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Trial ยท NCT03395314

Ketamine in Borderline Personality Disorder

NCT03395314, Phase 2, Terminated, Yale University; results first posted 2023-06-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Ketamine in Borderline Personality Disorder. Trials, record NCT03395314. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03395314

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Ketamine in Borderline Personality Disorder
NCT number
NCT03395314
Status
Terminated
Phases
Phase 2
Enrollment
22 participants, actual
Lead sponsor
Yale University
Conditions
Borderline Personality Disorder
Interventions
Ketamine, Midazolam
First posted
2018-01-10
Last updated
2023-06-26
Results first posted
2023-06-26

Source ClinicalTrials.gov

Registered outcomes21

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.
The MADRS test includes 10 items and uses a 0 to 6 severity scale for each item, with higher scores indicating increasing depressive symptoms. Scores are averaged across items and can range from 0 to 6 (with 0 indicating enjoying life, and 6 indicating explicit plans for suicide). Outcome description updated when results were entered.
PrimaryChange in Suicidality as Measured by the Columbia Suicide Severity Rating Scale (C-SSRS)Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Suicide Rating Scale from 1-5; higher numbers indicate increased suicidal thinking.
PrimaryChange in Suicidality as Measured by Item-12 on the Quick Inventory of Depressive Symptomatology (QIDS SR-16)Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.
The Quick Inventory of Depressive Symptomatology (QIDS SR-16) is a a self-report measure of depression. Each item is scored from 0-3. Higher scores denote more severe load of depressive symptoms. Item 12 measures thoughts of death or suicide from 0 (no thoughts) to 3 (specific suicide plan or action.). Presented is the mean score across items with a range of 0 to 3 where the higher score indicates greater depressive symptoms. Outcome description was updated at the time of results entry.
PrimaryChange in Suicidality as Measured by Item 9 on Beck Depression InventoryTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.
When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is used to quantify the participant's degree of depression from 0 = no depression to 63 = maximally severe depression. Item 9 measures degree of suicidal thoughts or wishes from 0 = no thoughts to 3 = suicidal intent.
SecondaryChange in Montgomery-Asberg Depression Rating Scale (MADRS) Total ScoreTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.
The MADRS scale measures the depression level of a participant. The total score was derived by adding the scores of the following 10 items: 1, Apparent sadness; 2, Reported sadness; 3, Inner tension; 4, Reduced sleep; 5, Reduced appetite; 6, Concentration difficulties; 7, Lassitude; 8, Inability to feel; 9, Pessimistic thoughts; 10, Suicidal thoughts. Each item was scored using a scale of 0 to 6 (a higher score indicates increased severity). The maximum total score is 60; 0, no depression; 60, severely depressed.
SecondaryChange in Beck Depression Inventory ScoreTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.
The Beck Depression Inventory (BDI) consisted of twenty-one questions about how the subject has been feeling in the last week. Each question has a set of at least four possible answer choices, ranging in intensity. When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is used to quantify the participant's degree of depression from 0 = no depression to 63 = maximally severe depression.
SecondaryChange in Beck Anxiety Inventory ScoreTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.
The Beck Anxiety Inventory (BDI) consisted of twenty-one questions about how the subject has been feeling in the last week. Each question has a set of at least four possible answer choices, ranging in intensity. When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is used to quantify the participant's degree of anxiety from 0 = no anxiety to 63 = maximally severe anxiety.
SecondaryChange in Zanarini Rating Scale for Borderline Personality DisorderTimepoints will be baseline and at 1, 3, 7, 14, & 28 days after infusion.
A dimensional self-report measure of BPD symptoms that consists of 9 items scored on a 4 point likert scale. Scores range of 0 = minimally symptomatic to 28 = maximally symptomatic for symptoms of Borderline Personality Disorder. Originally, 1hr post-infusion was included as a time frame but this was not collected at this time frame.
SecondaryChange in Preferred Distance in Stop-distance Paradigm (SDP)Timepoints will be at baseline and 3, 7, 14, 28 days after infusion
The stop-distance paradigm is a measure of preferred interpersonal distance (PID). Subjects begin the task standing face-to-face and 6 feet away from a test confederate. On each of 3 trials, the confederate slowly approaches the subject. The subjects are instructed to say "stop" to indicate their 1) preferred conversational distance, then a closer distance 2) "if you start to feel uncomfortable". After each "stop", toe to toe distance is measured using a tape measure, and mean PID for the three trials is computed separately for conversational and uncomfortable distance. A computerized version of the task may also be implemented for remote visits and administered in place of the in-person task.
SecondaryChange in Behavior in the Economic Trust Game - CooperationTimepoints will be at baseline and 3, 7, 14, 28 days after infusion
The trust game is a multi-round economic exchange game. There are two roles in the game: investor and trustee. Study participants will play as the trustee. Each round, the investor is given a set number of points and can send any amount to the trustee. The investment triples and the trustee decides how much to repay the investor. Outcome measures are cooperation (amount returned to the investor) and coaxing (amount returned to investor on trials when poor prior returns from trustee have led investor to decrease investment). Cooperation was used as part of the evaluation in this study- coaxing was not. Outcome measure description was updated at the time of results entry.

