Ketamine and chronic post-surgical pain in major surgery non cardiac surgery

Ketamine and chronic post-surgical pain in major surgery non cardiac surgery

 

ROCKet: Reduction Of Chronic Post-surgical Pain with Ketamine

The Reduction Of Chronic Post-surgical Pain with Ketamine (ROCKet) trial is a five-year, 4884 patient, multicentre, double-blind, placebo controlled, phase 3/4 randomised controlled trial of the effect of up to 72 hours of perioperative ketamine on the risk of development of chronic post-surgical pain.

Principal investigator

Professor Philip Peyton at the University of Melbourne and Austin Health.

Progress

The end is in sight for the ROCKet trial with 4600 patients recruited and it is predicted to complete early 2025. We encourage sites to complete their data entry in the database as soon as possible. Data cleaning will commence shortly and we will be contacting sites individually with queries.

Trial summary

Study hypotheses
That intravenous ketamine given prior to and following surgical incision for up to three days reduces the incidence of chronic post-surgical pain at three months.

Study size
4884 patients.

Study design
Large, multicentre, randomised, double blind trial.

Primary outcome
Chronic post-surgical pain at three months.

Study population
Elective abdominal surgery involving a skin incision at least 8 cm in length, including open inguinal herniorraphy, non-cardiac thoracic surgery, including mastectomy, breast reconstruction surgery and VATS, and major orthopaedic surgery (hip, knee and shoulder arthroplasty and spinal surgery).

Study duration
Five years.

Funding

Main study
The Australian National Health and Medical Research Council 2017
A$4,823,395

The Australian National Health and Medical Research Council 2023
A$967027

Pilot study
Reduction Of Chronic Post-surgical Pain with Ketamine - A pilot study 
A$5000 ANZCA Pilot grant 2013
A$47618 ANZCA Project grant 2014

Biomarker determinants of ketamine response status in the ROCKet trial
​ANZCA Project Grant 2020
A$63,000 

Long term follow up study of chronic post-surgical pain in the ROCKet Trial
​ANZCA Project Grant 2023
A$70,000

Sub Studies

Biomarker determinants of ketamine response status in the ROCKet trial
Principal investigator: Professor Philip Peyton

Delirium sub-study
Principal investigator: Associate Professor Lis Evered

Media releases

Trial registration

Australian New Zealand Clinical Trials Registry registration number: ACTRN12617001619336.

Per patient payment

$A650 (estimate)

How to get involved

For further information about ROCKet and the sub-studies, please contact the ROCKet Project Manager, Sofia Sidiropoulos by email.

For more information

Participating hospitals

Australian Hospitals
Alfred Hospital
Austin Health
Box Hill Hospital - Eastern Health
Dandenong Hospital
Fiona Stanley Hospital
Frankston Hospital
Goulburn Valley Health
Grampians Health Ballarat (previously Ballarat Health Services)
Logan Hospital
Lyell McEwin Hospital
Mackay Base Hospital
Maroondah Hospital - Eastern Health
Monash Medical Centre
Moorabbin Hospital
Nepean Hospital
Northern Health
Peter MacCallum Cancer Centre
Princess Alexandra Hospital
Redcliffe Hospital
Rockhampton Hospital
Royal Adelaide Hospital
Royal Darwin Hospital
Royal Melbourne Hospital
Royal Perth Hospital
Royal Prince Alfred Hospital
Sir Charles Gairdner Hospital
St John of God Hospital (Subiaco)
St Vincents Hospital, Melbourne
The Tweed Hospital
University Hospital Geelong - Barwon Health
Westmead Hospital
Wollongong Hospital
New Zealand and Hong Kong
Middlemore Hospital, NZ
Manukau Surgery Centre, NZ
Prince of Wales Hospital, Hong Kong

Last updated 16:09 13.11.2024