Intravenous Ketamine Plus Neurocognitive Training for Depression

This study has two aims: 1) to characterize the effects of intravenous ketamine on neurocognitive markers in depressed patients; 2) to test the efficacy of a synergistic intervention for depression combining intravenous ketamine with neurocognitive training.

Status Active, not recruiting
Results Published
Start date 01 December 2017
End date 01 October 2023
Chance of happening 100%
Phase Phase I Phase II
Design Blinded
Type Interventional
Generation First
Participants 150
Sex All
Age 18- 60
Therapy No

Trial Details

This study has two aims: 1) to characterize the effects of intravenous ketamine on neurocognitive markers in depressed patients; 2) to test the efficacy of a synergistic intervention for depression combining intravenous ketamine with neurocognitive training.

NCT Number NCT03237286

Sponsors & Collaborators

National Institute of Mental Health
This company doesn't have a full profile yet, it is linked to a clinical trial.

University of Pittsburgh
This company doesn't have a full profile yet, it is linked to a clinical trial.

Papers

A Novel, Brief, Fully Automated Intervention to Extend the Antidepressant Effect of a Single Ketamine Infusion: A Randomized Clinical Trial
This double-blind, placebo-controlled study (n=154) of ketamine (35mg/70kg) (or placebo) with (and without) positive self-regard training (automated self-association training) finds that the combination can extend the positive antidepressant (MADRS) effects of ketamine, whilst the effects of ketamine alone was not distinguishable from placebo 30 days later.

Rapid neuroplasticity changes and response to intravenous ketamine: a randomized controlled trial in treatment-resistant depression
This re-analysis of a randomized trial (n=98) investigates the impact of intravenous ketamine on rapidly reversing depression by enhancing neuroplasticity. The study found that greater decreases in mean diffusivity, a marker of microstructural neuroplasticity, from pre-infusion to 24-hour post-infusion were associated with larger improvements in depression scores.

One-Year Outcomes Following Intravenous Ketamine Plus Digital Training Among Patients with Treatment-Resistant Depression
This follow-up to a randomized clinical trial (n=154) of adults with treatment-resistant depression (TRD) examined the impact of a digital intervention, automated self-association training (ASAT), on prolonging the antidepressant effect of a single ketamine infusion. The trial found that ketamine, followed by four days of ASAT, resulted in a significant effect on depression that lasted for three months, though the benefit was not sustained in months 4 to 12.

Measures Used

Montgomery-Asberg Depression Rating Scale
A ten-item diagnostic questionnaire used to measure the severity of depressive symptoms in patients with mood disorders.

Quick Inventory of Depressive Symptomatology
The Quick Inventory of Depressive Symptomatology (Self-Report) (QIDS-SR16) is a self-report tool designed to screen for depression and measure changes in the severity of symptoms.

Data attribution

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