Trial Summary
What is the purpose of this trial?
This trial is studying the effects of giving ketamine through a vein to ICU patients with depression. These patients are chosen because they might not respond to usual treatments. Ketamine helps by changing brain chemicals to improve mood quickly. Ketamine has been investigated as a potential antidepressant option for treatment-resistant depression, showing rapid and robust effects.
Research Team
DS
Devang Sanghavi, MBBS, MD
Principal Investigator
Mayo Clinic
Eligibility Criteria
This trial is for Mayo Clinic Florida ICU patients with depression (PHQ-9 score ≥10) and specific conditions like heart attack, renal failure, COPD. Excluded are those with vital sign instability, ketamine allergy, intracranial issues, psychosis history, extreme weights, substance abuse withdrawal or recent use of hallucinogens including cannabis.Inclusion Criteria
Has been in the Mayo Clinic Florida ICU for the past 1 week
PHQ-9 score of 10 or higher
I have been diagnosed with a serious heart, lung, liver, or kidney condition, or I am undergoing major surgery.
Exclusion Criteria
Poor vital sign stability hypoxia: O2 < 95%, hypotension: SBP < 90 hypertension: SBP > 180
Heart rate: < 50 or > 120, or Respiratory Rate: < 10 or > 30
I have experienced changes in my thinking or awareness.
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Treatment Details
Interventions
- Ketamine Hydrochloride (NMDA Receptor Antagonist)
- Placebo (Other)
Trial OverviewThe study tests if Ketamine Hydrochloride infusions can help ICU patients with depression compared to a placebo. Patients will be randomly assigned to receive either the real drug or a placebo without knowing which one they're getting.
Participant Groups
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Ketamine GroupExperimental Treatment1 Intervention
Adult patients who have been in the Mayo Clinic Florida ICU for one week with moderate or severe depression will receive intravenous (IV) ketamine
Group II: Placebo GroupPlacebo Group1 Intervention
Adult patients who have been in the Mayo Clinic Florida ICU for one week with moderate or severe depression will receive intravenous (IV) placebo
Ketamine Hydrochloride is already approved in Canada for the following indications:
Approved in Canada as Ketamine Hydrochloride for:
- Anesthesia
- Pain management
- Depression
Find a Clinic Near You
Who Is Running the Clinical Trial?
Mayo Clinic
Lead Sponsor
Trials
3,427
Recruited
3,221,000+