Page last updated: 2024-10-29

ketamine and Encephalopathy, Toxic

ketamine has been researched along with Encephalopathy, Toxic in 32 studies

Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
ketamine : A member of the class of cyclohexanones in which one of the hydrogens at position 2 is substituted by a 2-chlorophenyl group, while the other is substituted by a methylamino group.

Research Excerpts

ExcerptRelevanceReference
"Evidence suggests that some aspects of schizophrenia can be induced in healthy volunteers through acute administration of the non-competitive NMDA-receptor antagonist, ketamine."9.16Performance on a probabilistic inference task in healthy subjects receiving ketamine compared with patients with schizophrenia. ( Almahdi, B; Averbeck, BB; Brandner, B; Collier, T; Cregg, R; Evans, S; Shergill, SS; Sohanpal, I; Sultan, P, 2012)
"A 44-year-old man with treated neurosyphilis presented with subclinical status epilepticus (SE) refractory to intravenous high-dose lorazepam, phenytoin, and valproic acid over 4 days."7.72Ketamine for refractory status epilepticus: a case of possible ketamine-induced neurotoxicity. ( Lerner, AJ; Maddux, BN; Sagar, SM; Suarez, JI; Ubogu, EE; Werz, MA, 2003)
"Evidence suggests that some aspects of schizophrenia can be induced in healthy volunteers through acute administration of the non-competitive NMDA-receptor antagonist, ketamine."5.16Performance on a probabilistic inference task in healthy subjects receiving ketamine compared with patients with schizophrenia. ( Almahdi, B; Averbeck, BB; Brandner, B; Collier, T; Cregg, R; Evans, S; Shergill, SS; Sohanpal, I; Sultan, P, 2012)
"Our results demonstrated that GA, induced by intravenous ketamine or inhalational sevoflurane, disturbed iron homeostasis and caused iron overload in both in vitro hippocampal neuron culture and in vivo hippocampus."3.96Iron overload contributes to general anaesthesia-induced neurotoxicity and cognitive deficits. ( Cao, Y; Li, H; Li, K; Wu, J; Yang, JJ; Yang, S; Zhao, H, 2020)
"Ketamine, though widely used in pediatric anesthesia, may induce cortical neurotoxicity in young patients."3.91MicroRNA-107 regulates anesthesia-induced neural injury in embryonic stem cell derived neurons. ( Gao, F; Huang, FY; Jiang, JD; You, MZ; Zheng, T; Zheng, XC, 2019)
"A 44-year-old man with treated neurosyphilis presented with subclinical status epilepticus (SE) refractory to intravenous high-dose lorazepam, phenytoin, and valproic acid over 4 days."3.72Ketamine for refractory status epilepticus: a case of possible ketamine-induced neurotoxicity. ( Lerner, AJ; Maddux, BN; Sagar, SM; Suarez, JI; Ubogu, EE; Werz, MA, 2003)
