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NMDA Receptor Antagonist

Ketamine vs Midazolam for Tobacco Use Disorder (SED-TUD2 Trial)

Phase < 1
Recruiting
Led By Merideth A Addicott, MD
Research Sponsored by Wake Forest University Health Sciences
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be between 18 and 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 24-hours post infusion
Awards & highlights

SED-TUD2 Trial Summary

This trial tests a potential drug (ketamine) to reduce cigarette smoking cravings and effect the brain, compared to an existing drug (midazolam).

Who is the study for?
This trial is for daily cigarette smokers of at least 2 years, with specific levels of carbon monoxide or cotinine in their breath/urine and no recent use of psychoactive drugs. It excludes those with serious head trauma, certain mental health conditions, unstable medical issues, pregnant or breastfeeding women, extreme obesity, poor vision not correctable to 20/40, severe hypertension or liver/kidney dysfunction.Check my eligibility
What is being tested?
The study tests the effects of sedatives (ketamine, midazolam, dexmedetomidine) versus a placebo (saline) on smoking behavior and cravings. Participants are randomly assigned to receive one treatment intravenously without knowing which one they get—a method known as double-blind.See study design
What are the potential side effects?
Potential side effects from the sedatives may include drowsiness, changes in blood pressure and heart rate; mood alterations; nausea; potential for abuse with ketamine; memory impairment particularly with midazolam; dry mouth and possible withdrawal symptoms.

SED-TUD2 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~24-hours post infusion
This trial's timeline: 3 weeks for screening, Varies for treatment, and 24-hours post infusion for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Difference in cigarette demand
Pharmaceutical Preparations
Difference in tobacco withdrawal symptoms
+1 more

SED-TUD2 Trial Design

12Treatment groups
Experimental Treatment
Group I: Saline first injection; midazolam second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of placebo at the first injection visit and a single intravenous infusion midazolam at the second injection visit
Group II: Saline first injection; ketamine second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of placebo at the first injection visit and a single intravenous infusion ketamine at the second injection visit.
Group III: Saline first injection; dexmedetomidine second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of placebo at the first injection visit and a single intravenous infusion dexmedetomidine at the second injection visit.
Group IV: Midazolam first injection; ketamine second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of midazolam at the first injection visit and a single intravenous infusion ketamine at the second injection visit.
Group V: Midazolam first injection; dexmedetomidine second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of midazolam at the first injection visit and a single intravenous infusion dexmedetomidine at the second injection visit.
Group VI: Midazolam first injection; Saline second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of midazolam at the first injection visit and a single intravenous infusion placebo at the second injection visit.
Group VII: Ketamine first injection; midazolam second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of ketamine at the first injection visit and a single intravenous infusion midazolam at the second injection visit.
Group VIII: Ketamine first injection; dexmedetomidine second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of ketamine at the first injection visit and a single intravenous infusion dexmedetomidine at the second injection visit.
Group IX: Ketamine first injection; Saline second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of ketamine at the first injection visit and a single intravenous infusion placebo at the second injection visit.
Group X: Dexmedetomidine first injection; midazolam second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of dexmedetomidine at the first injection visit and a single intravenous infusion midazolam at the second injection visit.
Group XI: Dexmedetomidine first injection; ketamine second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of dexmedetomidine at the first injection visit and a single intravenous infusion ketamine at the second injection visit.
Group XII: Dexmedetomidine first injection; Saline second injectionExperimental Treatment2 Interventions
Subjects in this arm will receive a single intravenous infusion of dexmedetomidine at the first injection visit and a single intravenous infusion placebo at the second injection visit.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Saline
2013
Completed Phase 4
~1050
Dexmedetomidine
2015
Completed Phase 4
~1980
Ketamine
2011
Completed Phase 4
~1090
Midazolam
2018
Completed Phase 4
~1910

Find a Location

Who is running the clinical trial?

Wake Forest University Health SciencesLead Sponsor
1,241 Previous Clinical Trials
1,004,185 Total Patients Enrolled
Merideth A Addicott, MDPrincipal InvestigatorWake Forest University Health Sciences

Media Library

Ketamine (NMDA Receptor Antagonist) Clinical Trial Eligibility Overview. Trial Name: NCT05505630 — Phase < 1
Tobacco Smoking Research Study Groups: Midazolam first injection; Saline second injection, Ketamine first injection; Saline second injection, Dexmedetomidine first injection; Saline second injection, Saline first injection; ketamine second injection, Saline first injection; dexmedetomidine second injection, Saline first injection; midazolam second injection, Ketamine first injection; midazolam second injection, Ketamine first injection; dexmedetomidine second injection, Midazolam first injection; ketamine second injection, Midazolam first injection; dexmedetomidine second injection, Dexmedetomidine first injection; ketamine second injection, Dexmedetomidine first injection; midazolam second injection
Tobacco Smoking Clinical Trial 2023: Ketamine Highlights & Side Effects. Trial Name: NCT05505630 — Phase < 1
Ketamine (NMDA Receptor Antagonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05505630 — Phase < 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are the elderly being included in this clinical trial's recruitment of participants?

"Those between 21 and 55 years of age are qualified to participate in this research."

Answered by AI

Are there any vacancies available for those wishing to take part in this clinical trial?

"Affirmative, the information posted on clinicaltrials.gov denotes that this research is currently recruiting participants. The trial was initially launched on January 31st 2023 and has been most recently updated on February 24th of the same year. This endeavour requires a total of 52 individuals to be recruited from one medical centre."

Answered by AI

Is participation in this medical experiment open to the public?

"This clinical study is seeking applicants aged 21 to 55 who have a minimum of two years' worth of daily smoking experience. Eligible participants must also possess afternoons expired breath carbon monoxide levels at least 5 ppm or morning urinary cotinine concentrations at least 100 ng/ml, and test negative for psychoactive drugs and alcohol on urinalysis screens."

Answered by AI

Who else is applying?

What state do they live in?
New York
North Carolina
Other
Tennessee
What site did they apply to?
Wake Forest University Health Sciences
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
How many prior treatments have patients received?
3+
0

Why did patients apply to this trial?

Need the money and want to stop smoking. I have tried patches and hypnosis. Works for about a month then I get frustrated. I live alone and am in constant pain and immobile. Lots of challenges. Last thing I need is to continue to smoke. Please help me! Thank you!
PatientReceived 1 prior treatment

What questions have other patients asked about this trial?

How long will the screenings take?
PatientReceived 2+ prior treatments

How responsive is this trial?

Typically responds via
Phone Call
Most responsive sites:
  1. Wake Forest University Health Sciences: < 24 hours
Average response time
  • < 1 Day
~17 spots leftby Dec 2024