Evidence map›Paper›PMID 25374095›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2015

Neurocognitive effects of ketamine and association with antidepressant response in individuals with treatment-resistant depression: a randomized controlled trial.

James W Murrough, Katherine E Burdick, Cara F Levitch, Andrew M Perez, Jess W Brallier, Lee C Chang, Alexandra Foulkes, Dennis S Charney, Sanjay J Mathew, Dan V Iosifescu

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 6 pooled it
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03088384 completednot on this mapstarted 2016, after this paper: background citation

The Effect of Therapeutic Ketamine Infusions on the Symptoms of Post-Traumatic Stress Disorder in Combat Veterans

TypeobservationalSponsorKlarisana Physician Services PLLCRan2016 to 2018Enrolled30ConditionsStress Disorders, Post-TraumaticArmsKetamine
NCT05019885 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

A Pilot Study to Assess the Efficacy of Subanesthetic Doses of IV Ketamine in the Treatment Drug Resistant Epilepsy

TypeinterventionalSponsorMadeline FieldsRan2022 to 2026Enrolled8ConditionsDrug Resistant Epilepsy, Medically Refractory Epilepsy, Refractory EpilepsyArmsKetamine Hydrochloride
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 6 syntheses or guidelines pooled it, 134 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

James W Murrough1] Mood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA [2] Fishberg Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA [3] Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Katherine E Burdick1] Fishberg Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA [2] Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA [3] Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Cara F LevitchMood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Andrew M PerezDepartment of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jess W BrallierDepartment of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Lee C ChangDepartment of Anesthesiology, Baylor College of Medicine, Houston, TX, USA.
Alexandra FoulkesMenninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Dennis S Charney1] Mood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA [2] Fishberg Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA [3] Department of Pharmacology and Systems Therapeutics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Sanjay J Mathew1] Michael E. Debakey VA Medical Center, Houston, TX, USA [2] Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Dan V Iosifescu1] Mood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA [2] Fishberg Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA [3] Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · USBaylor College of Medicine · US

Funding

MOUNT SINAI INSTITUTES FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR029887 · NCRR · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2009 to 2011
$19.2M
Mount Sinai Institutes for Clinical and Translational SciencesUL1TR000067 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2012 to 2014
$16.5M
Understanding the Neurocognitive Heterogeneity in Bipolar DisorderR01MH100125 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BURDICK, KATHERINE ELIZABETH · 2013 to 2017
$2.1M
Optimization of IV Ketamine for Treatment Resistant Major DepressionR01MH081870 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MATHEW, SANJAY J · 2009 to 2012
$1.4M
Functional MRI Studies of Emotion in Depression and Rapid Antidepressant ResponseK23MH094707 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MURROUGH, JAMES WARREN · 2011 to 2015
$911k
Targeting Circadian and Cognitive Dysfunction in Bipolar Disorder with ModafinilR34MH101267 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BURDICK, KATHERINE ELIZABETH · 2013 to 2015
$763k
NCATS NIH HHS UL1TR000067NCRR NIH HHS UL1 RR029887NIMH NIH HHS K23MH094707NIMH NIH HHS R01MH081870NIMH NIH HHS R01 MH100125NIMH NIH HHS R34 MH101267
6 · The paper itself

Abstract

The glutamate N-methyl-D-aspartate (NMDA) receptor antagonist ketamine displays rapid antidepressant effects in patients with treatment-resistant depression (TRD); however, the potential for adverse neurocognitive effects in this population has not received adequate study. The current study was designed to investigate the delayed neurocognitive impact of ketamine in TRD and examine baseline antidepressant response predictors in the context of a randomized controlled trial. In the current study, 62 patients (mean age = 46.2 ± 12.2) with TRD free of concomitant antidepressant medication underwent neurocognitive assessments using components of the MATRICS Consensus Cognitive Battery (MCCB) before and after a single intravenous infusion of ketamine (0.5 mg/kg) or midazolam (0.045 mg/kg). Participants were randomized to ketamine or midazolam in a 2:1 fashion under double-blind conditions and underwent depression symptom assessments at 24, 48, 72 h, and 7 days post treatment using the Montgomery-Asberg Depression Rating Scale (MADRS). Post-treatment neurocognitive assessment was conducted once at 7 days. Neurocognitive performance improved following the treatment regardless of treatment condition. There was no differential effect of treatment on neurocognitive performance and no association with antidepressant response. Slower processing speed at baseline uniquely predicted greater improvement in depression at 24 h following ketamine (t = 2.3, p = 0.027), while controlling for age, depression severity, and performance on other neurocognitive domains. In the current study, we found that ketamine was devoid of adverse neurocognitive effects at 7 days post treatment and that slower baseline processing speed was associated with greater antidepressant response. Future studies are required to further define the neurocognitive profile of ketamine in clinical samples and to identify clinically useful response moderators.

Indexed as

AdultAgedAged, 80 and overAntidepressive AgentsDepressive Disorder, Treatment-ResistantDouble-Blind MethodFemaleHumansKetamineMajor Depressive DisorderMaleMidazolamMiddle AgedNeuropsychological TestsPsychiatric Status Rating ScalesTime FactorsAntidepressive AgentsKetamineMidazolam

Identifiers

PMID25374095
PMCPMC4367458
OpenAlexW1986936647

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.