[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT06038409":3,"trial-entities:NCT06038409":97,"trial-summary:NCT06038409":102},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":23,"study_type":24,"primary_purpose":25,"phases":26,"enrollment_info":27,"interventions":30,"primary_outcomes":38,"secondary_outcomes":52,"sex":53,"minimum_age":54,"maximum_age":25,"healthy_volunteers":15,"eligibility_criteria":55,"std_ages":59,"locations":62,"central_contacts":86,"overall_officials":92,"references":95,"see_also_links":96},"NCT06038409","RIVERFoundation 001","Ketamine Treatment Plans for Chronic Conditions","Understanding the Safety of Home Ketamine Treatment Plans for Chronic Conditions","RECRUITING","2029-06-01","2024-01","2024-11-26","2023-01-01","RIVER Foundation","OTHER",false,"A study aimed to assess the efficacy of the various approaches to prescribing Ketamine currently in use off-label. The focus will be to include ketamine within the study plan of those with chronic conditions who are receiving ketamine.","Ketamine can be administered in multiple ways (IV, IM, SubQ, and Sublingual, among others), and there have been few if any, studies that have compared the impact of Ketamine at home without any thearpy.\n\nThe study will identify other treatment modalities used in concurrence with Ketamine. Psychotherapy, music therapy, and acutherapy are some of the most popular. How do these adjunct therapies affect the outcomes of Ketamine treatments?\n\nSecondarily, the study will focus on these significant issues to observe the impact of Ketamine treatments and suicidal ideation. Suicidal ideation is multifaceted and is one reason for prescribing off-label Ketamine. Chronic issues such as depression, pain, and anxiety have been identified as underlying causes and may be improvable with Ketamine.",[19,20,21,22],"Chronic Pain","Depressive Disorder","Anxiety Disorders","Chronic Disease",[],"OBSERVATIONAL",null,[],{"count":28,"type":29},500,"ESTIMATED",[31],{"type":32,"name":33,"description":34,"armGroupLabels":35},"DRUG","Ketamine","The efficacy of the various approaches to prescribing Ketamine currently in use off-label. The focus will be to include ketamine within the treatment plan of those with chronic conditions",[21,36,19,37],"Chronic Condtions","Depressive Disorders",[39,43,46,49],{"measure":40,"description":41,"timeFrame":42},"Ketamine route of use acceptability.","Compare and Contrast the different methods and uses of ketamine for acceptability for the route of use. (ie oral sublingual or nasal spray)","through study completion, an average of 1 year",{"measure":44,"description":45,"timeFrame":42},"Mental Health PHQ9","The use of psychological scales to measure participants' mental health with the use of ketamine. Three scales will be charted to examine the mental health of the participant.\n\nThe Patient Health Questionnaire-9 (PHQ9), Patient Health Questionnaire 9 has a possible range of 0-27. Zero being no depression and 27 being severe depression.\n\nParticipants will be given a baseline survey and will be given a survey to complete every time they request a ketamine renewal while participating in the study. A multiline graph will show the results of the amount of ketamine and the PHQ9 will be produced.",{"measure":47,"description":48,"timeFrame":42},"Mental Health GAD7","Participants will be screened using the Generalized Anxiety Disorder-7 (GAD7) with a total score for the seven items ranging from 0 to 21. Scores 5, 10, and 15 represent cut points for mild, moderate, and severe anxiety, respectively.\n\nParticipants will be given a baseline survey and will be given a survey to complete every time they request a ketamine renewal while participating in the study. A multiline graph will show the results of the amount of ketamine and the GAD7 will be produced.",{"measure":50,"description":51,"timeFrame":42},"Mental Health PCL5","Participants will be screened using the Posttraumatic Stress Disorder Checklist (PCL-5) PCL-5. On a 4-point scale, scores can be tabulated for individual items to give information about the severity of the four DSM-5 symptom clusters. If a score of 2 (moderate) is considered to be a positive endorsement of a given criterion, the PCL-5 can be used in combination with a clinical interview to make a provisional DSM-5 diagnosis. Testing the PCL-5 with veterans has determined a score of 31 to 33 to be a valid cutoff for a positive screen. The scores range from 0-80, 0 being no symptoms to extreme issues with post-traumatic stress disorder.\n\nParticipants will be given a baseline survey and will be given a survey to complete every time they request a ketamine renewal while participating in the study. A multiline graph will show the results of the amount of ketamine and the PCL5 will be produced.",[],"ALL","18 Years",{"inclusion":56,"exclusion":57,"raw_text":58},[],[],"Inclusion Criteria:\n\nMust have an identifiable chronic condition.\n\nExclusion Criteria:\n\nHealthy population",[60,61],"ADULT","OLDER_ADULT",[63],{"facility":64,"status":8,"city":65,"state":66,"zip":67,"country":68,"contacts":69,"geoPoint":83},"RIVER Telehealth","Helena","Montana","59601","United States",[70,75,77,79,81],{"name":71,"role":72,"phone":73,"email":74},"Ed Lesofski, MS","CONTACT","406-465-9504","ed@riverofchange.org",{"name":76,"role":72},"James Taggart, MD",{"name":78,"role":72},"Frank Yurasek, PhD",{"name":80,"role":72},"Edward Lesofski, MS",{"name":82,"role":72},"Jeffery Newton",{"lat":84,"lon":85},46.59271,-112.03611,[87,89],{"name":88,"role":72,"phone":73,"email":74},"Ed Lesofski",{"name":76,"role":72,"phone":90,"email":91},"415-713-6654","jrtaggartmd@aol.com",[93],{"name":80,"affiliation":13,"role":94},"STUDY_DIRECTOR",[],[],{"nct_id":4,"conditions":98,"biomarkers":101},[99,22,19,100],"Anxiety Disorder","Depressive disorder",[],{"nct_id":4,"found":103,"summary":104,"prompt_version":113},true,{"design":105,"status":106,"heading":6,"summary":107,"follow_up":108,"word_count":109,"commitments":110,"compensation":111,"drugs_mentioned":112},"This is an observational study, meaning researchers will watch and collect information without giving specific treatments. It plans to include about 500 participants.","completed","This observational study is looking at how different ways of using Ketamine, a medication, are working for people with chronic (long-lasting) conditions like chronic pain, depression, and anxiety disorders. The study wants to see how effective Ketamine is when it's part of a treatment plan for these conditions. Researchers will also look at how other therapies, like psychotherapy or music therapy, might affect the results of Ketamine treatment. They are also interested in how Ketamine treatments might impact suicidal thoughts. You may be able to join if you are 18 or older and have a chronic condition. The study will measure how acceptable the different ways of taking Ketamine are, and will use questionnaires (PHQ9 and GAD7) to check for changes in mental health over about one year. The current status of this study is unclear.","Participants will be followed through study completion, which is an average of one year.",136,"Not specified in the trial record.","Not stated in the trial record.",[33],"v2"]