"We report a case of opioid-induced neurotoxicity (OIN) in an actively dying hospice patient, its reversal and improved analgesia that followed opioid dosage reduction made possible after addition of IV ketamine."2.53Intravenous Ketamine for Rapid Opioid Dose Reduction, Reversal of Opioid-Induced Neurotoxicity, and Pain Control in Terminal Care: Case Report and Literature Review. ( Bradshaw, YS; Carr, DB; Winegarden, J, 2016)
" This article discusses the limitations of the published animal research, the challenges in extrapolating such data to humans, the need for further animal and human investigations, and the potential adverse effect on current clinical practice that might result, should the use of ketamine be restricted or the drug removed from the market."2.45Ketamine and neurotoxicity: clinical perspectives and implications for emergency medicine. ( Coté, CJ; Green, SM, 2009)
"Ketamine is a widely used drug in pediatric anesthesia practice, acting primarily through the blockade of the N-methyl-D-aspartate (NMDA) type of glutamate receptors."2.44Effects of ketamine on the developing central nervous system. ( Gascon, E; Kiss, JZ; Vutskits, L, 2007)
"Ketamine is a kind of anesthetic broadly applied in clinic."1.62MiRNA-429 alleviates ketamine-induced neurotoxicity through targeting BAG5. ( Bian, W; Fan, X; Li, J; Liu, M; Wang, Y, 2021)
"Ketamine is an anesthetic and analgesic drug widely used in clinical anesthesia."1.56Ketamine exerts neurotoxic effects on the offspring of pregnant rats via the Wnt/β-catenin pathway. ( Chang, T; Gao, L; Liu, W; Wang, Q; Zhang, X; Zhao, J, 2020)
" In this study, we investigated the toxic effect of ketamine on neurons differentiated from hESCs."1.38Ketamine induces toxicity in human neurons differentiated from embryonic stem cells via mitochondrial apoptosis pathway. ( Bai, X; Bosnjak, ZJ; Canfield, S; Corbett, JA; Kikuchi, C; Muravyeva, MY; Wells, CW; Yan, Y, 2012)
"The ketamine pretreatment attenuated the lidocaine-induced damage in the CA3 hippocampal region and the basolateral amygdala."1.35Ketamine prevents lidocaine-caused neurotoxicity in the CA3 hippocampal and basolateral amygdala regions of the brain in adult rats. ( Cano-Europa, E; Lopez-Galindo, GE; Ortiz-Butron, R, 2008)
"Ketamine is a widely used pediatric anesthetic recently reported (C."1.32Developmental neurotoxicity of ketamine: morphometric confirmation, exposure parameters, and multiple fluorescent labeling of apoptotic neurons. ( Davis, H; Faustino, PJ; Grunberg, N; Hanig, JP; Lester, D; Pine, PS; Scallet, AC; Schmued, LC; Sistare, F; Slikker, W, 2004)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's12 (37.50)29.6817
2010's15 (46.88)24.3611
2020's5 (15.63)2.80

