Ketamine Co-induction for Patients With Major Depressive Disorder

NCT ID: NCT03666494

Last Updated: 2018-09-13

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-31

Study Completion Date

2019-12-31

Brief Summary

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Ketamine hydrochloride, an anesthetic medication, has been demonstrated to acutely and rapidly improve depressive symptoms but not yet been adequately studied for this effect when used as part of a general anesthetic for surgery. This proposed single-centre, double-blinded, randomized clinical trial of adult patients with depression presenting for gynecologic surgery would compare severity of depressive symptoms between patients receiving and not receiving ketamine as part of their general anesthetic.

Detailed Description

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Conditions

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Ketamine Depression Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Control Arm

As part of the patient's anesthetic induction, they will receive propofol and fentanyl.

Group Type ACTIVE_COMPARATOR

Propofol

Intervention Type DRUG

As part of the patient's anesthetic induction, they will receive propofol.

Fentanyl

Intervention Type DRUG

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.

Group Type ACTIVE_COMPARATOR

Ketamine Hydrochloride

Intervention Type DRUG

As part of anesthetic induction, the addition of ketamine hydrochloride 0.5mg/kg.

Propofol

Intervention Type DRUG

As part of the patient's anesthetic induction, they will receive propofol.

Fentanyl

Intervention Type DRUG

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.

Intervention Type DRUG

Propofol

As part of the patient's anesthetic induction, they will receive propofol.

Intervention Type DRUG

Fentanyl

As part of the patient's anesthetic induction, they will receive fentanyl.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of major depressive disorder
* Presentation for gynecologic surgery requiring a general anesthetic

Exclusion Criteria

* Marked co-morbid cardiovascular disease
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Saskatchewan

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jonathan Gamble, MD

Role: PRINCIPAL_INVESTIGATOR

University of Saskatchewan

Central Contacts

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Jonathan Gamble, MD

Role: CONTACT

306-655-1183

Jordon Steeg, MD

Role: CONTACT

306-222-9782

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.

Reference Type BACKGROUND
PMID: 12088953 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25010396 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25698228 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25038867 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 21557878 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24688759 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 10686270 (View on PubMed)

Other Identifiers

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Bio 18-19

Identifier Type: -

Identifier Source: org_study_id

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