Intravenous Ketamine for Treatment-Resistant Depression

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-65
SponsorMayo Clinic

About this trial

The purpose of this study is to to evaluate the relationships between peak (% change from baseline) central GABA and Glu levels during a 40-min IV ketamine or normal saline infusion utilizing fMRS, and change in peripheral GABA and Glu levels from baseline to 24-hr postinfusion utilizing LCMS, with baseline to 24-hr post-infusion change in depression (MADRS) in 30 TRD adults.

Eligibility criteria

Qualifiers

Ability to provide informed consent

Meets diagnostic criteria for major depressive disorder without psychotic features per the SCID DSM-IV-TR

PHQ-9 total score ≥ 15 at screening

Treatment-resistant depression, as defined by failure of at least two previous antidepressant treatments within the current depressive episode. Failed antidepressant treatments can include pharmacotherapy for depression at an adequate dose for at least 8 weeks, trial of transcranial magnetic stimulation (TMS) or an acute series of at least 6 administrations of electroconvulsive therapy (ECT)

Disqualifiers

Inability to speak English

Inability to provide consent or have a legal guardian

Patients with a BMI > 40 kg/m2.

Personality disorder being the primary diagnosis

Trial design

Treatments tested in this trial

  • Ketamine
  • Normal Saline

Treatment groups

30 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Mayo Clinic

Lead sponsor

National Center for Advancing Translational Sciences (NCATS)

Collaborator