Authors

AuthorsStudies
Li, M1
Xue, Y1
Ilahi, Z1
Janardhan, S1
Dave, M1
Khariton, M1
Feuer, P1
Venkataraman, A1
Romanos-Sirakis, E1
Zhang, X1
Zhao, J1
Chang, T1
Wang, Q1
Liu, W1
Gao, L1
Wu, J1
Yang, JJ1
Cao, Y1
Li, H1
Zhao, H1
Yang, S1
Li, K1
Fan, X1
Bian, W1
Liu, M1
Li, J1
Wang, Y1
Liao, YH1
Wang, YH1
Sun, LH1
Deng, WT1
Lee, HT1
Yu, L2
Jiang, JD1
Zheng, XC1
Huang, FY1
Gao, F1
You, MZ1
Zheng, T1
Zhao, X1
Shu, F1
Wang, X1
Wang, F1
Wu, L1
Li, L1
Lv, H1
Liu, JR1
Baek, C1
Han, XH1
Shoureshi, P1
Soriano, SG1
Dong, C1
Anand, KJ3
Yan, J1
Jiang, H1
Gewandter, JS1
Mohile, SG1
Heckler, CE1
Ryan, JL1
Kirshner, JJ1
Flynn, PJ1
Hopkins, JO1
Morrow, GR1
Xu, H1
Zhang, J1
Zhou, W1
Feng, Y1
Teng, S1
Song, X1
Winegarden, J1
Carr, DB1
Bradshaw, YS1
Wang, C2
Liu, F1
Patterson, TA1
Paule, MG1
Slikker, W3
Green, SM1
Coté, CJ1
Lopez-Galindo, GE1
Cano-Europa, E1
Ortiz-Butron, R1
van Amsterdam, JG2
Brunt, TM2
McMaster, MT2
Niesink, RJ1
Evans, S1
Almahdi, B1
Sultan, P1
Sohanpal, I1
Brandner, B1
Collier, T1
Shergill, SS1
Cregg, R1
Averbeck, BB1
Turner, CP1
Gutierrez, S1
Liu, C1
Miller, L1
Chou, J1
Finucane, B1
Carnes, A1
Kim, J1
Shing, E1
Haddad, T1
Phillips, A1
Bosnjak, ZJ1
Yan, Y1
Canfield, S1
Muravyeva, MY1
Kikuchi, C1
Wells, CW1
Corbett, JA1
Bai, X1
Niesink, R1
van Noorden, MS1
van den Brink, W1
Ubogu, EE1
Sagar, SM1
Lerner, AJ1
Maddux, BN1
Suarez, JI1
Werz, MA1
Nakao, S1
Nagata, A1
Masuzawa, M1
Miyamoto, E1
Yamada, M1
Nishizawa, N1
Shingu, K1
Scallet, AC1
Schmued, LC1
Grunberg, N1
Faustino, PJ1
Davis, H1
Lester, D1
Pine, PS1
Sistare, F1
Hanig, JP1
Himmelseher, S1
Durieux, ME1
Vutskits, L1
Gascon, E1
Kiss, JZ1
Bhutta, AT1
Venkatesan, AK1
Rovnaghi, CR1
Majewski-Tiedeken, CR1
Rabin, CR1
Siegel, SJ1
Ke, JJ1
Chen, HI1
Jen, CJ1
Kuo, YM1
Cherng, CG1
Tsai, YP1
Ho, MC1
Tsai, CW1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Assessment of Topical Treatment Response With Amitriptyline and Ketamine: Combination Trial in Chemotherapy Peripheral Neuropathy (ATTRACT-CPN)[NCT00471445]Phase 3462 participants (Actual)Interventional2007-10-31Completed
Oral Ketamine for Control of Chronic Pain in Children[NCT01369680]Phase 112 participants (Actual)Interventional2011-05-31Completed
A Pilot Study to Assess the Efficacy of Subanesthetic Doses of IV Ketamine in the Treatment Drug Resistant Epilepsy[NCT05019885]Phase 26 participants (Anticipated)Interventional2022-08-26Recruiting
Anesthesia Exposure and Neurodevelopment in Infants and Children: Pediatric Anesthesia & NeuroDevelopment (PANDA) Study[NCT00881764]369 participants (Actual)Observational2009-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Average Daily Peripheral Neuropathy Intensity Score From Baseline to Week 6 in Patients Treated With Amitriptyline and Ketamine Hydrochloride vs Placebo

"Cancer survivors who completed chemotherapy at least 1 month prior and had Chemotherapy Induced Peripheral Neuropathy (CIPN) (greater than or equal to 4 out of 10) were enrolled. CIPN was assessed using average scores from a 7-day daily diary that asks patients to rate the average pain, numbness, or tingling in their hands and feet over the past 24 hours on an 11-point numeric rating scale at baseline and 6 weeks post intervention. CIPN ranges from 0 (no pain) to 10 (worst possible pain)." (NCT00471445)
Timeframe: Week 6 - Baseline

,
Interventionunits on a scale (Mean)
BaselineWeek 6
Ketamine/Amitriptyline NP-H Cream6.554.93
Placebo Cream6.475.19

Neurocognitive Effect

"Baseline neurocognitive testing will be done before study drug is given. Subjects will be reassessed for any changes in neurocognitive scores at end of dosing (week 2) and at three weeks off study drug (week 14). Significant changes were measured at week 14 compared to baseline. Week 2 was measured to inform future studies.~The neurocognitive scores are standardized scores with a mean of 100; low scores correlate with low neurocognitive function, while high scores correlate with high function. A significant change is defined as greater than or equal to 10% decrease in scores." (NCT01369680)
Timeframe: At 14 weeks

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose0
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose0
Ketamine 1.5 mg/kg/Dose0

Norketamine Cmax (Measured in ng/mL).

