UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049877
Receipt number R000056659
Scientific Title Modulation of the antidepressant and antisuicidal efficacy of low-dose ketamine infusion via the mTORC1 modulator, Rapamycin: A double-blind, randomized, placebo controlled trial combined with the neuropsychological and functional connectivity MRI study.
Date of disclosure of the study information 2023/01/01
Last modified on 2023/03/01 16:03:14

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Basic information

Public title

Modulation of the antidepressant and antisuicidal efficacy of low-dose ketamine infusion via the mTORC1 modulator, Rapamycin: A double-blind, randomized, placebo controlled trial combined with the neuropsychological and functional connectivity MRI study.

Acronym

Modulation of the antidepressant and antisuicidal efficacy of low-dose ketamine infusion via the mTORC1 modulator, Rapamycin

Scientific Title

Modulation of the antidepressant and antisuicidal efficacy of low-dose ketamine infusion via the mTORC1 modulator, Rapamycin: A double-blind, randomized, placebo controlled trial combined with the neuropsychological and functional connectivity MRI study.

Scientific Title:Acronym

Modulation of the antidepressant and antisuicidal efficacy of low-dose ketamine infusion via the mTORC1 modulator, Rapamycin

Region

Asia(except Japan)


Condition

Condition

treatment-resistant depression

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To assess the role of rapamycin in ketamine treatment of TRD patients and to test if rapamycin may enhance and prolong the antidepressant and antisuicidal effect of low-dose ketamine infusion.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Changes in depressive symptoms measured by Montgomery-Asberg Depression Rating Scale (MADRS) in adults with treatment-resistant depression.
2. Changes in depressive symptoms measured by Hamilton Rating Scale for Depression (HAMD) in adults with treatment-resistant depression.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Arm1: Ketamine (0.5mg/kg) infusion and oral rapamycin (6mg) at three time points

Interventions/Control_2

Arm2: Ketamine (0.5mg/kg) infusion and oral placebo at three time points

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >

Gender

Male and Female

Key inclusion criteria

(1) Major depressive episode including unipolar and bipolar depression, according to DSM-5 criteria and MINI-adolescent version (Mini-International Neuropsychiatric Interview; MINI) diagnostic interview.
(2) Age >= 20y/o < 70 y/o
(3) Voluntary patients and their parents or guardians with signed informed consent proved by institutional review board (IRB)

Key exclusion criteria

(1) Major medical conditions (e.g., head injury, epilepsy, severe renal diseases and cancer).
(2) Other axis I psychiatric disorders such as schizophrenia, delusional disorder, organic brain syndrome, and dementia.
(3) Pregnancy.
(4) Substance abuse in previous 6 months such as cocaine, marijuana, opium, ketamine, PCP (phencyclidine).
(5) Current use of NMDA receptor antagonist (Amantadine, Rimantadine, Lamotrigine, Memantine, Dextromethorphan).
(6) Alcohol abuse / dependence within 6 months.
(7) Attempt suicide in hospital.
(8) Allergy to ketamine or rapamycin.

Target sample size

48


Research contact person

Name of lead principal investigator

1st name Mu-Hong
Middle name
Last name Chen

Organization

Taipei Veterans General Hospital, Taiwan

Division name

Department of Psychiatry

Zip code

112

Address

No. 201, Shih-Pai Road, Sec. 2, 11217, Taipei, Taiwan.

TEL

+886228757027

Email

kremer7119@gmail.com


Public contact

Name of contact person

1st name Mu-Hong
Middle name
Last name Chen

Organization

Taipei Veterans General Hospital, Taiwan

Division name

Department of Psychiatry

Zip code

112

Address

No. 201, Shih-Pai Road, Sec. 2, 11217, Taipei, Taiwan.

TEL

+886228757027

Homepage URL


Email

kremer7119@gmail.com


Sponsor or person

Institute

Ministry of Science and Technology

Institute

Department

Personal name



Funding Source

Organization

Ministry of Science and Technology

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board Taipei Veterans General Hospital, Taiwan

Address

No. 201, Shih-Pai Road, Sec. 2, 11217, Taipei, Taiwan.

Tel

+886228757384

Email

irbopinion@vghtpe.gov.tw


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 01 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2022 Year 08 Month 01 Day

Date of IRB

2021 Year 03 Month 08 Day

Anticipated trial start date

2023 Year 01 Month 01 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 12 Month 23 Day

Last modified on

2023 Year 03 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056659


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name