Evidence map›Paper›PMID 27604566›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2017

Ketamine Treatment and Global Brain Connectivity in Major Depression.

Chadi G Abdallah, Lynnette A Averill, Katherine A Collins, Paul Geha, Jaclyn Schwartz, Christopher Averill, Kaitlin E DeWilde, Edmund Wong, Alan Anticevic, Cheuk Y Tang and 3 more

4 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 159 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 5 pooled it
12.3field-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.

NCT02083926 early_phase1completednot on this map

Ketamine Infusion for Social Anxiety Disorder

TypeinterventionalSponsorYale UniversityRan2015 to 2016Enrolled18ConditionsSocial Anxiety DisorderArmsKetamine, Saline
NCT03693105 phase2 / phase3terminatednot on this mapstarted 2024, after this paper: background citation

A Multi-Site, Randomized, Double-Blind Trial Assessing The Effects of SAINT® Neuromodulation System on Explicit and Implicit Suicidal Cognition

TypeinterventionalSponsorMagnus MedicalRan2024 to 2025Enrolled2ConditionsMajor Depressive Disorder, Major Depressive Episode, Suicidal IdeationArmsActive SAINT Stimulation, Sham SAINT Stimulation
NCT04870255 narecruitingnot on this mapstarted 2021, after this paper: background citation

Modulating Probabilities: Prediction, Assessment, and Treatment of Acute Mood Depressive Episode in Borderline Personality Disorder With rTMS

TypeinterventionalSponsorStanford UniversityRan2021 to 2026Enrolled45ConditionsDepressive Disorder, Major, Borderline Personality DisorderArmsLeft Dorsolateral Prefrontal Cortex (L-DLPFC), Dorsomedial Prefrontal Cortex (DMPFC), Sham Stimulation
NCT05100004 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Rapid Acting Transcranial Magnetic Stimulation for Suicide Ideation in Depression

TypeinterventionalSponsorStanford UniversityRan2021 to 2025Enrolled0ConditionsDepressive Disorder, Major, SuicideArmsAccelerated Theta Burst Stimulation, Sham Stimulation
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 5 syntheses or guidelines pooled it, 299 citations in OpenAlex.

  1. Pooled it
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  10. Efficacy and safety of zuranolone co-initiated with an antidepressant in adults with major depressive disorder: results from the phase 3 CORAL study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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  16. Habenula Connectivity and Intravenous Ketamine in Treatment-Resistant Depression.The international journal of neuropsychopharmacology · 2021
    Trial
  17. 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
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  18. Default mode network connectivity change corresponds to ketamine's delayed glutamatergic effects.European archives of psychiatry and clinical neuroscience · 2020
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99 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

13 authors at 3 institutions in 1 country.

Chadi G AbdallahClinical Neuroscience Division, VA National Center for PTSD, West Haven, CT, USA.ORCID http://orcid.org/0000-0001-5783-6181
Lynnette A AverillClinical Neuroscience Division, VA National Center for PTSD, West Haven, CT, USA.
Katherine A CollinsMood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Paul GehaClinical Neuroscience Division, VA National Center for PTSD, West Haven, CT, USA.
Jaclyn SchwartzFriedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Christopher AverillClinical Neuroscience Division, VA National Center for PTSD, West Haven, CT, USA.ORCID http://orcid.org/0000-0001-7575-6142
Kaitlin E DeWildeFriedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Edmund WongDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Alan AnticevicClinical Neuroscience Division, VA National Center for PTSD, West Haven, CT, USA.
Cheuk Y TangDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Dan V IosifescuMood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-2512-2835
Dennis S CharneyMood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
James W MurroughMood and Anxiety Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Allen Institute for Brain Science · USYale University · USIcahn School of Medicine at Mount Sinai · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Mount Sinai Institutes for Clinical and Translational SciencesUL1TR000067 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2012 to 2014
$16.5M
Functional MRI Studies of Emotion in Depression and Rapid Antidepressant ResponseK23MH094707 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MURROUGH, JAMES WARREN · 2011 to 2015
$911k
Examining The Effect Of Ketamine On Glutamate/Glutamine CyclingK23MH101498 · NIMH · YALE UNIVERSITY · PI ABDALLAH, CHADI · 2013 to 2017
$879k
NCATS NIH HHS UL1 TR000067NCATS NIH HHS UL1 TR001863NIMH NIH HHS K23 MH094707NIMH NIH HHS K23 MH101498
6 · The paper itself

Abstract

Capitalizing on recent advances in resting-state functional connectivity magnetic resonance imaging (rs-fcMRI) and the distinctive paradigm of rapid mood normalization following ketamine treatment, the current study investigated intrinsic brain networks in major depressive disorder (MDD) during a depressive episode and following treatment with ketamine. Medication-free patients with MDD and healthy control subjects (HC) completed baseline rs-fcMRI. MDD patients received a single infusion of ketamine and underwent repeated rs-fcMRI at 24 h posttreatment. Global brain connectivity with global signal regression (GBCr) values were computed as the average of correlations of each voxel with all other gray matter voxels in the brain. MDD group showed reduced GBCr in the prefrontal cortex (PFC) but increased GBCr in the posterior cingulate, precuneus, lingual gyrus, and cerebellum. Ketamine significantly increased GBCr in the PFC and reduced GBCr in the cerebellum. At baseline, 2174 voxels of altered GBCr were identified, but only 310 voxels significantly differed relative to controls following treatment (corrected α<0.05). Responders to ketamine showed increased GBCr in the lateral PFC, caudate, and insula. Follow-up seed-based analyses illustrated a pattern of dysconnectivity between the PFC/subcortex and the rest of the brain in MDD, which appeared to normalize postketamine. The extent of the functional dysconnectivity identified in MDD and the swift and robust normalization following treatment suggest that GBCr may serve as a treatment response biomarker for the development of rapid acting antidepressants. The data also identified unique prefrontal and striatal circuitry as a putative marker of successful treatment and a target for antidepressants' development.

Indexed as

Caudate NucleusCerebellumCerebral CortexConnectomeMajor Depressive DisorderAdultAntidepressive AgentsFemaleHumansKetamineMagnetic Resonance ImagingMaleMiddle AgedYoung AdultAntidepressive AgentsKetamine

Identifiers

PMID27604566
PMCPMC5437875
OpenAlexW2517085860

What OpenQuestion holds

Textmetadata
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.