Viewing Study NCT06103760


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Study NCT ID: NCT06103760
Status: RECRUITING
Last Update Posted: 2024-05-17
First Post: 2023-10-15
Is NOT Gene Therapy: True
Has Adverse Events: False

Brief Title: Positioning of Esketamine Treatment in the Real-world Management of Depression
Sponsor: Royal North Shore Hospital
Organization:

Study Overview

Official Title: Positioning of Esketamine Treatment in the Real-world Management of Depression
Status: RECRUITING
Status Verified Date: 2024-05
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: PoET
Brief Summary: 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
Detailed Description: Depression is a common mental illness, and it is one of the leading causes of disease burden worldwide. Fortunately, there are many effective treatments available for depression, including lifestyle changes, psychological treatments, and medications such as antidepressants. However, not all patients will respond to the first treatment prescribed. Some patients may only experience a 'partial response', where a few treatments help their depression somewhat, but they do not achieve a full recovery. Currently, the reasons why some patients do not respond, or only experience a partial response to an antidepressant, is not fully understood.

Recently, researchers have been investigating new medications that may help patients recover from depression. One of these new medications is Esketamine, which is a relatively new molecule derived from a drug called Ketamine - an anaesthetic that has been used medically for decades. Researchers have been investigating the antidepressant properties of Ketamine for a long time. It is thought that Ketamine, and its derivative, Esketamine, help to treat depression for a number of reasons. However, it is not yet known which patients benefit most from Esketamine when used in conjunction with conventional antidepressants. In addition, we do not yet understand how the effect of Esketamine is impacted by other treatments that a patient may be taking for their depression. Finally, it has not yet been investigated how patients with a partial response to an antidepressant will benefit from adding Esketamine to their therapeutic regimen without switching to a new baseline antidepressant. Therefore, there are two principle aims of this study 1) to investigate whether Esketamine is effective when added to ongoing antidepressant treatment and 2) to identify patient characteristics that will determine a therapeutic response to Esketamine in real-world practice.

Study Oversight

Has Oversight DMC: False
Is a FDA Regulated Drug?: True
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: True
Is an FDA AA801 Violation?: