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Status unknownNCT02183272Updated Aug 5, 2016

Emergency Ketamine Treatment of Suicidal Ideation

A Phase 2/3 interventional study of Intranasal Ketamine and Intranasal Saline Placebo in Depression, Suicidal Ideation and Suicidal Impulses, sponsored by University of Cincinnati. Status unknown at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-08-05.

Sponsored by University of Cincinnati · Phase 2/3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The objective of the current program of research will be to test whether intranasal ketamine treatment is more effective than placebo in reducing suicidal ideation in suicidal patients presenting for acute treatment in emergency department settings. Secondary objectives will test the effect of genotypic differences in the mu opioid receptor on efficacy of ketamine and the correlation of speech patterns and facial movement patterns with subjective reductions in suicidal ideation after ketamine treatment.

Read the detailed description

The objective of the current program of research will be to test whether intranasal ketamine treatment is more effective than placebo in reducing suicidal ideation in suicidal patients presenting for acute treatment in emergency department settings. Secondary objectives will test the effect of genotypic differences in the mu opioid receptor on efficacy of ketamine and the correlation of speech patterns and facial movement patterns with subjective reductions in suicidal ideation after ketamine treatment

02

Conditions studied

  • Depression
  • Suicidal Ideation
  • Suicidal Impulses

Keywords

  • Depression
  • Suicidal Ideation
  • Ketamine
  • Emergency Department
03

In context

Emergencies

1,692 studies on the registry are indexed under Emergencies; 333 are open to participants now.

This study's planned enrollment of 60 is below the median of 145 across 931 interventional studies indexed under Emergencies.

Browse Emergencies studies →

Lead sponsor

University of Cincinnati is the lead sponsor of 314 studies on the registry; 43 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 15 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Males and females
  2. Ages 18-65
  3. All races and ethnicities
  4. Willing and able to provide informed consent
  5. A cutoff score of >3 on the Beck Scale for Suicidal Ideation
  6. >2 on the Columbia Scale for Suicide Severity Rating

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or lactation; women of reproductive potential must have a negative urine pregnancy test
  2. Post-partum state (within 2 months of delivery)
  3. Homicide risk as determined by clinical interview
  4. Any of the following Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) diagnoses:

    1. Any current primary psychotic disorder
    2. Acute intoxication or withdrawal from alcohol or any other substance of abuse, as determined by clinical interview and urine drug screen except opioids
    3. use of any hallucinogen (except cannabis), in the last month
    4. Any dissociative disorder
    5. Pervasive developmental disorder
    6. Cognitive disorder
    7. Cluster A personality disorder
    8. Anorexia nervosa.
  5. Treatment with any medication known to affect the N-methyl-D-aspartate (NMDA) receptor system (e.g., lamotrigine, acamprosate, memantine, riluzole, or lithium)
  6. Any known hypersensitivity or serious adverse effect with ketamine
  7. Any clinically-significant medication or condition that would preclude the use of ketamine
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Intranasal Ketamine

    0.2 mg / kg dose of intranasal ketamine for treatment of suicidality will be given in two separate doses on the day of admission to the hospital.

    Drug: Intranasal Ketamine

  • Placebo comparator
    Intranasal Saline Placebo

    0.2 mg / kg dose saline intranasal will be given in two separate doses on the day of hospital admission.

    Drug: Intranasal Saline Placebo

Interventions

  • DrugIntranasal Ketamine

    Ketamine in liquid form to be distributed nasally by a board-certified physician while the subject is already in the hospital for suicidal ideation.

    Also known as: ketamine

  • DrugIntranasal Saline Placebo

    Intranasal Saline to be distributed by a board-certified physician while the patient is already hospitalized for suicidal ideation.

    Also known as: saline

06

What researchers measure

Primary outcomes

  1. Ketamine effect on Suicidal Ideation and Depression.

    To assess the acute efficacy and durability of effect over a 4 week time period of single dose of 0.2 mg/kg intranasal ketamine treatment on suicidal ideation and depression in individuals with acute suicidal ideation as measured by the Beck Scale for Suicidal Ideation (BSS) and the Montgomery-Asberg Depression Rating Scale (MADRS)as compared to placebo.

    Time frame: 4 weeks

Secondary outcomes

  1. Assessment of Role of Mu Opioid Receptor

    To assess the role of specific mu opioid receptor genetic variants in prediction of response to ketamine to alleviate suicidal ideation.

    Time frame: 4 weeks

Other outcomes

  1. Assessment of Changes of Biological Markers

    To assess the changes in biological markers of suicide risk such as linguistic patterns, voice and facial movements after ketamine treatment compared to baseline.

    Time frame: 4 weeks

07

Study locations

1 of 1 sites recruiting
  • University of Cincinnati
    Cincinnati, Ohio 45219, United States
    • Faryal Mallick, MD · Contact · mallicfl@ucmail.uc.edu · 513-558-4997
    • Cheryl McCullumsmith, MD PhD · Principal investigator
    Recruiting
08

References and documents

Publications

  • Domany Y, McCullumsmith CB. Single, Fixed-Dose Intranasal Ketamine for Alleviation of Acute Suicidal Ideation. An Emergency Department, Trans-Diagnostic Approach: A Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Trial. Arch Suicide Res. 2022 Jul-Sep;26(3):1250-1265. doi: 10.1080/13811118.2021.1878078. Epub 2021 Feb 14. PubMed 33583341 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02183272
Lead sponsor
University of Cincinnati
Responsible party
Cheryl McCullumsmith (Principal Investigator, University of Cincinnati) — Principal investigator
First posted
Jul 8, 2014
Start date
Aug 2016
Primary completion
Nov 2017 (estimated)
Completion
Jul 2018 (estimated)
Last update
Aug 5, 2016

Study contacts

Faryal Mallick
Contact
mallicfl@ucmail.uc.edu
513-558-4997
Cheryl McCullumsmith, MD PhD
principal investigator · University of Cincinnati

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.

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