Skip to main content

Study M645

Study name

Milak MS 2020

Title

Assessment of relationship of ketamine dose with magnetic resonance spectroscopy of Glx and GABA responses in adults with major depression: a randomized clinical trial

Overall design

The aim of this study was to evaluate whether ketamine dose and brain glutamate and glutamine (Glx) and GABA level responses to ketamine are related to antidepressant benefit and adverse effects. This randomized, parallel-group, triple-masked clinical trial included 38 physically healthy, psychotropic medication-free adult outpatients who were in a major depressive episode of MDD but not actively suicidal. Participants received 1 dose of placebo or ketamine (0.1, 0.2, 0.3, 0.4, or 0.5 mg/kg) intravenously during 40 minutes of a proton magnetic resonance spectroscopy scan that measured ventro-medial prefrontal cortex Glx and GABA levels in 13-minute data frames. Metabolite quantification was reported relative to brain water concentration.

Study Type

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD, MADRS >= 22

Sample size

38

Tissue

Central; Brain; Ventro-medial prefrontal cortex;

Platform

MRS; MRS: GE Signa EXCITE 3.0T MR scanner;

PMID

32785636

DOI

10.1001/jamanetworkopen.2020.13211

Citation

Milak MS, Rashid R, Dong Z, et al. Assessment of relationship of ketamine dose with magnetic resonance spectroscopy of Glx and GABA responses in adults with major depression: a randomized clinical trial. JAMA Netw Open. 2020;3(8):e2013211.

Metabolite

Gamma-Aminobutyric acid;

Glutamate and Glutamine;