Recruiting EARLY_PHASE1 Major Depressive Disorder (MDD)

New treatment option for Major Depressive Disorder (MDD)

Official title Pilot Study: Establishing Glutamatergic Changes in Rapid Antidepressant Effects of Ketamine

ClinicalTrials.gov ID: NCT06788249

What this study is testing

What is Ketamine only?

Ketamine only is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for major depressive disorder (mdd).

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
In the treatment of Major Depressive Disorder (MDD), ketamine can produce rapid but short-lasting improvements in mood. In order to develop a new generation of treatments with rapid and sustained efficacy, a better understanding of the mechanism of action is urgently needed.
  • Phase 1: an early, usually small safety study

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 25 to 65

You may be able to join if

  • Age between 25 and 65 years;
  • Current depression as assessed on the SCID;
  • Treatment-resistant depression, as defined by failure of at least two previous antidepressant or mood stabilizing treatments within the current...
  • Able to comprehend English, as all questionnaires are in this language
  • Ability to provide informed consent Ability to pass a comprehension assessment test related to effects of ketamine and trial objectives and criteria.

You likely can't join if

  • A sleep disorder other than insomnia, as determined by history;
  • History of bipolar disorder, delirium, dementia, amnestic disorder, schizophrenia and other psychotic disorders as assessed on the SCID;
  • Alcohol or drug abuse in the past year based upon the SCID or urine toxicology screen;
  • A current smoker; 4) Any significant medical or neurological illness that impacts brain function or impedes participation; 5) History of head trauma...
  • Patients with a BMI over 40.
  • Ongoing prescription of 4 mg lorazepam equivalents (total) daily, or morning dosing of any benzodiazepine at the time of assessment;
See the full eligibility criteria
Who can join
  • Age between 25 and 65 years;
  • Current depression as assessed on the SCID;
  • Treatment-resistant depression, as defined by failure of at least two previous antidepressant or mood stabilizing treatments within the current depressive episode. Failed antidepressant or mood stabilizing treatments...
  • Able to comprehend English, as all questionnaires are in this language
  • Ability to provide informed consent Ability to pass a comprehension assessment test related to effects of ketamine and trial objectives and criteria.
What rules you out
  • A sleep disorder other than insomnia, as determined by history;
  • History of bipolar disorder, delirium, dementia, amnestic disorder, schizophrenia and other psychotic disorders as assessed on the SCID;
  • Alcohol or drug abuse in the past year based upon the SCID or urine toxicology screen;
  • A current smoker; 4) Any significant medical or neurological illness that impacts brain function or impedes participation; 5) History of head trauma with significant loss of consciousness; 6) Metallic implants...
  • Patients with a BMI over 40.
  • Ongoing prescription of 4 mg lorazepam equivalents (total) daily, or morning dosing of any benzodiazepine at the time of assessment;
  • Currently undergoing ECT, transcranial magnetic stimulation, vagal nerve stimulation, or deep brain stimulation as either an acute or maintenance treatment of depression;
  • Use of any MAOI is prohibited two weeks prior to administration of study drug; if patients are on an MAOI when enrolled, study drug will not be administered until two weeks off MAOI;
  • CYP3A4 inducers carbamazepine and modafinil are prohibited two weeks prior to administration of study drug and at least 24 hours after last dose of study drug.
  • Current use of Naltrexone;
  • Developmental delay, mental retardation, or intellectual disorder;
  • Clinical or self-reported diagnosis of delirium, encephalopathy, or related clinical diagnosis within the prior 12 months;
  • Prior participation in another study of ketamine for depression
  • Prior treatment and/or recreational use of ketamine

The study team makes the final eligibility decision.

Where it's taking place

  • Philadelphia, Pennsylvania, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 25 years to 65 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Philadelphia, Pennsylvania, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.