Evaluation of the Initial Prescription of Ketamine and Milnacipran for Depression in Palliative Care

Brief Summary

KetaPal is a placebo-controlled randomized trial designed to demonstrate the antidepressant action of ketamine in palliative care situations. Half of participants will receive Ketamine and Milnacipran in combination, while the other half will receive a Placebo and Milnacipran in combination.

Intervention / Treatment

  • Drug: Ketamine
  • Drug: Milnacipran
  • Drug: Placebo

Condition or Disease

  • Depression

Phase

Study Design

Study type: Interventional
Status: Recruiting
Study results: No Results Available
Age: 18 Years and older   (Adult, Older Adult)
Enrollment: 80 ()
Funded by: Other

Masking

Clinical Trial Dates

Start date: Sep 08, 2016
Primary Completion: Sep 19, 2020
Completion Date: Sep 19, 2020
Study First Posted: May 26, 2016
Results First Posted: Aug 31, 2020
Last Updated: Dec 11, 2018

Sponsors / Collaborators

Lead Sponsor: N/A
Responsible Party: N/A

Ketamine, a molecule mainly used as an analgesic in palliative care, turns out to be an excellent fast acting antidepressant. By acting as an NMDA receptor antagonist, its mechanism of action is complementary to classical and long acting antidepressants like Selective Serotonin Reuptake Inhibitors (SSRI). In particular, ketamine is able to boost synaptogenesis in only a few hours whereas long-term prescription of SSRI can stimulate neurogenesis.

The purpose of this study is to evaluate a new therapeutic strategy that could integrate ketamine in the same time than SSRI, to control depression symptoms faster and optimize patient's quality of life complementary to treatments of cancer.

Eligibility Criteria

Sex: All
Minimum Age: 18

This clinical trial is recruiting

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More Details

NCT Number: NCT02783430
Acronym: KETAPAL
Other IDs: 2014_22|2014-004361-24|PHRCI_2013
Study URL: https://ClinicalTrials.gov/show/NCT02783430
Last updated: Mar 18, 2021