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Ketamine, long used as an anesthetic, tested as a seizure treatment
NCT ID NCT05019885
First seen Sep 11, 2026 ยท Last updated Sep 11, 2026
Summary
Researchers are testing whether low-dose intravenous ketamine can reduce seizures in adults with drug-resistant epilepsy, meaning their seizures have continued despite trying at least two anti-seizure medications. Twelve participants receive ketamine three times a week for two weeks. The study tracks whether seizures drop by half during treatment and in the following month, and whether seizure frequency returns to its previous level within three months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ketamine, given intravenously at low, non-anesthetic doses
- What this could lead to
- If it works, low-dose ketamine could become a new option for people whose seizures continue despite multiple anti-seizure drugs.
- What could go wrong
- This is a small Phase 2 pilot with 12 participants, so any benefit may not hold up in larger studies. Ketamine can cause dissociation, blood pressure changes, and other side effects, and its long-term safety for repeated outpatient use in epilepsy is not established.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
12 people
The number who actually took part.
- Started
-
Aug 2022
- Finished
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Jun 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Provision of signed and dated informed consent form * Adults (18 years or older) * Cognitively impaired adults are not excluded (i.e. will be included in the study) * Established diagnosis of Drug Resistant Epilepsy (DRE) i.e. failed two or more appropriately chosen anti-seizure medications (ASMs) * EEG consistent with focal or generalized epilepsy * Patients must have \>4 focal aware, focal impaired aware, focal to bilateral tonic clonic or generalized tonic clonic seizures per month. * Patients can be on \>/= 1 anti-seizure medication (ASM) at the time of enrollment on stable doses 12 weeks prior to initiation * Patients on Epilepsy devices: Vagal nerve stimulator (VNS), Deep brain stimulator (DBS) or Responsive Nerve Stimulator (RNS) must have remained stable for at least 4 weeks before the screening visit. Adjustment of devices is not allowed during the study. Exclusion Criteria * Patients \<18 years of age * Pregnant women * Women that are breast feeding * Patients who had \>21 days of seizure freedom in the last year. * Patients with a history of status epilepticus within 3 months of screening * Patients with a history of alcoholism of drug misuse within the last 2 years * Unstable medical illness * Serious or imminent suicidal or homicidal risk * Patients with cardiovascular disease * Patients with schizophrenia * Patients with history of aneurysm or aortic dissection, arteriovenous malformation and intracerebral hemorrhage * Patients that are immobile i.e. wheel chair bound, bed ridden individuals * Patients on psychostimulants (amphetamines, methylphenidate etc.) and Monoamine oxidase inhibitors (selegiline, isocarboxazid, phenelzine etc.)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Mount Sinai Hospital
New York, New York, 10035, United States
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Other studies related to the condition(s) this trial covers.
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