Table 2.
Results of included studies addressing the use of ketamine only.
Study | Subjects | Intervention | Control | Blinded/randomized | Time to significant improvement | Response (%) | Remission (%) | Conclusion |
---|---|---|---|---|---|---|---|---|
Salvadore et al. [2012] | 14 | Ketamine IV 0.5 mg/kg | Nil | N/A | 230 min | Not stated | Not stated | Rapid effect of ketamine on depressive symptoms, significant at 230 min to 1 day |
Machado-Vieira et al. [2009] | 23 | Ketamine IV 0.5 mg/kg | Nil | N/A | 40 min | Not stated | Not stated | Significant and rapid anti-depressant response to ketamine from 40 min to 240 min |
Salvadore et al. [2009] | 11 | Ketamine IV 0.5 mg/kg | Nil | N/A | 230 min | Not stated | Not stated | Significant effect on depressive and anxiety symptoms at 230 min |
Salvadore et al. [2010] | 15 | Ketamine IV 0.5 mg/kg | Nil | N/A | 230 min | Not stated | Not stated | Significant effect on depressive and anxiety symptoms at 230 min |
Larkin and Beautrais [2011] | 14 | Ketamine IV 0.2 mg/kg | Nil | N/A | 240 min | 92.3 | Not stated | Rapid remission of depression and suicidal ideation, significant 40 min to 10 days |
Phelps et al. [2009] | 26 | Ketamine IV 0.5 mg/kg | Nil | N/A | 120 min | 43 | 26 | Significant improvements in MADRS scores post-ketamine |
aan het Rot et al. [2010] | 9 | Ketamine IV 0.5 mg/kg | Nil | N/A | Not stated | After 6 further infusions = 100 | After 6 further infusions = 88.89 | Responders generally maintain response if subsequent infusions |
Murrough et al. [2013] | 24 | Ketamine IV 0.5 mg/kg | Nil | N/A | 120 min | 70.8 | Not stated | Rapid effect of ketamine on depressive symptoms, response to first infusion predicts response to subsequent infusions |
Rasmussen et al. [2013] | 10 | Ketamine IV 0.5 mg/kg | Nil | N/A | Not stated | 80 | 50 | 50% met remission, 40% of remitters sustained improvement to 4 weeks. May be some advantage to serial infusions as opposed to single |
Price et al. [2009] | 26 | Ketamine IV 0.5 mg/kg | Nil | N/A | 24 hours- first time point | Not stated | Not stated | Rapid effects on suicidal cognition, sustained through repeated infusions |
DiazGranados et al. [2010a] | 33 | Ketamine IV 0.5 mg/kg | Nil | N/A | 40 min | Not stated | Not stated | Rapid and sustained significant reduction in MADRS scores up to 230 min |
Valentine et al. [2011] | 10 | Ketamine IV 0.5 mg/kg | Placebo | Yes- Single/ Non-Counterbalanced | 60 min | Not stated | Not stated | Rapid antidepressant effect of ketamine within 60 min to 7 days |
Berman et al. [2000] | 8 | Ketamine IV 0.5 mg/kg | Placebo | Yes- Double/Yes | 240 min | 50 | 26 | Robust decreases in depressive symptoms through to 3 day follow up |
Zarate et al. [2006] | 17 | Ketamine IV 0.5 mg/kg | Placebo | Yes- Double/Yes | 110 min | 71 | 29 | Robust, rapid response sustained to 1 week follow up |
Zarate et al. [2012] | 14 | Ketamine IV 0.5 mg/kg | Placebo | Yes- Double/Yes | 40 min | 79 | At 24 hrs: 29 | Rapid improvement in depressive symptoms and suicidal ideation |
DiazGranados et al. [2010b] | 17 | Ketamine IV 0.5 mg/kg | Placebo | Yes- Double/Yes | 40 min | 71 | At 24 hrs:21 | Robust and rapid antidepressant effect of ketamine across 4 scales |
IV, intravenous administration.