Pharmacokinetic testing will be done during chronic ketamine administration on subjects consenting to additional testing one week into study drug administration. This is to further describe the activity of ketamine in the blood of children when administered chronically and to enable comparison of any clinical effect or toxicity with steady state levels of ketamine in children. (NCT01369680)
Timeframe: At week 1

Interventionng/mL (Mean)
Ketamine 0.25 mg/kg/Dose37.5
Ketamine 0.5 mg/kg/Dose135
Ketamine 1 mg/kg/Dose250

Number of Participants Tolerating Dose

According to CTCae any dose causing grade 2 or worse toxicity will be an untolerated dose. Tolerability is defined as ability to take the medication for 2 weeks without having a grade 2 or worse toxicity. (NCT01369680)
Timeframe: Up to 2 weeks

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose3
Ketamine 0.5 mg/kg/Dose3
Ketamine 1 mg/kg/Dose3
Ketamine 1.5 mg/kg/Dose1

Pain Control

"Subjects will be assessed for clinically significant change in pain scores during and after study drug administration. Significant change in pain scores were determined at week 2, though week 14 scores were collected as well.~Participants with a 2 point (or greater) decrease in pain scores compared to baseline were considered to have responded. The NRS scale was used, the scale ranges from 0-10, with 10 being the most pain." (NCT01369680)
Timeframe: Week 2

Interventionparticipants (Number)
Ketamine 0.25 mg/kg/Dose3
Ketamine 0.5 mg/kg/Dose0
Ketamine 1 mg/kg/Dose2
Ketamine 1.5 mg/kg/Dose0

Reviews

12 reviews available for ketamine and Encephalopathy, Toxic

ArticleYear
Developmental neurotoxicity of ketamine in pediatric clinical use.
    Toxicology letters, 2013, Jun-20, Volume: 220, Issue:1

    Topics: Analgesics; Apoptosis; Brain; Cell Differentiation; Female; Humans; Infant, Newborn; Infant, Prematu

2013
Dual effects of ketamine: neurotoxicity versus neuroprotection in anesthesia for the developing brain.
    Journal of neurosurgical anesthesiology, 2014, Volume: 26, Issue:2

    Topics: Anesthetics, Dissociative; Animals; Brain; Child, Preschool; Developmental Disabilities; Excitatory

2014
Intravenous Ketamine for Rapid Opioid Dose Reduction, Reversal of Opioid-Induced Neurotoxicity, and Pain Control in Terminal Care: Case Report and Literature Review.
    Pain medicine (Malden, Mass.), 2016, Volume: 17, Issue:4

    Topics: Adult; Analgesics, Opioid; Anesthetics, Dissociative; Hospice Care; Humans; Infusions, Intravenous;

2016
Relationship between ketamine-induced developmental neurotoxicity and NMDA receptor-mediated calcium influx in neural stem cell-derived neurons.
    Neurotoxicology, 2017, Volume: 60

    Topics: Anesthetics, Dissociative; Animals; Calcium; Excitatory Amino Acid Antagonists; Humans; Ketamine; Ne

2017
Ketamine and neurotoxicity: clinical perspectives and implications for emergency medicine.
    Annals of emergency medicine, 2009, Volume: 54, Issue:2

    Topics: Anesthetics, Dissociative; Animals; Apoptosis; Child; Emergency Medicine; Humans; Ketamine; Nerve De

2009
Possible long-term effects of γ-hydroxybutyric acid (GHB) due to neurotoxicity and overdose.
    Neuroscience and biobehavioral reviews, 2012, Volume: 36, Issue:4

    Topics: Alcoholism; Anesthetics; Anesthetics, Dissociative; Animals; Central Nervous System Depressants; Cog

2012
[Cognitive impairment due to intensive use and overdoses of gammahydroxybutyric acid (GHB)].
    Tijdschrift voor psychiatrie, 2012, Volume: 54, Issue:12

    Topics: Cognition; Coma; Drug Overdose; Ethanol; Humans; Hydroxybutyrates; Illicit Drugs; Ketamine; Neurotox

2012
[NMDA receptor antagonist neurotoxicity and psychotomimetic activity].
    Masui. The Japanese journal of anesthesiology, 2003, Volume: 52, Issue:6

    Topics: Anesthetics, Dissociative; Animals; Cerebral Cortex; Dizocilpine Maleate; Drug Synergism; GABA Modul

