Ketamine for the Treatment of Refractory Status Epilepticus

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorThomas Jefferson University

About this trial

This pilot feasibility study aims to examine how the timing of ketamine introduction as a third-line anti-seizure medication infusion relates to seizure cessation in patients with refractory status epilepticus (RSE).

Eligibility criteria

Qualifiers

Adults 18 years of age or older

Patients with refractory status epilepticus unresponsive to appropriately dosed first line agents administered intravenous or intraosseous and one second line agent

First line agents: lorazepam, midazolam, or diazepam

Second line agents: phenytoin (20 mg/kg), valproate (40 mg/kg), levetiracetam (60 mg/kg), lacosamide (400 mg)

Disqualifiers

Exclusively psychogenic non epileptic seizures

Pregnant individuals

Incarcerated individuals

Patients with hypersensitivity to ketamine or any component of the formulation

Trial design

Treatments tested in this trial

  • Ketamine
  • Midazolam

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators