treatment-resistant depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Major depressive episode including unipolar and bipolar depression, according to DSM-5 criteria and MINI-adolescent version (Mini-International Neuropsychiatric Interview; MINI) diagnostic interview. (2) Age >= 20y/o < 70 y/o (3) Voluntary patients and their parents or guardians with signed informed consent proved by institutional review board (IRB)
Exclusion criteria
Exclusion criteria: (1) Major medical conditions (e.g., head injury, epilepsy, severe renal diseases and cancer). (2) Other axis I psychiatric disorders such as schizophrenia, delusional disorder, organic brain syndrome, and dementia. (3) Pregnancy. (4) Substance abuse in previous 6 months such as cocaine, marijuana, opium, ketamine, PCP (phencyclidine). (5) Current use of NMDA receptor antagonist (Amantadine, Rimantadine, Lamotrigine, Memantine, Dextromethorphan). (6) Alcohol abuse / dependence within 6 months. (7) Attempt suicide in hospital. (8) Allergy to ketamine or rapamycin.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Changes in depressive symptoms measured by Montgomery-Asberg Depression Rating Scale (MADRS) in adults with treatment-resistant depression. 2. Changes in depressive symptoms measured by Hamilton Rating Scale for Depression (HAMD) in adults with treatment-resistant depression. | — |
Countries
Asia(except Japan)
Contacts
Taipei Veterans General Hospital, Taiwan Department of Psychiatry