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Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625000960459
Ethics application status
Approved
Date submitted
29/07/2025
Date registered
2/09/2025
Date last updated
2/09/2025
Date data sharing statement initially provided
2/09/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
Clinical audit of the long-term use of oral ketamine for management of chronic pain
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Scientific title
Long-Term Outcomes From Oral Ketamine Therapy For Treatment Resistant Chronic Pain
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Secondary ID [1]
315019
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Nil Known
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Universal Trial Number (UTN)
N/A
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Trial acronym
N/A
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Linked study record
N/A
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Health condition
Health condition(s) or problem(s) studied:
Chronic pain
338358
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Condition category
Condition code
Anaesthesiology
334657
334657
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0
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Pain management
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Questionnaires will be administered: Brief Pain Inventory, Depression and Anxiety Stress Scale, Pain Catastrophizing Scale and Pain Self-efficacy Questionnaire. Patients will also complete a check list of side effects from ketamine treatment. Demographic data will be extracted from Dr Salmons case notes, as well as other analgesia prescribed and patients perception of effects of treatment. Questionnaire responses will be compared with baseline questionnaires (PCS, PSEC, BPI and DASS ) completed at initial consultation when the patients first consults with Dr Salmon whenever that appointment occurred. The length of time each patients have been taking will vary, however patients consenting to the study are at least two years post commencement of ketamine therapy. The participating patients are only required to complete one set of questionnaires in addition to the initial (first consultation) questionnaires which is standard care. Patients are approached when attending clinic for follow-up appointments , or contacted by telephone.
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Intervention code [1]
331618
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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A clinical audit to assess of patients to assess the safety and efficacy of long-term oral ketamine therapy for treating chronic pain, this is a composite outcome using the questionnaires specified below
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Assessment method [1]
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Brief Pain Inventory (BPI), Depression and Anxiety Stress Scale (DASS), The Pain Self-efficacy Questionnaire(PSEQ), Pain Catastrophizing Scale (PCS)
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Timepoint [1]
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As standard care all patients complete a DASS, PSEQ, BPI and PCS when first attending clinic to consult with Dr Salmon. Participants of this study consent to complete these same questionnaires on one occasion only at least 2 years post commencement on ketamine therapy, the length of time between each patients initial, standard care questionnaire and the study questionnaire will vary from patient to patient.
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Primary outcome [2]
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Changes in prescribed analgesia other than ketamine (morphine equivalent doses)
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Assessment method [2]
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As reported in medical records (morphine equivalent doses)
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Timepoint [2]
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From initial consultation, to at least two years post commencement of ketamine therapy.
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Primary outcome [3]
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Side effects of ketamine
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Assessment method [3]
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Study specific check-list as devised by Dr Salmon (drowsiness, confusion, clumsiness, dizziness, nausea/vomiting, hallucinations, anxiety, slurred speech, urinary incontinence, bladder pain, blood in urine, abnormal liver/ kidney blood tests, others)
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Timepoint [3]
342460
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At least two years post commencement of ketamine
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Secondary outcome [1]
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Participant satisfaction with ketamine therapy
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Assessment method [1]
450349
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Satisfaction ratings scale ie Likert Scale
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Timepoint [1]
450349
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At least two years post commencement of ketamine therapy
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Eligibility
Key inclusion criteria
All patients with treatment resistant severe chronic pain treated by Dr Salmon for at least two years with oral ketamine therapy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Unable to give informed consent. Less than 2 years treatment with ketamine oral medication.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
24/07/2025
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Date of last participant enrolment
Anticipated
23/07/2027
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Actual
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Date of last data collection
Anticipated
24/07/2027
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Actual
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Sample size
Target
50
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment postcode(s) [1]
44461
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6011 - Cottesloe
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Murdoch University, 90 South Street Murdoch Western Australia 6150 Australia
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Nevro Corp 1800 Bridge Parkway, Redwood City, CA 94065
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Address [2]
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Country [2]
319687
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United States of America
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Primary sponsor type
Individual
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Name
Dr John Salmon, PainCare Perth, Parkland House 2/89 Forrest Street Cottesloe WA 6011
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Address
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Country
Australia
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Secondary sponsor category [1]
322192
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None
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Name [1]
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N/A
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Address [1]
322192
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Country [1]
322192
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Peter Drummond Murdoch University 90 South Street Murdoch WA 6150
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Address [1]
283602
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Country [1]
283602
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
318146
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Murdoch University Human Research Ethics Committee
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Ethics committee address [1]
318146
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http://our.murdoch.edu.au/Research-Ethics-and-Integrity/Human-research-ethics
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Ethics committee country [1]
318146
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Australia
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Date submitted for ethics approval [1]
318146
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07/07/2025
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Approval date [1]
318146
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14/07/2025
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Ethics approval number [1]
318146
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Summary
Brief summary
Oral ketamine has been used for many years as a treatment for chronic pain. Evidence supports the efficacy and relative safety of short to medium term use ( one year) for patients with intractable chronic pain. The aim of this study is to carry out an audit of these patients to assess the safety and efficacy of long-term oral ketamine therapy
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr John Salmon
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Address
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PainCare Perth Parkland House 2/89 Forrest Street Cottesloe, WA 6011
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Country
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Australia
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Phone
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+61 8 92846005
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
143263
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Dr John Salmon
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Address
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Paincare Parkland House Perth 2/89 Forrest Street, Forrest Street Cottesloe Western Australia 6011
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Country
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Australia
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Phone
143263
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+61 8 92846005
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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John Salmon
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Address
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PainCare Perth Parkland House 2/89 Forrest Street Cottesloe WA 6011
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Country
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Australia
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Phone
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+61 8 92 846005
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Fax
143264
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Email
143264
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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