CClinicalTrials.gg
TerminatedNCT02431663KETASER01Updated Oct 8, 2020

Ketamine in Refractory Convulsive Status Epilepticus

A Phase 3 interventional study of Ketamine in Status Epilepticus, sponsored by Meyer Children's Hospital IRCCS. Terminated at 1 site in Italy. Open to participants aged 1 Month to 18 Years. Per ClinicalTrials.gov, last updated 2020-10-08.

Sponsored by Meyer Children's Hospital IRCCS · Phase 3, Interventional, and Treatment

Why this study was terminated
Futility
Phase
Phase 3
Study type
Interventional
Enrollment
57
Allocation
Randomized
Ages
1 Month to 18 Years
Sex
All
01

Study summary

To evaluate the efficacy of intravenous administration of ketamine in the treatment of refractory convulsive status epilepticus in children compared to administration of midazolam at high doses, thiopental and / or propofol.

02

Conditions studied

  • Status Epilepticus

Browse trials for

Keywords

  • refractory convulsive status epilepticus
  • ketamine
  • conventional anesthetics
  • children
03

In context

Status Epilepticus

126 studies on the registry are indexed under Status Epilepticus; 37 are open to participants now.

This study's enrollment of 57 is below the median of 70 across 74 interventional studies indexed under Status Epilepticus.

Browse Status Epilepticus studies →

Lead sponsor

Meyer Children's Hospital IRCCS is the lead sponsor of 78 studies on the registry; 56 are open to participants now.

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

04

Who can participate

Ages eligible
1 Month to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis and clinical EEGrafica of refractory convulsive status epilepticus
  • Refractoriness of the drug I and II line
  • Written informed consent from parents or legal guardian.
  • Administration of rating scales in the risk of mortality (PIM III) and severity of SE (stess, status epilepticusseverity score) to be performed prior to randomization.

Exclusion criteria

Exclusion Criteria:

  • contraindications to the use of the medication/s in the study.
  • pregnant or suspected pregnant.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Experimental
    ketamine up to 100 mcg/kg/min

    Two intravenous boluses of 2-3 mg/kg each of ketamine will be administered 5 minutes apart and immediately followed by a continuous infusion of 5-10 mcg/kg/min. Based on both clinical or electrographic responses, dosage will be increased every 10 minutes or longer, using 2 to 10 mcg/kg/ min increments, up to 60 mcg/kg/min. Maximum duration of infusion will be of 7 days.

    Drug: Ketamine

  • Active comparator
    midazolam & thiopental & propofol

    Midazolam intravenous will be increased every 5 minutes, using 2 mcg/kg/min increments, up to 12 mcg/kg/min and Thiopental intravenous will be increased every 30 minutes or longer, using 1 mg/kg/h increments, up to 6 mg/kg/h and Propofol intravenous will be increased every 5 minutes or longer, using 1 mg/kg/h increments, up to 5 mg/kg/h. Maximum duration of infusion for each drug will be 48 hours.

    Drug: Ketamine

Interventions

  • DrugKetamine

    Intravenous administration in continuous

    Also known as: KETAMINA MOLTENI, vials of 2 ml (50 mg/ml)

06

What researchers measure

Primary outcomes

  1. Number of participants with resolution of refractory convulsive status epilepticus

    Time frame: participant wil be followed for 24 hours after discontinuation of study drug

07

Study locations

1 site
  • Anna Rosati
    Firenze, 50139, Italy
08

References and documents

Publications

  • Rosati A, De Masi S, Guerrini R. Ketamine for Refractory Status Epilepticus: A Systematic Review. CNS Drugs. 2018 Nov;32(11):997-1009. doi: 10.1007/s40263-018-0569-6. PubMed 30232735 ↗
  • Rosati A, Ilvento L, L'Erario M, De Masi S, Biggeri A, Fabbro G, Bianchi R, Stoppa F, Fusco L, Pulitano S, Battaglia D, Pettenazzo A, Sartori S, Biban P, Fontana E, Cesaroni E, Mora D, Costa P, Meleleo R, Vittorini R, Conio A, Wolfler A, Mastrangelo M, Mondardini MC, Franzoni E, McGreevy KS, Di Simone L, Pugi A, Mirabile L, Vigevano F, Guerrini R. Efficacy of ketamine in refractory convulsive status epilepticus in children: a protocol for a sequential design, multicentre, randomised, controlled, open-label, non-profit trial (KETASER01). BMJ Open. 2016 Jun 15;6(6):e011565. doi: 10.1136/bmjopen-2016-011565. PubMed 27311915 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 8, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02431663
Lead sponsor
Meyer Children's Hospital IRCCS
Collaborators
Ospedali Riuniti Ancona, IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Padova, Bambino Gesù Hospital and Research Institute, Catholic University of the Sacred Heart, IRCCS Burlo Garofolo, Azienda Ospedaliera Universitaria Integrata Verona, Nuovo Regina Margherita Hospital, Vittore Buzzi Children's Hospital
Responsible party
Anna Rosati (MD, PhD, Meyer Children's Hospital IRCCS) — Principal investigator
First posted
May 1, 2015
Start date
Apr 2015
Primary completion
Mar 31, 2020
Completion
Mar 31, 2020
Last update
Oct 8, 2020

Study contacts

Anna Rosati, MD, PhD
study chair · Children's Hospital A. Meyer of Firenze, Italy

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion