correlate of synaptic density, and to determine whether ketamine administration will reverse the synaptic loss in vivo in human subjects
This non-randomised, parallel basic-science study compares SV2A availability across individuals with MDD, PTSD, bipolar disorder and healthy controls using PET (APP311/SDM-8/SynVesT-1).
A subset of participants undergo ketamine administration between scans to test whether ketamine increases SV2A density; imaging is combined with cognitive testing and physiological monitoring.
Outcomes include regional SV2A availability pre- and post-ketamine, correlations with antidepressant response, and examination of group and gender differences.
Single PET scan on HRRT/HR+; vital signs and venous/arterial lines as required.
Baseline PET scan followed by low-dose ketamine and subsequent PET scan(s); bipolar subjects excluded from ketamine arms.
Low-dose ketamine administered after baseline scan; used to assess changes in SV2A
PET scans for subjects undergoing clinical ketamine treatment (baseline and post-treatment scans); bipolar subjects not included in ketamine arms.