Major depressive episode (Major depressive disorder, Biploar disorder)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (i)Diagnosis of a major depressive episode in the scope of a major depressive or bipolar disorder supported by a Structured Clinical Interview for DSM-IV-TR (SCID) (ii)Hamilton depression rating scale score = 19 (iii)Willingness and competence to sign the informed consent form (iv)Age 18 to 64 years (v)Stable psychopharmacological treatment for 10 days (except benzodiazepines) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 60 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: (i)Initiation of a new antidepressant or mood stabilizing treatment (pharmacological, physical or psychotherapeutic) with adequate dosage (as defined by the minimum recommended dose in the respective prescribing information) within 4 weeks prior to inclusion. (ii)Prior use of ketamine (iii)Pregnancy/Breast feeding (iv)Instable arterial hypertension >170/110mmHg (v)Hepatic dysfunction (vi)Hyperthyreosis (vii)History of glaucoma (viii)Neurodegenerative disorders (ix)Any unstable medical illness (x)History of substance abuse within the past 12 months (xi)History of psychosis (xii)Failure to comply with the study protocol or to follow the instructions of the investigating team (xiii)Current treatment with one of the following drugs: clopidogrel, carbamazepine, valproate, barbiturates, memantine, modafinil, disulfiram, amiodarone, ranolazine, phenytoin, verapamil, fibrates, antiretroviral agents, antimicrobial chemotherapeutics, azole antifungals, glucocorticoids, cyclosporine, valeriana/garlic/grapefruit preparations, St. John’s wort.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the antidepressant efficacy of oral ketamine in patients suffering from a major depressive episode in a double-blinded randomized and controlled study design.;Secondary Objective: To assess the tolerability and clinical utility of oral ketamine administration.;Primary end point(s): Montgomery-Åsberg Depression Rating Scale (MADRS);Timepoint(s) of evaluation of this end point: before each treatment session, 24h after the first treatment session, and one and two weeks after the last treatment session | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): CADSS (Clinician Administered Dissociative States Scale);Timepoint(s) of evaluation of this end point: CADSS: 30 minutes after the first and last drug application | — |
Countries
Austria
Contacts
Medical University of Vienna