Ketamine Therapy Experiential Education Study (KTEES1)

Integrative Psychiatry Institute

Status and phase: Not yet enrolling; Early Phase 1

Conditions: Psychedelic Experiences; Therapeutic Alliance; Psychology, Perceptual

Treatments: Drug: Ketamine hydrochloride injection

Study type: Interventional

Funder types: Other

Identifiers

NCT05468047

KTEES1

Details and patient eligibility

About

This study investigates the use of low-dose (0.5-0.75 mg/kg; maximum dose of 60 mg regardless of body weight) ketamine hydrochloride injection, USP administered intramuscularly to healthy clinicians as part of an experiential learning practice within a psychedelic-assisted therapy (PAT) training program. The primary objective of this study is to test the hypothesis that competencies required for mental healthcare professionals providing PAT are enhanced by undergoing a single ketamine-assisted therapy experience, as part of a PAT training program.

Primary outcomes of this study are self-reported measures of therapeutic efficacy and competency for providing both general and psychedelic-assisted therapy, measured at baseline and four weeks following an academic in-person retreat with optional ketamine administration. Secondary endpoints include measures of personality and magnitude of perceived mystical experiences. Individual changes in scores across time will be calculated, and differences in therapeutic efficacy and competency between clinician trainees who choose to participate in a personal ketamine-assisted therapy session and those who do not will be assessed.

Enrollment: 500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 18-85 years old
• Are proficient in reading and speaking English
• Competent in decision making capacity
• Enrolled in the IPI Psychedelic Assisted Therapy Training Program
• For those being administered ketamine, able and willing to commit to medication dose, attending all study sessions during the In-Person Experiential Training Weekend, and evaluation instruments
• For those being administered ketamine, willing to refrain from using stimulants, anxiolytics during the day of the study session
• May continue but not change psychiatric medications during the course of the study
• Agree to refrain from using stimulants, anxiolytics during the day of the study sessions
• Agree to refrain from alcohol and marijuana for 24 hours before and the day of study sessions
• Agree to refrain from the use of any psychoactive drug during the course of the study
• Willing to be recorded by video and audio for safety purposes only
• Agree to not operate a car or any other heavy equipment for the rest of the day after the ketamine administration
• If necessary, are willing to be contacted via telephone on a daily basis by the therapist or team after each experiential session
• Able to identify one or two caregiver support persons who can drive participant home, be reached by the team, and provide collateral information as needed
• Willing to inform the investigator within 48 hours if any medical conditions occur or procedures are planned

Exclusion criteria

• Unable to provide informed consent
• Anyone currently taking medications contraindicated for ketamine, such as benzodiazepine or lamotrigine
• Anyone deemed at medical screening medically unfit for ketamine exposure including but not limited to:
• prior history of psychotic disorder
• prior history of unstable bipolar disorder
• prior history of personality disorder
• prior history of ketamine use disorder
• active substance use disorder
• untreated migraine headaches
• uncontrolled hypertension
• cardiovascular disease without approval of physician of record
• active or recent suicidal ideation
• pregnancy

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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500 participants in 2 patient groups

Ketamine administration

Experimental group

Description:

These individuals will be provided a personal ketamine-assisted therapy experience as part of an in-person training weekend within a psychedelic-assisted training program.

Treatment:

Drug: Ketamine hydrochloride injection

No ketamine administration

No Intervention group

Description:

These individuals will undergo the same psychedelic-assisted training program as those who receive the ketamine experience and will attend the same in-person training weekend; however, these individuals have opted out of ketamine administration by choice or due to contraindication and will not participate in the personal experience.