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.
COMPLETED
PHASE1
32 participants
At memory testing 1 day later
2020-07-01
Participant Flow
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
| 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 laterPopulation: 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
| 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
Midazolam Only
Ketamine Only
Drug Order A
Drug Order B
Serious adverse events
Adverse event data not reported
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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place