Overview

Cognitive Behavioral Therapy in Prolonging the Antidepressant Effects of Intravenous Ketamine

Status:
Completed
Trial end date:
2016-10-01
Target enrollment:
0
Participant gender:
All
Summary
Subjects with depressive episodes will be recruited to undergo a brief 2 week course of IV infusions of ketamine in combination with cognitive behavioral therapy for 8 weeks.
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Yale University
Treatments:
Antidepressive Agents
Ketamine
Criteria
Inclusion Criteria:

- suffering from a depressive episode (DSM 5; either Major Depressive Disorder or
Bipolar Disorder) and having failed one or more standard antidepressant treatments
during the current episode;

- Age 18-65;

- Hamilton Depression Rating Scale (17-HAM-D) score of 21 or more prior to study entry.

Exclusion Criteria:

- Any Axis I or Axis II Disorder, which at screening is clinically predominant to their
depressive episode or has been predominant to their depressive episode at any time
within 6 months prior to screening;

- Active suicidal thoughts with a plan; current or recent (<6 months ago) substance use
disorder;

- Non-affective psychosis (such as schizophrenia or schizoaffective disorder);

- Pregnancy or breastfeeding;

- Inability to speak English fluently;

- A clinically significant abnormality on the screening physical examination that might
affect safety, study participation, or confound interpretation of study results;

- A history of CBT treatment in the past 12 months;

- Dementia;

- Delirium;

- Any other neurological or mental disease that might affect cognition or the ability to
meaningfully participate in CBT.

- Untreated hypertension as defined by a systolic blood pressure ≥140 mmHg or diastolic
blood pressure ≥90 mmHg at screening on two of three measurements.

- Recent myocardial infarction (within one year)

- Syncopal event within the past year.

- Congestive heart failure (CHF) New York Heart Association Criteria >Stage 2

- Angina pectoris.

- Heart rate <50 or >105 beats per minute at screening

Females are eligible provided they meet criteria A or B below:

1. Non-childbearing potential: e.g., physiologically incapable of becoming pregnant,
i.e., permanently sterilized (status post hysterectomy, bilateral tubal ligation), or
is post-menopausal with her last menses at least one year prior to screening; or

2. Childbearing potential, and meets the following criteria:

i. Childbearing potential, including women using any form of hormonal birth control, on
hormone replacement therapy started prior to 12 months of amenorrhea, using an intrauterine
device (IUD), having a monogamous relationship with a partner who has had a vasectomy, or
is sexually abstinent.

ii. Negative urinary pregnancy test at screening, confirmed by a negative urinary pregnancy
test at enrollment prior to receiving study treatment.

iii. Willing and able to continuously use one of the following methods of birth control
during the course of the study, defined as those which result in a low failure rate (i.e.,
less than 1% per year) when used consistently and correctly: implants, injectable or patch
hormonal contraception, oral contraceptives, IUD, double-barrier contraception, sexual
abstinence. The form of birth control will be documented at screening and baseline.