Actively Recruiting

Phase 4
Age: 18Years - 65Years
All Genders
NCT06103760

Positioning of Esketamine Treatment in the Real-world Management of Depression

Led by Royal North Shore Hospital · Updated on 2024-05-17

162

Participants Needed

1

Research Sites

115 weeks

Total Duration

On this page

Sponsors

R

Royal North Shore Hospital

Lead Sponsor

J

Janssen-Cilag Pty Ltd

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this naturalistic, open label, single arm intervention study is to investigate the effects of Esketamine in treating depression.The main aims to answer are: * to investigate whether Esketamine is effective when added to ongoing antidepressant treatment * to identify patient characteristics that will determine a therapeutic response to Esketamine in real-world practice Participants will: * attend the clinic for supervised self-administration of intranasal Esketamine treatment * be observed for 2 hours following Esketamine administration including blood pressure monitoring * be asked to complete a battery of questionnaires * be reimbursed for travel expenses

CONDITIONS

Official Title

Positioning of Esketamine Treatment in the Real-world Management of Depression

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18-65 years old
  • Diagnosis of Major Depressive Disorder (MDD)
  • Currently depressed
  • Had an inadequate response to 2 or more courses of antidepressants (of adequate dose and duration)
  • Maintained on current antidepressant medication or psychological therapy at enrollment
  • Able to understand and provide informed consent
Not Eligible

You will not qualify if you...

  • Diagnoses of other DSM-5 disorders such as current substance misuse disorder, bipolar disorder, or schizophrenia
  • Unable to understand the study or provide informed consent
  • Pregnant or breastfeeding
  • Unwilling to use effective birth control during the study
  • Taking benzodiazepines exceeding 6 mg/day lorazepam equivalent
  • Using complementary and alternative medicine therapies like St John's wort, Chinese medicines, or homeopathic treatments
  • Taking stimulants such as methylphenidate, amphetamine, or dextroamphetamine concurrently with Esketamine
  • History of seizures (except uncomplicated childhood febrile seizures)
  • History of uncontrolled hypertension
  • Uncontrolled diabetes mellitus
  • Aneurysmal vascular disease or related conditions
  • Untreated glaucoma, penetrating eye injury, brain injury, hypertensive encephalopathy, intrathecal therapy with ventricular shunts, increased intracranial or intraocular pressure, or planned eye surgery
  • Current or recent (past month) electroconvulsive therapy (ECT)
  • Lifetime substance misuse disorder involving ketamine, PCP, LSD, MDMA, or other hallucinogens
  • Hypersensitivity to Esketamine, Ketamine, or any excipients

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Royal North Shore Hospital

St Leonards, New South Wales, Australia, 2065

Actively Recruiting

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Research Team

E

Erica Bell

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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