Trial Outcomes & Findings for Adding Trauma-focused Psychotherapy to Ketamine Treatment for Chronic PTSD (NCT NCT04889664)

NCT ID: NCT04889664

Last Updated: 2024-10-08

Results Overview

Clinician Administered PTSD Scale for DSM-5 (CAPS-5), assessed at baseline (before the first infusion) and 12 weeks following the start of WET. The Clinician-Administered PTSD Scale (CAPS) is a 30-item structured diagnostic interview designed to measure frequency and intensity of PTSD symptoms. The symptoms are scored in a 0-4 Likert-type scale, total score ranging from 0 to 80, higher score indicates more symptoms

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2024-10-08

Participant Flow

16 participants signed consent and considered enrolled

Participant milestones

Participant milestones
Measure
Ketamine and Written Exposure Therapy
Intravenous Ketamine 0.5 mg/kg and Written Exposure Therapy Ketamine: Repeated intravenous Ketamine infusions. Written Exposure Therapy: WET is a brief, 5-session evidence-based written trauma-focused therapy
Screen
STARTED
16
Screen
COMPLETED
14
Screen
NOT COMPLETED
2
Study Treatment
STARTED
14
Study Treatment
COMPLETED
13
Study Treatment
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Ketamine and Written Exposure Therapy
Intravenous Ketamine 0.5 mg/kg and Written Exposure Therapy Ketamine: Repeated intravenous Ketamine infusions. Written Exposure Therapy: WET is a brief, 5-session evidence-based written trauma-focused therapy
Screen
Lost to Follow-up
1
Screen
Failed to meet screening criteria
1
Study Treatment
Exited by study team due to inappropriate behavior
1

Baseline Characteristics

Adding Trauma-focused Psychotherapy to Ketamine Treatment for Chronic PTSD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ketamine and Written Exposure Therapy
n=13 Participants
Intravenous Ketamine 0.5 mg/kg and Written Exposure Therapy Ketamine: Repeated intravenous Ketamine infusions. Written Exposure Therapy: WET is a brief, 5-session evidence-based written trauma-focused therapy
Age, Continuous
38.3 years
STANDARD_DEVIATION 7.5 • n=99 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
9 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Duration of PTSD
18.1 years
STANDARD_DEVIATION 14 • n=99 Participants
Number of Participants taking Concomitant treatment with psychotropic medication
6 Participants
n=99 Participants
Clinician Administered PTSD Scale (CAPS-5) score
40.5 units on a scale
STANDARD_DEVIATION 3.9 • n=99 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Clinician Administered PTSD Scale for DSM-5 (CAPS-5), assessed at baseline (before the first infusion) and 12 weeks following the start of WET. The Clinician-Administered PTSD Scale (CAPS) is a 30-item structured diagnostic interview designed to measure frequency and intensity of PTSD symptoms. The symptoms are scored in a 0-4 Likert-type scale, total score ranging from 0 to 80, higher score indicates more symptoms

Outcome measures

Outcome measures
Measure
Ketamine and Written Exposure Therapy
n=13 Participants
Intravenous Ketamine 0.5 mg/kg and Written Exposure Therapy Ketamine: Repeated intravenous Ketamine infusions. Written Exposure Therapy: WET is a brief, 5-session evidence-based written trauma-focused therapy
CAPS-5
Baseline, the morning of first ketamine infusion
41.6 score on a scale
Standard Deviation 6.2
CAPS-5
Week 12
20.8 score on a scale
Standard Deviation 14.8

Adverse Events

Ketamine and Written Exposure Therapy

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ketamine and Written Exposure Therapy
n=13 participants at risk
Intravenous Ketamine 0.5 mg/kg and Written Exposure Therapy Ketamine: Repeated intravenous Ketamine infusions. Written Exposure Therapy: WET is a brief, 5-session evidence-based written trauma-focused therapy
Nervous system disorders
Dizziness
38.5%
5/13 • 12 weeks
Renal and urinary disorders
Frequent Urination
15.4%
2/13 • 12 weeks
General disorders
Difficulty Sleeping
15.4%
2/13 • 12 weeks
Reproductive system and breast disorders
Menstrual Irregularity
15.4%
2/13 • 12 weeks
General disorders
Fatigue
84.6%
11/13 • 12 weeks
General disorders
Decreased energy
7.7%
1/13 • 12 weeks
General disorders
Anxiety
7.7%
1/13 • 12 weeks
General disorders
Other
69.2%
9/13 • 12 weeks
Gastrointestinal disorders
Nausea/vomiting
15.4%
2/13 • 12 weeks
Skin and subcutaneous tissue disorders
Increased Perspiration
7.7%
1/13 • 12 weeks
Nervous system disorders
Headache
38.5%
5/13 • 12 weeks
Nervous system disorders
Blurred Vision
23.1%
3/13 • 12 weeks

Additional Information

Dr. Adriana Feder

Icahn School of Medicine at Mount Sinai

Phone: 212-585-4661

Results disclosure agreements

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