Evidence map›Paper›PMID 23726151›Full record

ReviewBiological psychiatry2013

Rapid-acting glutamatergic antidepressants: the path to ketamine and beyond.

John H Krystal, Gerard Sanacora, Ronald S Duman

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Biological psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04130087 (The Effects of a Single Dose on Reward and Emotional Processing in Healthy Volunteers), which is not on this map. Cited by 199 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
199citing papers in PubMed, 2 pooled it
41.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04130087 naunknown statusnot on this mapstarted 2019, after this paper: background citation

The Effects of a Single Dose on Reward and Emotional Processing in Healthy Volunteers

TypeinterventionalSponsorUniversity of OxfordRan2019 to 2020Enrolled54ConditionsHealthyArmsSelegiline Hydrochloride 10 MG, Placebo
3 · Its place in the literature

Who cites it

199 citing papers in PubMed, 2 syntheses or guidelines pooled it, 395 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. A robust and reproducible connectome fingerprint of ketamine is highly associated with the connectomic signature of antidepressants.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
  7. Trial
  8. Trial
  9. Ketamine for Social Anxiety Disorder: A Randomized, Placebo-Controlled Crossover Trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Trial
  10. Dose-Related Effects of Adjunctive Ketamine in Taiwanese Patients with Treatment-Resistant Depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  11. Inflammation and treatment strategies for suicidal behavior.The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Inhibition of microglial glutaminase alleviates chronic stress-induced neurobehavioral and cognitive deficits.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  20. [Translational psychiatry · 2025
    Article

139 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

John H KrystalDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA. john.krystal@yale.edu
Gerard Sanacora
Ronald S Duman
Connecticut Mental Health Center · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI Matthew J Girgenti · 2001 to 2026
$43.7M
Role of mTOR and Synaptogenesis in the Actions of Rapid-Acting AntidepressantsR01MH093897 · NIMH · YALE UNIVERSITY · PI DILEONE, RALPH J · 2011 to 2021
$5.0M
PSYCHOTOGENIC DRUG ACTION ON CHEMICALLY DEFINED NEURONSR01MH017871 · NIMH · YALE UNIVERSITY · PI AGHAJANIAN, GEORGE · 1985 to 2008
$1.8M
Effects of Stress and Glutamatergic Agents on Glutamate Cycling and BehaviorR01MH081211 · NIMH · YALE UNIVERSITY · PI SANACORA, GERARD · 2009 to 2013
$1.8M
1/3-Efficacy and Tolerability of Riluzole in Treatment-Resistant DepressionR01MH085055 · NIMH · YALE UNIVERSITY · PI SANACORA, GERARD · 2010 to 2013
$1.5M
Studies of Amino Acid Neurotransmitter Contributions to DepressionK02MH076222 · NIMH · YALE UNIVERSITY · PI SANACORA, GERARD · 2006 to 2010
$634k
PSYCHOTOGENIC DRUG ACTION ON CHEMICALLY DEFINED NEURONSR37MH017871 · NIMH · YALE UNIVERSITY · PI AGHAJANIAN, GEORGE · 1990 to 2000
$164k
NCRR NIH HHS UL1 RR024139NIAAA NIH HHS P50 AA012870NIMH NIH HHS K02 MH076222NIMH NIH HHS MH093897NIMH NIH HHS MH17871NIMH NIH HHS R01 MH017871NIMH NIH HHS R01 MH081211NIMH NIH HHS R01 MH085055NIMH NIH HHS R01 MH093897NIMH NIH HHS R37 MH017871
6 · The paper itself

Abstract

Traditional antidepressants require many weeks to reveal their therapeutic effects. However, the widely replicated observation that a single subanesthetic dose of the N-methyl-D-aspartate glutamate receptor antagonist ketamine produced meaningful clinical improvement within hours, suggested that rapid-acting antidepressants might be possible. The ketamine studies stimulated a new generation of basic antidepressant research that identified new neural signaling mechanisms in antidepressant response and provided a conceptual framework linking a group of novel antidepressant mechanisms. This article presents the path that led to the testing of ketamine, considers its promise as an antidepressant, and reviews novel treatment mechanisms that are emerging from this line of research.

Indexed as

AnimalsAntidepressive AgentsDepressionGlutamic AcidHumansKetamineAntidepressive AgentsGlutamic AcidKetamine

Identifiers

PMID23726151
PMCPMC3671489
OpenAlexW2018114814

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.