Table 2.
Patients |
Ketamine Treatment |
Outcome Measures |
|||||||
---|---|---|---|---|---|---|---|---|---|
Psychiatric Diagnosis | TRD | Delivery method | Dose | Formulation | Placebo | No. of Administrations | Antidepressant Effects | Other | |
Open Label Investigations | |||||||||
Yale University/New Haven Hospital | “Depression” | Not required | IV 1–2 min |
.2 mg/kg | Racemic | — | 1 | MADRS | Suicide ideation |
University Hospital Geneva | MDD | ≥2 unsuccessful medication trials | IV | .5 mg/kg | Racemic | — | 1 | MADRS | Adverse events Brain function |
Controlled Trials | |||||||||
Baylor College of Medicine/Mount Sinal School of Medicine | MDD | ≥3 failed ATHF trials | IV 40 min |
.5 mg/kg | Racemic | Midazolam (parallel arm) | 1 | MADRS QIDSa |
Adverse eventsa Brain functiona Neuropsychological functiona |
Mount Sinai School of Medicine | MDD | ≥1 failed ATHF trial | IN | ≤50 mg | Racemic | Saline (randomized order) | 1 | MADRS | Adverse events |
AstraZenica/University of Manchester/University of Oxford | MDD | Not required | IV | Unknown | Racemic | Saline (parallel arm) | 1 | MADRS | Brain function Behavioral tasks Pharmacokinetics |
Washington University School of Medicine/University of Miami | MDD | “at PI discretion” | IV | .27 mg/kg + .00225 mg/kg/min | Racemic | Saline (randomized order) | 2 (with gabapentin or placebo PO before infusion) | HDRS | Adverse events |
National Institutes of Mental Health (substudy 4) | MDD or BD | ≥1 failed ATHF trial | IV | Unknown | Racemic | Saline (randomized order) | 1 | Unknown | Brain function |
University of New South Wales/Northside Clinic Wesley Hospitals | MDD or BD | Not required | IV | .1–.4 mg/kg | Racemic | Saline (parallel arm) | Up to 8 (weekly) | Unknown | Psychiatric symptoms Dissociative symptoms Cognitive impairment |
Juvenile Bipolar Research Foundation | BD | Yes | IN | 10–20 mg | Racemic | Flat tonic water (parallel arm) | 4 | Unknown | Aggression Manic symptoms OCD symptoms |
Ketamine During ECT | |||||||||
Massachusetts General Hospital | MDD | Yes (ECT eligible) | IV | .5 mg/kg | Racemic | Saline (parallel arm) | 3 (with ECT) | HDRS | Brain function Cognitive impairment |
University of New South Wales/Northside Clinic Wesley Hospitals | MDD or BD | Yes (ECT eligible) | IV | .25–.5 mg/kg | Racemic | Saline (parallel arm) | 3–6 (with ECT) | Depression rating scales | Cognitive impairment |
Mayo Clinic | “Depression” | Yes (ECT eligible) | Unknown | Unknown | Racemic | Methohexital (parallel arm) | Several (with ECT) | “Hospital Anxiety and Depression Scale” | Unknown |
University of Aberdeen/Royal Carnhill Hospital | “Depression” | Yes (ECT eligible) | IV | Unknown | Racemic | Propofol (parallel arm) | At least 4 (with ECT) | HDRS MADRS |
Cognitive impairment |
For all studies listed here, study status on ClinicalTrials.gov is “Completed,” “Enrolling by Invitation,” “Recruiting,” or “Not Yet Recruiting,” and results have not yet been published.
ATHF, Antidepressant Treatment History Form; BD, bipolar disorder; ECT, electroconvulsive therapy; HDRS, Hamilton Depression Rating Scale; IN, intranasal; IV, intravenous; MADRS, Montgomery-Åsberg Depression Rating Scale; MDD, major depressive disorder; OCD, obsessive-compulsive disorder; PO, per oral; QIDS, Quick Inventory of Depressive Symptoms; TRD, treatment-resistant depression.
Information available from study investigators.