Major depressive disorder with current severe major depressive episode
Conditions
Brief summary
Total score change of the Hamilton Depression Rating Scale (HDRS 17 items: scale items are rated from 0 to 2 or from 0 to 4 and the score ranges from 0 to 52) after 7 days of treatment
Detailed description
1 et 4) Efficacy: assessed by 5 complementary criteria a) main criteria : Total score change of the Hamilton Depression Rating Scale (HDRS 17) b) response rate : ≥50% HDRS total score improvement c) remission : (HDRS 17 items ≤ 7) d) Beck Depression Inventory (BDI) change e) Clinical Global Impression rating scale (CGI), 2) hospital stay length ( the number of days spent in hospital, including re-hospitalization, during the fallow up 42 days). The end of the hospital stay is decided by the clinician blinded to treatment., 3) Total scores change on the Columbia Suicide Risk Scale (C-SSRS), 5) The safety assessed with Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. The occurrence of adverse effects in the ketamine and placebo groups will be assessed by monitoring during the infusion of treatment or placebo and up to 40 minutes afterwards blood pressure, heart rate, respiratory rate, nausea/vomiting, dissociation, headache., 6) cumulative consumption in mg of cyamemazine over the entire study period, 7) biomarkers predictive or associated with the efficacy of ketamine on add on to venlafaxine
Interventions
Sponsors
Eligibility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total score change of the Hamilton Depression Rating Scale (HDRS 17 items: scale items are rated from 0 to 2 or from 0 to 4 and the score ranges from 0 to 52) after 7 days of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 et 4) Efficacy: assessed by 5 complementary criteria a) main criteria : Total score change of the Hamilton Depression Rating Scale (HDRS 17) b) response rate : ≥50% HDRS total score improvement c) remission : (HDRS 17 items ≤ 7) d) Beck Depression Inventory (BDI) change e) Clinical Global Impression rating scale (CGI), 2) hospital stay length ( the number of days spent in hospital, including re-hospitalization, during the fallow up 42 days). The end of the hospital stay is decided by the clinician blinded to treatment., 3) Total scores change on the Columbia Suicide Risk Scale (C-SSRS), 5) The safety assessed with Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. The occurrence of adverse effects in the ketamine and placebo groups will be assessed by monitoring during the infusion of treatment or placebo and up to 40 minutes afterwards blood pressure, heart rate, respiratory rate, nausea/vomiting, dissociation, headache., 6) cumulative consumption in mg of cyame | — |
Countries
France