- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07648771
Outcomes Registry After Ketamine Infusions for Chronic Pain: A Longitudinal Evaluation (ORACLE)
Nationwide Observational Registry of Patient Outcomes Following Ketamine Infusion Therapy for Chronic Pain
Ketamine is an anesthetic drug that is sometimes used to relieve chronic pain. The goal of this observational study is to learn about how patients respond to ketamine infusions for chronic pain.
Note: This study does not provide ketamine - instead, this study uses surveys to follow patients who are already scheduled to receive ketamine infusions as part of their regular medical care.
We will also follow a second group of patients who were recommended ketamine infusions by their doctor but were denied insurance coverage for this treatment. These participants will complete the same surveys for up to 16 weeks, starting from when their treatment was originally scheduled. Comparing this group to patients who received ketamine will help researchers better understand ketamine's effects and how insurance denials affect chronic pain patients.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Yksityiskohtainen kuvaus
Some key questions this study would like to answer:
- How do patients respond to ketamine over time? This study will use surveys to track pain, sleep, mood, function, and other experiences for up to 16 weeks after a ketamine infusion.
- Does the dose matter? This study aims to find out whether patients who get higher doses of ketamine have longer-lasting pain relief, and whether there is a point of diminishing returns.
- What makes some patients respond better than others? For example, there are some early data suggesting that patients who worry more about their pain might have more trouble reducing their opioids after ketamine treatment even if they had pain relief.
- Are ketamine infusions addictive when used for pain treatment? This study will track cravings and drug liking for up to 16 weeks after a ketamine infusion. Addiction risk is expected to be low, but this study will document this risk systematically.
- What happens to patients who were recommended ketamine but denied insurance coverage? This study will compare their outcomes to patients who received ketamine, to better understand the impact of insurance denials and the real-world effects of ketamine treatment.
STUDY PROCEDURES SUMMARY
Upon consenting to the study, eligible participants will be asked to share their contact information, some background health information, details about their scheduled infusion, prior ketamine experience, and baseline symptoms. All personal information will be kept private and secure. Participants will be assigned a unique study number, and their name and contact details will not be shared with anyone outside the core study team.
Afterwards, participants will:
- Complete an online survey a few days before their infusion; then one survey each week for up to 16 weeks after their infusion. These surveys will track pain, mood, sleep, medication use, and other symptoms over time.
- Optionally allow the study team to review medical records related to their ketamine treatment (such as the ketamine dose, side effects, and diagnoses linked with treatment).
- Patients who were recommended ketamine but denied insurance coverage will have to opportunity to complete the same surveys
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Protocol Director
- Puhelinnumero: 650-264-9442
- Sähköposti: tlii@stanford.edu
Opiskelupaikat
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California
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Stanford, California, Yhdysvallat, 94305
- Stanford Health Care
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Ottaa yhteyttä:
- Protocol Director
- Puhelinnumero: 650-264-9442
- Sähköposti: tlii@stanford.edu
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Näytteenottomenetelmä
Tutkimusväestö
Kuvaus
Inclusion Criteria:
- Planning to receive an intravenous ketamine infusion for the treatment of chronic pain
Exclusion Criteria:
- Unable to read or understand English questionnaires
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
Kohortit ja interventiot
Ryhmä/Kohortti |
Interventio / Hoito |
|---|---|
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Ketamine Treated Cohort
Observational cohort of patients who received ketamine infusion therapy for the treatment of chronic pain
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Intravenous ketamine infusion delivered as part of routine clinical care
Muut nimet:
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Denied Treatment Cohort
Observational cohort of patients who were recommended ketamine infusion therapy but did not receive this treatment due to lack of insurance coverage
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
|---|---|
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Change in PROMIS Pain Interference Score From Baseline
Aikaikkuna: 8, 10, and 12 weeks after the ketamine infusion
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8, 10, and 12 weeks after the ketamine infusion
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
|---|---|
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Change in Opioid Use From Baseline, Patient-Rated Global Assessment
Aikaikkuna: From enrollment to 12 weeks after the ketamine infusion
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From enrollment to 12 weeks after the ketamine infusion
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Muut tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Change in Pain Intensity From Baseline, 0-10 Numeric Rating Scale
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in PROMIS Physical Function Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in PROMIS Sleep Disturbance Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in PROMIS Anxiety Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in PROMIS Depression Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in PROMIS Social Isolation Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in Pain Catastrophizing Scale Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Change in Pain Self-Efficacy Questionnaire Score From Baseline
Aikaikkuna: From enrollment to 16 weeks after the ketamine infusion
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From enrollment to 16 weeks after the ketamine infusion
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Baseline Pain Medication Beliefs
Aikaikkuna: Pre-Treatment Baseline
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From the medication subscale of the Survey of Pain Attitudes (SOPA-Med) Scale
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Pre-Treatment Baseline
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Average Drug Liking and Craving Score
Aikaikkuna: From 1 to 16 weeks after the ketamine infusion
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Drug Liking and Craving Questionnaire items modified for ketamine
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From 1 to 16 weeks after the ketamine infusion
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Yhteistyökumppanit ja tutkijat
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- 87368
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-jaon aikakehys
IPD-jaon käyttöoikeuskriteerit
IPD-jakamista tukeva tietotyyppi
- STUDY_PROTOCOL
- MAHLA
- ICF
- ANALYTIC_CODE
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