Ketamine Co-induction for Patients With Major Depressive Disorder
NCT ID: NCT03666494
Last Updated: 2018-09-13
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
PHASE4
50 participants
INTERVENTIONAL
2018-12-31
2019-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Control Arm
As part of the patient's anesthetic induction, they will receive propofol and fentanyl.
Propofol
As part of the patient's anesthetic induction, they will receive propofol.
Fentanyl
As part of the patient's anesthetic induction, they will receive fentanyl.
Ketamine Arm
As part of the patient's anesthetic induction, they will receive propofol, fentanyl, as well as ketamine hydrochloride.
Ketamine Hydrochloride
As part of anesthetic induction, the addition of ketamine hydrochloride 0.5mg/kg.
Propofol
As part of the patient's anesthetic induction, they will receive propofol.
Fentanyl
As part of the patient's anesthetic induction, they will receive fentanyl.
Interventions
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Ketamine Hydrochloride
As part of anesthetic induction, the addition of ketamine hydrochloride 0.5mg/kg.
Propofol
As part of the patient's anesthetic induction, they will receive propofol.
Fentanyl
As part of the patient's anesthetic induction, they will receive fentanyl.
Eligibility Criteria
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Inclusion Criteria
* Presentation for gynecologic surgery requiring a general anesthetic
Exclusion Criteria
* Marked co-morbid respiratory disease
* History of intracranial hypertension
* History of seizures
* ASA Physical Status Classification IV or greater
* History of psychosis
* Current pregnancy
* Contraindication to ketamine administration
18 Years
65 Years
FEMALE
No
Sponsors
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University of Saskatchewan
OTHER
Responsible Party
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Principal Investigators
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Jonathan Gamble, MD
Role: PRINCIPAL_INVESTIGATOR
University of Saskatchewan
Central Contacts
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References
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Kudoh A, Takahira Y, Katagai H, Takazawa T. Small-dose ketamine improves the postoperative state of depressed patients. Anesth Analg. 2002 Jul;95(1):114-8, table of contents. doi: 10.1097/00000539-200207000-00020.
McGirr A, Berlim MT, Bond DJ, Fleck MP, Yatham LN, Lam RW. A systematic review and meta-analysis of randomized, double-blind, placebo-controlled trials of ketamine in the rapid treatment of major depressive episodes. Psychol Med. 2015 Mar;45(4):693-704. doi: 10.1017/S0033291714001603. Epub 2014 Jul 10.
Lee EE, Della Selva MP, Liu A, Himelhoch S. Ketamine as a novel treatment for major depressive disorder and bipolar depression: a systematic review and quantitative meta-analysis. Gen Hosp Psychiatry. 2015 Mar-Apr;37(2):178-84. doi: 10.1016/j.genhosppsych.2015.01.003. Epub 2015 Jan 15.
Fond G, Loundou A, Rabu C, Macgregor A, Lancon C, Brittner M, Micoulaud-Franchi JA, Richieri R, Courtet P, Abbar M, Roger M, Leboyer M, Boyer L. Ketamine administration in depressive disorders: a systematic review and meta-analysis. Psychopharmacology (Berl). 2014 Sep;231(18):3663-76. doi: 10.1007/s00213-014-3664-5. Epub 2014 Jul 20.
Larkin GL, Beautrais AL. A preliminary naturalistic study of low-dose ketamine for depression and suicide ideation in the emergency department. Int J Neuropsychopharmacol. 2011 Sep;14(8):1127-31. doi: 10.1017/S1461145711000629. Epub 2011 May 5.
Caddy C, Giaroli G, White TP, Shergill SS, Tracy DK. Ketamine as the prototype glutamatergic antidepressant: pharmacodynamic actions, and a systematic review and meta-analysis of efficacy. Ther Adv Psychopharmacol. 2014 Apr;4(2):75-99. doi: 10.1177/2045125313507739.
Berman RM, Cappiello A, Anand A, Oren DA, Heninger GR, Charney DS, Krystal JH. Antidepressant effects of ketamine in depressed patients. Biol Psychiatry. 2000 Feb 15;47(4):351-4. doi: 10.1016/s0006-3223(99)00230-9.
Other Identifiers
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Bio 18-19
Identifier Type: -
Identifier Source: org_study_id
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