Evidence map›Paper›PMID 41857871›Full record

ArticleBMJ open2026

The Montreal model of ketamine-therapy for alcohol use disorder and comorbid treatment-resistant depression: protocol for a feasibility trial.

Christina McAnulty, Philippe Lavoie, Samuel Cyr, Paola Lavin, Laurent Elkrief, Stephane Richard-Devantoy, Elie Rizkallah, Paul Lespérance, Nicolas Gamin, Anna Lembke and 3 more

Registry-linked trialAbstract readClinical Study
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06620276 (Acceptance and Commitment Therapy in Patients With Alcohol Use Disorder and Comorbid Treatment-Resistant Depression Who Are Undergoing Ketamine Intervention), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT06620276 narecruitingnot on this map

Acceptance and Commitment Therapy in Patients With Alcohol Use Disorder and Comorbid Treatment-Resistant Depression Who Are Undergoing Ketamine Intervention: A Feasibility Study

TypeinterventionalSponsorCentre hospitalier de l'Université de Montréal (CHUM)Ran2025 to 2028Enrolled30ConditionsDepression - Major Depressive Disorder, Alcohol Use DisorderArmsAcceptance and Commitment Therapy, Ketamine
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Christina McAnultyResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.ORCID http://orcid.org/0000-0003-2787-2792
Philippe LavoieResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.ORCID http://orcid.org/0009-0008-8439-5164
Samuel CyrResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.
Paola LavinResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.
Laurent ElkriefResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.
Stephane Richard-DevantoyMcGill Group for Suicide Studies, McGill University & Douglas Mental Health Research Institute, Montreal, Québec, Canada.
Elie RizkallahDepartment of Mental Health, Quatuor MD, Montreal, Québec, Canada.
Paul LespéranceResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.
Nicolas GaminResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada.
Anna LembkeDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.
Didier Jutras-AswadDepartment of Psychiatry and Addictology, Université de Montréal, Montreal, Québec, Canada.
Kyle GreenwayLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Québec, Canada.
Nicolas GarelResearch Centre, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada nicolas.garel@umontreal.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcohol use disorder and treatment-resistant depression (TRD) often co-occur, presenting a major clinical challenge with limited effective treatments. However, ketamine produces rapid antidepressant effects and has shown promise in reducing alcohol use, and acceptance and commitment therapy (ACT) can be effective for both substance use and mood disorders. This study explores the feasibility and acceptability of combining ACT with ketamine within the framework of the Montreal Model-a structured, integrative psychedelic ketamine therapy developed for severe TRD. METHODS AND ANALYSIS: This study is a single-group, open-label feasibility trial at the Centre hospitalier de l'Université de Montréal (CHUM) Neuromodulation Ketamine Clinic in Montreal, Canada. 30 participants diagnosed with both alcohol use disorder and treatment-resistant depression will receive eight weekly in-person or virtual ACT sessions in addition to six intravenous ketamine infusions. The primary outcome is feasibility, assessed through study completion and protocol adherence. Secondary outcomes include recruitment rate, tolerability, safety, data completeness and healthcare resource use. Exploratory measures will examine changes in depressive symptoms, alcohol use and quality of life using validated tools. A subset of participants will participate in semistructured qualitative interviews to explore their experiences. ETHICS AND DISSEMINATION: This study was approved by the ethics committee of the CHUM on 14 May 2025. The results of the trial, including primary and secondary outcomes, will be published in peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER: NCT06620276.

Indexed as

AlcoholismAntidepressive AgentsDepressive Disorder, Treatment-ResistantKetamineAdultFeasibility StudiesFemaleHumansMaleMiddle AgedQuality of LifeTreatment OutcomeAntidepressive AgentsKetamineDepression & mood disordersFeasibility StudiesPSYCHIATRYSubstance misuse

Identifiers

PMID41857871
PMCPMC13007109

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.