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Be Part of Research - Trial Details - Can a low dose of ketamine change how people with treatment-resistant depression remember their lives, deal with emotions, and make decisions?

Can a low dose of ketamine change how people with treatment-resistant depression remember their lives, deal with emotions, and make decisions?

Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Major depressive disorder


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Clinical depression often involves a pessimistic view of things which have happened in the past and an impairment in the ability to experience pleasure or look forward to things. A licensed drug called ketamine affects the levels of glutamate, a chemical messenger in the brain, and has been used as a treatment, particularly for depression which hasn’t got better with other types of medication. Glutamate plays a role in learning and memory so we are interested in understanding how ketamine can affect how people with depression remember past negative and positive memories. This project will help us understand what is the role of glutamate in depression and will expand our understanding of how ketamine can influence memory, the way people understand emotions and learn from rewards and punishments, and motivation.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

20 Apr 2022 30 Dec 2024

Study participants will undergo medical and psychiatric health screening, questionnaires and computer tasks before and after the administration of the study drug (a single infusion of ketamine or a dummy saline placebo), and an MRI scan a day after administration of the drug/placebo. MRI is a type of brain scan that allows us to see how the brain responds during, for example, memories of things which have happened in the past.


Adults with depression who have not improved with the standard antidepressant treatment

You can take part if:



You may not be able to take part if:


1. History of /or current DSM.5 bipolar disorder, schizophrenia or emotionally unstable personality disorder [co-morbid anxiety disorders (including agoraphobia, generalized anxiety disorder, social anxiety disorder and panic disorder) and Posttraumatic Stress Disorder (PTSD) are allowed]2. Participants who fulfill current criteria for other comorbid disorders may still be entered into the study, if, in the opinion of the Investigator, the psychiatric diagnosis will not compromise safety or affect data quality3. Diagnosis of a major cognitive disorder or evidence of cognitive impairment4. Clinically significant risk of suicide5. Participants undergoing or who have undergone electroconvulsive therapy for the treatment of the current episode of depression6. Substance or alcohol use disorder over the past 6 months7. Regular alcohol consumption of more than 21 units a week or excessive alcohol consumption up to three days before any of the in-person study visits or inability to abstain from alcohol for more than 3 days8. Moderate cigarette use (> 10 cigarettes per day)9. History of, or current general medical conditions that in the opinion of the Investigator may interfere with the safety of the participant or the scientific integrity of the study10. Current pregnancy (as determined by urine pregnancy test), breastfeeding, planning a pregnancy, or unwillingness to practice birth control during the study11. Clinically significant abnormalities of laboratory tests, physical examination, or ECG. A participant with a clinical abnormality or parameters outside the reference range for the population being studied may be included only if the Investigator considers that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures12. Current or history of heart rhythm disorders13. Clinically significant untreated hypertension14. Any contraindication to MRI including claustrophobia, any trauma or surgery which may have left magnetic material in the body, magnetic implants or pacemakers, and inability to lie still for 1 hour or more15. Previous participation in a study using the same, or similar, emotional processing tasks in the last three months16. Previous lifetime use of ketamine or phencyclidine17. Participants with planned medical treatment within the study period that might interfere with the study procedures18. Participant who is unlikely to comply with the clinical study protocol or is unsuitable for any other reason, in the opinion of the Investigator.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • University of Oxford
    Department of Psychiatry Warneford Hospital Warneford Lane
    Oxford
    OX3 7JX
  • NIHR Oxford cognitive health Clinical Research Facility
    Warneford Hospital Warneford Lane
    Oxford
    OX3 7JX

The study will not be of direct benefit to you, but it is hoped that the information obtained will help improve the treatment of depression. Possible risks from taking part involve answering questionnaires and completing memory and computer-based tasks, undergoing an MRI scan and receiving ketamine/placebo. These risks will be discussed with the participants prior to their enrollment in the study. To minimise any harm or risks, participants will be carefully supervised and we will ensure that any risks are minimised by conducting a detailed medical and psychiatric screening and having 24-hour on-call availability for participants in the study.


The study is sponsored by University of Oxford and funded by Medical Research Council; Wellcome Trust; Janssen Pharmaceuticals.




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Read full details for Trial ID: ISRCTN68107842
Last updated 12 September 2024

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