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Behavioural Intervention

Ketamine-assisted Psychotherapy for Gastrointestinal Cancer Distress (TREK Trial)

Phase < 1
Recruiting
Led By Benjamin Lewis, MD
Research Sponsored by University of Utah
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up one year
Awards & highlights
No Placebo-Only Group

Summary

This trial assesses if Ketamine-assisted psychotherapy is safe & feasible for adults suffering from existential distress due to a non-operable GI cancer. Participants will complete health assessments during the therapy.

Who is the study for?
This trial is for adults over 18 with non-operable GI cancers and existential distress. They must be fluent in English, on a stable pain regimen if using opioids, have good liver function, not use psychoactive drugs or alcohol before sessions, and can't be pregnant or breastfeeding. Participants need to agree to contraception use and have someone to take them home post-session.
What is being tested?
The study tests Ketamine-assisted Psychotherapy (KAP) for safety, tolerability, and feasibility in treating existential distress among patients with gastrointestinal cancers that cannot be surgically removed. It involves health assessments and therapy at the HMHI Park City Clinic.
What are the potential side effects?
While specific side effects are not listed here, ketamine can generally cause disorientation, dizziness, nausea, increased blood pressure and heart rate during administration. Long-term side effects may include memory issues or bladder problems.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~one year
This trial's timeline: 3 weeks for screening, Varies for treatment, and one year for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
The rate of study completion by enrolled participants. Study completion is defined as participating in at least 2 of the 3 Ketamine-Assisted Psychotherapy (KAP) sessions.
Secondary study objectives
The frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by type, severity (as defined by the NIH CTCAE, version 5.0), seriousness, duration, and relationship to study treatment.
The proportion of screened patients that meet criteria on the Existential Distress Scale (EDS: Single domain ≥ 3 or total score ≥ 6).

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Arm 1Experimental Treatment1 Intervention
Three 2.5-3 hour Ketamine Assisted Psychotherapy sessions, each 2-7 days apart
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ketamine
2011
Completed Phase 4
~1120

Find a Location

Who is running the clinical trial?

University of UtahLead Sponsor
1,147 Previous Clinical Trials
1,699,068 Total Patients Enrolled
Benjamin Lewis, MDPrincipal InvestigatorHuntsman Cancer Institute/ University of Utah
~6 spots leftby Dec 2025