Open-Label IV Ketamine Series for MDD/Bipolar Depression with Pain Mediation Analysis (Wu 2023, China)
Open-label single-arm clinical trial (J Affect Disord 2023; Wu Z, Gan Y, Li N, Lan X, Wang C; single centre, China; PMID 37156269). Participants: n≈122 enrolled adults with DSM-5 MDD or bipolar depression who failed ≥2 antidepressant trials or had suicidal ideation; exclusions: alcohol/drug dependence, recent mania/hypomania, unstable medical findings. All received 6 IV ketamine hydrochloride infusions (0.5 mg/kg over 40 min) on a Mon–Wed–Fri schedule over 2 weeks; concomitant psychotropics permitted but dose-stable. Analytic sample: n=103 completers at baseline and day 13; 19 participants (18.4%) did not complete day 26 follow-up. Primary outcomes: MADRS, SDS (social/occupational/home domains), GAF; pain assessed by SF-MPQ (sensory, affective, present pain intensity indices) at baseline, day 13, day 26. CT.gov: 0 hits; PubMed DataBankList: empty; no registration number in methods.
Study Arms & Interventions
Ketamine
experimental6 intravenous infusions of ketamine (0.5 mg/kg) over 2 weeks
Interventions
- Ketamine0.5 mg/kgvia IV• repeated infusions• 6 doses total
Administered via intravenous pump with 0.9% sodium chloride injection over 40 min; infusions occurred Monday, Wednesday, and Friday over a two-week period.
Primary Results(1 publication)
Participants
Adverse Events (from all publications)
| Arm / Group | n | Any TEAE | Severe | Serious | Discont. |
|---|---|---|---|---|---|
| Ketamineexperimental | 103 | — | — | — | — |
* The paper does not report summary counts for treatment-emergent adverse events (TEAEs), severe AEs, serious AEs, discontinuations due to AEs, or serious adverse events of special interest (SAESIs). The total number of participants (n=103) is used as nAtRisk, as all received ketamine infusions. Monitoring of vital signs during and after injection was mentioned, but no adverse event data was provided.
Study Details
- StatusCompleted
- Typeinterventional
- DesignNon-randomized
- Target Enrollment122 participants
- TimelineStart: 2020-01-01End: 2022-01-01
- Compound