Ketamine sedation may trigger hidden brain activity, study finds
NCT ID NCT06741930
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This completed study looked at whether the sedative ketamine can cause seizure-like brain activity in people without epilepsy. Researchers monitored 300 adults undergoing a routine stomach scope procedure using EEG brain scans. They compared ketamine to two other common sedatives, midazolam and propofol, to see which was safest.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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300 people
The number who actually took part.
- Started
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Dec 2024
- Finished
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Aug 2025
- 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 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: \- Adults aged ≥18 years scheduled to undergo procedural sedation prior to esophagogastroduodenoscopy in the endoscopy unit were included in the study. Exclusion Criteria: * patients aged \<18 years, * pregnant or breastfeeding females, * patients with a known history of epilepsy, previous status epilepticus, or neurological conditions such as head trauma, brain tumors, cerebrovascular events, meningitis, or encephalitis, as well as congenital or acquired structural brain anomalies. * Individuals with a first-degree family history of epilepsy or who had used medications affecting the central nervous system (e.g., antidepressants, antipsychotics, sedatives, benzodiazepines, or opioids) within the previous month were also excluded. * Patients were also excluded if they had a known allergy or hypersensitivity to the study drugs (IV ketamine, IV midazolam, IV propofol) or to adjunctive medications used for procedural sedation (e.g., IV fentanyl). * Patients with a history of complications during anesthesia or previous surgical procedures, such as malignant hyperthermia or respiratory failure. * Patients with significant movement disorders, agitation, scalp lesions, or other conditions interfering with EEG recording. * Patients with severe cardiovascular disease, including uncontrolled hypertension, advanced heart failure, or arrhythmias, as well as those with oxygen saturation \<90%, a high risk of respiratory depression, or severe obstructive sleep apnea syndrome. * Patients with severe hepatic or renal failure, or those who had undergone major surgery within the previous 6 months.
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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
-
Haseki Training and Research Hospital
Istanbul, Istanbul, 34265, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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