Outcomes21

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.units on a scaleLEAST_SQUARES_MEAN
PRIMARYChange in Suicidality as Measured by the Columbia Suicide Severity Rating Scale (C-SSRS)Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.score on a scaleLEAST_SQUARES_MEAN
PRIMARYChange in Suicidality as Measured by Item-12 on the Quick Inventory of Depressive Symptomatology (QIDS SR-16)Timepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.score on a scaleLEAST_SQUARES_MEAN
PRIMARYChange in Suicidality as Measured by Item 9 on Beck Depression InventoryTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Montgomery-Asberg Depression Rating Scale (MADRS) Total ScoreTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Beck Depression Inventory ScoreTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Beck Anxiety Inventory ScoreTimepoints will be baseline, 1hr post-infusion and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Zanarini Rating Scale for Borderline Personality DisorderTimepoints will be baseline and at 1, 3, 7, 14, & 28 days after infusion.Intention to treat.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Preferred Distance in Stop-distance Paradigm (SDP)Timepoints will be at baseline and 3, 7, 14, 28 days after infusionIntention to treat.distance in inchesLEAST_SQUARES_MEAN
SECONDARYChange in Behavior in the Economic Trust Game - CooperationTimepoints will be at baseline and 3, 7, 14, 28 days after infusionIntention to treat.proportion of amount returnedLEAST_SQUARES_MEAN

Results by group210

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Midazolambaseline2.66Standard Error 0.37units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Low Dose Ketaminebaseline2.7Standard Error 0.41units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Midazolam1hr post-infusion0.0Standard Error 0.37units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Low Dose Ketamine1hr post-infusion0.1Standard Error 0.41units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)MidazolamDay 1 post-infusion0.59Standard Error 0.38units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Low Dose KetamineDay 1 post-infusion0.5Standard Error 0.41units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)MidazolamDay 3 post-infusion0.89Standard Error 0.38units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Low Dose KetamineDay 3 post-infusion0.7Standard Error 0.41units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)MidazolamDay 7 post-infusion0.83Standard Error 0.37units on a scale
Change in Suicidal Thoughts as Measured by Item 10 on the Montgomery-Asberg Depression Scale (MADRS)Low Dose KetamineDay 7 post-infusion0.8Standard Error 0.41units on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMidazolam12
Overall StudySTARTEDLow Dose Ketamine10
Overall StudyCOMPLETEDMidazolam12
Overall StudyCOMPLETEDLow Dose Ketamine10
Overall StudyNOT COMPLETEDMidazolam0
Overall StudyNOT COMPLETEDLow Dose Ketamine0

Adverse events20

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVivid dreamsNervous system disordersMidazolam71213
otherVivid dreamsNervous system disordersLow Dose Ketamine61023
otherBlurry/double visionNervous system disordersMidazolam2123
otherBlurry/double visionNervous system disordersLow Dose Ketamine3109
otherJerky muscle movementsMusculoskeletal and connective tissue disordersMidazolam1122
otherJerky muscle movementsMusculoskeletal and connective tissue disordersLow Dose Ketamine31010
otherNausea or vomitingGastrointestinal disordersMidazolam31210
otherNausea or vomitingGastrointestinal disordersLow Dose Ketamine41012
otherDiarrheaGastrointestinal disordersMidazolam2126
otherDiarrheaGastrointestinal disordersLow Dose Ketamine1101

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMidazolam012
Total, all-cause mortalityLow Dose Ketamine010
Total, other adverse eventsMidazolam712
Total, other adverse eventsLow Dose Ketamine610
Total, serious adverse eventsMidazolam012
Total, serious adverse eventsLow Dose Ketamine010

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Midazolam vs Low Dose Ketamine: Change in Adverse EventsTrial comparisons
Midazolam vs Low Dose Ketamine: deaths from any causeTrial comparisons
Midazolam vs Low Dose Ketamine: serious adverse eventsTrial comparisons

Tests2

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Implicit Association Test (IAT)Other outcomeConductCognition
Trust GameSecondary outcomeConductCognition

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03395314

GET https://conductscience.org/api/trials/v1/NCT03395314/registered?page=2