[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07670507":3,"trial-entities:NCT07670507":102,"trial-summary:NCT07670507":108},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":6,"overall_status":7,"completion_date":8,"status_verified_date":9,"last_update_date":10,"start_date":11,"sponsor_name":12,"lead_sponsor_class":13,"has_dmc":14,"brief_summary":15,"detailed_description":16,"conditions":17,"keywords":19,"study_type":23,"primary_purpose":24,"phases":25,"enrollment_info":28,"interventions":31,"primary_outcomes":39,"secondary_outcomes":44,"sex":51,"minimum_age":52,"maximum_age":53,"healthy_volunteers":54,"eligibility_criteria":55,"std_ages":74,"locations":77,"central_contacts":98,"overall_officials":99,"references":100,"see_also_links":101},"NCT07670507","7471","Pilot Randomized Control Trial Comparing Oral Ketamine and Oral Oxycodone for Pain Control in Emergency Department Patients","NOT_YET_RECRUITING","2027-04-30","2026-06","2026-06-26","2026-06-24","Albany Medical College","OTHER",true,"The goal of this pilot randomized clinical trial is to learn if oral ketamine intervention can control pain in emergency department patients whose providers feel the need for additional pain medication. The main questions it aims to answer are:\n\n* Does oral ketamine result in a different mean change in pain scores compared with oral oxycodone?\n* Is there a difference in the need for additional opioid administration within 24 hours after the initial dose of study medication (oral ketamine vs oral oxycodone)?\n\nResearchers will compare oral ketamine to oral oxycodone to see if there is a difference in pain control or the need for additional opioid administration.\n\nParticipants will:\n\n* Fill out a survey prior to study medication administration assessing pain scores, pain presentation, and medication history\n* Be randomized to and receive a dose of oral ketamine or oral oxycodone as the study medication for pain control\n* Fill out a survey assessing pain control, side effects, and safety outcomes\n* Receive follow-up phone calls at 1 and 3 months after enrollment to assess pain and opioid use","In an effort to combat the ongoing opioid crisis, healthcare providers continue to search for alternatives to opioids that are both safe and effective. While no medicine has an ideal profile, oral ketamine have attributes that may serve emergency department (ED) patients well when dealing with painful conditions. While IV ketamine has been well-studied in the ED setting and oral ketamine has been studied in the post-operative setting, there is limited data describing the safety and effectiveness of oral ketamine in the ED setting. Guided by colleagues from the Anesthesia Acute Pain Service, the Albany Medical Center (AMC) ED has begun giving oral ketamine to appropriate ED patients with painful conditions. We aim to conduct a pilot, un-blinded randomized controlled trial to compare the benefits and detriments of oral ketamine vs. oxycodone in ED patients who require 'second line' pain medicine.\n\nA convenience sample of emergency department patients will be randomized to receive either:\n\nOxycodone arm:\n\no The treating provider will order oral oxycodone 5 mg times one\n\nor\n\no The treating provider has made a deliberate decision that the patient requires (because of weight, prior exposures, etc.) greater than oxycodone 5mg times one\n\nOral ketamine arm:\n\no The treating provider will order ketamine 0.75 mg\u002Fkg oral times one (max 80mg)\n\nOutcomes measured\n\nParticipants will be assessed for\n\n* Pain scores at 30 and 60 minutes after either study drug administration\n* Whether they received opioids at 6 hours, 12 hours, and 24 hours after receiving either study drug\n* For admitted patients, whether they received opioids upon admission to the hospital, and whether they were discharged with a prescription for opioids\n* Whether the participation has received opioid pain medicines, ketamine, or other recreational drugs during the one month after enrolling in the study\n* Whether the participation has received opioid pain medicines, ketamine, or other recreational drugs during the three months after enrolling in the study\n\nWe will calculate a difference in change in mean pain scores before and after the intervention in each study arm. We will also compare morphine milli-equivalents use during the time intervals above, as well as usage of opioids, ketamine, and recreational drugs during the one month and three month period after enrollment.