Role Of Ketamine in Treatment-Resistant Major Depressive Disorder And Its Effect on Suicidality

Brief Summary

In this study we will assess the effect of Ketamine infusion on depressive symptoms and in particular its effect on Suicidal behavior, ideation and thoughts in patients with treatment- resistant MDD.

Intervention / Treatment

  • Ketamine (DRUG)
    Ketamine is a high-affinity, noncompetitive N-methyl-D- aspartate (NMDA) glutamate receptor antagonist it has been used in anesthesiology for more than 50 years the time course of antidepressant response to ketamine is characterized by an initial reduction in depressive symptoms within 2 h

Condition or Disease

  • Treatment Resistant Depression

Phase

  • Early Phase 1
  • Study Design

    Study type: INTERVENTIONAL
    Status: Unknown status
    Study results: No Results Available
    Age: 18 Years and older   (Adult, Older Adult)
    Enrollment: 30 (ESTIMATED)
    Funded by: Other
    Allocation: Randomized
    Primary Purpose: Treatment

    Masking

    Clinical Trial Dates

    Start date: Dec 01, 2019 ESTIMATED
    Primary Completion: Dec 01, 2020 ESTIMATED
    Completion Date: Feb 01, 2021 ESTIMATED
    Study First Posted: Sep 24, 2019 ACTUAL
    Results First Posted: Aug 31, 2020
    Last Updated: Sep 25, 2019

    Sponsors / Collaborators

    Lead Sponsor: Assiut University
    Responsible Party: N/A

    A Twice repetition of IV infusion of 0.5 mg/kg of ketamine produces an antidepressant response in individuals with treatment-resistant MDD

    The work aims to:

    1. To assess the onset of action and degree of improvement and the duration of antidepressant effect of ketamine in a sample of patients with treatment -resistant major depressive disorder.
    2. To find out whether the onset of Ketamine antidepressant effect is associated with an improvement of suicidality in those patients.

    Participant Groups

    • half of participants will take ketamine

    • the other half of participants will not take any drugs

    Eligibility Criteria

    Sex: All
    Minimum Age: 18
    Age Groups: Adult / Older Adult
    Healthy Volunteers: Yes

    Inclusion Criteria:

    1. Patients fulfilling diagnostic criteria of treatment-resistant MDD.
    2. Presence of suicidal risk.
    3. No comorbid medical or neurological conditions.
    4. Age above 18 years old.
    5. Both gender.
    6. Informed written consent from the patient or his legitimate.

    Exclusion Criteria:

    1. Presence of perceptual disturbance.
    2. History of sensitivity to ketamine.
    3. Refusal to participate in the study.

    Primary Outcomes
    • the onset of action and degree of improvement and the duration of antidepressant effect of ketamine in a sample of patients with treatment -resistant major depressive disorder.

    • finding out whether the onset of Ketamine antidepressant effect is associated with an improvement of suicidality in those patients

    More Details

    NCT Number: NCT04101474
    Other IDs: Ketamine with TRD
    Study URL: https://clinicaltrials.gov/study/NCT04101474
    Last updated: Sep 29, 2023