Health Condition 1: F332- Major depressive disorder, recurrent severe without psychotic features Health Condition 2: F322- Major depressive disorder, singleepisode, severe without psychotic features
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 18 to 45 years 2. Clinically significant depressive episode as per the DSM 5 criteria (HDRS-17 total score of more than 16) 3. Moderate to High Suicidal Risk (Baseline HDRS-17 Suicide Item score of more than 2) 4. No psychotic symptoms present in the current depressive episode 5. No comorbid psychiatric disorder 6. No substance use disorder except nicotine and caffeine during past one year 7. No known or suspected contraindication to ketamine treatment
Exclusion criteria
Exclusion criteria: 1. Uncontrolled medical condition (hypertension, cardiovascular disease, cerebrovascular disease, chronic liver disease, active infections) 2. Pregnant and lactating females 3. History of receiving any neuromodulation therapy (e.g., ECT, rTMS, tDCS) within the last three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess and compare the change in suicidal ideation severity with oral and intravenous ketamine treatment in patients with depressionTimepoint: Assessment of study outcomes (HDRS-17, MSSI, HAM-A, VAS for pain, KSET) will be done at baseline, 1, 2, 4, and 6 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| a)To assess and compare the change in severity of depressive symptoms, anxiety symptoms, and pain symptom with oral and intravenous ketamine treatment in patients with depressionTimepoint: Baseline, 1, 2, 4, and 6 weeks.;b)To assess and compare the frequency of adverse effects with oral and intravenous ketamine treatment in patients with depressionTimepoint: Baseline, 1, 2, 4, and 6 weeks. | — |
Countries
India
Contacts
VMMC and Safdarjung Hospital