Ketamine for Low Mood States in the ER
Low Dose Ketamine for Low Mood States: An Emergency Department Feasibility Study for Depressed Patients
研究概览
详细说明
Rapid-onset antidepressants could have important clinical impact if their benefits extended to Emergency Department (ED) patients. We hope to explore the preliminary feasibility, tolerability and efficacy of single-dose, intravenous (IV) ketamine in depressed ED patients who presented with suicide ideation (SI).
The manuscript (article) for this study has been retracted because Yale University conducted an investigation that determined that the description of the research was not accurate. The article misrepresents both the protocol-specified doses and the actual delivered doses of ketamine.
研究类型
注册 (实际的)
阶段
- 阶段1
联系人和位置
学习地点
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Connecticut
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New Haven、Connecticut、美国、06519
- Yale New Haven Hospital Emergency Department
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- adults (>18yrs) presenting to the Emergency department with symptoms of depression and/or suicide ideation (MADRS>30) with ability to give informed consent.
- medically stable
Exclusion Criteria:
- psychosis, bipolar, or other significant physical or mental illness
- pregnancy
- non-voluntary status
- urine drug screen positive for drugs of abuse
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:Ketamine
Patients were administered a single sub-anaesthetic i.v.
bolus of ketamine (0.2 mg/kg over 1-2 min) in the ED, with continuous monitoring of vital signs, adverse events and psychotomimetic side-effects for 4 h post-administration.
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intravenous ketamine(0.2 mg/kg) over 1-2 minutes IV
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Montgomery Asberg Depression Rating Scale (MADRS)
大体时间:40, 80, 120, 240 minutes after administration of drug
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The MADRS measures mood (depression) and item 10 measures suicide ideation.
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40, 80, 120, 240 minutes after administration of drug
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
recruitment success and retention of subjects in the ER
大体时间:initial recruitment of eligible subjects in the ER and for two weeks after administration of drug
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All patient subjects are admitted and we will follow them in the hospital and for 2 weeks after hospital discharge.
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initial recruitment of eligible subjects in the ER and for two weeks after administration of drug
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合作者和调查者
调查人员
- 首席研究员:Gregory L Larkin, MD、Yale University School of Medicine, Department of Emergency Medicine
出版物和有用的链接
一般刊物
- Larkin GL, Beautrais AL. A Preliminary Naturalistic Study of Low-Dose Ketamine for Depression and Suicide Ideation in the Emergency Department. Int J Neuropsychopharmacol. 2017 Jul 1;20(7):611. doi: 10.1093/ijnp/pyx035. No abstract available.
- 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.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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