2003
Revising a dogma: ketamine for patients with neurological injury?
    Anesthesia and analgesia, 2005, Volume: 101, Issue:2

    Topics: Anesthetics, Dissociative; Cerebrovascular Circulation; Critical Care; Excitatory Amino Acid Antagon

2005
Effects of ketamine on the developing central nervous system.
    Ideggyogyaszati szemle, 2007, Mar-30, Volume: 60, Issue:3-4

    Topics: Anesthetics, Dissociative; Animals; Brain; Central Nervous System; Humans; Ketamine; Neurotoxicity S

2007
Anaesthetic neurotoxicity in rodents: is the ketamine controversy real?
    Acta paediatrica (Oslo, Norway : 1992), 2007, Volume: 96, Issue:11

    Topics: Anesthetics, Dissociative; Animals; Brain Injuries; Cell Death; Disease Models, Animal; Ketamine; Ne

2007
Strategies and experimental models for evaluating anesthetics: effects on the developing nervous system.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:6

    Topics: Anesthetics; Animals; Animals, Newborn; Behavior, Animal; Biomedical Research; Cell Death; Disease M

2008

Trials

2 trials available for ketamine and Encephalopathy, Toxic

ArticleYear
A phase III randomized, placebo-controlled study of topical amitriptyline and ketamine for chemotherapy-induced peripheral neuropathy (CIPN): a University of Rochester CCOP study of 462 cancer survivors.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2014, Volume: 22, Issue:7

    Topics: Administration, Topical; Adult; Aged; Amitriptyline; Antineoplastic Agents; Double-Blind Method; Fem

2014
Performance on a probabilistic inference task in healthy subjects receiving ketamine compared with patients with schizophrenia.
    Journal of psychopharmacology (Oxford, England), 2012, Volume: 26, Issue:9

    Topics: Adult; Anesthetics, Dissociative; Antipsychotic Agents; Decision Making; Diagnostic and Statistical

2012

Other Studies

18 other studies available for ketamine and Encephalopathy, Toxic

ArticleYear
The upregulation of Nur77 decreases ketamine-induced hippocampal neurons toxicity in rats.
    Neuroreport, 2021, 12-08, Volume: 32, Issue:17

    Topics: Animals; Apoptosis; bcl-2-Associated X Protein; Cytokines; Heme Oxygenase (Decyclizing); Hippocampus

2021
Ketamine as an Adjunct for Treatment of Methotrexate-induced Neurotoxicity.
    Journal of pediatric hematology/oncology, 2022, Mar-01, Volume: 44, Issue:2

    Topics: Child; Homocysteine; Humans; Ketamine; Methotrexate; Neurotoxicity Syndromes; Paresis

2022
Ketamine exerts neurotoxic effects on the offspring of pregnant rats via the Wnt/β-catenin pathway.
    Environmental science and pollution research international, 2020, Volume: 27, Issue:1

    Topics: Analgesics; Animals; beta Catenin; Cognitive Dysfunction; Down-Regulation; Female; Hippocampus; Keta

2020
Iron overload contributes to general anaesthesia-induced neurotoxicity and cognitive deficits.
    Journal of neuroinflammation, 2020, Apr-11, Volume: 17, Issue:1

    Topics: Anesthesia, General; Anesthetics, General; Animals; Hippocampus; Iron; Iron Overload; Ketamine; Male

2020
MiRNA-429 alleviates ketamine-induced neurotoxicity through targeting BAG5.
    Environmental toxicology, 2021, Volume: 36, Issue:4

    Topics: Adaptor Proteins, Signal Transducing; Animals; Apoptosis; Dose-Response Relationship, Drug; Down-Reg

2021
mGluR5 upregulation and the effects of repeated methamphetamine administration and withdrawal on the rewarding efficacy of ketamine and social interaction.
    Toxicology and applied pharmacology, 2018, 12-01, Volume: 360

    Topics: Animals; Dopamine; Excitatory Amino Acid Transporter 3; Hippocampus; Homer Scaffolding Proteins; Int

