseline

First phBOLD session conducted to establish baseline measurements

1 day
1 visit (in-person)

Treatment

Participants receive 4 days of study drug or placebo with a second phBOLD session on Day 4

4 days
4 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 visit
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Ketamine
  • Placebo
  • Ts-134

Trial Overview

The study tests the effects of ketamine at different doses combined with either TS-134 (or XT) or a placebo over four days in healthy volunteers. Brain activity is measured before and after treatment using special MRI scans to see how these drugs affect brain function.

How Is the Trial Designed?

6

Treatment groups

Experimental Treatment

Placebo Group

Group I: Medium Ketamine, TS-134 (first 20 subjects) or XT (remaining 100 subjects)Experimental Treatment2 Interventions
Group II: Low Ketamine, TS-134 (first 20 subjects) or XT (remaining 100 subjects)Experimental Treatment2 Interventions
Group III: High Ketamine, TS-134 (first 20 subjects) or XT (remaining 100 subjects)Experimental Treatment2 Interventions
Group IV: Low Ketamine, placeboPlacebo Group2 Interventions
Group V: High ketamine, placeboPlacebo Group2 Interventions
Group VI: Medium Ketamine, placeboPlacebo Group2 Interventions

Ketamine is already approved in United States, European Union, Canada for the following indications:

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Approved in United States as Ketalar for:
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Approved in European Union as Ketalar for:
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Approved in United States as Spravato for:
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Approved in European Union as Spravato for:
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Approved in Canada as Spravato for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

New York State Psychiatric Institute

Lead Sponsor

Trials
481
Recruited
154,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

Citations

Ketamine - StatPearls - NCBI Bookshelf

Ketamine is highly effective for brief medical procedures that do not necessitate skeletal muscle relaxation and can be utilized as a pre- ...

A randomized, double-blind, active placebo-controlled ...

Single ketamine at subanesthetic dose of 0.5 mg/kg for 40 min has demonstrated improvement in mood within a few hours in some patients with ...

Ketamine for Depression, 4: In What Dose, at What Rate, ...

Within 2 hours of treatment, depression scores dropped by 57%-60% in the 3 groups. These benefits were maintained at a 4-day follow-up.

First study to compare ketamine therapies for patients with ...

IV ketamine showed greater overall efficacy, with a 49.22 percent reduction in depression scores by the final dose while IN esketamine resulted ...

NCT06713616 | PCORI Comparative Effectiveness Study ...

The purpose of this study is to compare the relative effectiveness, acceptability, and side effects of ketamine delivered through an IV (a drip into the arm) ...

KETASET

By single intramuscular injection, KETASET usually has a wide margin of safety in cats and subhuman primates. In cats, cases of prolonged recovery and death ...

ketamine - accessdata.fda.gov

EMERGENCE REACTIONS HAVE OCCURRED IN APPROXIMATELY 12 PERCENT OF PATIENTS. Ketamine has a wide margin of safety; been followed by prolonged but complete ...

SAFETY DATA SHEET

May be harmful if absorbed through the skin. (based on components) . Known Clinical Effects: Ketamine is an anesthetic agent which is known to cause double ...

SAFETY DATA SHEET

Direct contact with eyes may cause temporary irritation. Exposed individuals may experience eye tearing, redness, and discomfort. Ketamine is an ...