Ketamine for Methamphetamine Use Disorder

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-65
SponsorUniversity of Texas Southwestern Medical Center

About this trial

This study aims to determine whether treatment response with IV ketamine is superior to treatment response with IV midazolam in adults with moderate to severe MUD.

The study design is a 12-week randomized, double-blind, controlled trial comparing intravenous (IV) ketamine against IV midazolam, delivered over six weeks in 120 adults with moderate to severe methamphetamine use disorder (MUD).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Be 18 to 65 years old

Be able to sufficiently understand, speak, and read English

Be interested in reducing or stopping methamphetamine use

Meet criteria for methamphetamine use disorder

Disqualifiers

Have been in a research study of pharmacological or behavioral treatment for addiction within 6 months prior to written informed consent

Be currently in jail, prison, or inpatient overnight facility as required by court of law

Have upcoming surgery planned or scheduled

Be currently pregnant, breastfeeding, or planning on conception, if biologically female

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ketamine Hydrochloride

    Drug

    Participants will receive IV ketamine (0.50mg/kg) dissolved in 0.9% sodium chloride in a total volume of 100mL and administered with an infusion pump over 45 minutes. Duration of each infusion may be extended by the Study Clinician supervising study medication infusion if slower infusion rate is better tolerated.

  • Midazolam Hydrochloride

    Drug

    Participants will receive IV midazolam (0.02mg/kg) dissolved in 0.9% sodium chloride in a total volume of 100mL and administered with an infusion pump over 45 minutes. Duration of each infusion may be extended by the Study Clinician supervising study medication infusion if slower infusion rate is better tolerated.

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: KetamineExperimental treatment 1 intervention
Group B: MidazolamActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Treatment Response

Defined as having at least three methamphetamine-negative urine samples out of four samples obtained during Weeks 3 and 4.

Time frame
2 weeks

Secondary outcomes

1

Non-serious adverse outcomes associated with IV ketamine treatment for methamphetamine use

Defined by non-serious adverse events (associated with the IV ketamine treatment) reported during the study intervention phase (weeks 1 to 6). Participants will be assessed for adverse events at each study visit.

Time frame
6 weeks
2

Adherence to treatment

Defined by completion of at least five out of eight IV ketamine or IV midazolam infusions.

Time frame
6 weeks
3

Total abstinence

Defined as four out of four methamphetamine-negative urine samples obtained during Weeks 3 and 4 (since missing urine drug screens will be counted as positive).

Time frame
2 weeks
4

Abstinence from methamphetamine use

Defined by the self-reported days of methamphetamine use as reported on the Timeline Followback (TLFB) from Week 1 to Week 4, Week 5 to Week 6, and Week 7 to Week 12.

Time frame
12 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.