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. 2021 Sep 12;2021(9):CD011612. doi: 10.1002/14651858.CD011612.pub3

Downey 2016.

Study characteristics
Methods Randomised, double‐blind, placebo‐controlled, parallel‐groups trial
Participants Diagnosis: DSM‐IV major depressive episode
N: 60 (randomised)
Age: lanicemine M = 26.7; ketamine M = 27.1; Placebo M = 25.7
Sex: lanicemine group 60% female; ketamine 61.9% female; Placebo group 57.9% female
Baseline depression severity: lanicemine group BDI score M = 34.5 (SD = 9.3); Ketamine group BDI score M = 30.94 (SD = 7.1); Placebo group BDI score M = 25.72 (SD = 7.67)
Interventions Participants received a constant intravenous infusion of lanicemine (100 mg total dose), ketamine (0.5 mg/kg total dose) or placebo (0.9% saline) each made up to 40 mL volume and infused for 60 minutes.
Concomitant treatment: quote: "Participants were drug‐free but not drug naive"
Outcomes BDI
MADRS
CADSS
BOLD phMRI signal in the sgACC
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "participants were randomized". No further details given on randomisation procedure.
Allocation concealment (selection bias) Low risk Quote: "The research pharmacies at each site held separate randomization codes and dispensed the infusions on the day of the experiment labelled with a code number".
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Quote: "The research pharmacies at each site held separate randomization codes and dispensed the infusions on the day of the experiment labelled with a code number".
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No information given.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Study reports dropouts (zero).
Selective reporting (reporting bias) Unclear risk No information given.
Other bias High risk Potential bias due to funding by pharmaceutical company. Quote: "This study was wholly sponsored by AstraZeneca".