Could a common anesthetic replace opioids for ER pain?
NCT ID NCT07670507
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study will test whether oral ketamine can control pain as well as oxycodone in emergency department patients who need extra pain medication. Sixty adults with certain types of pain will be randomly assigned to receive either drug. Researchers will measure changes in pain scores and whether patients need additional opioids within 24 hours, with follow-up at 1 and 3 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- oral ketamine
- What this could lead to
- If it works, this could offer a non-opioid option for managing pain in the emergency department, potentially reducing reliance on opioids.
- What could go wrong
- This is a small pilot study with only 60 participants, so results may not apply broadly. It's also early-stage, and the effectiveness or side effects of oral ketamine are not yet well understood in this setting.
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
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- 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: * 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) Exclusion Criteria: Any of the following: * 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
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Albany Medical Center Emergency Department
Albany, New York, 12208, United States
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