Recent Updates
Recently added Catalysts

racemic ketamine

Phase 1

Drug Abuse | Small molecule | Psychiatry |Johnson & Johnson|Trials Updated: Apr 27, 2025

racemic ketamine target and mechanism

ModalitySmall molecule

Also known as Intravenous racemic ketamine

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment55

FDA Designations

No designations recorded

racemic ketamine clinical trials

racemic ketamine · 1 trial · 1 indication

Phase 1 1
NCT02682225Crossover Study to Evaluate the Abuse Potential of Intranasal Esketamine Compared to Racemic Intravenous Ketamine in Nondependent, Recreational Drug UsersDrug Abuse
COMPLETED55 Analytics
PHASE1COMPLETED
Crossover Study to Evaluate the Abuse Potential of Intranasal Esketamine Compared to Racemic Intravenous Ketamine in Nondependent, Recreational Drug Users
Drug AbuseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in abuse potential based on Visual Analog Scale
up to Day 2 Period 4 in Treatment Phase

The abuse potential will be assessed based on visual analog scale (VAS). The VAS score will include for Balancing Measures, Positive and Negative effect at the moment, Perceptual / Dissociative Effects and others).

Secondary Endpoints

Change From Baseline in Clinician-Administered Dissociative States Scale (CADSS) Score
up to Day 2 Period 4 in Treatment Phase
Change From Baseline in Columbia Suicide Severity Rating Scale (C-SSRS) Score
up to Day 2 Period 4 in Treatment Phase
Percentage of Participants with Serious Adverse Events (SAEs) and Adverse Events (AEs)
Screening to follow-up visit (11 to 13 days after last dose of study medication)
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sequence 1: Qualification SessionEXPERIMENTALParticipants will receive Treatment A (intravenous placebo and intranasal placebo concurrently) on Day 1 and Treatment B (0.5 milligram per kilogram (mg/kg) of intravenous racemic ketamine and intranasal placebo concurrently) on Day 2.
Sequence 2: Qualification SessionEXPERIMENTALParticipants will receive Treatment B (0.5 mg/kg of intravenous racemic ketamine and intranasal placebo concurrently) on Day 1 and Treatment A (intravenous placebo and intranasal placebo concurrently) on Day 2.
Sequence 3: Treatment PhaseEXPERIMENTALParticipants in Sequence 3 will receive Treatment A (intravenous placebo and intranasal placebo) on Day 1 of period 1, Treatment D (intravenous placebo and intranasal 112 milligram (mg) of esketamine as 4 devices, each with 28 mg esketamine) on Day 1 of period 2, Treatment B (0.5 mg/kg of intravenous racemic ketamine and intranasal placebo) on Day 1 of period 3, Treatment C (intravenous placebo and intranasal 84 mg esketamine as 3 devices, each with 28 mg esketamine followed by 1 device with placebo) on Day 1 of period 4. Periods 1, 2, 3 and 4 will be separated by 7 to 14 days.
Sequence 4: Treatment PhaseEXPERIMENTALParticipants in Sequence 4 will receive Treatment B on Day 1 of period 1, Treatment A on Day 1 of period 2, Treatment C on Day 1 of period 3, Treatment D on Day 1 of period 4. Periods 1, 2, 3 and 4 will be separated by 7 to 14 days.
Sequence 5: Treatment PhaseEXPERIMENTALParticipants in Sequence 5 will receive Treatment C on Day 1 of period 1, Treatment B on Day 1 of period 2, Treatment D on Day 1 of period 3, Treatment A on Day 1 of period 4. Periods 1, 2, 3 and 4 will be separated by 7 to 14 days.
Sequence 6: Treatment PhaseEXPERIMENTALParticipants in Sequence 6 will receive Treatment D on Day 1 of period 1, Treatment C on Day 1 of period 2, Treatment A on Day 1 of period 3, Treatment B on Day 1 of period 4. Periods 1, 2, 3 and 4 will be separated by 7 to 14 days.

Interventions

NameTypeDescription
Intravenous placeboDRUGParticipants will receive placebo, 40-minute, intravenous infusion on Day 1 of Sequence 1, on Day 2 of Sequence 2, on Day 1 of Period 1 in Sequence 3, 5 and 6, on Day 1 of Period 2 in Sequence 3, 4 and 6, on Day 1 of Period 3 in Sequence 4, 5 and 6, and on Day 1 of Period 4 in Sequence 3, 4 and 5.
Intranasal placeboDRUGParticipants will receive placebo, intranasally, on Day 1 or Day 2 in Sequence 1 and 2, on Day 1 of Period 1 in Sequence 3 and 4, on Day 1 of Period 2 in Sequence 4 and 5, on Day 1 of Period 3 in Sequence 3 and 6 and on Day 1 of Period 4 in Sequence 5 and 6.
Intravenous racemic ketamineDRUGParticipants will receive 0.5 mg/kg racemic ketamine, intranasally, on Day 2 in sequence 1, on Day 1 in sequence 2, on Day 1 of Period 1 in Sequence 4, on Day 1 of Period 2 in Sequence 5, on Day 1 of Period 3 in Sequence 3, and on Day 1 of Period 4 in Sequence 6.
Esketamine 112 mgDRUGParticipants will receive 112 mg of Esketamine, intranasally, on Day 1 of Period 1 in Sequence 6, on Day 1 of Period 2 in Sequence 3, on Day 1 of Period 3 in Sequence 5, and on Day 1 of Period 4 in Sequence 4.
Esketamine 84 mgDRUGParticipants will receive 84 mg of Esketamine, intranasally, on Day 1 of Period 1 in Sequence 5, on Day 1 of Period 2 in Sequence 6, on Day 1 of Period 3 in Sequence 4, and on Day 1 of Period 4 in Sequence 3.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Participants with body mass index (BMI) between 18 and 30 kilogram per square meter (kg/m\^2) (inclusive), and body weight not less than 50 kg * Signed an informed consent document indicating they understand the purpose of and procedures required for the study and are willing ...

Countries:United States
Unlock Eligibility Criteria

Frequently asked questions about racemic ketamine

What is racemic ketamine?

Racemic ketamine is a small molecule drug that Johnson & Johnson is developing for drug abuse. It is in Phase 1 clinical development and is being studied in a controlled, randomized, double-blind trial. The drug is also known as intravenous racemic ketamine.

What is racemic ketamine used for?

Racemic ketamine is being studied for drug abuse. The Phase 1 trial evaluated its abuse potential in nondependent, recreational drug users. It is not approved for this use and remains investigational.

Who is developing racemic ketamine?

Johnson & Johnson, ticker JNJ, is developing racemic ketamine. The company is the sponsor of the Phase 1 trial listed for this drug.

What phase is racemic ketamine in?

Racemic ketamine is in Phase 1 clinical development. The single listed trial, NCT02682225, is completed. The drug is investigational and has not been approved for any indication.

What clinical trials is racemic ketamine in?

Racemic ketamine has been studied in one Phase 1 trial, NCT02682225, titled a crossover study to evaluate the abuse potential of intranasal esketamine compared to racemic intravenous ketamine in nondependent, recreational drug users. The trial enrolled 55 participants in the United States and is completed.

Is racemic ketamine the same as intravenous racemic ketamine?

Yes, racemic ketamine is also known as intravenous racemic ketamine. The alternative name reflects the intravenous route used in the Phase 1 trial NCT02682225.