\n\nBecause this is a pilot study, we have not calculated an effect size.",[18],"Pain Management",[20,21,22],"oral ketamine","pain control","oxycodone","INTERVENTIONAL","TREATMENT",[26,27],"PHASE2","PHASE3",{"count":29,"type":30},60,"ESTIMATED",[32,36],{"type":33,"name":20,"description":34,"armGroupLabels":35},"DRUG","A dose of oral ketamine administered as a second line pain management medicine in the emergency department.",[20],{"type":33,"name":22,"description":37,"armGroupLabels":38},"A dose of oxycodone administered as a second line pain management medicine in the emergency department.",[22],[40],{"measure":41,"description":42,"timeFrame":43},"Change in mean pain score","This reflects the mean difference between the pain scores before and after the intervention.","This will be assessed at 30 minutes and 60 minutes after receiving the study drugs.",[45,48],{"measure":46,"description":46,"timeFrame":47},"Usage of morphine in the following 24 hours.","24 hours",{"measure":49,"description":49,"timeFrame":50},"Usage of opioids, ketamine, or recreational drugs one month and three months after study enrollment.","1 month and 3 months after study enrollment.","ALL","18 Years","75 Years",false,{"inclusion":56,"exclusion":62,"raw_text":73},[57,58,59,60,61],"ED patient aged 18 years or older AND","English proficient AND","Able to give informed consent AND","Has a painful condition in the ED that includes any of the following: Musculoskeletal extremity pain, Musculoskeletal back or neck pain, Other nociceptive extremity pain","AND treating provider has deemed the patient necessitating 'second line pain therapy' (meaning: opioids or ketamine)",[63,64,65,66,67,68,69,70,71,72],"Prisoner status","Pregnant","Non-English proficient","Cannot give informed consent","Requires emergent intravenous pain medicine (as deemed by the treating provider)","Prior participation in the study","Previous diagnosis of opioid use disorder","Previous ketamine addiction","Patient is in hospice or other palliative care measures","Contraindication to ketamine, including: Cystitis or bladder pain, Intracranial hypertension, Known coronary artery disease, Age greater than 75 years old, History of prior adverse reaction to ketamine or oxycodone, History or current major psychiatric disorder (as deemed by the treating ED clinician) or history of psychosis","Inclusion Criteria:\n\n* ED patient aged 18 years or older AND\n* English proficient AND\n* Able to give informed consent AND\n* Has a painful condition in the ED that includes any of the following: Musculoskeletal extremity pain, Musculoskeletal back or neck pain, Other nociceptive extremity pain\n* AND treating provider has deemed the patient necessitating 'second line pain therapy' (meaning: opioids or ketamine)\n\nExclusion Criteria:\n\nAny of the following:\n\n* Prisoner status\n* Pregnant\n* Non-English proficient\n* Cannot give informed consent\n* Requires emergent intravenous pain medicine (as deemed by the treating provider)\n* Prior participation in the study\n* Previous diagnosis of opioid use disorder\n* Previous ketamine addiction\n* Patient is in hospice or other palliative care measures\n* Contraindication to ketamine, including: Cystitis or bladder pain, Intracranial hypertension, Known coronary artery disease, Age greater than 75 years old, History of prior adverse reaction to ketamine or oxycodone, History or current major psychiatric disorder (as deemed by the treating ED clinician) or history of psychosis",[75,76],"ADULT","OLDER_ADULT",[78],{"facility":79,"city":80,"state":81,"zip":82,"country":83,"contacts":84,"geoPoint":95},"Albany Medical Center Emergency Department","Albany","New York","12208","United States",[85,90,93],{"name":86,"role":87,"phone":88,"email":89},"Michael Waxman, MD","CONTACT","518-262-3443","waxmanm@amc.edu",{"name":91,"role":87,"phone":88,"email":92},"Andrew Chang, MD, MS","changa1@amc.edu",{"name":86,"role":94},"PRINCIPAL_INVESTIGATOR",{"lat":96,"lon":97},42.65258,-73.75623,[],[],[],[],{"nct_id":4,"conditions":103,"biomarkers":107},[104,105,106],"Musculoskeletal back or neck pain","Musculoskeletal extremity pain","Nociceptive extremity pain",[],{"nct_id":4,"found":14,"summary":109,"prompt_version":119},{"design":110,"status":111,"heading":112,"summary":113,"follow_up":114,"word_count":115,"commitments":116,"compensation":117,"drugs_mentioned":118},"This is a pilot randomized controlled trial comparing oral ketamine and oral oxycodone. It is un-blinded, meaning both you and your doctor will know which medication you receive.","completed","Pilot Study: Oral Ketamine vs. Oral Oxycodone for ED Pain","This pilot study is testing if oral ketamine can help control pain for emergency department (ED) patients who need more pain relief. Researchers are comparing oral ketamine to oral oxycodone to see which one works better at reducing pain and if one leads to needing less additional opioid medication within 24 hours. You might be able to join if you are an ED patient between 18 and 75 years old, speak English, and have musculoskeletal pain (like back, neck, or limb pain) or other limb pain that your doctor thinks needs a \"second line\" pain medicine (like an opioid). The study aims to enroll 60 participants.","The study will assess the need for additional opioid medication within 24 hours after the initial dose of study medication.",106,"You will receive either oral ketamine or oral oxycodone. Your pain will be assessed at 30 minutes and 60 minutes after taking the study medication.","Not stated in the trial record.",[20,22],"v2"]