Tests ketamine added to venlafaxine for severe depression in hospitalized adults
Tests ketamine or a placebo added to venlafaxine in hospitalized adults with severe depression.
Key facts
- Who runs it
- Assistance Publique Hopitaux De Paris
- Where
- Etampes Cedex, Le Kremlin Bicetre Cedex, and Orsay Cedex, FranceSee the 3 sites
- Trial code
- Registry title
- Early efficacy of ketamine compared to placebo, in add-on therapy of venlafaxine for inpatients with severe unipolar major depressive episodes: a double blind randomized controlled trial
- Status
- Recruiting
- Phase
- Phase 3
- People taking part
- 60 people, planned
- Started
- 20 Nov 2024
- Expected to end
- 11 Jul 2028
- Type of study
- Interventional
- Record updated
- 4 August 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults hospitalized for a severe episode of major depression who need to start venlafaxine. It compares ketamine and placebo added to venlafaxine.
- Age
- 18 to 65 years (the registry lists a maximum age of 64 years)
- Sex
- All sexes can join.
- Disease stage
- A current major depressive episode with major depressive disorder, severe, with a HDRS score of at least 24, in hospital care, with an indication to start venlafaxine.
- Earlier treatment
- Cannot have taken venlafaxine or ketamine in the month before joining. Cannot have failed at least two proper treatments from two different antidepressant classes.
Main reasons for not taking part
- Depression with psychotic features, psychotic disorder or bipolar disorder
- Current substance use disorder (less than 1 month), not counting tobacco
- Liver or severe kidney problems
- Contraindication to ketamine or venlafaxine, such as long QT, recent heart attack, epilepsy or uncontrolled high blood pressure
- Pregnant or breast-feeding, or planning pregnancy within three months
The registry criteria, word for word
Show all 16 criteriaShow less
Who can take part
- Current MDE in the context of Major Depressive Disorder (DSM-5 criteria), hospitalized (open care) for this episode, with a minimum HDRS score of 24 and in the context of an indication for the introduction of venlafaxine treatment
- Patient aged between 18 and 65
- Signed free and informed consent
- Membership of a social security scheme
- For women of childbearing age, effective contraception throughout study participation
Who cannot take part
- Participating in other interventional research involving the human body or within the exclusion period following previous research involving the human body, if applicable
- Contraindication to venlafaxine (hypersensitivity to venlafaxine or excipients, unstable hypertension, no indication for venlafaxine treatment in clinician's opinion due to ineffectiveness or tolerability of previous venlafaxine treatment)
- Current or previous treatment with venlafaxine or ketamine in the month prior to study inclusion
- Pregnant or breast-feeding patients (women of childbearing potential must have a negative urine or blood test for human chorionic gonadotropin prior to trial entry). Planned pregnancy within three months of enrolment
- Criteria relating to associated pathologies entailing particular risks: pharmaco-resistant MDE (failure of at least two properly conducted treatments with two different antidepressant treatment classes), MDE with psychotic features, psychotic disorder, bipolar disorder, current (<1 month) substance use disorder (excluding tobacco
- Liver impairment (AST and/or ALT > 3 ULN, PAL and/or GGT and/or bilirubin > 2 ULN)
- Severe renal insufficiency (GFR <30ml/min with Cockcroft's formula)
- Contraindication to ketamine : Hypersensitivity to active substance or excipients, comatose state, central nervous system (CNS) depression, Parkinson's disease, Lewy body dementia, progressive supranuclear palsy, known prolongation of the QTc interval (>450ms for men and >470ms for women) or congenital long QT syndrome, recent acute myocardial infarction, uncompensated heart failure, history of ventricular arrhythmias or torsades de pointes, uncorrected hypokalemia (K+ < 3. 5 mmol/l), epilepsy, uncontrolled hypertension, porphyria
- Social insurance
- Need to maintain another antidepressant, MAOI, Millepertuis or benzodiazepines (cyamemazine is permitted)
- Adult under guardianship, curatorship, or safeguard of justice
Check if you might fit
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 18 and 64 years old?
Where in France
- Etablissement Public De Sante Barthelemy DurandEtampes Cedex, FranceTaking people
- Bicetre HospitalLe Kremlin Bicetre Cedex, FranceTaking people
- Commissariat A L'energie Atomique Et Aux Energies AlternativesOrsay Cedex, FranceTaking people
About the trial
What the trial wants to find out
Objective For the main Study to compare early efficacy at day 7 on depressive symptoms of intravenous ketamine versus placebo on add on to venlafaxine in patients hospitalized for severe major depressive episode Objectives for ancillary study 1) To compare synaptic density changes assessed by PET-MRI before (d0) and after (d14) early add on treatment of ketamine or placebo in patients hospitalized for severe major depressive episode. 2) To assess whether clinical improvement after ketamine correlates with synaptic density changes
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record
Print a page for my doctorData and sources
- Registry record
- Listed on the EU's official list of trials (CTIS).
- Official title
- MOODBOOSTER« Early efficacy of ketamine compared to placebo, in add-on therapy of venlafaxine for inpatients with severe unipolar major depressive episodes: a double blind randomized controlled trial »
- Plain-language title
- Tests ketamine added to venlafaxine for severe depression in hospitalized adultsGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 9 November 2026.
- Fit questions
- Built from 2023-506597-12-00, who can take part
- Record updated
- 4 August 2026