Ketamine may cut opioid needs for trauma patients
NCT ID NCT04833816
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether giving a low dose of ketamine continuously could lower the amount of strong painkillers (opioids) needed by people with serious injuries. The goal was to see at least a 25% reduction in opioid use over 48 hours while still controlling pain just as well. The trial involved 140 adults with multiple severe injuries and compared ketamine to a placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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140 people
The number who actually took part.
- Started
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Aug 2022
- Finished
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Jan 2026
- Lead sponsor
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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
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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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: * Male or female adult * Trauma patient presenting at least 2 lesions in two different regions as defined by the ISS (injury severity score) (Head or neck, Face, Thorax, Abdomen and pelvic contents, Upper limbs or pelvic girdle, Lower limbs, External (any skin surface). * Patient presenting at least two regional disorders classified as moderate to maximum defined by an AIS (Abbreviated Injury Scale)\> 1. * Patient having signed an informed consent Exclusion Criteria: * Patients with an indication for deep sedation (intracranial hypertension or acute respiratory distress syndrome). * Patient in whom the infusion could not be started within the first 6 hours of initial treatment. * Patient whose state of consciousness is incompatible with understanding the protocol. * Patient with chronic unbalanced arterial hypertension. * Patient with severe heart failure. * Patient with a BMI\> 35 kg / m² or a weight of more than 120 kg. * Patient with chronic analgesic consumption defined by consumption of opioid derivatives for more than a week for an intercurrent illness. * Presence of a history of chronic pain. * Presence of a history of epilepsy. * Presence of a history of psychosis or drug addiction. * Presence of a history of stroke. * Patients with an allergy to the molecule or excipients composing ketamine * Patients with an allergy to the molecule or to the excipients making up sufentanil or paracetamol. * Pregnant or breastfeeding woman. * Patient not understanding French. * Protected adult patient (under guardianship, curatorship or legal protection).
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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
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Service Anesthésie Réanimation - Hôpital nord
Marseille, 13015, France
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Other studies related to the condition(s) this trial covers.
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