Evidence map›Paper›PMID 39886463›Full record

ArticleiScience2025

A pilot human study using ketamine to treat disorders of consciousness.

Paolo Cardone, Arthur Bonhomme, Vincent Bonhomme, Nicolas Lejeune, Cécile Staquet, Aline Defresne, Naji Alnagger, Pauline Ezan, Minji Lee, Andrea Piarulli and 5 more

Abstract read
In one paragraph

Article in iScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. The entropic brain today.Brain : a journal of neurology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Paolo CardoneComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.
Arthur BonhommeComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.
Vincent BonhommeAnesthesia and Perioperative Neuroscience, GIGA-Consciousness, University of Liège, Liège, Belgium.
Nicolas LejeuneComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.
Cécile StaquetAnesthesia and Perioperative Neuroscience, GIGA-Consciousness, University of Liège, Liège, Belgium.
Aline DefresneAnesthesia and Perioperative Neuroscience, GIGA-Consciousness, University of Liège, Liège, Belgium.
Naji AlnaggerComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.
Pauline EzanPsychedelic Society Belgium.
Minji LeeDepartment of Biomedical Software Engineering, The Catholic University of Korea, Bucheon, Republic of Korea.
Andrea PiarulliDepartment of Surgical, Medical, Molecular, Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Sebastien Van GoethemWilliam Lennox Rehabilitation Center, Ottignies, Belgium.
Javier MontupilAnesthesia and Perioperative Neuroscience, GIGA-Consciousness, University of Liège, Liège, Belgium.
Aurore ThibautComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.
Charlotte MartialComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.
Olivia GosseriesComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-comatose disorders of consciousness (DoC) represent persistent neurological conditions with limited therapeutic options and a poor prognosis. Recent works advocate for exploring the effects of psychedelics to enhance brain complexity in DoC and ameliorate their consciousness. We investigated sub-anesthetic concentration of the atypical psychedelic ketamine for treating post-comatose prolonged DoC through a double-blind, placebo-controlled, cross-over trial involving three adult patients. Incremental concentrations of intravenous ketamine and saline were administered, alongside continuous electroencephalogram (EEG) recording and assessments of conscious behaviors and spastic paresis. Brain complexity, measured by Lempel-Ziv complexity (LZC) and explainable consciousness indicator (ECI), revealed increased LZC during ketamine infusion but no change in ECI. Patients exhibited reduced spastic paresis and increased arousal as time spent with eyes open but no positive change in diagnosis. No adverse effects were noted. This study contributes to understanding the relationship between consciousness and brain complexity and suggests a potential therapeutic role for ketamine in DoC.

Indexed as

biological sciencesdrugsneurosciencepharmacology

Identifiers

PMID39886463
PMCPMC11780106

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.