Ketamine Infusion for Social Anxiety Disorder
* Social Anxiety Disorder (SAD) is common and causes significant impairment. * First-line treatments for Social Anxiety Disorder are only partially effective. Many SAD patients experience little or inadequate symptom relief with available treatments. * Ketamine is a potent NMDA receptor antagonist. Ketamine represents an agent with a potentially novel mechanism of action for the treatment of anxiety disorders. * Ketamine has demonstrated efficacy in the treatment of psychiatric disorders closely related to Social Anxiety Disorder including Major Depression, Bipolar Depression and possibly Obsessive-Compulsive Disorder. Ketamine represents the possibility to provide rapid symptom relief to patients with SAD and may provide the mechanism for future drug development to treat SAD more rapidly and effectively.
Study Arms & Interventions
Ketamine
experimentalIntravenous ketamine infusion (0.5 mg/kg over 40 min)
Interventions
- Ketamine0.5 mg/kgvia IV• single dose• 1 doses total
administered over 40 min
Placebo
placeboIntravenous normal saline infusion
Interventions
- Placebovia IV• single dose• 1 doses total
normal saline
Primary Results(1 publication)
Participants
Adverse Events (from all publications)
| Arm / Group | n | Any TEAE | Severe | Serious | Discont. |
|---|---|---|---|---|---|
| Ketamineexperimental | 18 | 17(94.4%) | 0(0.0%) | 0(0.0%) | 0(0.0%) |
| Placeboplacebo | 17 | 5(29.4%) | 0(0.0%) | 0(0.0%) | 0(0.0%) |
* Participants experiencing ≥1 TEAE and TEAEs of special interest (dissociative side effects) are based on a Clinician Administered Dissociative States Scale (CADSS) score > 0. All reported side effects resolved within 2h of infusion completion.
* Participants experiencing ≥1 TEAE and TEAEs of special interest (dissociative side effects) are based on a Clinician Administered Dissociative States Scale (CADSS) score > 0. All reported side effects resolved within 2h of infusion completion. One participant did not receive the placebo infusion due to moving out of state, not due to a TEAE.