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The efficacy and side effects of intranasal ketamine versus intravenous form in patients with major depression

The efficacy and side effects of intranasal ketamine administration in comparison to the intravenous route in patients with major depression

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250213064716N1
Enrollment
225
Registered
2025-02-24
Start date
2025-02-10
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Major depression disorder. Major depressive disorder, single episode, unspecified.

Interventions

Intervention 1: Intervention group: 0.7mg/kg racemic ketamine hydrochloride via intranasal spray over 20 minutes, and simultaneously received an intravenous infusion of 0.9% saline solution (placebo)

Sponsors

Shahid Beheshti University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Age above 18 years old Diagnosis of Major Depressive Disorder according to DSM-IV criteria by a study psychiatrist, currently in the active phase of the illness. A score of >= 24 on the IDS-C30 (Inventory of Depressive Symptoms–Clinician).

Exclusion criteria

Exclusion criteria: Pregnancy in women Any unstable medical or neurological condition Positive urine test for illicit drugs

Design outcomes

Primary

MeasureTime frame
Changes in the severity of depression symptoms. Timepoint: 24 hours after administration of the drug. Method of measurement: Changes in the Montgomery-Åsberg Depression Rating Scale (MADRS).

Secondary

MeasureTime frame
Changes in the level of anxiety. Timepoint: 24 hours after the administration. Method of measurement: changes in Hamilton Anxiety Rating Scale (HAM-A) score.;Safety and tolerance of the drug. Timepoint: during administration and recovery phase. Method of measurement: changes in vital signs, BPRS+ (The Brief Psychiatric Rating Scale–Positive Subscale) score and the Clinician-Administered Dissociative States Scale (CADSS) score.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactZahra Shenasandeh

Shahid Beheshti University of Medical Sciences

zahrashenasandeh@yahoo.com+98 21 7343 0000

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026