Trial Outcomes & Findings for Memory Modulation by Pain During Anesthesia (NCT NCT02515890)

NCT ID: NCT02515890

Last Updated: 2020-07-01

Results Overview

Subjects completed the Remember, Know, New (RKN) task during next day testing. Their d' memory score was calculated based on their ability to discriminate between previously heard words and new words. A higher d' score indicates stronger recollection. D' scores were compared across the control condition (saline) and the drug conditions dexmedetomidine, midazolam, and ketamine. Performance was also calculated according to words associated with Pain and No Pain conditions.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

32 participants

Primary outcome timeframe

At memory testing 1 day later

Results posted on

2020-07-01

Participant Flow

Participant milestones

Participant milestones
Measure
Dexmedetomidine
subjects received dexmedetomidine and saline (control)
Midazolam
subjects received midazolam and saline (control)
Ketamine
subjects received ketamine and saline (control)
Drug Order A
Subjects received saline (control) and midazolam during their first set of experimental sessions, and then received saline (control) and ketamine during a second set of sessions
Drug Order B
Subjects received saline (control) and ketamine during their first set of experimental sessions, and then received saline (control) and midazolam during a second set of sessions
Overall Study
STARTED
7
4
5
8
8
Overall Study
COMPLETED
7
4
5
8
8
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dexmedetomidine Only
n=7 Participants
All subjects received saline (control) followed by dexmedetomidine infusion while performing memory task and receiving intermittent painful electric nerve stimulation.
Midazolam Only
n=4 Participants
All subjects received saline (control) followed by midazolam infusion while performing memory task and receiving intermittent painful electric nerve stimulation.
Ketamine Only
n=5 Participants
All subjects received saline (control) followed by ketamine infusion while performing memory task and receiving intermittent painful electric nerve stimulation.
Drug Order A
n=8 Participants
All subjects received saline (control) followed by midazolam infusion while performing memory task and receiving intermittent painful electric nerve stimulation on their first experimental visit. For another experimental session, all subjects received saline (control) followed by ketamine infusion while performing memory task and receiving intermittent painful electric nerve stimulation.
Drug Order B
n=8 Participants
All subjects received saline (control) followed by ketamine infusion while performing memory task and receiving intermittent painful electric nerve stimulation on their first experimental visit. For another experimental session, all subjects received saline (control) followed by midazolam infusion while performing memory task and receiving intermittent painful electric nerve stimulation.
Total
n=32 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=7 Participants
0 Participants
n=4 Participants
0 Participants
n=5 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=32 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=7 Participants
4 Participants
n=4 Participants
5 Participants
n=5 Participants
8 Participants
n=8 Participants
8 Participants
n=8 Participants
32 Participants
n=32 Participants
Age, Categorical
>=65 years
0 Participants
n=7 Participants
0 Participants
n=4 Participants
0 Participants
n=5 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=32 Participants
Sex: Female, Male
Female
3 Participants
n=7 Participants
2 Participants
n=4 Participants
1 Participants
n=5 Participants
3 Participants
n=8 Participants
5 Participants
n=8 Participants
14 Participants
n=32 Participants
Sex: Female, Male
Male
4 Participants
n=7 Participants
2 Participants
n=4 Participants
4 Participants
n=5 Participants
5 Participants
n=8 Participants
3 Participants
n=8 Participants
18 Participants
n=32 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
7 participants
n=7 Participants
4 participants
n=4 Participants
5 participants
n=5 Participants
8 participants
n=8 Participants
8 participants
n=8 Participants
32 participants
n=32 Participants

PRIMARY outcome

Timeframe: At memory testing 1 day later

Population: The overall number analyzed for each drug condition represents the number of observations for that drug, which doesn't directly correspond to study arms. All participants received a saline control condition with their drug condition. Therefore, there were 48 saline observations (saline d' scores) which includes observations from all 5 study arms.

Subjects completed the Remember, Know, New (RKN) task during next day testing. Their d' memory score was calculated based on their ability to discriminate between previously heard words and new words. A higher d' score indicates stronger recollection. D' scores were compared across the control condition (saline) and the drug conditions dexmedetomidine, midazolam, and ketamine. Performance was also calculated according to words associated with Pain and No Pain conditions.

Outcome measures

Outcome measures
Measure
Dexmedetomidine
n=7 number of observations for each drug
Subjects assigned to receive dexmedetomidine as part of the study
Midazolam
n=20 number of observations for each drug
Subjects assigned to receive midazolam as part of the study. Includes subjects from groups Midazolam Only, Drug Order A, and Drug Order B
Ketamine
n=21 number of observations for each drug
Subjects assigned to receive ketamine as part of the study. Includes subjects from groups Ketamine Only, Drug Order A, and Drug Order B
Saline
n=48 number of observations for each drug
All subjects subjects received saline as a control condition during their study visits. Includes subjects from Dexmedetomidine Only, Midazolam Only, Ketamine Only, Drug Order A, and Drug Order B.
Memory Testing
All Conditions
1.20 d' score
Standard Error .27
.56 d' score
Standard Error .05
.82 d' score
Standard Error .07
1.18 d' score
Standard Error .07
Memory Testing
No Pain Condition
1.12 d' score
Standard Error .35
.55 d' score
Standard Error .06
.85 d' score
Standard Error .11
1.18 d' score
Standard Error .10
Memory Testing
Pain Condition
1.28 d' score
Standard Error .43
.57 d' score
Standard Error .06
.78 d' score
Standard Error .10
1.10 d' score
Standard Error .10

Adverse Events

Dexmedetomidine Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Midazolam Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ketamine Only

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Drug Order A

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Drug Order B

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dexmedetomidine Only
n=7 participants at risk
Dexmedetomidine: Subjects received this drug during a portion of the study
Midazolam Only
n=4 participants at risk
Midazolam: Subjects received this drug during a portion of the study
Ketamine Only
n=5 participants at risk
Ketamine: Subjects received this drug during a portion of the study All adverse events for Ketamine Only subjects were experienced during ketamine administration.
Drug Order A
n=8 participants at risk
Midazolam: Subjects received this drug during a portion of the study Ketamine: Subjects received this drug during a portion of the study These drugs were given on separate visits, occurring at least 14 days apart. All adverse events for Drug Order A subjects were experienced during ketamine administration.
Drug Order B
n=8 participants at risk
Ketamine: Subjects received this drug during a portion of the study Midazolam: Subjects received this drug during a portion of the study These drugs were given on separate visits, occurring at least 14 days apart. All adverse events for Drug Order B subjects were experienced during ketamine administration.
Gastrointestinal disorders
Nausea and vomiting
0.00%
0/7 • up to 18 days after the final experimental session
0.00%
0/4 • up to 18 days after the final experimental session
20.0%
1/5 • Number of events 1 • up to 18 days after the final experimental session
12.5%
1/8 • Number of events 1 • up to 18 days after the final experimental session
0.00%
0/8 • up to 18 days after the final experimental session
Psychiatric disorders
Dysphoria
0.00%
0/7 • up to 18 days after the final experimental session
0.00%
0/4 • up to 18 days after the final experimental session
0.00%
0/5 • up to 18 days after the final experimental session
0.00%
0/8 • up to 18 days after the final experimental session
12.5%
1/8 • Number of events 1 • up to 18 days after the final experimental session

Additional Information

Keith M. Vogt, MD., PhD.

University of Pittsburgh

Phone: 412-999-8570

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place