Could a ketamine cocktail cut opioid use after spine surgery?
NCT ID NCT07452705
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding low-dose ketamine to standard morphine pain pumps helps teens use less morphine after scoliosis surgery. About 114 patients aged 10-18 will be randomly assigned to get either the combo or morphine alone. The goal is to see if the combo reduces opioid use and side effects while keeping pain under control.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ketamine and Morphine (combined in a patient-controlled pump)
- What this could lead to
- If it works, this could offer a safer way to manage pain after scoliosis surgery, reducing opioid use and side effects like nausea or drowsiness.
- What could go wrong
- This is a small, early-phase trial (114 participants) that hasn't started yet. The benefit may be small or not apply to all patients, and ketamine can cause side effects like hallucinations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 114 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Feb 2026
An estimate. Start dates often move.
- Expected to finish
-
Jan 2028
An estimate. End dates often move.
- 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
-
10 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: 1. Aged \> 10 years old 2. Idiopathic scoliosis scheduled for single-stage posterior spinal fusion (PSF). 3. American Society of Anaesthesiologists (ASA) physical status I-II. Exclusion criteria: 1. Known hypersensitivity to morphine, ketamine or formulation excipients. 2. Hepatic dysfunction (ALT or AST \> 2 × upper limit of normal). 3. Renal impairment (eGFR ≤ 60 mL min-¹ 1·73 m-²). 4. Uncontrolled asthma or severe restrictive lung disease. 5. Cardiac disease or clinically significant arrhythmia. 6. Epilepsy. 7. Intellectual disability precluding PCA use. 8. Chronic opioid therapy or pre-operative pain \> 3 months. 9. Concomitant monoamine-oxidase inhibitor or tricyclic antidepressant therapy. 10. History of severe postoperative delirium.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Adolescent idiopathic scoliosis (AIS) are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
University Malaya Medical Centre
Kuala Lumpur, Kuala Lumpur, 59100, Malaysia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Scoliosis curves may change how teenagers stand and walk
- Can home exercises straighten scoliosis as well as a therapist?
- Could scoliosis steal teen sleep? new study asks
- Can a wearable muscle sensor replace X-Rays for scoliosis?
- Could adding pilates to schroth exercises boost lung and muscle function in teens with scoliosis?
- Protein clues may predict scoliosis progression in teens