2018
MicroRNA-107 regulates anesthesia-induced neural injury in embryonic stem cell derived neurons.
    IUBMB life, 2019, Volume: 71, Issue:1

    Topics: Anesthesia; Animals; Apoptosis; Brain Injuries; Brain-Derived Neurotrophic Factor; Cell Differentiat

2019
Inhibition of microRNA-375 ameliorated ketamine-induced neurotoxicity in human embryonic stem cell derived neurons.
    European journal of pharmacology, 2019, Feb-05, Volume: 844

    Topics: Anesthetics; Brain-Derived Neurotrophic Factor; Cell Differentiation; Cell Line; Human Embryonic Ste

2019
Role of glycogen synthase kinase-3β in ketamine-induced developmental neuroapoptosis in rats.
    British journal of anaesthesia, 2013, Volume: 110 Suppl 1

    Topics: Anesthetics, Dissociative; Animals; Animals, Newborn; Apoptosis; Brain; Caspase 3; Enzyme Activation

2013
The role of miR-124 in modulating hippocampal neurotoxicity induced by ketamine anesthesia.
    The International journal of neuroscience, 2015, Volume: 125, Issue:3

    Topics: Animals; Animals, Newborn; Apoptosis; Disease Models, Animal; Hippocampus; In Vitro Techniques; Keta

2015
Ketamine prevents lidocaine-caused neurotoxicity in the CA3 hippocampal and basolateral amygdala regions of the brain in adult rats.
    Journal of anesthesia, 2008, Volume: 22, Issue:4

    Topics: Amygdala; Anesthetics, Local; Animals; Cell Count; Excitatory Amino Acid Antagonists; Hippocampus; K

2008
Strategies to defeat ketamine-induced neonatal brain injury.
    Neuroscience, 2012, May-17, Volume: 210

    Topics: Anesthetics, Dissociative; Animals; Animals, Newborn; Apoptosis; Brain Injuries; Disease Models, Ani

2012
Ketamine induces toxicity in human neurons differentiated from embryonic stem cells via mitochondrial apoptosis pathway.
    Current drug safety, 2012, Volume: 7, Issue:2

    Topics: Anesthetics, Dissociative; Antioxidants; Apoptosis; Cell Differentiation; Chromans; Cytochromes c; D

2012
Ketamine for refractory status epilepticus: a case of possible ketamine-induced neurotoxicity.
    Epilepsy & behavior : E&B, 2003, Volume: 4, Issue:1

    Topics: Adult; Anticonvulsants; Atrophy; Brain; Electroencephalography; Excitatory Amino Acid Antagonists; H

2003
Developmental neurotoxicity of ketamine: morphometric confirmation, exposure parameters, and multiple fluorescent labeling of apoptotic neurons.
    Toxicological sciences : an official journal of the Society of Toxicology, 2004, Volume: 81, Issue:2

    Topics: Animals; Animals, Newborn; Apoptosis; Brain; Brain Chemistry; Dose-Response Relationship, Drug; Exci

2004
Anesthetic neurotoxicity in newborns: should we change clinical practice?
    Anesthesiology, 2007, Volume: 107, Issue:1

    Topics: Anesthetics; Anesthetics, Dissociative; Animals; Humans; Infant, Newborn; Ketamine; Nerve Degenerati

2007
Ketamine exposure in adult mice leads to increased cell death in C3H, DBA2 and FVB inbred mouse strains.
    Drug and alcohol dependence, 2008, Jan-01, Volume: 92, Issue:1-3

    Topics: Animals; Caspase 3; Cell Death; Cell Nucleus; Evoked Potentials; Excitatory Amino Acid Antagonists;

2008
Mutual enhancement of central neurotoxicity induced by ketamine followed by methamphetamine.
    Toxicology and applied pharmacology, 2008, Mar-01, Volume: 227, Issue:2

    Topics: 6-Cyano-7-nitroquinoxaline-2,3-dione; Anesthetics, Dissociative; Animals; Benzazepines; Body Tempera

2008