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ketamine Thin Film

Phase 1

Healthy | Small molecule | Other |Johnson & Johnson|Last Updated: Apr 27, 2025

Target and mechanism

ModalitySmall molecule

Also known as (S)-ketamine Oral Thin Film

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment96

FDA Designations

No designations recorded

Clinical trial landscape

ketamine Thin Film · 1 trial · 1 indication

Phase 1 1
NCT03808259A Study to Investigate the Different Modes of (S) Ketamine Administration in Healthy ParticipantsHealthy
COMPLETED96 Analytics
PHASE1COMPLETED
A Study to Investigate the Different Modes of (S) Ketamine Administration in Healthy Participants
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Study Endpoints

Primary Endpoints

Part 1: Change from Baseline in Clinician-Administered Dissociative States Scale (CADSS) Total Score
Baseline up to Day 1

CADSS is an instrument for the measurement of present-state dissociative symptoms and will be administered to assess treatment-emergent dissociative symptoms. CADSS consists of 23 subjective items, divided into 3 components: depersonalization (items 3 to 7, 20, and 23), derealization (items 1, 2, 8 to 13, 16 to 19, and 21) and amnesia (items 14, 15, and 22). The participants responses are coded on a 5-point scale (from 0=not at all to 4=extremely). The total score is sum of the 23 items and range from 0 to 92 - best is 0 and worst is 92.

Part 2: Change from Baseline in CADSS Total Score
Baseline up to Day 1

CADSS is an instrument for the measurement of present-state dissociative symptoms and will be administered to assess treatment-emergent dissociative symptoms. CADSS consists of 23 subjective items, divided into 3 components: depersonalization (items 3 to 7, 20, and 23), derealization (items 1, 2, 8 to 13, 16 to 19, and 21) and amnesia (items 14, 15, and 22). The participants responses are coded on a 5-point scale (from 0=not at all to 4=extremely). The total score is sum of the 23 items and range from 0 to 92 - best is 0 and worst is 92.

Part 1: Number of Participants with Vital Sign Abnormalities
Up to Day 2

Number of participants with vital signs (Heart Rate and Blood Pressure) abnormalities will be reported.

Part 2: Number of Participants with Vital Sign Abnormalities
Up to Day 2

Number of participants with vital signs (Heart Rate and Blood Pressure) abnormalities will be reported.

Plasma Concentrations of (S)-ketamine
Part 1: Predose, 1, 3, 5, 10, 15, 30, 40 min, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hour postdose; Part 2: predose, 15, 30 min, 1, 1.6, 2, 3, 3.5, 4, 6, 8, 10, 12, and 24 hours postdose

Observed plasma concentrations of (S)-ketamine will be reported.

Plasma Concentrations of Nor(S)-ketamine
Part 1: Predose, 1, 3, 5, 10, 15, 30, 40 min, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hour postdose; Part 2: predose, 15, 30 min, 1, 1.6, 2, 3, 3.5, 4, 6, 8, 10, 12 and 24 hours postdose

Observed plasma concentrations of Nor(S)-ketamine will be reported.

Part 1: Change from Baseline in Electroencephalogram (EEG) Power
Predose (Baseline) and 2.25 hours postdose

EEG power spectral activity in the alpha 1, alpha 2, beta 1, beta 2, delta, theta and gamma frequency bands will be estimated for the baseline EEG recording and will be compared to the EEG power spectral activity in the same frequency bands.

Part 2: Change from Baseline in EEG Power
Predose (Baseline) and 3.25 hours postdose

EEG power spectral activity in the alpha 1, alpha 2, beta 1, beta 2, delta, theta and gamma frequency bands will be estimated for the baseline EEG recording and will be compared to the EEG power spectral activity in the same frequency bands.

Part 1: Change from Baseline in Continuous Paired Associate Learning Test (cPALT) Score
Baseline up to Day 1

The cPALT will be used to assess whether drug will improve performance of complex cognitive tasks. CPAL assesses Visual episodic memory (associate learning) cognitive domain. In this task, participants must learn a series of associations between a set of difficult to verbalize patterns (amoeba) and locations. In participants, 14 pattern/location associations must be learned. In the presentation phase of the task the pattern appears at the location and the participant is required to acknowledge that they have seen the pattern by touching the location at which it appears. Patterns are presented in random order. In the learning phase of the task, participants must place each of the 14 patterns in their correct locations. They must do this in 10 rounds. The outcome is number of errors made in correctly placing each of the four patterns in their location four times (Lower score = better performance).

Part 2: Change from Baseline in cPALT Score
Baseline up to Day 1

The cPALT will be used to assess whether drug will improve performance of complex cognitive tasks. CPAL assesses Visual episodic memory (associate learning) cognitive domain. In this task, participants must learn a series of associations between a set of difficult to verbalize patterns (amoeba) and locations. In participants, 14 pattern/location associations must be learned. In the presentation phase of the task the pattern appears at the location and the participant is required to acknowledge that they have seen the pattern by touching the location at which it appears. Patterns are presented in random order. In the learning phase of the task, participants must place each of the 14 patterns in their correct locations. They must do this in 10 rounds. The outcome is number of errors made in correctly placing each of the four patterns in their location four times (Lower score = better performance).

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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposeOTHER

Treatment Arms

ArmTypeDescription
Part 1: OTF Sublingual and IVEXPERIMENTALParticipants will receive (S)-ketamine oral thin film (OTF) at a dose of 7 milligram (mg) \[cohort 1\], 14 mg \[cohort 2\], and 28 mg \[cohort 3\] via sublingual route or 14 mg (S)-ketamine intravenous (IV) infusion for 40 minutes or matching placebo in 1 of 3 serial cohorts. Dose escalation decisions to further cohorts of Part 1 will be made based on safety and tolerability profile of the preceding lower dose level.
Part 2: IV Different Infusion DurationEXPERIMENTALParticipants will receive single dose (S)-ketamine less than or equal to (\<=)14 mg IV at a different infusion duration or matching placebo at a different infusion duration. The infusion duration and dose will be chosen after completion of Part 1.

Interventions

NameTypeDescription
(S)-ketamine Oral Thin FilmDRUG(S)-ketamine OTF sublingual formulation at a dose of 7 mg, 14 mg, and 28 mg will be administered in sequential cohorts.
(S)-ketamine IV InfusionDRUG(S)-ketamine IV solution will be infused at a dose of less than or equal to 14mg.
PlaceboDRUGParticipants will receive matching placebo.
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Eligibility Criteria

Age Range18 Years to 50 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Body Mass Index (BMI) between 20 and 28 kilogram per meter square (kg/m\^2), inclusive (BMI=weight/height\^2) with a minimum weight of 60 kilogram (kg) and a maximum of 100 kg * Participant must be healthy based on clinical laboratory tests performed at screening. If the resul...

Countries:Belgium
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